VIDEO CASE STUDIES
LAYING OUT ARNOLD PALMER HOSPITAL’S NEW FACILITY
This video, available from Pearson, was filmed specifically for this
text to supplement this case. (Running time is 9 minutes.)
1. A hospital considers many variables in layout design. These
include:
a) Nursing efficiency: How far does a nurse have to travel, in walking time and distance, to patients, suppliers, break rooms, etc.?
b) Security: How to protect patients, especially babies, from
being reached by people who should not have access to them
c) Privacy, serenity, and quiet: How to provide patients with
space that will help them recover quickly (servicescapes)
d) Meal and supply efficiencies: How to deliver meals warm
and keep supply lines full with the best efficiency
e) Space for family to visit or sleep over.
f) Space for growth and capacity expansion.
g) Where to locate service departments (e.g., x-ray, pharmacy,
laboratories, financial, management, etc.) so they are convenient to patients and staff.
h) Areas for medical and non-medical staff to be “off-duty”
from patient/visitor flow.
i) New mobile carts (holding both computer and supplies),
that go from room to room, are adding a new dimension to
hospital layouts.
LO 9.5: Explain how to achieve a good process-oriented facility
layout
AACSB: Application of knowledge
2. The traditional “racetrack,” or linear hallway, layout is less in
favor today than layouts that consider the efficiency of a limited
and expensive resource, such as nurses. The circular pod design
makes it much easier for nurses to see and reach each room. This
not only saves travel time and walking or running exhaustion but
is more medically efficient when staff have a view of each room at
all times.
In the circular pod system, supplies for each two rooms are in
a cabinet at the pair’s entrances. This differs from a traditional
layout with one supply room per nursing unit.
LO 9.5: Explain how to achieve a good process-oriented facility
layout
AACSB: Application of knowledge
3. Using Figure 9.21’s linear layout, if Nurse Smith makes
6 round trips to each of the 12 patient rooms, 20 to medical supply,
5 to break room, and 12 to linen supply, his total distance traveled is:
Total distance = 6 trips × 2 (for round trip) × (20 + 30 + 40 + 50 +
60 + 70 + 20 + 30 + 40 + 50 + 60 + 70)
+ 20 trips medical supply 2 50
+ 5 trips break room 2 40
+ 12 trips linen room 2 30
= 12(540) + 40(50) + 10(40) + 24(30)
= 6,480 + 2,000 + 400 + 720 = 9,600 = 1.82 miles
LO 9.5: Explain how to achieve a good process-oriented facility
layout
AACSB: Analytical thinking
4. Travel Matrix for Figure 9.22, Pod Design (Nurse Jones)
Total = 7 trips 2(round-trip factor) 12 rooms 14
+ 20 trips to Central Medical Supply 2 60
+ 6 trips to Break Room 2 60
+ 12 trips to Pod Linen Supply 2 14
= 2,352 + 2,400 + 720 + 336 = 5,808 = 1.1 miles
Note that Questions 3 and 4 did not use the same data, so we
do not imply a reduction of this magnitude for these sample
numbers.
Note that Questions 3 and 4 did not use the same data, so we
do not imply a reduction of this magnitude for these sample
numbers.
LO 9.5: Explain how to achieve a good process-oriented facility
layout
AACSB: Analytical thinking
5. Servicescapes, a term coined by Professor Mary Jo Bitner in a
1992 Journal of Marketing article, deal with ambient conditions,
spatial layout, and signs/symbols/artifacts.
(a) Ambient conditions, such as lighting, sound, and tempera
ture are all critical in Arnold Palmer’s neonatal unit, as
well as the hospital as a whole. The case and video note
that the neonatal units have been completely redesigned,
with the result being a quicker recovery for premature
infants.
(b) Spatial layout, with its circular nursing pods, is the heart
of the new building.
(c) Signs/symbols/artifacts are very important in a hospital for
children. A 30-foot-high genie hangs in the main Arnold
Palmer lobby. Art work, done by children when they were
patients, is everywhere. Carpeting, colors, play areas, and
pictures are the artifacts that indicate this is a warm and
safe place for children and families.
LO 9.2: Define the objectives of retail layout
AACSB: Application of knowledge
6. The reduced cost of computing means that technology (work
stations) can be brought to the patient in the form of laptops, tab
lets, smartphones, etc. This frees nurses from traveling back to the
central station to record observations/data. It increases reliability
(by timely data entry), allows information to be available real-time
at patient bedside, and increases the speed of response time when a
query is made by the nurse or doctor at bedside. The result: less
importance of the central station, less travel by staff, and a less
critical Arnold Palmer pod design vis-à-vis the “racetrack.”
LO 9.5: Explain how to achieve a good process-oriented facility
layout
AACSB: Information technology
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Operations Management: Sustainability and Supply Chain Management, 12th Edition (Free Ebooks Download)
Jay Heizer, Texas Lutheran University
Barry Render, Graduate School of Business, Rollins College
Chuck Munson, Carson College of Business, Washington State University
Free Online Course Materials
1. Operations Management Ebooks - Free Downloads
2. Slides - 11th Edition - Free Downloads
3. Slides - 12nd Edition - Free Downloads
4. Full List of Videos Case Studies - Link
5. All articles about Operations Management
http://topten.edu.vn/mba-cases/94-mba-operation-management
6. Need any help with case study guides, email: ecomftu2012@gmail.com
Good Luck and Success!
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