# Cincinnati Children's Hospital had used six single-detector CT units to serve patients. The CT scans were...

###### Question:

Cincinnati Children's Hospital had used six single-detector CT units to serve patients. The CT scans were useful for diagnosis of medical diseases through the body. In 2014 these units had been used for multiple shifts throughout the day to scan about 55,00 patients. The components of the process included patient preparation, the actual scan, and image reconstruction. One nurse and one CT technologist were required to carry out the tasks for each scan. (This is staffing need for operating each scanner machine). The hospital had six rooms to house the six CT machines, and a common waiting area for all patients. The steps in the scanning process were as follows:

1.) the nurse first went and located the patient in the waiting room (2 mins)

2.) the nurse then moved the patient from the waiting area into the CT scanning room (2 mins)

3.) the nurse placed the IV line for contract injection (2 mins) At the same time, the CT technologist selected the CT scan protocol and prepared the machine (3 mins)

4.) the technologist performed the CT scan (17 mins)

5.) then the technologist monitored the CT image reconstruction (10 mins), and coded and distributed the CT image (2 mins). At the same time, the nurse assisted the patient off the table (1 min), retired the patient to the changing area (2 mins), change the linens and cleaned the CT scan room (2 mins), refilled the contract injector (3 mins)

From that point on, the process repeated for each new patient.

The revenue per CT scan was $500. In terms of the expenses, the hospital paid nurses$50 per hours, and technologists $35 per hour. The supplies were estimated to be$50 per scan.

1.)Draw the process flow map for the original CT scan process (you can fosse on one of the six single-scanner processes) clearly label the tasks, job flows, and activity times.

2.)Normally hospitals schedule patient visits so that the scanners are fully utilized during the opening hours. (note we are not considering the scanners for ER serving on a need basis) As such, it is reasonable to assume during opening hours, the hospital will schedule as many patients as the process can possibly handle, which means, demand rate always equals CT scanner process capacity. Now consider the CT scan process.:

a.) which resource is the bottleneck? Why?

b.)What is the process capacity?

c.)Based on this capacity, how many opening hours should they have annually? Is it realistically possible?

d.)How would you like to calculate the hourly revenue, hourly cost and hourly profit product by the scanner processes?

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