From: Exploring types of focused factories in hospital care: a multiple case study
Unit | 11 | 12 | 13 |
---|---|---|---|
Organizational context | Â | Â | Â |
Focusing decisions/operations strategy | Strategy pursuing efficiency | Strategy to reduce the no. of visits in order to realize lead time ≤ 18 weeks | Strategy pursuing open access, prevent medical liability |
Standardized procedures | Yes | Yes | Yes |
Dedicated lay-out | Cataract clinic with dedicated day-surgery operating rooms | Cataract clinic with dedicated day-surgery operating rooms | Clinic applied general operating rooms |
Planning routine | One stop diagnostics and scheduling of surgery Preoperative assessments according to open access model | One stop diagnosis, preoperative assessment and scheduling of surgery | One stop diagnosis, preoperative assessment and scheduling of surgery for clinic patients Most diagnostics (91% of the patients) take place outside the hospital at the practice of affiliated ophthalmologists |
Team composition | Extensive division of labor allocating tasks to nurses | Extensive division of labor allocating tasks to nurses | MDs perform most tasks |
Degrees of focus | Â | Â | Â |
Product focus | 94% | 94% | 94% |
Process focus | 84% | 84% | 84% |
Operational performance | Â | Â | Â |
Visits/patient | 3.2 | 3.0 | 3.6 |
Lead time (days) | 91.0 | 109.2 | 15.0 |
   - Access time to outpatient clinic | 25.0 | 31.5 | 0.0 |
   - Waiting time for surgery | 66.0 | 77.7 | 15.0 |