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Chapter 2 Process View of the Organization Process View of a Hospital Process Performance Process Flow Structures 2 1 Definition of a Business Process A process is a set of activities that


  1. Chapter 2 Process View of the Organization  Process View of a Hospital  Process Performance  Process Flow Structures 便當店服務與製作流程規劃 2 1

  2. Definition of a Business Process  A process is a set of activities that accepts inputs and produces outputs.  Processes can involve both goods and services. wood guitars Factory metal students alumni University Distribution bulk items small parcels Center approved loans mortgage Bank rejected loans applications 3 Process Flowcharting operation decision storage buffering allows the stages or queue flow direction to operate independently  What operations are needed to complete a product or service? What is the right sequence?  Business Process Reengineering 企業流程再造 4 2

  3. 2.1 Presbyterian Hospital Process of Interventional Radiology Procedures  Registration of the patient  Initial consultation; signing the consent form  Preparation for the procedure  The actual procedure  Removal of all equipment  Recovery room  Consultation with the doctor 5 Process View of the Patient Ideal Scenario for the first patient (no waiting times) Registration Initial consultation Preparation of room Preparation of patient Procedure Remove equipment Recovery Time Consultation 7:45 8:00 8:15 8:30 8:45 9:00 9:15 9:30 9:45 10:00 Activity taking place in angiography suite 6 3

  4. Actual Activities for a Patient arriving at 12:30 Registration Initial consultation Patient Preparation of room waits Preparation of patient Procedure Remove equipment Recovery Consultation Time 12:30 13:00 13:30 14:00 14:30 15:00 Activity taking place in angiography suite 7 Time Patient Spent in the IR Unit Patient 9 Patient wait Patient 8 Patient 6 Patient 5 Room prepared Patient 4 before patient arrives Patient 1 Time 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 Figure 2.4: Time patient spent in the interventional radiology unit (for patients treated in main room only), including room preparation time 8 4

  5. Process View from the Hospital Process Inputs Outputs Goods Flow units Services (raw material, customers) Resources Labor & Capital Resources Labor & Capital Patient 8 Patient 1 Patient 4 Patient 6 Patient 9 Time 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 Figure 2.5. : Usage of the main room 9 Two Sides of the Same Coin From the perspective of the hospital Why is there waiting time? Why is the resource under ‐ utilized? ∵ limited supply and variable demand From the egocentric perspective of the patient Long wait time despite arriving on time. ∵ poor planning ∴ perception of low quality 10 5

  6. 2.2 Three Measures of Process Performance  Flow time The time it takes to go through the process. It consists of processing times and possible delays.  Work in Process (inventory) Number of flow units in the process; or its average across a time period.  Throughput Rate or Flow Rate Amount of output per time unit. The capacity of the process is the maximum throughput rate. 11 Flow Time Analysis of Slot Machines Play again Insert coin Collect and pull payout if win wait Machine spinning The faster the customer plays, the more money the casino will earn. 12 6

  7. 2.3 Little ’ s Law avg. Inventory=avg. flow rate × avg. flow time Inventory  flow time flow rate 13 Patients 11 Cumulative 10 Inflow 9 Cumulative 8 Outflow 7 Flow Time 6 Inventory 5 4 3 2 1 Inventory=Cumulative Inflow – Cumulative Outflow Time 0 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 Figure 2.7: Cumulative In ‐ flow and Out ‐ flow 14 7

  8. 2.4 Inventory Turns (low contact service) avg. Inventory value = avg. sales × avg. flow time Cost of Goods Sold ______________________  Inventory turn = average inventory value average inventory _____________________  Days of supply = average daily demand 1 ________________  Flow time = Inventory Turns 15 Comparing Kohl’s and Wal-Mart 2011 2010 2009 2008 2007 Kohl’s Revenue 18391 17178 16389 16474 15544 Cost of Goods Sold 11359 10679 10332 10459 9890 Inventory 3036 2923 2799 2856 2588 Net Income 1114 991 885 1084 1109 Inventory Turn 3.74 3.65 3.69 3.66 3.82 Walmart Revenue 418952 405046 401244 374526 344992 Cost of Goods Sold 307646 297500 299419 280198 258693 Inventory 36318 33160 34511 35180 33685 Net Income 16389 14335 13118 12884 12036 Inventory Turn 8.47 8.97 8.68 7.96 7.68 16 8

  9. Examples of Process Performance 17 Design a process to increase flow rate. Design a process to offer more selections. Design a process to reduce wait times. Design a process to control inventory. 18 9

  10. 2.6 Process Flow Structures How to organize material or customer flow? Volume Low Medium High Very high Variety (unique) (high) (lower ) (standardized ) Hospital, Unit variable costs Job Shop Commercial generally too high Department Store Printer Batch Process Apparel Production Airline Low volume Worker ‐ paced line Cafeteria Auto Assembly High volume Machine ‐ paced line Auto assembly Fast food Utilization of fixed capital Oil refinery generally too low Continuous process Internet provider 19 Flow Line Structures serial specialized processing 分工接力處理 Alvin Becky Cindy David 上下游的作業變化 會相互影響 (wait) parallel generalized processing 平行全權處理 Alvin Becky 一次完成四個步驟, 作業變化可相互抵消 Cindy David 20 10

  11. Batch Process vs. Continuous Process 21 Job Shop Small batches of different products with different processing sequences Assembly Drilling work center 3 2 2 3 Painting work 3 center 2 1 4 4 1 1 Milling Lathe work center work center D Raw materials A B C 22 11

  12. What Drives a Process Flow? Make ‐ to ‐ Stock Make ‐ to ‐ Order Production Make standard products Process is activated in for future demand. response to actual orders. mode Process Standardized product. Product variety. characteristic Lower production cost. Flexible process. Advantage Fast delivery (no wait) Inventory control Handling seasonal Customer satisfaction. demand. Challenge Forecasting and setting Delivery (flow time) target stocking level. Quality control Hybrid: Build to Order, Configure to Order 23 Traditional Hamburger Making Customer order Supply Cook Assemble Deliver Customer McDonald’s old process order FGI Supply Cook Assemble Deliver push 24 12

  13. McDonald’s new hybrid process Customer order Supply WIP Cook Assemble Deliver push pull Burger King’s process 25 A firm needs to have good products and good processes The server’s perspective is different from the customer’s perspective. Process performance measures  High contact service: wait times  Manufacturing and Retail service: inventory 26 13

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