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Unit 3: Capacity Planning




                                                                                                Notes


             Case Study  Apollo Hospitals

                  he Chief Executive of Apollo Hospitals is attempting to determine the capacity of
                  their out-patients department.  The flow of people to  the  hospital  follows  this
             Tsequence. People arrive at the hospital and park their cars. From records that the
             hospital keeps, 40 per cent of the guests who come in are visitors to the in-patients wards.
             The remaining 60 per cent of the arrivals go to the out patients area.
                             Table  1:  Resources in  the Out-patient  Department

                  Department/Area      Capacity/Size      Service /Rate
                  Parking Area         500 Spaces         2.2 persons per car
                  Registration Area    3 Attendants       5 minutes per patient
                  Seating Area         6000 sq. ft.       Waiting time 60 minutes
                  No. of Doctors       30                 10 minutes per patient

             According to standards that management has developed over the years, 50 per cent of the
             patients require registering and it takes about five minutes at the registration desk. After
             that, the patient goes to the specific out-patients department and requires six square feet of
             seating space including infrastructure. Table 1 depicts the resources of the hospital.
             On the average 2.2 people arrive per car; only 90 per cent of the seats in the waiting area
             are normally available because sometimes patients come in wheel chairs and stretchers.
             The average stay is sixty minutes. Of the 2.2 people who come in a car, only one person is
             a patient. There are 30 doctors to attend to the patients. The management anted to know
             the capacity of the system.
             To begin, the capacity of each area can be calculated in terms of persons served per hour.
             To calculate the capacity of the system and determine the bottleneck department in this
             case, we can start by inspecting  the department  capacities. It is clear that the system's
             capacity cannot exceed 180 patients/hour because that is the capacity of the number of
             patients the doctors can treat. This is also the optimum capacity. We start looking at the
             service capacity of each department. The results are shown in Table 2.
                              Table 2:  Service Capacity  of each  Department

                       Department/Area     Capacity (People/Hr.)   Patients/Hr
                     Parking Area                          1100          300
                     Registration Area                       36            72
                     Seating Area                          1000           409
                     Doctor                                 396          180

             This calculation yields the system capacity, 72 patients per hour. The bottleneck department
             is the registration area. In spite of the fact that doctors are available, patients cannot see the
             doctors because they need to register. There is a justification to increase the number of
             people in the registration area so that the doctors are fully utilized. We can also see that if
             there is demand for the hospital's services, the hospital could expand to cater to around
             400 patients without a major investment in assets.
                                                                                 Contd...




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