Question 6.EX.2: A FLOWCHART FOR HOSPITAL MRI SERVICE. Arnold Palmer Hospital...

A FLOWCHART FOR HOSPITAL MRI SERVICE. Arnold Palmer Hospital has undertaken a series of process improvement initiatives. One of these is to make the MRI service efficient for patient, doctor, and hospital. The first step, the administrator believes, is to develop a flowchart for this process.
APPROACH \blacktriangleright A process improvement staffer observed a number of patients and followed them (and  information flow) from start to end. Here are the 11 steps:
1. Physician schedules MRI after examining patient (START).
2. Patient taken from the examination room to the MRI lab with test order and copy of medical records.
3. Patient signs in, completes required paperwork.
4. Patient is prepped by technician for scan.
5. Technician carries out the MRI scan.
6. Technician inspects film for clarity.
7. If MRI not satisfactory (20% of time), Steps 5 and 6 are repeated.
8. Patient taken back to hospital room.
9. MRI is read by radiologist and report is prepared.
10. MRI and report are transferred electronically to physician.
11. Patient and physician discuss report (END).

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SOLUTION \blacktriangleright Here is the flowchart in Figure 6.EX.2a.

INSIGHT \blacktriangleright With the flowchart in hand, the hospital can analyze each step and identify value-added activities and activities that can be improved or eliminated.

LEARNING EXERCISE \blacktriangleright A new procedure requires that if the patient’s blood pressure is over 200/120 when being prepped for the MRI, she is taken back to her room for 2 hours and the process returns to Step 2. How does the flowchart change? Answer is in Figure 6.EX.2b.

RELATED PROBLEMS \blacktriangleright 6.6, 6.15

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