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- 158 - 8. Consider relieving medical secretaries of appointmentmaking duties, where feasible. 9. Define more clea.J'y lines of responsibility and control of clerical staff to avoid conflicting directives. Scheduling-related recommendLa'ions 1. Consider providing, at .ach heavy consultative load desk, scheduled "standby" time on a rotating basis, to take up urgent consults without overloading any one doctor. This could be accomplished by having at least one physician at all times performing some clinic functiorns which could be easily interrupted. 2. Based on historical data, consider devising a battery of lab andlor X-ray studies which result from some percentage (say 80% or 90%) of physicals for a given doctor or department. 3. At the doctor's discretion, consider prescheduling the above lab and/or X ray studies prior to the patient's appointment for a physical with sufficient lead-time to allow for processing, reporting and delivery of results to the doctor. 6 4. When historical data indicates that certain appointment types with a given doctor, inevitably or to a large extent, are followed by some other appointment, either with the same doctor or elsewhere in the clinic, then consider prescheduling the latter as well. 5. Consider storage of specimens for some prescribed period of time in the laboratory. The inconveniences caused by additional visits to the laboratory will be avoided. This would be especially useful for prescheduled patients. 6. Consider a patient standby list. The patients in this list should be easily reached and would help to alleviate the problem of no-show and late cancellation appointment slots going unfilled. 'As a first attempt to identify which further appointments result from physical appointmnents. studies were run in each department to determine how many of each type of consult, X-ray tests, laboratory tests, and special studies were ordered over two-week periods. The results of these studies are displayed in Table 1. REISMAN, DA SILVA, MANTELL 1 Systems
- 159 - TABLE I: Pnmary DesklConsultant Desk InputlOutput UROLOCI I[ 1 1 1 1 1 1 1 * . . . . . E I I 1 . . #. . . . . . :S
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L 00111111 MASTER COPY - NO TOCAR B
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- ii - liancock, W., D. Magerlein y
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FOREWORD These last years, PAHO wit
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Workshop .- Education in Operationa
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-3. The format of the workshop was
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-5- 2. Programs for bringing togeth
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II. R.commendations -7- A series of
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-9- there are technically trained i
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-11- and selected individuals who h
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-13- 6. In order to improve the qua
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-15- cnve!opment will typically be
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-17- 16. All participants sbould pr
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A. Short Courses -19- Short courses
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-21- 4. Presentation of a case to b
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Topic Introduction to Systems Analy
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-25- 12. Elementary Statistics ior
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-27- 8. Applications of data proces
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-29- problems. The graduate should
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-31- Lblo-w. Also given is that typ
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- 33 -' -Case Mix Definition by Dia
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- 35 - Acknowledgment The authors w
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ML ICAL CAE1 Februurl 1980, Vol. XV
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X;' VIII, No. 2. Suippllce,t - 39 -
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- 41 - dMLDICAL C.ARE '.Fcbrtanj 19
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\'nKV 111,I No. 2, IIIJ·,ri - 43 -
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Vol. XVIII, No. 2, Supplenent - 45
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?Vol. XVIII. No. 2. Sttilluleareilt
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.'yo. XVIII. No. 2, Supplentcsit Si
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.V'oL XVIII. No. 2. Stpphlidary dia
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Vol..'XVlII, No. 2, Supplement - 55
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- 57 - MEDICAL CARE Febiuary 1980,
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- 59 - .SlDiCL ( :AL.. FcbnartlrJ p
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Vol. XVIII, No. 2, Suppletiment - 6
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Vol. XVIII, No. 2, Supplenwt - 63 -
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- 65 - £.¡EDCAL CARE ebrNuarV 1;9
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Vol. XVIII, No. 2, Sn",,phl- steal
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VoL XVIII. No. 2, Supplemnlent - 69
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'XVII. No. 2. Supplement - 71 - P)i
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;.'. 'Vol. XVIII. No. 2. Siupplemen
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:`". XVIII, No. 2. Stupplenent - 75
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,VoL XVIII, No. 2, Supplement Major
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.. Vol. XVIII, No. 2. Supl|lemcent
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i,..X VIII. No. 2. Supplemeiint - 8
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T XVIII. No. 2. S.pphlts"t .i¿jor
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·. ¥XVIII. No. 2 Supplement )i, "
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- 87 - 'i1. XVIII. No. -. Supplemne
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Vl. \'ll. No. 2. Sntiít'ult.uit M.
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- 91 - R. FRIRICHIS AND J. PRAWDA W
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- 93 - 414 R. FRRKICkIS AND J. PRAW
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- 95 - R. F'RERICItS'AND J. PRAWDA
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- 97 - R. F'RRICHS AND J. PRAWDA wh
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- 99 - 420 R. MFRIlC}IS AND J. PRAW
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V - 101 - McUCi. (:Au AWuu IMI. VoL
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GREENLAND ET AL - 103 - the case (p
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CREENLAND iT AL - 105 - TABLE 2. Fi
Page 113 and 114: GREENLAND ET AL. 3. Cornfleld J, Ha
Page 115 and 116: 160 I indicates the flow of patient
Page 117 and 118: 162 CONGESTION POINTS ANU CONTROL.A
Page 119 and 120: 164 c 8o Table 4. The cffect of cha
Page 121 and 122: 166 B. LEV etal. significant differ
Page 123 and 124: MEREDITH - 117 - ciety. However. ch
Page 125 and 126: I MEREDITH - 119 - varying oulcome
Page 127 and 128: MEDICAL CARE ,arch 1981, Vol. XIX,
Page 129 and 130: %,I. XIX, No. 3 iclnts. It should d
Page 131 and 132: n'ol. XIX, No. 3 - 125 - tailed exa
Page 133 and 134: 1 Vol. XIX. No. 3 - 127 - tant for
Page 135 and 136: Vi. .XIX, No. 3 - 129 - tom' s reco
Page 137 and 138: - 131 - A \ ,,1. XIX, No. 3 PEHFOHR
Page 139 and 140: V Xl. IX, No. 3 - 133 - PERFORMANCE
Page 141 and 142: - 135 - The fourth requirement is l
Page 143 and 144: - 137 - Systems and Procedures of P
Page 145 and 146: - 139 - 2. ldentify problemn areas
Page 147 and 148: c 1 '-a
Page 149 and 150: u. o a.- 1 W. LZi - 143 - c c S C.
Page 151 and 152: - 145 - Thc cu rrent appointmren t-
Page 153 and 154: - 147 - A pure block appointment sy
Page 155 and 156: - 149 - ihe future. It was discover
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Page 159 and 160: - 153 - Figui.'¢ VII. Patient Arri
Page 161 and 162: - 155 - sonnel working in positions
Page 163: - 157 - 17. Keep the time span of t
Page 167 and 168: .Recomme;tded systenz - 161 - .;any
Page 169 and 170: - 163 - system, there is nr'. :vste
Page 171 and 172: - 165 - - A major problem with such
Page 173 and 174: - 167 - T1c Iteole of Olieraionls R
Page 175 and 176: - 169 - Larry J. Shumc- Harvey Wolf
Page 177 and 178: - 171 - '- ionoal Heolth Ploanning
Page 179 and 180: - 173 - Regional Health Planning ar
Page 181 and 182: - 175 - Regio.,oi Health Planning w
Page 183 and 184: - 177 - Regionao rfeclth Planning l
Page 185 and 186: A^CJonoal neonah ronning 21. 1'. F.
Page 187 and 188: - .,1 - Programming, Budgeting, and
Page 189 and 190: - 183 - the health care industí ,
Page 191 and 192: - 185 - was apparently no scarcity.
Page 193 and 194: ut, u a. íL ._c E 0 t42 a .. 0m u
Page 195 and 196: plex stochastic distribution of arr
Page 197 and 198: - 191 cumulated according to any or
Page 199 and 200: - 193 - Step 2 represents the heart
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Page 203 and 204: - 197 - analysis, forecasting, and
Page 205 and 206: Budgeting Attitudes - 199 - The pla
Page 207 and 208: - 201 Health Services Research most
Page 209 and 210: a. - 203 - Health Services Research
Page 211 and 212: - 205 - DESIGN OF ALTERNATIVE PROVI
Page 213 and 214: - 207 - 1. A change in the immigrat
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- 209 - accessibility of health car
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- 211 - dimensional graph to illust
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- 213 - Primary Care Health Service
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- 215 - different health and educat
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- 217 - The tasks that were rated "
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IC1 o -a - i - w im W..i C -J M. -
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0 z 0 u _ I- 0 Ut. I,, uj CD Q U- ,
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TABLE 3 TASK ANALYSIS OF MALNUTRITI
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11 - 225 - TASK ANALYSIS OF MALNUTR
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- 227 - 12. Reisman, A., F.Staub, B
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- 229 - METHODS Parameters Affectin
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- 231 - ~HNCOCK Fig. 1. Daily censu
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- 233 - HANCOCK Table 1. Parameters
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- 235 - Fig. 3. Maximum average occ
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- 237 - HANCOCK ET AL Fig. 4. Maxim
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- 239 - AECOCL. Table 2. Eflect of
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- 241 - HANCOCK Discussion ET AL Th
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#12 Estinating the Need for Additio
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Pri c= arvicc a ia Indina. - 245 -
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. 1' - - IIINDLE Algorithmn for Det
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- 249 - HINDLE that all tlie primar
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- 251 - HINDLE 6. Computc Mhe Avail
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- 253 - HINDLA Tablek Meamm of Zfic
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HINDLE Tr AL HIALTH falvCU - 255 -
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- 257 - HIiDLZ 26. Ado, An . ad L.
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- 259 - REISMIAN, DEAN, ESOOBUE, AG
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- 261 - REISMAN, DEAN, ESOGBUE, AGG
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- 263 - 1350 REISMiAN, DEAN, ESOOBU
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- 265 - REISMAN, DEAN, ESOOBUE, AGO
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- 267 - 1354 REISMAN, IEAN, ESOGCUE
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- 269 - William J. Abernothy and Jo
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- 271 - William J. Abernathy and Jo
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- 273 - William 1. Abernothy ond Jo
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- 275 - William J. Abrnarthy and Jo
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- 277 - William J. Abernathy and Jo
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- 279 - William J. Aberncthy and Jo
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- 281 - 642 William J. Abernathy an
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Decmand in Mintu és/Day Numnlber o
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Disposal System 326 IIstlic I,',i,
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i Trays 334 Colorful pattenis anid
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tiie, gency L:ghting 347 ,i',., .:.
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- 296 - REVEI.LE we believe to be t
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- 293 R£VELLE is apparent in light
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- 295 - REVEt.EI. ET AL. poSJcd pro
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- 297 - RM.VELLE EL AL. of faciliti
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REVELLE ET AL. HALTOI SERVICUS RESE
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REVELLE ET Al.. - 301 - Fig. 4. Ano
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- 303 - REVet. ¡T AL Act of 1973.
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- 305 - REVELLE possible within ilh
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- 307 - RLVELI.E 29- Khumawala. a.
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- 309 - assuring thal the maxinmum
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-311 - the implemented strategy he
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- 313 - analytical approximalions w
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- 315 - rcquired Ior shipping and o
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- 317 - Controlling ¡he system The
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- 319 - The light pen techniques ar
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- 321 - shipnients have to be on ro
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- 323 THE CREATER NEIW' YORK BLOOD
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_,~ .- - 3. 2- - TABLE 1. PATIENT C
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TABLE 3. MEDICAL INTENSIVE CARE UNI
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Nursing Stalf Level (i of nurss/day
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Table 1. Factors ¡i denad for medi
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e forecast. This section descijbcs
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ei, paid to these standards in cond
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O Emphasis u.on the explicit enumer
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*1 1 21 1 «i 1 1 1 1 - 331, -- For
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Therc are ihreec basic prcessecs fi
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- 343 - Forecasting Hcalth Care Ser
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#20 Jaime 1B. Henrs Rtxlnc. I.. Ro:
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- 347 - I v,'N ti.K 1tHm.pi.l !, t1
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Ra.fo.renem.. aid %.hs '. - 31!9 -
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; / larman u empirical research has
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I Klarman - >3 - benefits that for
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I Klaman Ctitena for Inchmion - 355
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IClarman - 37 - The prevailing tend
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1 Klarman Intargibl Benefits - .5 -
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Kllarman - 361 - thi prospects of r
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- 363 - Thua, it did not consider w
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I Klannan - 365 - again if the new
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Klarman - 367 - At the other pole,
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- 369 - seem worth exploring. Howev
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iKlarman - 371 - in the use of serv
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Kmnnan - 373 - REFERENCES 1. Havema
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- 375 - 59. Valr y, W. S. One eonoi
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- 377 - i aSll a _ . b, CuaMu L. L,
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WAHRNER ANI) I|UTTr)N The puroses I
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WARNER AND HUTfON - 381 - observers
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.AHNF:R AND IIl'TIoN - 383 - rare I
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WARNER AND HUTTrU., TABLE 1. Trenda
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W'AHNER AND IHUTTON - 387 - treatme
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AAHNER AND HU'TON - 389 - Several d
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WARNER AND HUTTON pal orientations
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w'ARNER AND UL'TTOit'u ' . N Engl I
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I,,qr *ir 'ilu.,i XV. Seplteri¡br
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In.lumin- i',)i.eIu XV. Seph.irhb'r
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In#unrvlVolutn XV. September 1978 h
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Problemas identificados - 401 - Dur
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Programas educativos 3 - 403 - 1. S
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- 405 - maestrfa, donde se supone q
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- 407 - presentación formal de inf
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- 409 - * Curso para ingenieros ind
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- 411 - ¢ 16. Hancock, W., D. Mage
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- 413 - 2. Barrenechea, J. J. La se
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- 415 - Curwso (8 a 16 horas) para
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- 417 - 4. Necesidades de los admin
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MOISES ARTEAGA DR. DAVID GOMEZ COVA
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