Ophthalmologists Practice Simulator Final Project Report DSES 6620 Discrete Event Simulation Chris Greco 12/19/2002 Table of Contents Table of Contents…………………………………………………………………..………………..2 I. II. III. IV. V. VI. Project Objectives and Process Description……………………………………………………………….………………3 Data Collection and Analysis…………………………………………………………………………….…….4 System Model……………………………………………………………………………5 Results……………………………………………………………………………………7 Validation……………………………………………………………………………....13 Conclusion………………………………………………………………………..…….13 Appendix A - Office Monthly Data Collection………………………………………………………….…………….….…….……...….14 Appendix B - ProModel Iteration Input and Output Files………………………….…..………15 2 I. Project Objectives and Process Description Project Selection: The topic for the project under consideration is to model the daily process of an Ophthalmologist (eye surgeon) practice. The process will be based on an actual Ophthalmologists practice located in Middletown, CT. Refer to the sketch included with this document describing the iterative nature of this simulation. Process Description: Patients enter the doctors’ office and sign in with the receptionist at the front desk prior to seating themselves in the waiting room. Patients are called and escorted in by the prescreening technician to the pre-screening room. After the pre-screening is complete the patient moves to one of three exam rooms and waits for the doctor to arrive. After the doctor’s visit the patient can be prescribed glasses or contact lenses. This will require either a visit on the same day or schedule to appear another day with the Optician in the optical shop. From there the patient returns to the receptionist desk they initially checked in. Follow up appointments with the doctor or optical shop visit are scheduled along with making payments prior to exiting the office. Patient Receptionist Desk Sign In/Sign Out Waiting Room Doctor’s Exam Room PreScreening Room Optical Shop Y Corrective Lenses Required? N Figure 1 Objective: The objective of the project is to use ProModel to build a model and simulate the weekly office process described above. The office staff believes current resources are inadequate and might cause a loss of current patients. Therefore, to aid the staff in decisions regarding office expenditure the output of the model will help determine: - Is there a need for an additional doctor to be employed full time? - Is there a need for an additional Optician to be employed full time? - Identify metrics of the office process that require optimizing. 3 II. Data Collection and Analysis Data Collection: The key metrics to be analyzed during the actual working process of the office are: Patient output Patients average interarrival time Doctor’s average service time Average prescreening time Average optical shop service time Average receptionist service time Average waiting room time The metrics above would be categorized under structural and numerical system data. The structural data contains patient (entity) times and office resources. Numerical contains interarrival time, activity time and work day/week duration. Successful data collection was performed by the individual staff person working a particular operation and then complied by the office manager. The data was averaged final compilation for 1 month/20 work days is given in appendix A. Utilizing the Stat:Fit program the following distributions were established for each metric: Data Analysis: Patient output Triangular (7,31.5,24.1) Patients average interarrival time Triangular (7,21.2,9.13) Doctor’s average service time Triangular (19,43.3,25.1) Average prescreening time Lognormal (5,2.01,0.289) Average optical shop service time Triangular (21.6, 50, 50) Average receptionist service time Triangular (4, 11.6, 4.76) Average waiting room time Weibull (10, 2.12, 10.5) This data reflects the initial system consisting of single personnel (doctor, prescreening technician, optician and receptionist) working single shift 8 hour days. In addition to above, move times between each step of the process ranged from 0.10 to 0.15 minutes that have been defined in the proceeding model layouts. Considering the type of business, such as medical service, the numbers of daily occurrences have been predetermined for the models to be described herein. Patients are allowed to attend the practice by appointment only. For this analysis no emergency or other type of walk in patients will be assumed into the modeling. 4 III. System Model Knowing what the objectives are and the current office configuration two (2) modeling conditions are established: A. One Doctor Analysis for Min and Max Patient Attendance B. Two Doctor Analysis for Min and Max Patient Attendance Includes model with Two Opticians at Max Patient Attendance Appendix B contains the ProModel iteration input and output files for conditions A and B. Please refer for further details not discussed in the proceeding. A. One Doctor Analysis for Min and Max Patient Attendance Prescreening Doctor’s Office Waiting Room Entrance Receptionist Optical Shop Figure 2 This model represents the current office layout where there are single personnel at each station. There are two entities: Normal Patients – who require no corrective eye ware and Abnormal Patients – who do require a vision correction. All locations are currently set up for single capacity with exception to the waiting room which is set for 15 chairs. The entrance is just a doorway which has no capacity limit and is set to infinity. Based on performing iterations of the above model parameters the best selected minimum patient attendance was 16 patients in one work day. This is typical for a normal day at the office. Anything less would not justify an 8 hour work day. The maximum patient attendance used is 30 in an 8 hour work day. 5 B. Two Doctor Analysis for Min and Max Patient Attendance Includes model with Two Opticians Only with Max Patient Attendance Prescreening Waiting Room Two Doctor’s Entrance Receptionist Optical Shop Figure 3 As above the entities are identical. What differs in this iteration is how throughput time and total patient exits change as we increase the office staff. The two services used to simulate the staff increase are doctor and optician because actual office data shows they have the longest service time. The capacities are modeled as mentioned for the previous condition except for adding the second doctor and optician to the model. The second optician was used only for the busy days (max) likewise as the actual practice does. Once again this is also based on an 8 hour work day using 16 to 22 patients attending the office. 6 IV. Results A. One Doctor Analysis for Min and Max Patient Attendance To assist the office resource decision making process, the entities are the most important consideration for the study. Charts for Max Patient Conditions Figure 4 Figure 5 7 Figure 6 Figure 7 Charts for Min Patient Conditions Figure 8 8 Figure 9 Figure 10 Figure 11 9 B. Two Doctor Analysis for Min and Max Patient Attendance Max Patient Attendance modeled with Two Opticians Charts for Max Patient Conditions Figure 12 Figure 13 10 Figure 14 Figure 15 Charts for Min Patient Conditions Figure 16 11 Figure 17 Figure 18 Figure 19 12 V. Validation Validation for a project such as the example within this report is done qualitatively as well as quantitatively. By using the minimum and maximum number of patients to arrive at the office offers a wide range to analyze. However, the range of patients analyzed shows that ProModel was successful in completing all entities through the system. For the current office configuration, when the maximum number of patients are booked for a day the office always backups and runs late. As the ProModel output also shows all but two entities fail to exit the system. A possible bottlenecking may be occurring in the waiting room. Both patient output calculate average minutes in operation between 45 minutes for normal patients and up to 2 hours for abnormal patients. Actual office data was recorded on the low side. For record keeping purposes, high service times may not always be recorded to avoid medical insurance issues. The office staff agrees it’s not unusual to have nearly 2 hours in the system. The case of employing two doctors and two opticians is totally speculative and therefore actual data to backup the validation does not exist currently. The ProModel results demonstrate all entities can exit the system less than 8.0 hours. However, operation times do not decrease significant enough to justify paying additional employees. VI. Conclusion A recommendation would be to increase the capacity of the waiting room and avoid patients standing in the hallways. ProModel appears to have too much time lost at the waiting location and thus affecting following locations. A cost justification/analysis would be requiring to further investigate employee another doctor for the small amount of benefit ProModel provided. As goes with the second Optician, the salary and compensation is significantly different from an Ophthalmologist but the process does not seem to improve unless other locations improve in parallel. 13 Appendix A: Office Monthly Data Collection Doctor's Patient Attendance - Middletown Office All Times Given in Minutes Work Week No. 1 Monday Tueday Wednesday Thursday Friday 2 Monday Tueday Wednesday Thursday Friday 3 Monday Tueday Wednesday Thursday Friday 4 Monday Tueday Wednesday Thursday Friday Patients Average Interarrival Time Doctor's Average Ave. Prescreening Ave. Optical Ave. Receptionist Service Time Service Time Shop Time Service Time Ave. Waiting Room Time Work Day Number Patient Output 1 2 3 4 5 Weekly Total 11 16 18 23 25 93 15 12 10 15 10 40 30 30 35 35 15 15 15 12 12 50 50 50 45 45 10 5 8 5 5 30 20 20 20 20 6 7 8 9 10 Weekly Total 24 25 26 27 30 132 10 10 10 10 8 25 25 25 25 20 10 10 10 5 5 35 35 35 30 30 8 8 8 5 5 15 15 15 15 10 11 12 13 14 15 Weekly Total 26 23 25 20 18 112 10 12 10 11 15 20 25 25 25 30 10 10 12 15 15 30 30 30 30 45 8 5 5 5 10 15 15 15 15 20 16 17 18 19 20 Weekly Total 17 15 16 11 8 67 12 15 15 15 20 30 35 30 30 40 12 12 15 15 15 45 45 45 45 50 8 8 8 5 10 20 20 20 25 30 Monthly Total for Sept.02 Weekly Average 404 101 14 Appendix B – ProModel Iteration Input and Output Files One Doctor Input – Min Patient Attendance ******************************************************************************** * * * Formatted Listing of Model: * * A:\DES\Project\Draft Report\one doctor analysis\Project_one_dr_min.MOD * * * ******************************************************************************** Time Units: Distance Units: Minutes Feet ******************************************************************************** * Locations * ******************************************************************************** Name -----------------------------Enter Receptionist_Desk_Sign_In_Sign Waiting_Room PreScreening_Room Dr.Exam_Room_1 Optical_Shop Cap --inf 1 15 1 1 1 Units ----1 1 1 1 1 1 Stats ----------Time Series Time Series Time Series Time Series Time Series Time Series Rules Cost --------------- -----------Oldest, , Oldest, , First Oldest, , Oldest, , Oldest, , Oldest, , ******************************************************************************** * Entities * ******************************************************************************** Name ----------------Ab_Normal_Patient Normal_Patient Speed (fpm) -----------150 150 Stats Cost ----------- -----------Time Series Time Series ******************************************************************************** * Processing * ******************************************************************************** Process Entity ----------------ALL ALL Location Operation ------------------------------ -----------------Enter Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) ALL Waiting_Room ALL ALL PreScreening_Room Dr.Exam_Room_1 Ab_Normal_Patient Optical_Shop Routing Blk Output Destination Rule ---- ----------------- ------------------------------ ---------1 ALL Receptionist_Desk_Sign_In_Sign FIRST 1 Move Logic -----------move for .10 min 1 ALL Waiting_Room FIRST 1 move for .10 min 1 ALL PreScreening_Room FIRST 1 move for .25 min 1 ALL Dr.Exam_Room_1 1.000000 1 move for 0.20 min 1 Ab_Normal_Patient Optical_Shop 0.600000 1 Normal_Patient Receptionist_Desk_Sign_In_Sign 0.400000 move for 0.20 min move for 0.22 min 1 Ab_Normal_Patient Receptionist_Desk_Sign_In_Sign FIRST 1 move for .15 min 1 Ab_Normal_Patient EXIT 1 Normal_Patient wait w(2.12,10.5) wait L(2.01, 0.289) wait t(19,25.1,43.3) wait t(21.6,50,50) Ab_Normal_Patient Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) Normal_Patient FIRST 1 Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) EXIT FIRST 1 ******************************************************************************** * Arrivals * ******************************************************************************** Entity Location Qty each First Time Occurrences Frequency Logic -------- -------- ---------- ---------- ----------- -------------- -----------ALL Enter 1 0 8 t(7,9.13,21.2) ******************************************************************************** * Attributes * ******************************************************************************** ID ---------------Abnormal_Patient Normal_Patients Type -----------Integer Integer Classification -------------Location Location 15 One Doctor Output – Min Patient Attendance -------------------------------------------------------------------------------General Report Output from C:\Class Work\Descrete Event Sims\Greco\Project\Draft Report\Project_one_dr.MOD [Final Project: Ophthalmologist Practice Simulator] Date: Dec/02/2002 Time: 07:45:25 PM -------------------------------------------------------------------------------Scenario : Normal Run Replication : 1 of 1 Simulation Time : 8 hr -------------------------------------------------------------------------------LOCATIONS Location Name ---------------------------------Enter Receptionist Desk Sign In Sign Out Waiting Room PreScreening Room Dr.Exam Room 1 Optical Shop Scheduled Hours --------8 8 8 8 8 8 Capacity -------999999 1 15 1 1 1 Total Entries ------16 30 16 16 16 8 Average Minutes Per Entry ---------9.737125 6.920267 170.085438 28.052813 28.638063 33.859375 Average Contents -------0.324571 0.432517 5.66951 0.935094 0.954602 0.564323 Maximum Contents -------3 1 11 1 1 1 Current Contents -------0 0 0 0 1 1 % Util -----0.00 43.25 37.80 93.51 95.46 56.43 LOCATION STATES BY PERCENTAGE (Multiple Capacity) Location Name -----------Enter Waiting Room Scheduled Hours --------8 8 % Empty ----79.21 7.14 % Partially Occupied --------20.79 92.86 % Full ---0.00 0.00 | | | | | | % Down ---0.00 0.00 LOCATION STATES BY PERCENTAGE (Single Capacity/Tanks) Location Name ---------------------------------Receptionist Desk Sign In Sign Out PreScreening Room Dr.Exam Room 1 Optical Shop Scheduled Hours --------8 8 8 8 % Operation --------43.25 6.63 87.43 52.05 % Setup ----0.00 0.00 0.00 0.00 % Idle ----56.75 6.49 4.54 43.57 % Waiting ------0.00 0.00 0.00 0.00 % Blocked ------0.00 86.88 8.03 4.38 % Down ---0.00 0.00 0.00 0.00 FAILED ARRIVALS Entity Name ----------------Ab Normal Patient Normal Patient Location Name -------Enter Enter Total Failed -----0 0 ENTITY ACTIVITY Entity Name ----------------Ab Normal Patient Normal Patient Total Exits ----7 7 Current Quantity In System --------2 0 Average Minutes In System ---------242.059857 257.151000 Average Minutes In Move Logic -------1.000000 0.870000 Average Minutes Wait For Res, etc. --------0.000000 0.000000 Average Minutes In Operation --------88.147000 52.188857 Average Minutes Blocked ---------152.912857 204.092143 ENTITY STATES BY PERCENTAGE Entity Name ----------------Ab Normal Patient Normal Patient % In Move Logic ------0.41 0.34 % Wait For Res, etc. --------0.00 0.00 % In Operation -----------36.42 20.30 % Blocked ------63.17 79.37 16 One Doctor Input – Max Patient Attendance * ******************************************************************************* * * * Formatted Listing of Model: * * A:\DES\Project\Draft Report\one doctor analysis\Project_one_dr_max.MOD * * * ******************************************************************************** Time Units: Distance Units: Minutes Feet ******************************************************************************** * Locations * ******************************************************************************** Name -----------------------------Enter Receptionist_Desk_Sign_In_Sign Waiting_Room PreScreening_Room Dr.Exam_Room_1 Optical_Shop Cap --inf 1 15 1 1 1 Units ----1 1 1 1 1 1 Stats ----------Time Series Time Series Time Series Time Series Time Series Time Series Rules Cost --------------- -----------Oldest, , Oldest, , First Oldest, , Oldest, , Oldest, , Oldest, , ******************************************************************************** * Entities * ******************************************************************************** Name ----------------Ab_Normal_Patient Normal_Patient Speed (fpm) -----------150 150 Stats Cost ----------- -----------Time Series Time Series ******************************************************************************** * Processing * ******************************************************************************** Process Entity ----------------ALL ALL Location Operation ------------------------------ -----------------Enter Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) ALL Waiting_Room ALL PreScreening_Room ALL Dr.Exam_Room_1 Ab_Normal_Patient Optical_Shop Routing Blk Output Destination Rule ---- ----------------- ------------------------------ ---------1 ALL Receptionist_Desk_Sign_In_Sign FIRST 1 Move Logic -----------move for .10 min 1 ALL Waiting_Room FIRST 1 move for .10 min 1 ALL PreScreening_Room FIRST 1 move for .25 min 1 ALL Dr.Exam_Room_1 1.000000 1 move for 0.20 min 1 Ab_Normal_Patient Optical_Shop 0.600000 1 Normal_Patient Receptionist_Desk_Sign_In_Sign 0.400000 move for 0.20 min move for 0.22 min 1 Ab_Normal_Patient Receptionist_Desk_Sign_In_Sign FIRST 1 move for .15 min 1 Ab_Normal_Patient EXIT FIRST 1 1 Normal_Patient FIRST 1 wait w(2.12,10.5) wait L(2.01, 0.289) wait t(19,25.1,43.3) wait t(21.6,50,50) Ab_Normal_Patient Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) Normal_Patient Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) EXIT ******************************************************************************** * Arrivals * ******************************************************************************** Entity Location Qty each First Time Occurrences Frequency Logic -------- -------- ---------- ---------- ----------- -------------- -----------ALL Enter 1 0 15 t(7,9.13,21.2) ******************************************************************************** * Attributes * ******************************************************************************** ID ---------------Abnormal_Patient Normal_Patients Type -----------Integer Integer Classification -------------Location Location 17 One Doctor Output – Max Patient Attendance -------------------------------------------------------------------------------General Report Output from C:\Class Work\Descrete Event Sims\Greco\Project\Draft Report\Project_one_dr.MOD [Final Project: Ophthalmologist Practice Simulator] Date: Dec/02/2002 Time: 08:03:26 PM -------------------------------------------------------------------------------Scenario : Normal Run Replication : 1 of 1 Simulation Time : 8 hr -------------------------------------------------------------------------------LOCATIONS Location Name ---------------------------------Enter Receptionist Desk Sign In Sign Out Waiting Room PreScreening Room Dr.Exam Room 1 Optical Shop Scheduled Hours --------8 8 8 8 8 8 Capacity -------999999 1 15 1 1 1 Total Entries ------30 23 20 5 4 2 Average Minutes Per Entry ---------107.254000 20.762174 295.071350 91.091600 115.152250 204.958000 Average Contents -------6.70337 0.994854 12.2946 0.948871 0.959602 0.853992 Maximum Contents -------9 1 15 1 1 1 Current Contents -------9 1 15 1 1 1 % Util -----0.00 99.49 81.96 94.89 95.96 85.40 LOCATION STATES BY PERCENTAGE (Multiple Capacity) Location Name -----------Enter Waiting Room Scheduled Hours --------8 8 % Empty ----3.65 1.33 % Partially Occupied --------96.35 31.12 % Full ----0.00 67.55 | | | | | | % Down ---0.00 0.00 LOCATION STATES BY PERCENTAGE (Single Capacity/Tanks) Location Name ---------------------------------Receptionist Desk Sign In Sign Out PreScreening Room Dr.Exam Room 1 Optical Shop Scheduled Hours --------8 8 8 8 % Operation --------33.53 1.89 22.81 14.61 % Setup ----0.00 0.00 0.00 0.00 % Idle ----0.51 5.11 4.04 14.60 % Waiting ------0.00 0.00 0.00 0.00 % Blocked ------65.96 93.00 73.15 70.79 % Down ---0.00 0.00 0.00 0.00 FAILED ARRIVALS Entity Name ----------------Ab Normal Patient Normal Patient Location Name -------Enter Enter Total Failed -----0 0 ENTITY ACTIVITY Entity Name ----------------Ab Normal Patient Normal Patient Total Exits ----1 1 Current Quantity In System --------14 14 Average Minutes In System ---------100.143000 78.647000 Average Minutes In Move Logic -------1.000000 0.870000 Average Minutes Wait For Res, etc. --------0.000000 0.000000 Average Minutes In Operation --------83.052000 45.143000 Average Minutes Blocked --------16.091000 32.634000 ENTITY STATES BY PERCENTAGE Entity Name ----------------Ab Normal Patient Normal Patient % In Move Logic ------1.00 1.11 % Wait For Res, etc. --------0.00 0.00 % In Operation -----------82.93 57.40 % Blocked ------16.07 41.49 18 Two doctors Input – Min patient Attendance ******************************************************************************** * * * Formatted Listing of Model: * * A:\DES\Project\Draft Report\Two doctor analysis\Project_two_dr_min.MOD * * * ******************************************************************************** Time Units: Distance Units: Minutes Feet ******************************************************************************** * Locations * ******************************************************************************** Name -----------------------------Enter Receptionist_Desk_Sign_In_Sign Waiting_Room PreScreening_Room Drs.Exam_Room Drs.Exam_Room.1 Drs.Exam_Room.2 Optical_Shop Cap --inf 1 15 1 1 1 1 1 Units ----1 1 1 1 2 1 1 1 Stats ----------Time Series Time Series Time Series Time Series Time Series Time Series Time Series Time Series Rules Cost --------------- -----------Oldest, , Oldest, , First Oldest, , Oldest, , First Oldest, , First Oldest, , Oldest, , Oldest, , ******************************************************************************** * Entities * ******************************************************************************** Name ----------------Ab_Normal_Patient Normal_Patient Speed (fpm) -----------150 150 Stats Cost ----------- -----------Time Series Time Series ******************************************************************************** * Processing * ******************************************************************************** Process Entity ----------------ALL ALL Location Operation ------------------------------ -----------------Enter Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) ALL Waiting_Room ALL PreScreening_Room ALL Drs.Exam_Room Ab_Normal_Patient Optical_Shop Routing Blk Output Destination Rule ---- ----------------- ------------------------------ ---------1 ALL Receptionist_Desk_Sign_In_Sign FIRST 1 Move Logic -----------move for .10 min 1 ALL Waiting_Room FIRST 1 move for .10 min 1 ALL PreScreening_Room FIRST 1 move for .25 min 1 ALL Drs.Exam_Room 1.000000 1 move for 0.20 min 1 Ab_Normal_Patient Optical_Shop 0.600000 1 Normal_Patient Receptionist_Desk_Sign_In_Sign 0.400000 move for 0.20 min move for 0.22 min 1 Ab_Normal_Patient Receptionist_Desk_Sign_In_Sign FIRST 1 move for .15 min 1 Ab_Normal_Patient EXIT FIRST 1 1 Normal_Patient FIRST 1 wait w(2.12,10.5) wait L(2.01, 0.289) wait t(19,25.1,43.3) wait t(21.6,50,50) Ab_Normal_Patient Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) Normal_Patient Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) EXIT ******************************************************************************** * Arrivals * ******************************************************************************** Entity Location Qty each First Time Occurrences Frequency Logic -------- -------- ---------- ---------- ----------- -------------- -----------ALL Enter 1 0 8 t(7,9.13,21.2) ******************************************************************************** * Attributes * ******************************************************************************** ID ---------------Abnormal_Patient Normal_Patients Type -----------Integer Integer Classification -------------Location Location 19 Two doctors Output – Min patient Attendance -------------------------------------------------------------------------------General Report Output from A:\DES\Project\Draft Report\Project_two_dr.MOD [Final Project: Ophthalmologist Practice Simulator] Date: Dec/02/2002 Time: 08:28:40 PM -------------------------------------------------------------------------------Scenario : Normal Run Replication : 1 of 1 Simulation Time : 6.365233333 hr -------------------------------------------------------------------------------LOCATIONS Location Name ---------------------------------Enter Receptionist Desk Sign In Sign Out Waiting Room PreScreening Room Drs.Exam Room.1 Drs.Exam Room.2 Drs.Exam Room Optical Shop Scheduled Hours ----------6.365233333 6.365233333 6.365233333 6.365233333 6.365233333 6.365233333 12.73046667 6.365233333 Capacity -------999999 1 15 1 1 1 2 1 Total Entries ------16 32 16 16 8 8 16 7 Average Minutes Per Entry --------14.180813 6.569594 82.493437 16.989313 36.665375 39.338875 38.002125 42.781429 Average Contents -------0.594094 0.550456 3.456 0.711754 0.768034 0.824036 0.796035 0.784129 Maximum Contents -------4 1 8 1 1 1 2 1 Current Contents -------0 0 0 0 0 0 0 0 % Util -----0.00 55.05 23.04 71.18 76.80 82.40 79.60 78.41 LOCATION STATES BY PERCENTAGE (Multiple Capacity) Location Name -----------Enter Waiting Room Scheduled Hours ----------6.365233333 6.365233333 % Partially Occupied --------29.49 73.17 % Empty ----70.51 26.83 % Full ---0.00 0.00 | | | | | | % Down ---0.00 0.00 LOCATION STATES BY PERCENTAGE (Single Capacity/Tanks) Location Name ---------------------------------Receptionist Desk Sign In Sign Out PreScreening Room Drs.Exam Room.1 Drs.Exam Room.2 Drs.Exam Room Optical Shop Scheduled Hours ----------6.365233333 6.365233333 6.365233333 6.365233333 12.73046667 6.365233333 % Operation --------55.05 8.31 60.15 58.88 59.52 69.82 % Setup ----0.00 0.00 0.00 0.00 0.00 0.00 % Idle ----44.95 28.82 23.20 17.60 20.39 21.59 % Waiting ------0.00 0.00 0.00 0.00 0.00 0.00 % Blocked ------0.00 62.87 16.65 23.52 20.09 8.59 % Down ---0.00 0.00 0.00 0.00 0.00 0.00 FAILED ARRIVALS Entity Name ----------------Ab Normal Patient Normal Patient Location Name -------Enter Enter Total Failed -----0 0 ENTITY ACTIVITY Entity Name ----------------Ab Normal Patient Normal Patient Total Exits ----7 9 Current Quantity In System --------0 0 Average Minutes In System ---------209.716000 164.796222 Average Minutes In Move Logic -------1.000000 0.870000 Average Minutes Wait For Res, etc. --------0.000000 0.000000 Average Minutes In Operation --------95.084571 53.348444 Average Minutes Blocked ---------113.631429 110.577778 ENTITY STATES BY PERCENTAGE Entity Name ----------------Ab Normal Patient Normal Patient % In Move Logic ------0.48 0.53 % Wait For Res, etc. --------0.00 0.00 % In Operation -----------45.34 32.37 % Blocked ------54.18 67.10 20 Two doctors and Two Opticians Input – Max patient Attendance ******************************************************************************** * * * Formatted Listing of Model: * * A:\DES\Project\Draft Report\Two doctor analysis\Project_two_dr_max_input.MOD * * * ******************************************************************************** Time Units: Distance Units: Minutes Feet ******************************************************************************** * Locations * ******************************************************************************** Name -----------------------------Enter Receptionist_Desk_Sign_In_Sign Waiting_Room PreScreening_Room Drs.Exam_Room Drs.Exam_Room.1 Drs.Exam_Room.2 Optical_Shop Optical_Shop.1 Optical_Shop.2 Cap --inf 1 15 1 1 1 1 1 1 1 Units ----1 1 1 1 2 1 1 2 1 1 Stats ----------Time Series Time Series Time Series Time Series Time Series Time Series Time Series Time Series Time Series Time Series Rules Cost --------------- -----------Oldest, , Oldest, , First Oldest, , Oldest, , First Oldest, , First Oldest, , Oldest, , Oldest, , First Oldest, , Oldest, , ******************************************************************************** * Entities * ******************************************************************************** Name ----------------Ab_Normal_Patient Normal_Patient Speed (fpm) -----------150 150 Stats Cost ----------- -----------Time Series Time Series ******************************************************************************** * Processing * ******************************************************************************** Process Entity ----------------ALL ALL Location Operation ------------------------------ -----------------Enter Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) ALL Waiting_Room ALL PreScreening_Room ALL Drs.Exam_Room Ab_Normal_Patient Optical_Shop Routing Blk Output Destination Rule ---- ----------------- ------------------------------ ---------1 ALL Receptionist_Desk_Sign_In_Sign FIRST 1 Move Logic -----------move for .10 min 1 ALL Waiting_Room FIRST 1 move for .10 min 1 ALL PreScreening_Room FIRST 1 move for .25 min 1 ALL Drs.Exam_Room 1.000000 1 move for 0.20 min 1 Ab_Normal_Patient Optical_Shop 0.600000 1 Normal_Patient Receptionist_Desk_Sign_In_Sign 0.400000 move for 0.20 min move for 0.22 min 1 Ab_Normal_Patient Receptionist_Desk_Sign_In_Sign FIRST 1 move for .15 min 1 Ab_Normal_Patient EXIT FIRST 1 1 Normal_Patient FIRST 1 wait w(2.12,10.5) wait L(2.01, 0.289) wait t(19,25.1,43.3) wait t(21.6,50,50) Ab_Normal_Patient Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) Normal_Patient Receptionist_Desk_Sign_In_Sign wait t(4,4.76,11.6) EXIT ******************************************************************************** * Arrivals * ******************************************************************************** Entity Location Qty each First Time Occurrences Frequency Logic -------- -------- ---------- ---------- ----------- -------------- -----------ALL Enter 1 0 11 t(7,9.13,21.2) ******************************************************************************** * Attributes * ******************************************************************************** ID ---------------Abnormal_Patient Normal_Patients Type -----------Integer Integer Classification -------------Location Location 21 Two doctors and Two Opticians Output – Max patient Attendance -------------------------------------------------------------------------------General Report Output from A:\DES\Project\Draft Report\Two doctor analysis\Project_two_dr_max.MOD [Final Project: Ophthalmologist Practice Simulator] Date: Dec/03/2002 Time: 07:05:26 PM -------------------------------------------------------------------------------Scenario : Normal Run Replication : 1 of 1 Simulation Time : 7.394433333 hr -------------------------------------------------------------------------------LOCATIONS Average Location Name ---------------------------------Enter Receptionist Desk Sign In Sign Out Waiting Room PreScreening Room Drs.Exam Room.1 Drs.Exam Room.2 Drs.Exam Room Optical Shop.1 Optical Shop.2 Optical Shop Scheduled Hours ----------7.394433333 7.394433333 7.394433333 7.394433333 7.394433333 7.394433333 14.78886667 7.394433333 7.394433333 14.78886667 Capacity -------999999 1 15 1 1 1 2 1 1 2 Total Entries ------22 44 22 22 12 10 22 6 6 12 Minutes Per Entry ---------21.448455 6.786909 105.503818 16.250318 32.790333 36.876300 34.647591 51.945333 42.627167 47.286250 Average Contents -------1.06356 0.673083 5.2316 0.805802 0.886892 0.831173 0.859032 0.702492 0.576476 0.639484 Maximum Contents -------7 1 13 1 1 1 2 1 1 2 Current Contents -------0 0 0 0 0 0 0 0 0 0 % Util -----0.00 67.31 34.88 80.58 88.69 83.12 85.90 70.25 57.65 63.95 LOCATION STATES BY PERCENTAGE (Multiple Capacity) % | Location Name -----------Enter Waiting Room Scheduled Hours ----------7.394433333 7.394433333 % Empty ----65.30 19.78 Partially Occupied --------34.70 80.22 % Full ---0.00 0.00 | | | | | % Down ---0.00 0.00 LOCATION STATES BY PERCENTAGE (Single Capacity/Tanks) Location Name ---------------------------------Receptionist Desk Sign In Sign Out PreScreening Room Drs.Exam Room.1 Drs.Exam Room.2 Drs.Exam Room Optical Shop.1 Optical Shop.2 Optical Shop Scheduled Hours ----------7.394433333 7.394433333 7.394433333 7.394433333 14.78886667 7.394433333 7.394433333 14.78886667 % Operation --------67.31 10.21 76.09 65.81 70.95 59.53 48.79 54.16 % Setup ----0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 % Idle ----32.69 19.42 11.31 16.88 14.09 29.75 42.35 36.05 % Waiting ------0.00 0.00 0.00 0.00 0.00 0.00 0.01 0.00 % Blocked ------0.00 70.37 12.60 17.31 14.96 10.72 8.85 9.79 % Down ---0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FAILED ARRIVALS Entity Name ----------------Ab Normal Patient Normal Patient Location Name -------Enter Enter Total Failed -----0 0 ENTITY ACTIVITY Average Average Average Average Average Current Minutes Minutes Minutes Minutes Minutes Entity Total Quantity In In Move Wait For Name Exits In System System Logic Res, etc. ----------------- ----- --------- ---------- -------- --------Ab Normal Patient 12 0 232.239667 1.000000 0.000000 Normal Patient 10 0 201.258700 0.870000 0.000000 In Operation --------95.473417 55.319200 Blocked ---------135.766250 145.069500 ENTITY STATES BY PERCENTAGE % % Entity Name ----------------Ab Normal Patient Normal Patient In Move Logic ------0.43 0.43 Wait For Res, etc. --------0.00 0.00 % In Operation -----------41.11 27.49 % Blocked ------58.46 72.08 22