Background to the Case Here are some questions to help you analyze the background of the case: • State the background as you understand it • What business is Quinte MRI in? • What facilities does Quinte MRI have? Who are their customers? (ANSWER: physicians) • How long has Benton-Cooper been operating? How is business going? • Who are you in the case? (ANSWER: David Wright and/or Kevin Saskiw) • What is your role? • What is the service being performed at Quinte? (ANSWER: completed diagnosis) • How is it requested? How is it finished? • What is the “marketing task”? How do you make money in this business? • What is the available demand? What is the future demand? Issue(s) Identification: Here are some questions to help you …show more content…
What training is necessary, if any? Where to search for talent, where to advertise, etc? When should the MR technician start? What is feasible? What does Quinte do in the interim? How to entice talent to a small town? Can you convince them to do a night shift? How do you set-up machine-sharing routines? How will you first clear the existing backlog? Case Wrap-Up Lessons learned in this case include the following: • It is good to solve problems, in general, but simply fixing a few things (e.g. better scheduling) is typically not enough. In this case, we must deal with the lack of capacity by addressing the bottleneck. • One important question: What resource should be the bottleneck? Typically, this will be the resource that is the most expensive (e.g. automated cutting machine), most difficult to acquire (e.g. comes in large chucks, has long lead times), most highly trained (e.g. brain surgeons), etc. For Quinte, this is clearly the MRI machine itself. • Given the MRI should be the bottleneck; the other resources must have protective capacity. This means adding enough of everything with cycle times longer than the MRI machine – for sure an extra MR technician. The role of non-bottlenecks is to protect the ability of the bottleneck to operate at full utilization. • However, in this situation, there is also a complicating requirement for quick response under highly variable conditions. This means that we want the MRI machine to have some
The MRI machine and the time it takes perform a scan is the bottleneck of the process. Each scan can have different times associated with it depending on the type of scan that will be performed. This will limit the capacity of the overall process. For example, a scan without contrast will usually take 30 minutes. A scan that requires contrast will double that time to 60 minutes.
Addressing problems means more than quick fixes; it means dealing with conditions that create problems.
I took to heart the alternative means of identifying bottlenecks to examine the utilization of equipment. When evaluating these areas I noticed that the sewing machine had the highest utilization, which meant an upgrade needed to take place. Not forgetting that packaging would become an issue too, so taking note of this allowed me to get contracts fulfilled. The mistakes I made were obvious at the beginning, such as not hiring enough of employees, not paying attention to the bottleneck issues, and bidding on contracts before fulfilling the five contracts that were already produced. This caused my reputation and profit to plummet. Finally, remembering not to take contracts without checking if all necessary machines are available is crucial. This week’s simulation has opened my eyes to many details that will be valuable in my business
During our research, we encountered a lot of facts that actually are the issues and probably holding a solution too, but needs a lot of efforts
In order to reduce inefficiency within scheduling, the Quinte facility should move to an electronic scheduling system. This will reduce the risk of losing paper schedules, illegible writing and system barriers. The electronic scheduling system will also reduce the amount of office supplies purchased. There are a number of task within the current process strategy that do not add value and were not accounted for when determining the output of scans. I would recommend eliminating or consolidating task. Keeping the current system of contacting the MRI scheduling department but also adding and option for the doctor to fax a referral or
The Plaintiffs felt that since the hospital was licensed and accredited that they should be held responsible for their employees and their actions. It states in the regulations that any infraction of the bylaws imposes liability for the injury. At any time if Dr. Alexander had questions or concerns he could have reached out to an expert in this field to consult
The first way throughput can be increased is by making sure that the bottleneck’s time is not wasted. According to the text, this means that a bottleneck should never be sitting idle or working on defective parts. When a bottleneck is down for an hour, it is not only the cost of the bottleneck that is lost, but the cost of the entire system. This is because the bottleneck’s capacity is equal to the entire system’s capacity, and whatever a bottleneck produces in one hour is what the corporation produces in one hour. In addition, if a bottleneck works on defective parts or parts that are not needed, it is a waste of time that the bottleneck could be spending on good parts that are needed. Without good parts from a bottleneck, you can’t sell a product or generate throughput.
Jamie Finchbaugh of Industryweek.com states "Reducing lead time isn't about capacity. The amount of work that can get done is usually still the amount of work that can get done. What lead time does is deliver the request sooner to whomever needs something done."
the workload within the current services” – this points out that there is a shortage of internal resources to
Say we have identified the bottleneck machine of a production process. List at least four things suggested in the book that will result in a greater throughput without actually expanding the physical capacity of the machine.
Managing demand and capacity: MGH could forecast the demand and research the bottlenecks in each area of process flow diagram (Exhibit 8) such as surgery room, Ellison 8 rooms, SICU floor bed, and other hospital beds. Based on the research, they can increase or decrease the resources such as staff or beds or even expand the facility. They need the data to forecast and manage the capacity. Without the data, it is impossible to manage the capacity. So MGH need to start collecting data to better manage the demand and available capacity. However, this would not help solve the current immediate problem in hand to improve the process and reduce costs.
A key operational challenge in most healthcare organizations is the efficient movement of patients in a hospital or a clinic, which is referred to as the
It is a common desire to have a balanced plant, but this cannot be reached if there are problems with the levels of capacity in the plant. If there is not enough capacity in the plant, it almost seems as if the possibility of having throughput is being lost and if there is an excessive amount of capacity there is money that is being wasted, which would be a problem when trying to reduce the operating expenses. However, in reality the closer that a plant comes to being balanced, the closer they get to losing money. “ Look at this obsession with trimming capacity in terms of the goal,
Capacity planning is a necessary function of an organization to ensure that the highest rate of output is reached through the current processes taking place within an organization. These strategically defined processes must have the ability to provide flexibility to meet future capacity demand, whether due to opportunity growth or adjustments to make decreases to maximize profits. “Capacity decisions related to a process need to be made in light of the role the process plays within the organization and the supply chain as a whole, because changing the capacity of a
Early diagnosis provided by its sophisticated technology saves countless patient lives, and without its help, we wouldn’t have been able to develop cures or treatments for many diseases. Its ability to monitor subtle changes in patients that would otherwise be missed by unassisted human eyes is also a hallmark of modern clinical practice.