Team Austin

SHOULDICE HOSPITAL A CUT ABOVE:

MANA 5305
DR. Avery
Taressa Stone
William Condron
Jason Gates
Marcos Lucio
Justin Clark

#1
90
30

Check-in day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total by Day
Utilization by Day

Mon
30

30
60
66.7%

Tues
30
30

30
90
100.0%

= Total Beds
= Daily Admissions
Beds Required
Wed
Thurs
Fri
30
30
30
30
30
30
30
30

90
100.0%
150
630
450
71.4%
12.5
30

90
100.0%
=
=
=
=
=
=

60
66.7%

Sat

Sun

30

30
33.3%

30
30
33.3%

Total Operations per Week

Available Bed-Days
Used Bed-Days
Bed Utilization
Operations per Surgeon
Operations per Operating Room

Question #1:
See current bed utilization above, 71.4%.

#2
90
30

Check-in day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total by Day
Utilization by Day

Mon
30

30
60
66.7%

Tues
30
30

30
90
100.0%

= Total Beds
= Daily Admissions
Beds Required
Wed
Thurs
Fri
30
30
30
30
30
30
30
30
30

90
100.0%
180
630
540
85.7%
15
36

90
100.0%
=
=
=
=
=
=

90
100.0%

Sat

Sun

30
30

30

60
66.7%

30
60
66.7%

Total Operations per Week

Available Bed-Days
Used Bed-Days
Bed Utilization
Operations per Surgeon
Operations per Operating Room

Question #2:
This option, adding surgeries on Saturdays while maintaining the same number of surgeries per day,
would increase bed utilization by 14.3% to a total utilization rate of 85.7%. The current number of beds
is sufficient to handle these extra patients. At 1 hour per surgery, including all prep, these surgeries
could be covered by the current staff of surgeons, but it would require some schedule adjustments.

#3
135
45

Check-in day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total by Day
Utilization by Day

Mon
45

45
90
66.7%

Tues
45
45

45
135
100.0%

= Total Beds
= Daily Admissions
Beds Required
Wed
Thurs
Fri
45
45
45
45
45
45
45
45

135
100.0%
225
945
675
71.4%
18.75
45

135
100.0%
=
=
=
=
=
=

90
66.7%

Sat

Sun

45

45
33.3%

45
45
33.3%

Total Operations per Week

Available Bed-Days
Used Bed-Days
Bed Utilization
Operations per Surgeon
Operations per Operating Room

Question #3:
With the expansion (adding 45 beds), the maximum number of surgeries the hospital could theoretically
perform per day (assuming 5 surgery days remain), considering only bed availability, would be 45 surgeries.
However, there would not be enough operating room hours available to handle this many surgeries without
any changes to the hours of operations. The new bed capacity could not be fully utilized without additional
changes (additional operating rooms or extended hours). The maximum surgeries per day under the current
operations with the new beds would be 40, totaling 200 per week.

Total operating room hours available =

200

(5 operating rooms x 8 hrs x 5 days)

#4
This is the financial analysis for 50% bed expansion
Expansion Costs
45
= Additional beds
$100,000 = Cost per additional bed
$4,500,000 = Total expansion cost

$1,300
$600
$700
75

$52,500
85.7

Revenue/Cost per Surgery

= Revenue per operation
= Surgeon cost per operation
= Additional revenue per operation
= Additional operations
Financial Analysis
= Incremental revenue
= Payback in weeks

* For this analysis we are using 75 as the number of additional operations per week because 45
is the maximum number of operations that could be done per day without running out of beds.
However, using all of the same inputs except for the additional beds, only 40 operations could
be done. (5 operating rooms X 8 hrs per day = 40 hours, each surgery takes an hour, so that
means 40 operations can be done per day without changing the hours of the Surgical staff.) In
order to achieve 75 additional surgeries per week, there would have to be severe changes,
such as expanding the number of operating rooms or extending the hours during which
operations are performed (and therefore adjusting Surgeons' work schedules to accomodate
the additional operations).