BADM 590 Spring 2015 Schedule

3. How many operations could the hospital perform per day before running out of bed capacity? How well would the new resources be utilized relative to the current operations? Why?

On McDonalds For my business course, I have been asked to prepare a report for a business at work. I could choose any business to investigate. I decided to do McDonalds because it is globally recognised and of its size. Also because it is a franchise I thought that it would be interesting to see how a franchise operated.

The entire hospital holds a total of 90 beds, 5 operating rooms, 6 examination rooms, and a laboratory. Despite the size of the hospital, they average 150 operations per week and 7000 to 7500 operations annually. Also, it is important to note that there are only 12 full-time surgeons and 7 assistant part-time surgeons that handle all operations in 5 day a week period. The last thing to take into consideration is that each patient stays 3 days out of a week starting the day they arrive. Although Shouldice’s operations seems to be functioning just fine, there is a debate of effectiveness of whether or not they are fully utilizing their full potential in relation to surgeries performed and beds being

2. Analyze the available MD and NP capacity.  How effective is the clinic in matching supply and demand?

The hospital utilizes its best to full capacity three days in a week, on the other hand, the doctors operate at the hospital five days in a week, and this implies the equation for the utilization of the beds will focus on two different perspectives.

phase of perioperative care beginning with the decision to perform surgery and continuing until the client reaches the operating area. Starts off whether the patient wants to perform the surgery then continues until the patient reaches the operating area. When a patient is admitted into ambulatory surgery or short before surgery the time for preoperative assessment, nursing diagnoses, and evaluation of the nursing management may be limited. It’s important to recognize the patient’s immediate preoperative needs. Although, the preparation for the surgery is still required by the nursing process. Assessment: in preoperative care it requires a complete assessment of the patient. The assessments differ based on the importance of the surgery and

Questions 1: How would you describe McDonald 's business strategy? What are the foundations of its competitive advantage?

The proposed project seeks to adopt the hourly rounding for purposes of reducing the call bells on a medical, surgical pulmonary unit involving patients. The clinical question can be stated in PICOT format for ease of comprehension.

Over the past few years technology has caused significant changes in the way enterprises conduct business.

The hospital is currently utilizing 71.43% of their beds, this is actually an ideal operating point. To increase its rate of utilization might decrease the service quality.

The cause and effect diagram help us to identify the possible obstacles (variation) that have negatively impacted the OR 's workflow, and have caused an increase of the patient length of stay in the PACU. Furthermore it also allows us to brainstorm all possible explanations for current performance in a more organized way, by grouping all possible causes as there are six major factors affecting the performance of the process: people, material, environment, method, machine, and measurement.

Over the years, technology has become a major part for a business and for an individual as well. Technology has become so advance that it has made a major effect for the staff as well as for the customers. New technology has helped in many areas such as data and information storage, advertising, transportation and communication.

For example, if a patient had an outpatient endoscopy procedure, the formula can be illustrated as:

inflow of patients is higher than the available beds. You are treating an elderly man who is breathless and cyanosed. While you assess whether he has chronic obstructive pulmonary disease or heart failure, he becomes drowsy and starts gasping. You quickly intubate him with some difficulty, prolonging his period of hypoxia, and put him on ventilator support. You then get a phone call from a senior consultant in the hospital that an important social activist is about to arrive with chest pain and will need to be admitted. You are directed to

Brown, S., Lamming, R., Bessant, J., & Jone, P. (2005). Strategic Operations Management. Burlington, MA: Elsevier.