Discuss the below:
Q: Pre and post examination processing of patients in an outpatient clinic involves various tasks performed by clerks and nurses. A time study conducted by the decision support department is shown in the excel table.
| TIME STUDY |
|
Observed time (in minutes) |
|
|
|
| Activity |
Performance Rating |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
Observed time (OT) |
Normal Time (NT) |
Standard Time (ST) |
| Registration |
1.15 |
3 |
6 |
4 |
8 |
4 |
5 |
4 |
6 |
4 |
6 |
4 |
|
|
|
| Co-payment |
0.95 |
7 |
9 |
11 |
8 |
12 |
9 |
6 |
11 |
9 |
12 |
10 |
|
|
|
| Wait for nurse |
1.00 |
17 |
15 |
17 |
12 |
11 |
17 |
12 |
19 |
12 |
20 |
18 |
|
|
|
| Vital signs |
0.96 |
9 |
8 |
11 |
12 |
9 |
8 |
10 |
12 |
8 |
12 |
11 |
|
|
|
| Wait for exam room |
1.00 |
12 |
15 |
12 |
14 |
21 |
18 |
11 |
16 |
9 |
14 |
18 |
|
|
|
| Placement to exam room |
0.98 |
3 |
5 |
4 |
6 |
3 |
5 |
3 |
6 |
5 |
4 |
7 |
|
|
|
| Wait for physician |
1.00 |
10 |
17 |
21 |
11 |
13 |
15 |
14 |
12 |
19 |
15 |
9 |
|
|
|
| Examination |
1.00 |
18 |
15 |
19 |
22 |
18 |
12 |
19 |
21 |
16 |
21 |
17 |
|
|
|
| Test order entry |
1.02 |
4 |
7 |
3 |
5 |
4 |
11 |
9 |
12 |
11 |
14 |
9 |
|
|
|
| Referral requests |
1.11 |
11 |
10 |
16 |
9 |
8 |
9 |
7 |
7 |
9 |
7 |
6 |
|
|
|
| Follow-up appt. Sched. |
1.08 |
3 |
5 |
3 |
4 |
3 |
4 |
4 |
5 |
3 |
3 |
5 |
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.00 |
0.00 |
0.00 |
|
|
|
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|
|
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a. Job-OT |
b. Job-NT |
c. Job-ST |
A. Determine the observed time for the pre-post exam process
B. Determine the normal time for the pre-post exam process
C. Determine the standard time for the pre-post exam process, using the basic-moderate allowance for the job.
D. Calculate the standard time for the exam process. Do you think the time spent in the outpatient clinic, without including the exam time, is reasonable? If not, what improvements would you recommend?