Question

Case 5-1: Health Maintenance Organization (A) In January 2012, Joan Taylor, the administrator of the Life-Time Insurance Company HMO in Buffalo, New York, was pleased with the Austin, Texas, location that was selected for a new ambulatory health center. (The process used to select this site is discussed in Chapter 8.) The center not only would serve as a clinic for the acutely ill but also as a center for preventive health services. An important goal of the HMO was to offer programs that would encourage members to stay healthy. Various programs already had been planned, including those on smoking cessation, proper nutrition, diet, and exercise. The clinic portion of the health center would be quite large; however, certain constraints in the layout would be necessary. Acutely ill patients would need to be separated from well patients. In addition, federal safety regulations prohibited the radiography department from being adjacent to the main waiting room. It was very important to Ms. Taylor to minimize the walking distance for both the patients and the HMO personnel. The matrix below provides the expected flow between departments based on 35 patients per day. A B C D E F A Reception - 30 0 5 0 0 B Waiting room 10 - 40 10 0 0 C Examination 15 20 - 15 5 5 D Laboratory 5 18 8 - 6 3 E X-ray 0 4 1 2 - 4 F Minor surgery 2 0 0 0 1 -

          Case 5-1: Health Maintenance Organization (A)
In January 2012, Joan Taylor, the administrator of the Life-Time Insurance Company HMO in
Buffalo, New York, was pleased with the Austin, Texas, location that was selected for a new
ambulatory health center. (The process used to select this site is discussed in Chapter 8.) The
center not only would serve as a clinic for the acutely ill but also as a center for preventive
health services.
An important goal of the HMO was to offer programs that would encourage members to stay
healthy. Various programs already had been planned, including those on smoking cessation,
proper nutrition, diet, and exercise.
The clinic portion of the health center would be quite large; however, certain constraints in the
layout would be necessary. Acutely ill patients would need to be separated from well patients.
In addition, federal safety regulations prohibited the radiography department from being
adjacent to the main waiting room.
It was very important to Ms. Taylor to minimize the walking distance for both the patients and
the HMO personnel. The matrix below provides the expected flow between departments based
on 35 patients per day.
A	B	C	D	E	F
A Reception	-	30	0	5	0	0
B Waiting room	10	-	40	10	0	0
C Examination	15	20	-	15	5	5
D Laboratory	5	18	8	-	6	3
E X-ray	0	4	1	2	-	4
F Minor surgery	2	0	0	0	1	-

Case 5-1: Health Maintenance Organization (A)
In January 2012, Joan Taylor, the administrator of the Life-Time Insurance Company HMO in
Buffalo, New York, was pleased with the Austin, Texas, location that was selected for a new
ambulatory health center. (The process used to select this site is discussed in Chapter 8.) The
center not only would serve as a clinic for the acutely ill but also as a center for preventive
health services.
An important goal of the HMO was to offer programs that would encourage members to stay
healthy. Various programs already had been planned, including those on smoking cessation,
proper nutrition, diet, and exercise.
The clinic portion of the health center would be quite large; however, certain constraints in the
layout would be necessary. Acutely ill patients would need to be separated from well patients.
In addition, federal safety regulations prohibited the radiography department from being
adjacent to the main waiting room.
It was very important to Ms. Taylor to minimize the walking distance for both the patients and
the HMO personnel. The matrix below provides the expected flow between departments based
on 35 patients per day.
A B C D E F
A Reception - 30 0 5 0 0
B Waiting room 10 - 40 10 0 0
C Examination 15 20 - 15 5 5
D Laboratory 5 18 8 - 6 3
E X-ray 0 4 1 2 - 4
F Minor surgery 2 0 0 0 1 -

Added by Stephanie K.

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