1. SimLean Educate Interlude 3: Resource Scarcity An example of a generalised simulation of a theatre process

2. 2 The generalised Day Case theatre process Run the model »

3. Resource 100

4. 4 Last out of: Theatre 234 mins (3hrs 54) Recovery 288 mins (4 hrs 48) The generalised Day Case theatre process

5. 5 Last out of: Theatre 286 mins (4hrs 46) Recovery 319 mins (5 hrs 19) 90% availability 5 minute interruption The generalised Day Case theatre process Run the model »

6. Resource 90

7. Impact of reduced resource availability upon patient flow 7 Latest out of:TheatreRecovery 100% Availability 234 mins (3hrs 54) 288 mins (4 hrs 48) 90% 286 mins (4hrs 46) 319 mins (5 hrs 19) 80%348 mins (5hrs 48)361mins (6hrs 1) 70%40 hrs 3540 hrs 45

8. 8 Last out of: Theatre 40hrs 25 Recovery 40hrs 45 70% availability 5 minute interruption The generalised Day Case theatre process Run model a »Run model b »

9. Resource 70 a

10. Resource 70 b

11. 11 Day 1 5 Days Patient profiles: 70% availability

12. Day 1Day 2 Day 3 Day 4Day 5 12 Patient flow: 70% availability

13. Summary We have illustrated the impact of depleted resource availability. We have observed: –Patient queue times increasing –Number of patients on the premises increasing –Treatments delayed because of increased blocking –Too little resource can cause the system to break. To what extent is resource availability reduced during the working day? How can we reduce the level of resource depletion in our working day? 13

14. Interlude insight An ideal system delivers patient value by getting the right resources in the right place at the right time in the right quantity... with no waste. 14