A center of a department and terminates at the center of an

Question

The administrator of the Vacationers Hospitals recognized the amount of traffic in the corridors. This prompted her to think about possible problems with the current layout. The core work of the patient care is performed in an area 300 3 150 feet, as shown in the table below

Entrance/initial processing	Waiting Room	lExam Room 1
lExam-Room 2	X-Ray	Lab/EKG
Operating Room	Recovery Room	Cast Setting Room

300 feet by 150 feet

All rooms measure 100 feet by 50 feet. Walking distance from one to another is completed by rectangular working

patterns. Assuming that a trip originates from a center of a department and terminates at the center of an adjacent department, a person would walk 150 feet (25 feet from the center of originating department to hallway, 100 feet on hallway to an adjacent department, and 25 feet from the hallway to the center of the adjacent department). The results of a six months long work sampling study analyzing the movement of VH patients and staff between the departments, averaged per month are presented in a from - to - chart, as shown in the table below

	From-to -chart (No. of people in motion per month)	1	2	3	4	5	6	7	8	9
1	Entrance/Initial processing	-	-	-	-	-	-	-	-	-
2	Waiting Room	1900	-	-	-	-	-	-	-	-
3	lExam Room 1	1750	250	-	-	-	-	-	-	-
4	lExam Room 2	1600	300	900	-	-	-	-	-	-
5	X-Ray	500	675	750	1005	-	-	-	-	-
6	Lab/EKG	800	650	880	870	400	-	-	-	-
7	Operating Room	375	0	225	300	325	650	-	-	-
8	Recovery Room	0	0	0	0	0	0	1,125	-	-
9	Cast-Setting Room	0	0	0	0	985	525	0	0	-
10

A consultant informed the administrator that every 1,000 extra feet walked (by either patients or staff) cost $5.5 a month in terms of lost productivity (assuming flows and costs are symmetrical among departments). The objective is to minimize unnecessary walking by changing the location of each department on the basis of traffic data. To move a department costs $20,000 per room, except for lab/EKG, operating room, and x-ray, which cost $75,000 each. Determine whether it would be worthwhile to change the layout of the hospital.