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1. What is activity utilization at every step in the process? What is the direct labor utilization?
The different activities carried out in the process are:
a) Front Desk
i. Registration
The total availability time = 3*180 = 540 min The total registration time = 80*5 = 400 min (New patient & Follow-up patient)
The utilization of Registration = 400/540 = 74.07%

ii. Verification & Hand-off
Total available time = (4*60 + 15)*3 = 255*3 = 765 min
The number of follow-up patients = 80*60% = 48 people
The number of new patients = 80*40% = 32 people
The total time for follow-up patients = 48*4 + 48*0.85*2 = 273.6 min
The total verification time for new patients = 32*(9+2) = 352 min
The total verification time = 273.6 + 352 = 625.6 min
The utilization of Verification = 625.6/765 = 81.78%

iii. Direct patients / filing / exam room preparation
Total available time = 4*60 + 15 = 255 min
The total time for patients = 80*2 = 160 min
The utilization of the 4th nurse = 160/255 = 62.75%

b) Radiology Department
i. X-ray imaging
The total availability time = 2/3*6*240 = 960 min
The total X-ray imaging time for patients = (32+48*0.85)*11 = 800.8 min
The utilization of X-ray imaging = 800.8/960 = 83.42%

ii. Development of X-ray
The total availability time= 2/3*6*240 = 960 min
The total development time for patients = 7*(32+48*0.85) = 509.6 min
The utilization of development of X-ray = 509.6/960 = 53.08%

iii. Diagnostic reading and comments
The total available time = 3*2/3*240 = 480 min
The total time for patients = 5*(32+48*0.85) = 364 min
The utilization of diagnostic reading and comments = 364/480 = 75.83%

c) Examination Room
i. Surgeon

The total availability time = 255 min
The total time patients spend on surgeon = 7*32+4*48*0.30=281.6 min
The utilization of surgeon = 281.6/255 = 110.43%

ii. Senior Resident
The total availability time = 255 min
The total time patients spend on senior resident = 7*48*0.70 = 235.2 min
The utilization of Senior Resident = 235.2/255 = 92.2%

iii. Cast Technician
The total availability time = 255 min
The total time patients spend on cast technician = 17*32*0.25+13*48*0.15 = 229.6 min
The utilization of cast technician = 229.6/255 = 90%

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