Shouldice Hospital a Cut Above

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Shouldice Hospital – A Cut Above

1.) How well is the hospital currently utilizing its beds?
The hospital stay cycles have been provided:
| Mon Beds| Tue Beds| Wed Beds| Thu Beds| Fri Beds| Sat Beds| Sun Beds| Available Beds| 90| 90| 90| 90| 90| 90| 90|
Monday Admission| 30| 30| 30| | | | |
Tuesday Admission| | 30| 30| 30| | | |
Wednesday Admission| | | 30| 30| 30| | |
Thursday Admission| | | | 30| 30| 30| |
Friday Admission| | | | | | | |
Saturday Admission| | | | | | | |
Sunday Admission| 30| 30| | | | | 30|
TOTAL USED| 60| 90| 90| 90| 60| 30| 30|
Capacity Utilization| 66.67%| 100.00%| 100.00%| 100.00%| 66.67%| 33.33%| 33.33%| If we average the utilization rates, we come up with a current average utilization of 71.43%.

2.) Develop a similar table to show the effects of adding operations on Saturday. How would this affect the utilization of the bed capacity? Is this capacity sufficient for the additional patients? The hospital will be admitting an additional 30 patients on Friday, each of whom will be operated on the next day, staying on until Sunday: | Mon Beds| Tue Beds| Wed Beds| Thu Beds| Fri Beds| Sat Beds| Sun Beds| Available Beds| 90| 90| 90| 90| 90| 90| 90|

Monday Admission| 30| 30| 30| | | | |
Tuesday Admission| | 30| 30| 30| | | |
Wednesday Admission| | | 30| 30| 30| | |
Thursday Admission| | | | 30| 30| 30| |
Friday Admission| | | | | 30| 30| 30|
Saturday Admission| | | | | | | |
Sunday Admission| 30| 30| | | | | 30|
TOTAL USED| 60| 90| 90| 90| 90| 60| 60|
Capacity Utilization| 66.67%| 100.00%| 100.00%| 100.00%| 100.00%| 66.67%| 66.67%| The new average utilization rate will be 85.71%, an improvement over the hospital’s current five-day week. The beds will be sufficient for the expanded operations, as each day’s in-patient total will not exceed the hospital’s total available beds (90).

3.) Now look at the effect of increasing the number of beds by 50 percent. How many operations could the hospital perform per day before running out of bed capacity? How well would the new resources be utilized relative to the current operation? Could the hospital really perform this many operations? The installation of an additional 45 beds will result in the following values (assuming that the hospital still receives 30 patients a day): | Mon Beds| Tue Beds| Wed Beds| Thu Beds| Fri Beds| Sat Beds| Sun Beds| Available Beds| 135| 135| 135| 135| 135| 135| 135|

Monday Admission| 30| 30| 30| | | | |
Tuesday Admission| | 30| 30| 30| | | |
Wednesday Admission| | | 30| 30| 30| | |
Thursday Admission| | | | 30| 30| 30| |
Friday Admission| | | | | | | |
Saturday Admission| | | | | | | |
Sunday Admission| 30| 30| | | | | 30|
TOTAL USED| 60| 90| 90| 90| 60| 30| 30|
Capacity Utilization| 44.44%| 66.67%| 66.67%| 66.67%| 44.44%| 22.22%| 22.22%| The resulting average utilization rate will be 47.62%, two-thirds of the hospital’s current utilization rate. This assumes that the hospital only still performs 30 operations a day. The utilization, understandably, will be much lower. If, on the other hand, the hospital was to perform an additional 15 operations per day (to maximize on the beds), the values will be: | Mon Beds| Tue Beds| Wed Beds| Thu Beds| Fri Beds| Sat Beds| Sun Beds| Available Beds| 135| 135| 135| 135| 135| 135| 135|

Monday Admission| 45| 45| 45| | | | |
Tuesday Admission| | 45| 45| 45| | | |
Wednesday Admission| | | 45| 45| 45| | |
Thursday Admission| | | | 45| 45| 45| |
Friday Admission| | | | | | | |
Saturday Admission| | | | | | | |
Sunday Admission| 45| 45| | | | | 45|
TOTAL USED| 90| 135| 135| 135| 90| 45...
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