Special Assignment After the manager read the report with your vision for the monitoring system to improve the processes in the small medical office, she met with you to decide what process variables could be used to start monitoring the process performance. You decided to monitor two variables: • • Time it takes since the patient checks-in until the patient checks-out Number of patients in the waiting room The manager provides you data that the office has collected on these two variables Your second assignment is to do a detailed statistical analysis of the data to be able to decide later what would be appropriate control charts to monitor these variables. Present a report to the manager with the results of the statistical analysis of the data and your conclusions on the variables that will be used to monitor the process performance. Time it takes since the patient checks-in until the patient checks-out Observation 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 Time (minutes) 62.14 57.41 26.73 42.26 43.74 74.56 48.13 86.31 53.24 53.18 48.11 36.5 59.61 54.33 41.55 41.08 50.88 69.97 51.74 38.86 78.41 33.97 55.05 26.06 69.2 34.85 31.95 40.58 54.27 25.5 35.31 47.13 57.26 60.88 48.04 52.95 43.4 33.48 52.89 25.75 54.07 44.1 44.7 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 62.07 26.47 36.9 57.39 66.52 60.59 40.62 44.68 43.8 63.47 39.36 85.98 41.13 52.86 44.75 17.26 43.47 32.6 44.1 69.64 79 59.99 44.93 51.54 64.99 37.88 54.02 49.41 47.66 73.03 48.88 72.41 46.14 65.28 40.46 44.32 58.42 100.65 47.51 43.31 42.62 73.19 30.77 55.73 70.71 65.12 75.82 91 92 93 94 95 96 97 98 99 100 36.26 52.59 49.3 40.8 51.2 59.28 27.59 28.02 28.23 45.74 Number of patients in the waiting room Observation 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 Number of Patients 3 9 8 5 6 2 6 9 2 6 4 10 6 10 4 9 6 6 9 5 5 2 7 5 5 9 8 2 7 5 3 9 5 5 4 9 5 5 7 7 5 8 3 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 7 2 7 6 4 8 6 5 6 3 14 5 4 8 3 9 7 i. Introduction Having an efficient monitoring system is important for every medical office. With advancements in technology, patient monitoring has become more efficient for both the healthcare provider and the patient. For this medical clinic, I would recommend a computer based monitoring system. Computer-based monitoring has proved to have many advantages which include; a high accuracy of data collected, patient care efficiency, display of patient data, computer-assisted decision making in patient cases, and many others. This computer-based system can greatly improve the clinic’s patient care because the doctors will be able to easily monitor their patient's health records on their screens without having to refer to analog files. The computer also ensures that all data on the patient is saved accurately. ii. Variables to use Variables whose data can be stored in the computer based database include: -waiting time for patients - Response to emergencies - Availability of equipment -availability of medicine -availability of staff - Number of successful procedures and treatments -Patient’s bio data, health issue, treatment received, medicine given, time taken to carry out the treatment procedure, outcome of treatment, personnel that attended to the patient, and patient’s satisfaction level with the services received iii. Collection of data ` Data on above variables can be collected for each patient that visits the medical office. • Data on waiting time can be monitored using a ticketing system whereby the computer can record time taken before the ticket number is called out by the system. • Data on emergency record can be collected using CCTV monitoring whereby the footage can be recorded and stored in a computer, and be reviewed later to determine the response to the emergency. • The rest of the data can be collected manually based on each patient. A manual patient sheet should be designed in such in a way that it collects data on all above variables. For example, a section can be included for the treatment procedure, time taken, any equipment not available, and do you feel more staff are needed. Data on the sheet can then be transferred onto the computer based system. • Data on outcome of treatment and patient’s satisfaction level with the services received can be collected using patient care portals. An internet based portal can be created such that patients can login and update their bio data, give feedback, and even chat with doctors and nurses with regards to how they are recuperating or with regards to any medical related issue they may have. iv. Conclusion The computer-based monitoring system comes with advantages for data collection since it not only collects and stores data but also assists in analyzing the data. The data stored on the computer can then be analyzed to determine areas that need improvement thereby ensuring that there is continuous improvement. Good patient monitoring in a clinic promotes patient satisfaction, thus improving the respective clinic offering the services. It is important that a clinic stays up to date with the best monitoring system to be the best clinic
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