Williamsport Hospital - Group Report Ver2

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3

ISOM 5700 Operations Management

Group Assignment 1

Williamsport Hospital

Analyzing pros and cons of service line approach


Service Line Approach
Pros Cons
Less weekly meetings and more time spent Insufficient physical therapists could be
treating patients bottleneck and cause idle time for other therapists
Better interdisciplinary sharing and quicker Higher staffing costs
decision making
More consistent treatment by care providers

Allocation of therapists for head injury


When four physical therapists are assigned to the head injury service line, they have the capacity to
treat 12 (4 x 3) patients per day. For the head injury line, the mean is 9.07 and the standard deviation
is 3.01. Thus, we know the outcome of NORMINV (Probability, 9.07, 3.01) is 12, and need to find
the probability. Using Solver in Excel, the probability is 83.47%, i.e. the probability that the demand
for physical therapy will not be met on a particular day is 16.53% (1 - 0.8347).

When a service level of at least 95% is required, using NORMINV (95%, 9.07, 3.01), we get the
result of 14.02. This is the capacity to treat the number of patients per day. As each physical therapist
can serve three patients per day, the physical therapists would need to be assigned to head injury line
is 5 (14.02/ 3 = 4.67, rounded up to 5).

Head Injury Line


Mean 9.07 patients/day
Std Dev 3.01
Physical therapist capacity 3 patients/day
No. of physical therapists 4
Capacity to treat patients per day 12 11.99999533
Service Level 83%
Targeted Service Level 95%
Optimal no. of physical therapists 4.67
5

Therapists allocation as per different service line


In a single physical therapy department, the required number of physical therapists are 25
(exact number to be at 24.9). If physical therapists are assigned to each of the other four other
service lines, all at the service level of 95%, the allocation is as following:

No. of Physical No. of Physical


Service Line Mean Std Dev Therapists Therapists
(raw data) (rounded up)
Head Injury 9.07 3.01 4.68 5
Stroke 14.58 3.82 6.95 7
Spinal Cord, Neuro-injury, multi-
6.81 2.61 3.70 4
trauma
Orthopedic, Arthritis,
amputation, pain syndrome, 28.40 5.33 12.39 13
debility/other
Pulmonary, Cardiac 2.99 1.73 1.94 2
TOTAL 31

Single Physical Therapy Department

Mean no. of patients per day 61.84


Std Dev 7.9
Required no. of physical therapists 24.9~25

More physical therapists are required in the Service line approach as they can't switch to or
support other departments. This would mean that the hospital needs to hire 6 more therapists
to continue with the service line approach.
Organising a Swing team as another option
To capture the benefits of the service lines while still maintaining a reasonable utilization level
of physical therapists, we offer an alternative solution by using a Swing team.

 The total patient days is 22,571, which means that we need at least 21 physical
therapists to achieve the 50% service level. (=22,571/365/3)
 For each service line, we calculated the no. of physical therapists that can satisfied the
need based on the daily average no. of patients.
 For example, for the head injury service line, we can know that the average no. of
patients per day is 9.07, and it means that we need at least 3 therapists. (=3,311/365/3)
 We allocate these 20 therapists to each group as settled therapists according to the
number we calculated in question 2. And for the rest of the therapists, we place them in
a swing team.
 The therapists in the swing team will then be allocated to different service lines
according to the actual number of patients for each day.

You might also like