Paediatric Orthopaedic Clinic at the Children’s Hospital of Western Ontario (B)

-Comment on the process map in Exhibit 1. Can the process map (not the process) be improved? Can the process be improved?
-Suggest some performance measures (metrics) that will help Dr.Leitch (at least 4 measures spread across the categories inputs, activities, outputs and outcomes).
-Assume the following times per patient:
5 minutes at the registration desk, 5 minutes for the verification of a follow-up patient, two minutes to collect the X-rays, 10 minutes at the X-ray machine, 5 minutes for diagnostics of the image, 2 minutes to direct the patient to the examination room, 7 minutes for new patient and 4 minutes for follow-up patient at the examination. vvvv

Calculate the utilization of the clerks, nurses, X-ray technician, radiologist, surgeon and the resident. Who do you think is the bottleneck? (Note: The calculations are not straightforward. Not all the patients go through every activity and pay attention to percentages given in the case).