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MANAJEMEN OPERASIONAL B

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Chapter 7, Supplement
Case study “Capacity Planning at Arnold Palmer Hospital”
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Capacity Planning at Arnold Palmer Hospital (Video Case)

Since opening day, Arnold Palmer Hospital has experienced an explosive growth in demand
for its services. One of only six hospitals in the U.S. to specialize in health care for women
and children, Arnold Palmer Hospital has cared for over ,500,000 patients who came to the
Orlando facility from all 50 states and more than 100 other countries. With patient
satisfaction scores in the top 10% of U.S. hospitals surveyed (over 95% of patients would
recommend the hospital to others), one of Arnold Palmer Hospital’s main focuses is delivery
of babies. Originally built with 281 beds and a capacity for 6,500 births per year, the hospital
steadily approached and then passed 10,000 births. Looking at Table S7.4 , Executive
Director Kathy Swanson knew an expansion was necessary.
With continuing population growth in its market area serving 18 central Florida counties,
Arnold Palmer Hospital was delivering the equivalent of a kindergarten class of babies every
day and still not meeting demand. Supported with substantial additional demographic
analysis, the hospital was ready to move ahead with a capacity expansion plan and a new
11-story hospital building across the street from the existing facility.
Thirty-five planning teams were established to study such issues as (1) specific forecasts,
(2) services that would transfer to the new facility, (3) services that would remain in the
existing facility, (4) staffing needs, (5) capital equipment, (6) pro forma accounting data, and
(7) regulatory requirements. Ultimately,Arnold Palmer Hospital was ready to move ahead
with a budget of $100 million and a commitment to an additional 150 beds. But given the
growth of the central Florida region, Swanson decided to expand the hospital in stages: the
top two floors would be empty interiors (“shell”) to be completed at a later date, and the
fourth-floor operating room could be doubled in size when needed. “With the new facility in
place, we are now able to handle up to 16,000 births per year,” says Swanson.
Discussion Questions *
1. Given the capacity planning discussion in the text (see Figure S7.6 ), what
approach is being taken by Arnold Palmer Hospital toward matching capacity
to demand?
2. What kind of major changes could take place in Arnold Palmer Hospital’s demand
forecast that would leave the hospital with an underutilized facility (namely, what are
the risks connected with this capacity decision)?
3. Use regression analysis to forecast the point at which Swanson needs to “build out”
the top two floors of the new building, namely, when demand will exceed 16,000
births.

ANSWER
1. With the help of
demographic analysis
they used forecasted
demand
2. Demographic analysis
includes the sets of methods
that allow us to measure the
3. dimensions and dynamics
of populations. These
methods have primarily
been
4. developed to study human
populations, but are
extended to a variety of
areas
5. where researchers want to
know how populations of
social actors can change
6. across time through
processes of birth, death,
and migration. In the
context of
7. human biological
populations demographic
analysis uses administrative
records
8. to develop an independent
estimate of the population.
Arnold palmer hospital
9. approaches to lead
strategy; the lead capacity
 strategy adds capacity
before the
10. demand actually occurs.
If the demand does not
materialize then the
Arnold
11. Palmer Hospital could
quickly find themselves
with unused/empty beds as
well as
12. the expenditure of
ramping up capacity
unnecessarily. It is done in
anticipation of
13. demand and the capacity
is increased. It is a very
aggressive strategy and is
14. used to lure customers i.e.
patients away from other
competitors in this hospital
15. industry
16. 1.
1. With the help of demographic analysis they used forecasted demand.Demographic
analysis includes the sets of methods that allow us to measure the dimensions and
dynamics of populations. These methods have primarily been developed to study
human populations, but are extended to a variety of areas where researchers want to
know how populations of social actors can change across time through processes of
birth, death, and migration. In the context of human biological populations
demographic analysis uses administrative records to developed an independent
estimate of the population. Arnold palmer hospital approaches to lead strategy; the
lead capacity strategy adds capacity before the demand actually occurs. If the
demand does not materialize then the Arnold Palmer hospital could quickly find
themeselves with unused/empty beds as well as the expenditure of ramping up
capacity unnecessarily. It is done in anticipation of demand and the capacity is
increase. It is a very aggressive strategy and is used to lure customers i.e. patients
away from other competitors in this hospital industry.