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Harvard Case - Radiation Treatment Machine Capacity Planning at Cancer Care Ontario

"Radiation Treatment Machine Capacity Planning at Cancer Care Ontario" Harvard business case study is written by Jonathan Wang, Gregory S. Zaric. It deals with the challenges in the field of General Management. The case study is 8 page(s) long and it was first published on : Jul 6, 2015

At Fern Fort University, we recommend Cancer Care Ontario (CCO) implement a multi-pronged approach to address the growing demand for radiation treatment services. This strategy involves optimizing existing capacity, strategically investing in new technology, and fostering a culture of continuous improvement to ensure timely and efficient patient care.

2. Background

The case study highlights the increasing demand for radiation treatment services in Ontario, leading to long wait times for patients. CCO, responsible for delivering cancer care in the province, faces the challenge of balancing resource allocation, equipment utilization, and patient access while adhering to quality standards.

The main protagonists are the CCO leadership, grappling with the need to address the growing demand for radiation treatment, and the patients, who are experiencing delays in receiving critical care.

3. Analysis of the Case Study

Strategic Framework: This case study can be analyzed using a combination of frameworks, including:

  • Porter's Five Forces: This framework helps understand the competitive landscape of the healthcare industry, highlighting the bargaining power of patients, the threat of substitutes, and the intensity of rivalry among providers.
  • SWOT Analysis: This framework identifies CCO's strengths (e.g., skilled workforce, existing infrastructure), weaknesses (e.g., limited capacity, technology gaps), opportunities (e.g., technological advancements, increased funding), and threats (e.g., growing demand, budget constraints).
  • Balanced Scorecard: This framework provides a holistic view of CCO's performance, considering financial, customer, internal processes, and learning & growth perspectives.

Key Findings:

  • Growing Demand: The aging population and increasing cancer incidence are driving a significant increase in the demand for radiation treatment services.
  • Capacity Constraints: Current infrastructure and equipment limitations hinder CCO's ability to meet the growing demand, leading to long wait times.
  • Technology Gap: CCO faces challenges in adopting new technologies that can improve efficiency and patient outcomes.
  • Financial Constraints: Limited resources restrict CCO's ability to invest in new equipment and infrastructure.

4. Recommendations

  1. Optimize Existing Capacity:
    • Streamline Scheduling: Implement a sophisticated scheduling system that optimizes appointment slots and minimizes idle time for equipment.
    • Improve Efficiency: Implement Lean Management principles to identify and eliminate inefficiencies in existing processes, such as patient intake, treatment delivery, and follow-up care.
    • Staff Training: Invest in training programs to enhance staff skills and improve operational efficiency.
  2. Strategic Investment in Technology:
    • Advanced Imaging: Invest in new imaging technologies like PET-CT scanners to improve diagnostic accuracy and treatment planning.
    • Cyberknife and Radiosurgery: Explore the acquisition of advanced radiation therapy systems like Cyberknife and Radiosurgery to enhance treatment precision and reduce treatment time.
    • Data Analytics: Implement data analytics tools to monitor patient flow, equipment utilization, and treatment outcomes, enabling data-driven decision making.
  3. Foster a Culture of Continuous Improvement:
    • Employee Engagement: Encourage employee participation in process improvement initiatives and reward innovative solutions.
    • Knowledge Sharing: Create a culture of knowledge sharing and collaboration among staff to learn from best practices and address challenges.
    • Performance Evaluation: Implement a robust performance evaluation system to measure and track progress towards achieving efficiency and quality goals.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  • Core competencies and consistency with mission: The recommendations align with CCO's mission to provide high-quality cancer care to all Ontarians.
  • External customers and internal clients: The recommendations address the needs of patients by reducing wait times and improving treatment outcomes, while also supporting the needs of internal clients (staff) by creating a more efficient and rewarding work environment.
  • Competitors: The recommendations aim to maintain CCO's competitive advantage by adopting cutting-edge technology and improving operational efficiency.
  • Attractiveness: The recommendations are expected to lead to significant cost savings, improved patient satisfaction, and enhanced operational efficiency, making them financially attractive.
  • Assumptions: The recommendations assume sufficient funding and resources are available to implement the proposed initiatives.

6. Conclusion

By implementing these recommendations, CCO can effectively address the growing demand for radiation treatment services, improve patient access, enhance operational efficiency, and maintain its position as a leading provider of cancer care in Ontario.

7. Discussion

Alternatives:

  • Outsourcing: CCO could consider outsourcing some aspects of radiation treatment services to private providers. However, this option raises concerns about quality control and potential cost increases.
  • Expansion: CCO could consider expanding its existing facilities or building new ones. This option requires significant capital investment and may not be feasible in the short term.

Risks and Key Assumptions:

  • Funding: The success of the recommendations depends on sufficient funding from the government.
  • Technology Adoption: The adoption of new technologies requires significant investment and may face resistance from staff.
  • Staff Training: Implementing new technologies and processes requires extensive staff training, which can be time-consuming and costly.

8. Next Steps

  1. Develop a detailed implementation plan: This plan should outline specific timelines, resource allocation, and key performance indicators (KPIs) for each recommendation.
  2. Secure funding: CCO should engage with the government to secure funding for the proposed initiatives.
  3. Pilot projects: Conduct pilot projects to test the effectiveness of new technologies and processes before widespread implementation.
  4. Employee engagement: Involve staff in the implementation process and address their concerns.
  5. Continuous monitoring and evaluation: Regularly monitor progress towards achieving goals and make adjustments as needed.

By taking these steps, CCO can ensure a successful implementation of its capacity planning strategy and continue to provide high-quality cancer care to all Ontarians.

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Case Description

A planning analyst at Cancer Care Ontario has been tasked to recommend a strategy for allocating new linear accelerator capacity to the province's cancer treatment centres over a five-year period. Because the introduction of additional capacity requires the investment of capital resources and long implementation timelines, accurate and timely predictions are critical to the treatment of cancer patients. The planning analyst needs to devise an allocation strategy that will ensure quality radiation treatment across the province.

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