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Patients arriving at the Akron Orthopedic Clinic go through 3 steps in the patie

ID: 427579 • Letter: P

Question

Patients arriving at the Akron Orthopedic Clinic go through 3 steps in the patient care process. First, patients are checked in at a check-in counter where a single receptionist checks the patient's ID, Insurance information, contact information, and collects the deductible payment. Patients also need to fill-in a medical history as part of this step. This check-in step on average takes 15 minutes to complete all the activities. In the next step, nurse talks to the patient to know their symptoms, measures the patient's temperature and blood pressure and records all this information. This step on average also takes 15 minutes; however there are always 2 nurses on duty, with each nurse attending to a single patient. The third and last step in the process is for the patient to consult with the physician, where the physician diagnoses the medical condition, prescribes the medical treatment and follow- up actions. The consultation with the physician on average takes 20 minutes per patient. There is at present only one attending physician on duty at any given time. Physicans are paid a relatively high salary of $100 per hour, nurses are paid $25 per hour and the receptionist is paid $10 per hour. Overhead costs include $25 per patient. The revenue from each patient averages $125. The maximum patient demand is 6 patients per hour What is the present total profit generated per hour? $100 $125 $140 $200

Explanation / Answer

Determine capacity per hour of the process:

Process step

Registration

Pre-checkup

Consulting

Resource unit

Clerk

Nurse

Physician

Minutes per patient

15

15

20

Resource quantity

1

2

1

No. of patients served per hour (Capacity of resource unit)

4

8

3

Cost per resource unit per hour

$10

$25

$100

Total cost per hour

10

50

100

Maximum patient served per hour = minimum capacity among the resources capacity = (min(4,8,3) = 3

Maximum patient served per hour = 3 patients per hour

Cost per hour = Cost of resources per hour + patient overhead cost per hour

Cost per hour = ($10 + $50 + $100) + (no. of patient served per hour x overhead cost per patient)

Cost per hour = $160 + (3 x $25) = $160 + $75 = $235.

Revenue per hour = no. of patient served per hour x revenue per patient = 3 x $125

Revenue per hour = $375

Profit per hour = Revenue per hour – Cost per hour = $375 - $235 = $140 per hour

ANS: $140

Process step

Registration

Pre-checkup

Consulting

Resource unit

Clerk

Nurse

Physician

Minutes per patient

15

15

20

Resource quantity

1

2

1

No. of patients served per hour (Capacity of resource unit)

4

8

3

Cost per resource unit per hour

$10

$25

$100

Total cost per hour

10

50

100