Preview

55928157 Pediatric Orthopaedic Clinic Review

Powerful Essays
Open Document
Open Document
969 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
55928157 Pediatric Orthopaedic Clinic Review
Case 4
Pediatric Children’s Clinic
Faisal Mohamed, Lei Hohme

Pediatric Orthopaedic Clinic Review
Problem
The Pediatric Orthopaedic Clinic at the children’s hospital of Western Ontario provides specialized pediatric services to children living around or near Ontario, Canada or as far away as the United States. With rising complaints about the patient wait times, management agreed to review the process and look for ways to reduce the waiting times by 20 percent.
1. What are the activity utilizations? Direct labor utilization?
In order to calculate the utilization rates, data that was retrieved and analyzed from patient surveys and time studies. Utilization rates were calculated as separate divisions and by the particular job title. To calculate the utilization rates for individual job functions, the number of total hours spent on the process was divided by the number of total hours available for work for the particular worker(s). Doing so, utilization rates were 74.07% for clerks, 81.83% for the main three nurses, 83.42% for technicians, 75.83% for radiologist, 57.25% for the extra nurse, 110.43% for the surgeon, 92.24% for the senior resident, and 90.04% for the cast technician (Appendix A). Similarly, to calculate the utilization rate for individual divisions, the number of total hours spent in the division was divided by the number of total available hours for that division. The corresponding utilization rates for the divisions were 67.43% for reception/front desk, 69.83% for radiology, 28.63% for x-ray hand off, and 97.57% for examination room (Appendix B).
2. What is the effect of variability? How can it be controlled?
The Radiology Department is used by the Pediatric, Urology and Chest Clinic and the ER. This leads to varying demands that depend on patient arrivals for each department which causes variability in the amount of time a patient has to wait to get treated. The more patients, the more likely the wait time will increase. One way to control this

You May Also Find These Documents Helpful

  • Good Essays

    Delay in communication between staff and Physician either due to unavailability of the physicians after hours contact information or lack of communication.…

    • 1778 Words
    • 8 Pages
    Good Essays
  • Best Essays

    Assignment 4 432 APA

    • 2590 Words
    • 7 Pages

    As a Canadian nurse who has worked at several hospitals in Canada, it is apparent that our government funded hospitals leave much to be desired. The wait times in the emergency department stagger over several hours for illnesses that can be treated within minutes. Our emergency rooms are over loaded and we simply do not have the nursing or doctor staff to keep up with this demand. The issue is not only related to the growing and aging population; rather the core of the issue remains that most Canadians are without any family physicians covered by Medicare. Canada is facing a crisis. Timely access to health care services is getting progressively worse for Canadians. The single biggest reason for this is a severe shortage of health professionals. High on the list of those in short supply are family doctors. More than 4 million Canadians cannot find family physicians to care for them; compared to people with family physicians, those that have no family doctors are more vulnerable to prolonged wait times throughout the system and are less satisfied with the performance of all other health professionals, institutions, and governments (The College of Family Physicians of Canada, 2004, p.3). In response to this shortage of publicly funded physicians, I have decided to integrate a privately funded family medicine clinic. This clinic will allow patients quick and easy access to a family physician that can treat their minor emergencies as well as provide continued health care as needed. This organization is a growing trend. Today the discussion is not whether private health care should have a role in the system, but rather what role private health care will have (Mason, 2008, p.130). By integrating a privately funded family medicine clinic into Canadian society, it will not only decrease wait times in public hospitals and…

    • 2590 Words
    • 7 Pages
    Best Essays
  • Good Essays

    I work for a large orthopedic practice that is owned by the largest hospital system in the…

    • 424 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    There are usually seven physicians that review cases from sixty-five nurses. The training period is very intense. Some physicians work as contractors which means they could leave within six months. The physicians’ area is always understaffed.…

    • 3118 Words
    • 13 Pages
    Satisfactory Essays
  • Good Essays

    Winter pediatric therapy clinic is a great clinic for children who are in need of pediatric rehabilitation services. The three services provided by this clinic are speech therapy, occupational therapy, and physical therapy. At this facility, I had the opportunity to observe clients who had language and articulation disorders. The first client I observed was a 20 year old adolescent with Autism who was nonverbal. To facilitate his way of communication, he used the Saltillo Novachat 8 (SN8), which is a communication system that offers Chat software on an Android platform. The Speech Language Pathologist (SLP) for this client used common sentences provided by his mother to help him communicate better at home. The SLP said these sentences aloud and the client was instructed to use the device to repeat those sentences. The second client I had the opportunity to observe is a 4 year old boy who had an articulation disorder. For this client the SLP used drill play to teach him new ways of producing the /b/ sound. The third client was a 4 year old boy with Autism and he was nonverbal. The therapy session for this client consisted of playing different games of his interest to help improve his communication skills. Modeling and using a great variety of gestures were effective during this session.…

    • 595 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Not the most efficient process, not to mention patients felt like their emergency was unimportant. To improve on this process, time stamped data is collected concerning time patient checked into the ED, time patient was triaged, to time patient was placed in a treatment room. Using Excel, a general computer program a formula was developed to provide time percentages. This method is simple and cost effective while producing accurate data. Time interval metrics are better understood when evaluating time stamps/time intervals of a typical ED stay (Welch, 2012). After an adequate amount of data was collected the “Nurse First” pilot was implemented. In other words, a patient, when entering…

    • 938 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Donating money or time to charity is a good way to help ourselves feel better by improving the quality of life for other people. One of my favorite charities is The Shriners Hospital for children. They are a charitable organization, and their 22 hospitals are completely free to patients. According to their website, their vision is to “Become the best at transforming children’s lives by providing exceptional healthcare through innovative research, in a patient and family centered environment.” They are dedicated to improving the lives of children and families in need through medical and financial backing (Shriners Hospitals for Children).…

    • 458 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    The medical-surgical unit of ABC hospital is a 52 bed unit divided into three nursing stations. The unit provides care for medical/surgical adult and geriatric patients on various stages of recuperation from diagnostic, therapeutic and surgical interventions. Staffing levels are based on accurate calculation of the volume of patients occupying a bed. Lately the hospital has been experiencing a shortage in staffing of all positions; registered nurses, license practical nurses, certified nursing assistants, technical staff and orderlies. The problem has escalated to a critical level in recent…

    • 1662 Words
    • 7 Pages
    Powerful Essays
  • Best Essays

    Collection, analyzing, and interpretation of data are important functions at the skilled facility. The nurses are major contributors of data that is either, generated electronically or by the health record department staff. Health care provision today is centered on evidence-based care, which continues to influence the type of care patients receive. Statistical information enables the health care providers to plan, formulate current and future policies, improve patient care through evidence-based studies, evaluate, and improve on customer care, and for compliance purposes. Examples of data collected on daily basis are the daily patient census that summarizes the total number of patients per unit by the end of the day computed manually at 12 midnight. This reporting tool is presented in tabular format and shows all new admissions, readmissions, in-house transfers, transfers out to other levels of care, discharges, deaths, or missing patients. Another example of statistical…

    • 1188 Words
    • 4 Pages
    Best Essays
  • Satisfactory Essays

    Head Injuries in Football

    • 502 Words
    • 3 Pages

    References: Support for Kids Healthcare | Cullen Children 's Foundation. Web. 22 Jan. 2011. .…

    • 502 Words
    • 3 Pages
    Satisfactory Essays
  • Best Essays

    Ted Bundy

    • 1645 Words
    • 7 Pages

    References: Shadow, M., (2008) Ted Bundy, The Serial Killer, retrieved on 23 February 2012 from http://quazen.com/reference/biography/ted-bundy0the-serial-killer.…

    • 1645 Words
    • 7 Pages
    Best Essays
  • Powerful Essays

    Currently there is no set approach used to determine how to decide nurse-to-patients ratios in health care. The two most common staffing methods used are staffing based on patient acuity and mandated nurse-to-patient ratios. The debate over how to best decide nurse-to-patient staffing ratios has been an ongoing issue. ANA President Barbara Blakeney(2012) stated “Inappropriate nurse staffing is the number one concern of nurses today. More than a decade of research has shown that RNs make the quality difference in patient care and that when RN care is insufficient, patient safety is compromised and the risk of death is increased” (p.1). Patient outcomes, nursing staff satisfaction, and cost are all things considered when evaluating the outcomes of the different staffing methods. There have been on going studies into the effects of both staffing methods on patient care. Research needs to continue to find a safe way to staff nursing facilities. Staffing by nurse-to-patient ratios or by patient…

    • 2216 Words
    • 9 Pages
    Powerful Essays
  • Best Essays

    Canadian Paediatric Society. (1999). Children and Youth New to Canada: A Health Care Guide. Ottawa, ON: Author.…

    • 3923 Words
    • 16 Pages
    Best Essays
  • Powerful Essays

    Efficiency in healthcare operations is becoming an increasingly important objective for many decision makers. Efficiency is simply the ratio of outputs to inputs, not the quality of outputs but the lowest possible cost of production. Adequate assessment of efficiency implies the availability of standards against which actual costs may be compared. In many health care organizations, these standards may be formally introduced into the budgetary process. Thus, a given nursing unit may have an efficiency standard of 4.3 nursing hours per patient day of care delivered. This standard may then be used as a benchmark by which to evaluate the relative efficiency of the unit. If actual employment were 6.0 nursing hours per patientka day, management would be likely to reassess staffing patterns.…

    • 3581 Words
    • 15 Pages
    Powerful Essays
  • Good Essays

    Pediatricians are physicians specialize in the care of young people from new borns to adolescents. They are involved in diagnosing and treating injuries, infections, and diseases among young patients, as well as counseling them through difficult times and situations, such as puberty and family problems. Because they deal with children and teenagers, pediatricians are likely to encounter certain diseases and problems such as asthma, lead poisoning, allergies, acne, and drug abuse (Career Cruising). I want to become a pediatrician because of the salary, but most importantly because I’ve always loved to work with children and teenagers.…

    • 599 Words
    • 3 Pages
    Good Essays