Question

7.4 Utilize the information from Exercise 6.2, where pre- and postexamination processing of patients in an outpatient clinic involves various tasks performed by clerks and nurses.

Exercise 6.2 2 Pre- and postexamination processing of patients in an outpatient clinic involves various tasks performed by clerks and nurses. A time study conducted by the decision support department is shown in table below

		Observations (in Minutes)
Activity	Performance Rating	1	2	3		4	5	6	7	8	9	10	11
Registration	1.15	3	6	4		8	4	5	4	6	4	6	4
Co-Payment	0.95	7	9	11		8	12	9	6	11	9	12	10
Wait for Nurse	1.00	17	15	17		12	11	17	12	19	12	20	18
Vital Signs	0.96	9	8	11		12	9	8	10	12	8	12	11
Wait for Exam Room	1.00	12	15	12		14	21	18	11	16	9	14	18
Placement to Exam Room	0.98	3	5	4		6	3	5	3	6	5	4	7
Wait for Physician	1.00	10	17	21	11		13	15	14	12	19	15	9
Examination	1.00	18	15	19	22		18	12	19	21	16	21	17
Test Order Entry	1.02	4	7	3	5		4	11	9	12	11	14	9
Referral Requests	1.11	11	10	16	9		8	9	7	7	9	7	6
Follow-Up Appointment Scheduling	1.08	3	5	3	4		3	4	4	5	3	3	5

a. Excluding the wait times for patients, recalculate the standard time.

b. If there were an average of 1,800 patient visits to the outpatient clinic, what would be the standard hours per month?

c. If the target utilization rate of the facility is 80 percent, the indirect support time per visit is 0.10 hours, and the total administrative time by all staff in a given day is five hours, what is the target FTE level for the clinic?

d. If fringe benefits account for 9 percent of the target FTEs, what are the required FTEs?

Answer 1

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Below is the Excel calculation and sheet!

			Observations (in mins)
	Activity	Performance Rating	1	2	3	4	5	6	7	8	9	10	11	Observed time (OT)	Normal Time (NT)	Standard Time (ST)
	Registration	1.15	3	6	4	8	4	5	4	6	4	6	4	4.91	5.65	6.32
	Co-payment	0.95	7	9	11	8	12	9	6	11	9	12	10	9.45	8.98	10.06
	Wait for nurse	1.00	17	15	17	12	11	17	12	19	12	20	18	15.45	15.45	17.31
	Vital signs	0.96	9	8	11	12	9	8	10	12	8	12	11	10.00	9.60	10.75
	Wait for exam room	1.00	12	15	12	14	21	18	11	16	9	14	18	14.55	14.55	16.29
	Placement to exam room	0.98	3	5	4	6	3	5	3	6	5	4	7	4.64	4.54	5.09
	Wait for physician	1.00	10	17	21	11	13	15	14	12	19	15	9	14.18	14.18	15.88
	Examination	1.00	18	15	19	22	18	12	19	21	16	21	17	18.00	18.00	20.16
	Test order entry	1.02	4	7	3	5	4	11	9	12	11	14	9	8.09	8.25	9.24
	Referral requests	1.11	11	10	16	9	8	9	7	7	9	7	6	9.00	9.99	11.19
	Follow-up app scheduling	1.08	3	5	3	4	3	4	4	5	3	3	5	3.82	4.12	4.62
																126.92
	assumed 12% allowance for Standard time
a	Standard time (excluding wait times)				77.43
b	Avg patients per month				1800
	Standard mins per patient				126.9
	Standard hours per patient				2.12
	Standard hours per month				3,807.5
c	Avg patients per month				1800
	Direct support hours per month				3,807.5
	Indirect support hours for 1800 visits per month				180
	Total support hours per month				3,987.5
	Target utilisation				80%
	Normalised support hours per month considering utilisation				4,984.4
	Avg administrative hours per FTE per month				150	(assumed 30 days per month)
	Target FTEs required				33.2
d	Fringe benefits				9%
	FTE equivalent				2.99
	Required FTEs				36.22