產能管理 -- 加拿大 Shouldice 醫院 -- 疝氣手術管理

HARVEAD BUSINESS SCHOOL -- Shouldice Hospital Limited

年齡: 2-3歲的小朋友; 年紀大肌肉控制差的老年人

Value to Customers
a. skill and service
Skill: MEdical Quality, Service Quality, Questionaire(information), Brand, Reunion (free inspection),

Service: Reduce anixety, short stay, Quick recovery, Reasonable price, Special experience (Club, social experience), No "patient" inentality,

                              Shouldice                     Others
Cost of operation:      =450+4*111+60             2000-4000
Transportation:        = 200 ~ 600                     None
Stay:                            4 days                      5-8 days
Recovery:                   Light 5 days                10 days
                                   Heavy 20 days           40 days
Recurrence:                 1%                              10%


Hospital:
Rev: 6850*4*111=3,040,000
2,800,000
-------------------------------------------------
240,000

Clinic:
Rev: 6850x(450+60)=3,493,500
2,000,000
----------------------------------------------------
1,493,500
75x6850x4=102,750
----------------------------------------------------
1,596,250
"1,836,250"

間接以擴充來算，已成本一半來算，有40%的獲利，算不錯。




Throughput x cycle time = inventory
A x 3.5 days = 89 beds
A= 25.4 約 26
26* 5= 130

6850/50=137 ;peak demand 165/w

bottle neck...產生....
第一站: Examination room:
6 room x 3 hr

第二站:

第三站:Nurse station

第四站:Operating room

第五站:Doctors:
12 * 3.5

Solution 1:
增加樓板: 3.5 A = (89+45)=134; A=38
5A= 190 應該就夠

Solution 2:
星期六加班: A=26; 26*6=156; 應該不夠。
如果把接待室14間做成病房
(89+14)=3.5 A
A =29.3 約30
30 x 6 =180 應該就夠

最後四個方案，Shouldice一個都沒用。現在，Shouldice實際上部分星期六看診...