Case Sample Response Quinte MRI Essay

1. EXECUTIVE SUMMARYQuinte MRI is BCMC service provider for MRI since February. rather has been chosen to replace the existing service provider as BCMC cherished to increase the number of days usable for MRI from two. BCMC were aw atomic number 18 of Quinte brilliant capabilities, such as 24 hrs per day and 7 days/week, and Haiders integrity and personal attentiveness. MRI clinic exploits in May and this instant is June and there are some issues. There is a backlog for the political mold, the technician is operative lots of studys extra while, the doctors are knowting their results late so they began to carry on endurings to competitorsMRI. The identified root work for all of these issues is that the knead is non federal official properly thats why the subject is low. By feeding the process we mean in this case the programming of the patients. The alternative proposed is to change the way the schedule of the patients is d champion now and some changes in the proc ess. We might continue some underground from the doctors as they go forth have to make authorized that they dont refer for MRI patients which do non fit. besides a cream off an hour lead be booked. After monitor and control in two months departing be decided if a dispel time technologist will be hired.2. ISSUE assignmentImmediate issuesWalk-ins patients. The anticipate rail time for referred patients is 48hrs but some patients called walk-ins call for scan that day. It is a significant number of walk-ins patients per form, 600, as the number of referred patients per y spike is 1600. If we consider these numbers 250 operating days per year and 600 walk-ins, this government agency mean(a) 2.4 walk-ins per day. Patients not fit for MRI. If a technologist determined that the patient does not fit to MRI the patient is sent home and the machine is idle. This means an average 1.2 patients/day, it is a lot. Non-metal robes. The patient is requested to wear non metal cloth ing to the scan to be performed. If not the patient has to change in infirmary gown. 25% of the patients are in this category, this is a lot. Loss of patients referralsAs the postponement list for MRI scans is 14 days old the doctors refers patients for MRI to emulation clinics Complains from hospital administrators ab break MR machine low productivity, the strain resulting from MR technologists heavy overtime schedule, exhalation of patient referrals Late transcriptions report Doctors expected to receive transcriptions reports within two days of their request which didnt go past so they started to refer the patients to some other MRI BCMC was dissatisfied because of the loss of referrals by Quinte MRI MR technologist and machine low productivity The machine was plan for one scan per hour but was not contact this rate. MR technologist not willing to work too much overtime as he does now.Systemic issuesProcess and capacity issues. There is a issue with the existing process whi ch causes an issue for the capacity. These create the backlog which and so createa bullwhip effect.3. ENVIRONMENT AND ROOT CAUSE ANALYSIS mug up AnalysisStrengths is a ripening business it maintained a mix of exclusive or partnership business arrangements its equipment and components were from many leading manufacturers striking capabilities Haiders integrity and personal attentiveness availability for 24hrs/day, 7days/week the machine was new, only six weeks old Weaknesses 1 one machine available with the capacity of two patients/hr for 25 of the scans the see is 45min so slight than two scans/hr the hospital would pay the radilologist and schedule the clinic only one technician which works too much overtime and he is willing to work little in the future Opportunities MRI had become increasingly favourite with the medical profession the number of procedures grows a lot every ear the number of scans grows a lot as well the number of hospitals and non-hospitals scan sites had risen as well a lot BCMC has been located in a very good location with doctors, hospital beds, over 20 specialties, there is dwell for competition the forecast anticipates that MRI scans will grow with 15% y archeanThreads MRI equipment represents a significant coronation the facility requires space and the equipment requires shielding from magnetic fields there is a shortage of good MR technologists, especially in rural areas, not halcyon to prevail a person willing to work part time Root cause looking at the issues and considering the environment, the identified root cause is that the process is not fed properly thats why the capacity is low. By feeding the process we mean in this case the scheduling of the patients.4. ALTERNATIVES AND OR OPTIONSThere is proposed the following alternative.Alternative. In this alternative there are proposed some changes in the existing dodge as the scheduling placement to be computerized as this will go on the misreading caused by dispara te hand writings for eight hour shift to have plan eight patients as this will allow room for the technologist to conduct on time to the radiologist the scans speedy so the radiologist will not complain and he will as well as send faster the results to the doctors. Scheduling only eight patients a day might lead to some extratime which can be used for walk-in patients as well the doctor should never refer for MRI scanning a patient which is not physical able. In this way we will eliminate the idle times of the machine. When the doctor assistant contact for battle they have to have this in writing-the patient is able for MRI the patient has to come with 30 min before the appointment to fill out the forms and change in hospital gown. In this way we will eliminate the delay when the technologist finds out that the patient is not prepared and he has to wait till he changes his clothes. In two months if there are not the expected changes, we will try to hire a part time technologist and pay overtime to the existing one until we find one.With part time shift we will cover 12 hours a day. In this way we will increase the number of scans in the future. The challenges that we will have with this alternative might be convincing the BCMC to implement the computerized scheduled and follow our schedule suggestions or let our receptionist to do the schedule the resistance from doctors as they will not have to refer the patients which are not fit for MRI eight patients/day means 2000/year without overtime or walk-ins which is less than we do today 1600 refered+600walkins. We might not be able to scan average 10/day and this means less than we do now but still these will be keen patients, not waiting, not wrong schedule, radiologists and doctors happy we still might hold a part time person for the future so we will be able to grow and have vacation coverage.5. RECOMMENDATIONSThe alternative in a higher place it is recommended to be implemented. This will involve chang es in scheduling system and also in the scanning process.6. IMPLEMENTATIONWhat Who WhenDoctors to refer fit patients only BCMC operation manager Immediate for long term New scheduling system Quinte MRI Operation Manager In two weeks Patients to arrive 30min early Quinte MRI Operation Manager Immediate Sending the patients to change room to put gown on and waiting there for the technolog. Receptionist immediate7. varan AND CONTROLThe Quinte MRI operation manager will decompose hebdomadally the number of scans (referral scans and walk-in scans), the number of the patients which aresent home without scan and the reason, the number of wrong recordings in the schedule (scan A and B or else of A and D), how much idle time, how often the scans are sent to the technologists. At every two weeks a cross-functional team with the following members will analyze the weekly numbers that Quinte OPS manager has, the radiologist number of scans received, how often the doctors get their results an d the number of days in backlog. Cross-functional team members Quinte MRI ops manager, BCMC ops manager, BCMC information technology, David and Kevin kiss development coordinators. Meeting after two months and deciding whether or not to hire a part time MRI technologist.