Dr Peters Dr. Peters is a physician employed by a large primary care practice in
ID: 392968 • Letter: D
Question
Dr Peters Dr. Peters is a physician employed by a large primary care practice in Wynnewood, PA. The practice in which he works is open 260 days a year. Physicians have 30--minute appointment slots starting at 8am all the way up to 6pm. The practice is looking for improvement opportunities and wants to get a sense of the Overall People Effectiveness (OPE) of their physicians. The data collected so far suggests that: ..- Dr. Peters spends 30 workdays a year on vacation. He also loses 2h of potential work time each day due to electronic medical record keeping (he blocks these 2 hours in his schedule, so no appointments are available during this time). Dr. Peters has a really busy schedule, so 75% of his appointments are booked. About half of the patients Dr. Peters sees are coming for their annual check-up. Such exam appointments are made a long time in advance. About one out of every six patients does not show up for his or her appointment. Though the appointment slots are 30 minutes per slot, Dr. Peters only spends, on average, 23 minutes with the patient (or doing work related to the patient after the patient has left the office). Of those 23 minutes, about 5 minutes could easily be done by one of Dr. Peters' assistants. Q1. How many patients does Dr. Peters see on a typical day when he is at work? Q2. What is his OPE? (Assume that his maximum availability is 260 days in a year)Explanation / Answer
Total working time = 10 hours
The patients that can be booked within this time = 20
Patients that can be seen in 260 days = 20x260 =5200
Since he takes 2 hours break every day, the effective time = 8 hours
Patients that can be seen = 8x2 =16
It is assumed that everyone who comes to Dr. has an appointment
Thus, the number of bookings per day = 0.75x16 = 12
Patients for annual check up = 0.5x12 =6
Patients not turning up = 6/6 =1
Total patients a day = 12-1 =11
Productive time spent with patient per day= 11x ( 23-5) = 198 min.
Total no. of minutes worked per year = (260-30 )x 198 =45540
Total number of minutes available per year = 10x60x260 =156000
OPE = 45540/156000 = 29.19%
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