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Parkland Clinics is a popular medical facility near Dallas downtown that sees patients only on a walk-in basis. Currently, the clinic faces an arrival rate of 20 patients per hour. Upon arrival, all patients register with the registration clerk (RC) and this takes 5 minutes. After registration, but before being seen by a nurse practitioner (NP), the records registration clerk (RC pulls the patient’s records from the records room. This step takes 10 minutes. At his or her turn, each patient then sees a NP, who checks weight, temperature, and blood pressure. This work activity takes 5 minutes. One of the responsibilities handled by the NP is determining whether the patient should see a doctor (MD) or whether they can be handled by a physician’s assistant (PA). On average, the NP sends 40% of the patients to the PA and the remaining 60% to the MD. The PA takes on average 15 minutes per patient where as the MD takes 45 minutes per patient. After the patient sees the PA and/or MD, the patient pays the bill or processes insurance information with the billing clerk (BC) which takes 5 minutes per patient. What is the average flow time in the
SCIENCE
HEALTH SCIENCE
NURSING

 
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