Weight Solutions Clinic-Bariatric Surgery Center

Case Study #1

Weight Solutions Clinic-Bariatric Surgery Center

40%

1. Flow map

60%

D.

2nd Appointment

5mins

E.

Test

60mins

F.

Test Available

Within 2weeks

C.

Test Request

10mins

START

B.

Initial Consultation

20 mins

A.

1st Appointment

5 mins

Disapproved 50%

K.

Visiting Surgeon

15mins

J. Setting Appointment

5mins

I. Request Additional Test

3 weeks

Insurance

Approved

Or

Disapproved

Cash

or

Insurance

H.

Test Approval

3 weeks

G.

Letter preparation

20mins

L.

Additional Test

15mins

N. Receiving

Final Decision

2 weeks

M. Add. Test Result available

Within 2days

Approved

50%

Cash

80%

90%

O. Pre-surgery appointment

5mins

10%

END

Give up the surgery

S. Patients PREP and wheeled

30mins

T. Surgery room disinfection

15mins

U. Operating team

PREP and cleaned

15mins

R.

Seminar

60mins

Q. Surgery Scheduling

10mins

P. Pre-surgery Visit

20mins

60%

W. Recovery and Check up

4days

V.

Open Surgery

45mins

Open

Or

Laparoscopic

Z.

Follow up

30mins

Y. Recovery and Check up

2days

X. Laparoscopic Surgery

75mins

40%

END

2. Minimum Time

-Cash/ Open bariatric surgery: 6days, 250 minutes

-Insurance/ Open bariatric surgery: 1) Quick approval: 3 weeks, 6days, 300 minutes

2) Late approval: 8 weeks, 8days, 350 minutes

Avg. 5.5 weeks, 7days, 325 minutes

-Cash/ Laparoscopic surgery: 4days 310 minutes

-Insurance/ Laparoscopic surgery: 1) Quick approval: 3weeks, 4days 330 minutes

2) Late approval: 8weeks, 6days, 380 minutes

Avg. 5.5 weeks, 5 days, 350 minutes

3. Open surgery/ Cash - How many patients/ week? For each beginning of the week

1) 24+24+15 = 63 patients/ week

2) Bottleneck resource? In-patient rooms

Laparoscopic surgery/ Cash - How many patients/week?

1) For each day of the week 16 x 5 = 80 patients/ week

2) Bottleneck resource? Operation rooms

4. All patients: Cash/ Open surgery (100 waiting patients before...