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

 

Observations (in Minutes)

Activity Performance

Rating

1 2 3 4 5 6 7 8 9 10 11

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

Appointment

Scheduling

1.08 3 5 3 4 3 4 4 5 3 3 5

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?