Abstract of Dissertation

Agency : OPD, IPD, Dialysis unit, Dialysis Scheduler, Waiting Time.

Objective : To understand the average waiting time for OPD patients for the 1st dialysis slot, to understand the current distribution of IPD dialysis time slots, to understand whether an interrelationship could be created between the management of the time slots of the OPD and IPD dialysis machines in order to better meet the overall demand for dialysis

Background : The Multi superspecialty hospital believes in catering service to all patients so that every patient arriving at the hospital is assured of service and no patient is turned away. The current demand for OPD dialysis slots exceeds the capacity of the Dialysis unit. Thus, it leads to waiting time for the first dialysis session.

Methodology : For the purpose of study and data collection, data was physically recorded by visiting the OPD and IPD dialysis units. The Dialysis scheduler was studied in order to understand the waiting time between the scheduling of the first dialysis appointment and the actual first dialysis session.

Findings : It was seen that, considering a maximum possible downtime of 20% for maintenance and emergencies, the OPD dialysis unit was functioning at maximum possible capacity. The IPD dialysis unit was functioning at the capacity required by the current In-patient demand, but due to lesser demand, the IPD dialysis unit showed idle time and showed utilization of 59.44%.

Recommendations : By reserving some time slots from the IPD dialysis unit for the OPD patients, it could be possible to reduce the current waiting time for OPD patients for their first dialysis session.