simlean educate interlude 3: resource scarcity an example of a generalised simulation of a theatre...

SimLean EducateInterlude 3: Resource ScarcityAn example of a generalised

simulation of a theatre process

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The generalised Day Case theatre process

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Resource 100

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Last out of:Theatre 234 mins (3hrs 54)

Recovery 288 mins (4 hrs 48)

The generalised Day Case theatre process

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Last out of:Theatre 286 mins (4hrs 46)

Recovery 319 mins (5 hrs 19)

90% availability 5 minute interruption

The generalised Day Case theatre process

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Resource 90

Impact of reduced resource availability upon patient flow

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Latest out of: Theatre Recovery

100% Availability 234 mins (3hrs 54) 288 mins (4 hrs 48)

90% 286 mins (4hrs 46) 319 mins (5 hrs 19)

80% 348 mins (5hrs 48) 361mins (6hrs 1)

70% 40 hrs 35 40 hrs 45

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Last out of:Theatre 40hrs 25

Recovery 40hrs 45

70% availability 5 minute interruption

The generalised Day Case theatre process

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Resource 70 a

Resource 70 b

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Day 1

5 Days

Patient profiles: 70% availability

Day 1 Day 2Day 3

Day 4 Day 5

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Patient flow: 70% availability

Summary

• We have illustrated the impact of depleted resource availability. We have observed:

– Patient queue times increasing– Number of patients on the premises increasing– Treatments delayed because of increased blocking– Too little resource can cause the system to break.

To what extent is resource availability reduced during the working day?

How can we reduce the level of resource depletion in our working day?

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Interlude insight

An ideal system delivers patient value by getting the right resources in the right

place at the right time in the right quantity...

with no waste.

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