{UTF-8} Initial WF= INITIAL( ((1/Standard Workweek) * Exogenous Request Arrival Rate) / ( ((Standard PDY*1-Steady State Rookie Fraction\ ) + (Standard PDY*Steady State Rookie Fraction*Rookie productivity fraction)))) ~ Employees ~ | Desired Completion Rate= Service Backlog/Target Delivery Delay ~ requests/Week ~ To complete requests in the target delivery time, the completion rate must \ be equal to the backlog divided by the target time. | "Yearly Cost of C&P-FS"= "Fee-Service Employee's Cost" ~ Dollar/year ~ | "Yearly Cost of C&P - Salary"= Salaried Employees' Cost ~ Dollar/year ~ | "Changing costs - Fee for Service"= "Cost per Patient - Fee for Service" ~ Dollar/(year*patient) ~ | "Avg. Cost per Patient - FFS - wPAs"= "Avg. Cost per Patient - Fee for Service"/2 ~ Dollar/year/patient ~ | "Avg. Cost - Fee for Service"= "Cumulative Cost-FS"/Total time ~ Dollar/year ~ Last reported value report average over entire simulation. | "Avg. Cost - Salary"= "Cumulative Cost - Salary"/Total time ~ Dollar/year ~ | "Avg. Cost - SalaryOT"= "Cumulative Cost - Salary OT"/Total time ~ Dollar/year ~ | "Avg. Cost per Patient - Fee for Service"= "Cumulative Cost per Patient - FFS"/Total time ~ Dollar/year/patient ~ Last reported value report average over entire simulation. | "Total Yearly Cost - Salary"= "Yearly Cost of C&P - Salary OT"+"Yearly Cost of C&P - Salary" ~ Dollar/year ~ | Cumulative Service Backlog 0= INTEG ( changing SB 0, 0) ~ requests*Week ~ | Salaried Employees' Cost= Total Employees*Cost per Employee ~ Dollar/year ~ | changing SB 0= Service Backlog ~ requests ~ | "Cumulative Cost per Patient - FFS"= INTEG ( "Changing costs - Fee for Service", 0) ~ Dollar/(year*patient)*Week ~ | "Cost per Patient - Salary"= ZIDZ("Total Yearly Cost - Salary", Service Backlog) * "Avg. Requests per Patient" ~ Dollar/(year*patient) ~ | "Avg. Total Cost - Salary"= "Avg. Cost - Salary" + "Avg. Cost - SalaryOT" ~ Dollar/year ~ Last reported value report average over entire simulation. | "Cost per Patient - Fee for Service"= ZIDZ("Yearly Cost of C&P-FS", Service Backlog) * "Avg. Requests per Patient" ~ Dollar/(year*patient) ~ | "Cost per Patient - FFS - wPAs"= "Cost per Patient - Fee for Service"/2 ~ Dollar/year/patient ~ | "Cumulative Cost - Salary OT"= INTEG ( "Yearly Cost of C&P - Salary OT", 0) ~ (Dollar/year)*Week ~ | OT Cost Ratio= 1.5 ~ DMNL ~ Salaried employees make time and a half if they work overtime. | "Yearly Cost of C&P - Salary OT"= ((IF THEN ELSE(Workweek>Standard Workweek, Workweek/Standard Workweek, 0))*Total Employees\ *Cost per Employee)*OT Cost Ratio ~ Dollar/year ~ | "Fee-Service Employee's Cost"= (Workweek/Standard Workweek)*Total Employees*Cost per Employee ~ Dollar/year ~ | "Cumulative Cost - Salary"= INTEG ( "Yearly Cost of C&P - Salary", 0) ~ (Dollar/year)*Week ~ | Noise Multiplier= 1 ~ DMNL [1,5,0.1] ~ | Noise Standard Deviation= 0.075*Noise Multiplier ~ Dimensionless ~ The standard deviation of the pink noise process. | Effect of Work Pressure on Workweek= IF THEN ELSE("Over-time Switch"=1,"Table for Effect of Work Pressure on Workweek -- PA"\ (Work Pressure),1) ~ Dimensionless ~ High schedule pressure leads to overtime; low pressure to a reduction in \ hours worked. | Cumulative Delivery Delay 0= INTEG ( changing delivery delay, 0) ~ Week*Week ~ | changing delivery delay= Delivery Delay ~ Week ~ I use this to calculate average performance. | "Avg. Delivery Delay"= (Cumulative Delivery Delay 0/Total time)*"Days/week 0" ~ day ~ Last reported value report average over entire simulation. | "Days/week 0"= 7 ~ day/Week ~ | "Avg. Cost per Patient - S - wPAs"= "Avg. Cost per Patient - Salary"/2 ~ Dollar/year/patient ~ | "Cost per Patient - S - wPAs"= "Cost per Patient - Salary"/2 ~ Dollar/year/patient ~ | "Avg. Absolute Delivery Delay Error"= (Cumulative Error in Delivery Delay/Total time)*"Days/week" ~ day ~ Last reported value report average over entire simulation. | "Avg. Instantaneous PDY"= Effective Workforce/Total Employees ~ Dimensionless ~ | Effect of Inexperience on Probability of Error Free= Table for Effect of Inexperience on PEF("Avg. Instantaneous PDY") ~ Dimensionless ~ The more experience the workforce has, the less likely they will be of \ introducing an error while processing a task. Average Productivity is used \ as a proxy for experience since it captures the amount learning achieved \ by the workforce. | "Avg. Reported Delivery Delay"= (Cumulative Delivery Delay/Total time)*"Days/week" ~ day ~ Last reported value report average over entire simulation. | Standard Workweek= Normal Workweek ~ hours/Week ~ Hours worked per week under normal conditions, i.e., neutral work pressure. | "Days/week"= 7 ~ day/Week ~ | changing insufficiency= Insufficiency Rate ~ Dimensionless ~ | changing CU= Clinic Utilization Rate ~ Dimensionless ~ | Cost per Employee= 150000 ~ Dollar/year/Employees ~ Sp=150000, PA=75000 | "Avg. Backlog"= Cumulative Service Backlog/Total time ~ requests ~ Last reported value report average over entire simulation. | "Avg. Clinic Utilization Rate"= Cumulative CU Rate/Total time ~ Dimensionless ~ Last reported value report average over entire simulation. | "Avg. Cost per Patient - Salary"= "Cumulative Cost per Patient - S"/Total time ~ Dollar/year/patient ~ Last reported value report average over entire simulation. | "Avg. Insuff- iciency Rate"= Cumulative Insufficiency Rate/Total time ~ Dimensionless ~ Last reported value report average over entire simulation. | "P-Control-SC"= "P-Control"/(Standard PDY*Standard Workweek) ~ Employees ~ Proportional control, converted from a rate to the number of employees \ necessary to achieve that rate. | "Avg. Productivity"= "Cumulative Avg. PDY"/Total time ~ requests/Employees/hours ~ Last reported value report average over entire simulation. | "Avg. Requests per Patient"= 1.6 ~ requests/patient ~ | "Avg. Service Capacity"= (Cumulative Service Capacity/Total time) ~ Employees ~ Last reported value report average over entire simulation. | "Cumulative Cost-FS"= INTEG ( "Yearly Cost of C&P-FS", 0) ~ (Dollar/year)*Week ~ | "D-Control-SC"= "D-Control"/(Standard PDY*Standard Workweek) ~ Employees ~ Derivative control, converted from a rate to the number of employees \ necessary to achieve that rate. | Long Term Workweek= SMOOTHI(Workweek, Burnout Onset Time , Standard Workweek) ~ hours/Week ~ Exponential smoothing of the workweek over the period for the onset of \ burnout. The 'long term' label refers to the fact that the burnout onset \ time is much longer than the fatigue onset time. | changing SB= Service Backlog ~ requests ~ | "Changing costs - Salary"= "Cost per Patient - Salary" ~ Dollar/(year*patient) ~ | "Prod- uctivity"= (Service Capacity/Total Employees)*(Standard PDY) ~ requests/Employees/hours ~ Average productivity for Total personnel. | Clinic Utilization Rate= Workweek/Standard Workweek ~ Dimensionless ~ | Cumulative Service Backlog= INTEG ( changing SB, 0) ~ requests*Week ~ | "Cumulative Avg. PDY"= INTEG ( changing productivity, 0) ~ requests/Employees/hours*Week ~ | Recent Workweek= SMOOTHI(Workweek, Fatigue Onset Time,Standard Workweek ) ~ hours/Week ~ Exponential smoothing of the workweek over the period for the onset of \ fatigue. The 'short term' label refers to the fact that the burnout onset \ time is much longer than the fatigue onset time. | "Cumulative Cost per Patient - S"= INTEG ( "Changing costs - Salary", 0) ~ Dollar/(year*patient)*Week ~ | Cumulative CU Rate= INTEG ( changing CU, 0) ~ Dimensionless*Week ~ | Total time= 500 ~ Week ~ | Cumulative Insufficiency Rate= INTEG ( changing insufficiency, 0) ~ Dimensionless*Week ~ | Cumulative Service Capacity= INTEG ( changing service capacity, 0) ~ Employees*Week ~ | "I-Control-SC"= "I-Control"/(Standard PDY*Standard Workweek) ~ Employees ~ Integral control, converted from a rate to the number of employees \ necessary to achieve that rate. | Effect of Fatigue on Probability of Error Free= Table for Effect of Fatigue on PEF(Recent Workweek/Standard Workweek) ~ Dimensionless ~ The longer the workweek, the more likely it is employees will introduce an \ error while processing a task. | Effect of Burnout on Turnover= Table for Effect of Burnout on Turnover(Long Term Workweek/Standard Workweek) ~ Dimensionless ~ The higher the workweek, the higher the turnover rate. The accumulation of \ the workweek happens over a period of 52 weeks. | changing productivity= "Prod- uctivity" ~ requests/Employees/hours ~ | Workweek= Effect of Work Pressure on Workweek*Standard Workweek ~ hours/Week ~ The workweek is the standard workweek modified by the effect of schedule \ pressure on workweek. | Desired Service Capacity= Desired Completion Rate/(Standard PDY*Standard Workweek) ~ Employees ~ This is the required service capacity based on the desired production rate \ and the standard work intensity and time allocation. | Standard Completion Rate= Service Capacity*Standard Workweek*Standard PDY ~ requests/Week ~ The standard completion rate is the rate at which tasks would be completed \ by the current workforce at the standard workday and spending the standard \ time on each task. | changing service capacity= Service Capacity ~ Employees ~ | Target Insufficiency Rate= 0.01 ~ Dimensionless ~ | Insufficiency Rate= Error Creation Rate/Request Completion Rate ~ Dimensionless ~ | Service Capacity= Effective Workforce*Effect of Fatigue on Productivity ~ Employees ~ The workforce effectiveness is affected by the accumulated fatigue \ resulting from extended workweeks. | Error Discovery Rate= Undiscovered Errors/Time to Discover Errors ~ requests/Week ~ The rate at which errors are discovered by the customer. First order delay \ from the undiscovered errors stock. | Workforce Adjustment Rate= (Desired Workforce-Total Employees)/ Time to Adjust Workforce ~ Employees/Week ~ Adjustments to the workforce. Smoothed over the time to adjust workforce. | Perceived Employee Effectiveness= SMOOTH( Service Capacity/Total Employees, Time to Perceive Productivity ) ~ Dimensionless ~ Management perception of workforce effectiveness. Note that this is an \ aggregate measure that does not distinguish the employees experience, nor \ the effects of fatigue, work intensity, or productivity. | changing delay= ABS(Delivery Delay-Target Delivery Delay) ~ Week ~ | Desired Workforce= IF THEN ELSE( PID Switch = 1, SMOOTH\ ("PID -- Desired Service Capacity" / Perceived Employee Effectiveness , Time to Adjust Desired Workforce)*(1+"Capacity Slack Fraction (can be included as a test)" ) , SMOOTH(Desired Service Capacity / Perceived Employee Effectiveness , \ Time to Adjust Desired Workforce)*(1+"Capacity Slack Fraction (can be included as a test)" ) ) ~ Employees ~ Desired number of employees based on the throughput requirements, the \ perceived employee effectiveness, and a slack fraction to ensure excess \ capacity to absorb random variations. The desired workforce does not \ change instantaneously as it takes time to authorize the changes in the \ desired workforce. | changing reported delay= Reported Delivery Delay ~ Week ~ I use this to calculate average performance. | Delivery Delay= Service Backlog/Request Completion Rate ~ Week ~ The average time to complete customer requests is determined by Little's \ Law as the ratio of the backlog to completion rate. | Cumulative Delivery Delay= INTEG ( changing reported delay, 0) ~ Week*Week ~ | Target Clinic Utilization= 1 ~ DMNL ~ | Reported Delivery Delay= DELAY FIXED(Delivery Delay, 8, Delivery Delay) ~ Week ~ There is a 2 month reporting delay as data from each facility is sent to \ the national office, then returned to the sites in an official monthly \ report. | Ramp End Time 2= 95 ~ Week ~ End time for the ramp input. | Ramp Slope= 0.08-0.08 ~ 1/Week ~ Slope of the ramp input, as a fraction of the base value (per week). | Ramp Slope 2= -0.08+0.08 ~ 1/Week ~ Slope of the ramp input, as a fraction of the base value (per week). | Ramp Start Time= 80 ~ Week ~ Start time for the ramp input. | Ramp Start Time 2= 87.5 ~ Week ~ Start time for the ramp input. | Hiring= MAX(Desired Hiring Rate, 0) ~ Employees/Week ~ Vacancies filled by hiring. | Ramp End Time= 87.5 ~ Week ~ End time for the ramp input. | Input= 1+STEP(Step Height,Step Time)+ (Pulse Quantity/Pulse Duration)*PULSE(Pulse Time,Pulse Duration)+ RAMP(Ramp Slope,Ramp Start Time,Ramp End Time)+ RAMP(Ramp Slope 2,Ramp Start Time 2,Ramp End Time 2)+ Sine Amplitude*SIN(2*3.14159*Time/Sine Period)+ STEP(1,Noise Start Time)*Pink Noise ~ Dimensionless ~ Input is a dimensionless variable which provides a variety of test input patterns, \ including a step, pulse, sine wave, and random noise. | Perceived Error Discovery Rate= SMOOTH(Error Discovery Rate, Time To Perceive Arrival Rate) ~ requests/Week ~ The instantaneous error discovery rate, averaged over the period of 1 \ week. VAMC Boston managers receive weekly reports on rework. | Perceived Completion Rate= SMOOTH(Request Completion Rate , Time To Perceive Arrival Rate) ~ requests/Week ~ The instantaneous request completion rate, averaged over the period of 1 \ week. VAMC Boston managers receive weekly reports on work completed. | Perceived Request Arrival Rate= SMOOTHI(Request Arrival Rate, Time To Perceive Arrival Rate, Request Arrival Rate) ~ requests/Week ~ The instantaneous demand averaged over the period of 1 week. VAMC Boston \ managers receive weekly reports on demand. | Time To Perceive Arrival Rate= 0.1 ~ Week ~ VAMC Boston runs reports weekly on most C&P data. | Duration Over Which To Calculate Trend= 2 ~ Week ~ Duration Over Which To Calculate Trend | "PID -- Desired Service Capacity"= "P-Control-SC" + "I-Control-SC" + "D-Control-SC" ~ Employees ~ The desired service capacity, as determined by PID control. | "Exp. Lay Off Rate"= IF THEN ELSE( Rookie Lay Off Rate < Desired Lay Off Rate, MIN(Desired Lay Off Rate, \ Maximum Layoff Rate), 0 ) ~ Employees/Week ~ | Experienced Employees= INTEG ( Maturing-"Exp. Lay Off Rate"-Expert Quits, Initial WF*(1-Steady State Rookie Fraction)) ~ Employees ~ Employees that have achieved full productivity. | PID Switch= 0 ~ DMNL ~ | "endogeneous P-control"= Desired Completion Rate ~ requests/Week ~ Proportional reaction to endogenous variable (service backlog). | P Wt= 1 ~ Dimensionless [0,1,0.1] ~ Weight given to proporional control. | Accumulating Error= (Desired Completion Rate-Request Completion Rate)/Error Correction Time ~ requests/(Week*Week) ~ Changes in gap between desired and actual completion rates. | Trend in Error Correction= ((Desired Completion Rate-Request Completion Rate) - Exp Avg of Error) ~ requests/Week ~ The trend of the error correction rate. | Change in Error= ((Desired Completion Rate-Request Completion Rate)-Exp Avg of Error) / Error Correction Time ~ requests/(Week*Week) ~ | Cumulative Error= INTEG ( Accumulating Error, 0) ~ requests/Week ~ Accumulation of uncorrected error. Allows for error correction even when \ proportional control has waned due to reduction in the instantaneous error. | I Wt= 0 ~ Dimensionless [0,1,0.1] ~ Weight given to integral control. | D Wt= 4 ~ Dimensionless [0,5,0.1] ~ Weight given to derivative control. | "D-Control"= Trend in Error Correction * D Wt ~ requests/Week ~ Derivative control. | Error Correction Time= 8 ~ Week ~ Time to correct error between desired and actual completion rates. | Exp Avg of Error= INTEG ( Change in Error, 0) ~ requests/Week ~ Historical average of change in gap between desired and actual completion \ rates. | "exogeneous P-Control"= Request Arrival Rate ~ requests/Week ~ Proportional reaction to exogenous variable (demand). | weight of demand= 1 ~ DMNL [0,1,0.1] ~ Determines how much the system responds to exogenous or endogenous \ variables. | "I-Control"= Cumulative Error*I Wt ~ requests/Week ~ Integral control. | Normal Workweek= 40 ~ hours/Week ~ | "P-Control"= ((weight of demand*"exogeneous P-Control") + ((1-weight of demand)*"endogeneous P-control"\ )) * P Wt ~ requests/Week ~ Proportional control. | Probability of Error Generation= 1-(Effect of Fatigue on Probability of Error Free*Effect of Inexperience on Probability of Error Free\ ) ~ Dimensionless ~ Formulated as one minus the combined probability of being error free from \ fatigue and inexperience. | "Table for Effect of Work Pressure on Workweek -- SP"( [(-0.25,0)-(2.25,2)],(-0.25,0.8),(0,0.8),(0.15,0.82),(0.25,0.85),(0.4,0.9),(0.5,0.93\ ),(0.75,0.98),(1,1),(1.25,1.02),(1.5,1.035),(1.75,1.045),(2,1.05),(2.25,1.05)) ~ Dimensionless ~ High schedule pressure leads to longer hours. | "Table for Effect of Work Pressure on Workweek -- PA"( [(-0.25,0)-(2.25,2)],(-0.25,0.5),(0,0.5),(0.25,0.55),(0.5,0.69),(0.75,0.85),(1,1),(1.25\ ,1.15),(1.5,1.3),(1.75,1.4),(2,1.45),(2.25,1.45)) ~ Dimensionless ~ High schedule pressure leads to longer hours. | "Avg. Layoff Time"= 8 ~ Week ~ The average time required to lay off a worker. PAs and MDs work directly \ under C&P, so laying them off is a full HR process (8 weeks). Specialists \ only take 2 weeks to remove: all they have to do is re-structure their \ clinic profiles in the EMR. | Maximum Layoff Rate= Rookie Employees/"Avg. Layoff Time" ~ Employees/Week ~ The maximum layoff rate is determined by the number of workers and the \ layoff time. | Desired Lay Off Rate= Willingness to Lay Off * MAX(0, -Desired Hiring Rate) ~ Employees/Week ~ The firm desires to lay people off whenever the desired hiring rate is \ negative, modified by their willingness to lay off. Willingness to Lay \ Off = 0 implies a no layoff policy. | Rookie Lay Off Rate= MIN(Desired Lay Off Rate, Maximum Layoff Rate) ~ Employees/Week ~ The layoff rate is the lesser of the desired or maximum rate. | Willingness to Lay Off= 1 ~ Dimensionless ~ The willingness to layoff employees. Zero = no layoff policy; 1 implies \ the firm is just as willing to layoff employees when there are too many as \ to hire when there are too few. | Rookie Employees= INTEG ( Hiring-Rookie Lay Off Rate-Maturing-Rookie Quits, Initial WF*Steady State Rookie Fraction) ~ Employees ~ Recently hired employees that have not achieved full productivity. | Cumulative Error in Delivery Delay= INTEG ( changing delay, 0) ~ Week*Week ~ | Expert Quits= Experienced Employees*Experienced Quit Fraction*Effect of Burnout on Turnover ~ Employees/Week ~ Experienced employees turnover. | Steady State Rookie Fraction= "Matur-ing Time"*(Experienced Quit Fraction)/(1+"Matur-ing Time"*Experienced Quit Fraction\ ) ~ Dimensionless ~ Rookie fraction in equilibrium, or steady state growth. Used to initialize \ the model. | "Capacity Slack Fraction (can be included as a test)"= 0 ~ Dimensionless ~ Test constant to introduce permanent slack in the authorization of the \ workforce. Set to 0 to start the system in equilibrium | Effective Workforce= Experienced Employees+(Rookie Employees*Rookie productivity fraction) ~ Employees ~ Expected output from the labor pool accounting for the effect of labor mix \ on average productivity. Measured in FTE (Fully Trained Equivalents). | Desired Hiring Rate= Replacement Rate+Workforce Adjustment Rate ~ Employees/Week ~ The desired hiring rate replaces employees that left the hospital and \ adjust for changes in the desired workforce. | Replacement Rate= Total Quit Rate ~ Employees/Week ~ Employee replacement rate is equal to the total employee turnover rate. | "Matur-ing Time"= 16 ~ Week ~ Average time required to achieve the productivity of a Fully Trained \ employee. PAs and MDs mature faster (in only 16 weeks) because they gain \ experience faster than specialists (who only work on average 20% of their \ time on C&P, and thus take 52 weeks to reach full productivity). | Time to Adjust Workforce= 52 ~ Week ~ Time to adjust the workforce. Set to 4 months for specialists: includes \ negotiation with other service line, internal negotiation within that \ service, restructuring clinic profiles, and informing C&P clerks. Set to 1 \ year for PAs, as it includes creating and filling a vacancy in HR and \ credentialling processes. | Rookie productivity fraction= 0.5 ~ Dimensionless [0,1] ~ Initial rookie productivity measured as a fraction of the productivity of \ a Fully Trained Employee. | Rookie Quits= Rookie Employees*Rookie Quit Fraction*Effect of Burnout on Turnover ~ Employees/Week ~ Rookie employees turnover. | Total Employees= Rookie Employees+Experienced Employees ~ Employees ~ Total employees. | Experienced Quit Fraction= 0.005 ~ Dimensionless/Week [0,2] ~ Fraction of Experienced employees that leaves C&P every week. PAs and MDs \ are less likely to quit, as they work for C&P full time; whereas most \ specialists view C&P as secondary to their normal work. SP=0.02, PA=0.005 | Time to Adjust Desired Workforce= 2 ~ Week ~ Time to adjust the desired workforce. Set to 2 weeks based on VAMC Boston \ data. | Time to Perceive Productivity= 13 ~ Week ~ Time to measure, report, and assess employee productivity. Set to 13 \ weeks, i.e., a quarterly update. | Total Quit Rate= Rookie Quits+Expert Quits ~ Employees/Week ~ Total turnover rate. | Maturing= Rookie Employees/"Matur-ing Time" ~ Employees/Week ~ Rate of employees gaining full productivity. | Rookie Quit Fraction= 0 ~ Dimensionless/Week ~ Fraction of rookie employees that leaves the firm every week. | Table for Effect of Burnout on Turnover( [(0,0)-(3,5)],(0,1),(1,1),(1.3,1.8),(1.7,4.5),(2,5),(3,5)) ~ Dimensionless ~ The higher the burnout (higher average work week over a period of 52 \ weeks) the higher the turnover rate. | Initial Arrival Rate= INITIAL( 655) ~ requests/Week ~ The initial rate at which work arrives is set to the initial value of the \ standard completion rate. Note that the equation type is INITIAL, which \ ensures that the initial arrival rate remains constant even if the \ standard completion rate varies. By setting the initial arrival rate to \ the standard completion rate we ensure that tasks arrive at exactly the \ rate the organization can handle given the initial staff and standard \ values for the workday and time per task. | Initial Workforce= 17.02 ~ Employees [10,25,0.01] ~ Initial number of employees. This parameter sizes the workforce, so \ individual stocks will be initiated in equilibrium. SP=157, PA=19.476 with \ changing PDY and FTE. With Standard PDY and FTE=1, SP=22 and PA=17.02 \ (when PA's EQF=SP's EQF=0.02, then the initial PA#=18.66) | Table for Effect of Fatigue on PEF( [(0,0)-(3,1)],(0,1),(1,1),(1.2,0.98),(1.4,0.96),(1.6,0.93),(1.8,0.9),(2,0.86),(2.2,0.82\ ),(2.4,0.75),(2.6,0.65),(2.8,0.43),(3,0)) ~ Dimensionless ~ Non-linear relationship. Effect of Fatigue on PEF = f(Recent \ Workweek/Standard Workweek). | Error Creation Rate= IF THEN ELSE(Rework Switch=1, Request Completion Rate*Probability of Error Generation\ , 0) ~ requests/Week ~ | Table for Effect of Inexperience on PEF( [(0,0)-(1,1)],(0,0),(0.1,0.25),(0.2,0.45),(0.3,0.6),(0.4,0.631579),(0.617737,0.635965\ ),(0.672783,0.824561),(0.745,1),(1,1)) ~ Dimensionless ~ Non-linear relationship. Effect of Inexperience on PEF = f(Average \ Productivity) | Time to Discover Errors= 4 ~ Week [1,24,1] ~ On average, the VBA reads the reports 1 month after sumbission. | "Over-time Switch"= 1 ~ Dimensionless ~ Switch to control if the workweek response is active. | Exogenous Request Arrival Rate= MAX (Initial Arrival Rate*Input, 0) ~ requests/Week ~ The exogenous request arrival rate can be configured to include a range of \ test inputs. It is set to the product of the initial arrival rate and the \ test input. The test input allows users to specify a range of input \ patterns, including a step, pulse, ramp, cycle, and pink noise, or \ combinations of these. | Burnout Onset Time= 52 ~ Week ~ Time for the extended workweek to have an effect on turnover. | Change in Pink Noise = (White Noise - Pink Noise)/Noise Correlation Time ~ 1/Week ~ Change in the pink noise value; Pink noise is a first order exponential smoothing \ delay of the white noise input. | Pulse Quantity= 0 ~ Dimensionless*Week ~ The quantity to be injected to customer orders, as a fraction of the base value of \ Input. For example, to pulse in a quantity equal to 50% of the current value of \ input, set to .50. | Request Arrival Rate= Exogenous Request Arrival Rate ~ requests/Week ~ Request Arrivals are set to an exogenous rate, as the delivery delay in \ this model is too small a part of total delivery delay to impact customer \ preferences. | Sine Period= 52 ~ Week ~ Period of sine wave in customer demand. Set initially to 52 weeks to \ simulate an annual cycle | Effect of Fatigue on Productivity= Table for Effect of Fatigue on Productivity(Recent Workweek) ~ Dimensionless ~ Long workweeks reduce employee productivity. | Sine Amplitude=0 ~ Dimensionless ~ Amplitude of sine wave in customer orders (fraction of mean). | Pink Noise = INTEG(Change in Pink Noise,0) ~ Dimensionless ~ Pink Noise is first-order autocorrelated noise. Pink noise provides a realistic \ noise input to models in which the next random shock depends in part on the previous \ shocks. The user can specify the correlation time. The mean is 0 and the standard deviation \ is specified by the user. | Step Height= 0 ~ Dimensionless ~ Height of step input to customer orders, as fraction of initial value. | Step Time= 1e+008 ~ Week ~ Time for the step input. | Fatigue Onset Time= 3 ~ Week ~ Time for the extended workweeks to have an impact on employee productivity. | Pulse Time= 1e+012 ~ Week ~ Time at which the pulse in Input occurs. | White Noise = Noise Standard Deviation*((24*Noise Correlation Time/TIME STEP)^0.5*(RANDOM 0 1\ () - 0.5 )) ~ Dimensionless ~ White noise input to the pink noise process. | Noise Start Time= 1e+007 ~ Week ~ Start time for the random input. | Undiscovered Errors= INTEG ( Error Creation Rate-Error Discovery Rate, Error Creation Rate*Time to Discover Errors) ~ requests ~ Stock of undiscovered errors. | Noise Correlation Time= 10 ~ Week [2,100,2] ~ The correlation time constant for Pink Noise. | Noise Seed= 0 ~ Dimensionless [0,100,1] ~ Random number generator seed. Vary to generate a different sequence of \ random numbers. | Standard PDY= 1 ~ requests/Employees/hours ~ Variation in productivity is based on breadth of skill set and \ understanding of the purpose of forensic examination: PAs and MDs can \ conduct more aspects of a patient's request than a specialist, who can \ only examine issues in their area of expertise.PAs can see, on average \ 0.87 of a patient's request, while one specialist can complete 63% (based \ on skill set and distribution of exams per patient). | Work Pressure= Desired Service Capacity/Service Capacity ~ Dimensionless ~ | Table for Effect of Fatigue on Productivity( [(0,0)-(160,1.3)],(0,1.1),(20,1.07),(40,1),(60,0.8),(80,0.4),(100,0.1),(120,0.03),(140\ ,0.01),(160,0)) ~ Dimensionless ~ Extended workweeks leads to reduced productivity. | Pulse Duration= 13 ~ Week ~ Duration of pulse input. Set to Time Step for an impulse. | Rework Switch= 1 ~ Dimensionless ~ Switch to control if the probability of error response to fatigue is \ active. | Maximum Completion Rate= Service Backlog/Minimum Delivery Delay ~ requests/Week ~ The maximum completion rate is determined by the backlog and minimum time \ to complete a customer request. | Request Completion Rate= MIN(Potential Completion Rate, Maximum Completion Rate) ~ requests/Week ~ The rate at which customer requests are completed is the lesser of the \ maximum rate or the potential rate, which in turn is determined by labor, \ workday, and the time spent on each task. | Minimum Delivery Delay= 0.5 ~ Week ~ The fastest possible completion time for customer requests. | Potential Completion Rate= Service Capacity*Standard PDY*Workweek ~ requests/Week ~ The potential completion rate depends on the net available labor force, \ the workday, and the average time spent on each task. | Service Backlog= INTEG ( Request Arrival Rate+Error Discovery Rate-Request Completion Rate, (Request Arrival Rate)*Target Delivery Delay) ~ requests ~ The initial backlog is set to the equilibrium value determined by the \ arrival rate and target delivery delay. | Target Delivery Delay= 3.85 ~ Week ~ The Boston VAMC goal is to complete each request within three weeks \ (within the mandate set nationally at 30 days). | ******************************************************** .Control ********************************************************~ Simulation Control Parameters | FINAL TIME = 500 ~ Week ~ The final time for the simulation. | INITIAL TIME = 0 ~ Week ~ The initial time for the simulation. | SAVEPER = TIME STEP ~ Week [0,?] ~ The frequency with which output is stored. | TIME STEP = 0.125 ~ Week [0,?] ~ The time step for the simulation. | \\\---/// Sketch information - do not modify anything except names V300 Do not put anything below this section - it will be ignored *Service Backlog $192-192-192,0,Tw Cen MT|12||0-0-0|0-0-0|0-0-255|-1--1--1|-1--1--1|96,96,80,0 10,1,Service Backlog,615,533,68,26,3,131,0,0,0,0,0,0 12,2,48,323,541,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,3,5,1,4,0,0,22,0,0,0,-1--1--1,,1|(508,541)| 1,4,5,2,100,0,0,22,0,0,0,-1--1--1,,1|(395,541)| 11,5,48,464,541,6,8,34,3,0,0,1,0,0,0 10,6,Request Arrival Rate,464,568,50,19,40,131,0,0,-1,0,0,0 1,7,8,1,100,0,0,22,0,0,0,-1--1--1,,1|(786,541)| 11,8,2732,896,541,6,8,34,3,0,0,1,0,0,0 10,9,Request Completion Rate,896,568,55,19,40,131,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 10,10,Target Delivery Delay,396,617,52,19,8,3,0,0,0,0,0,0 10,11,Desired Completion Rate,466,702,55,19,8,3,0,0,0,0,0,0 1,12,10,11,1,0,45,0,0,64,0,-1--1--1,,1|(438,647)| 1,13,1,11,1,0,43,0,0,64,0,-1--1--1,,1|(509,593)| 10,14,Desired Service Capacity,472,813,52,19,8,3,0,32,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|14||0-0-0 1,15,11,14,1,0,43,0,0,64,0,-1--1--1,,1|(461,755)| 10,16,Standard PDY,745,718,42,42,2,131,0,1,0,0,0,0,0-128-0,0-0-0,|14||0-0-0 1,17,16,14,1,0,45,0,0,64,0,-1--1--1,,1|(632,716)| 10,18,Work Pressure,516,924,48,11,8,3,0,32,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|14||0-0-0 10,19,Standard Workweek,785,846,37,19,8,3,0,32,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|14||0-0-0 1,20,19,14,1,0,45,0,0,64,0,-1--1--1,,1|(644,795)| 10,21,Workweek,834,1081,37,11,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,22,19,21,1,0,45,0,0,64,0,-1--1--1,,1|(846,945)| 10,23,Potential Completion Rate,1012,647,55,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,24,16,23,1,0,43,0,0,64,0,-1--1--1,,1|(816,652)| 1,25,21,23,1,0,43,0,0,64,0,-1--1--1,,1|(986,916)| 1,26,23,9,1,0,43,0,0,64,0,-1--1--1,,1|(973,596)| 12,27,48,1062,540,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,28,8,27,4,0,0,22,0,0,0,-1--1--1,,1|(977,541)| 10,29,Undiscovered Errors,791,335,54,21,3,131,0,0,0,0,0,0 1,30,32,1,4,0,0,22,0,0,0,-1--1--1,,1|(632,470)| 1,31,32,29,100,0,0,22,0,0,0,-1--1--1,,1|(632,335)| 11,32,1996,632,428,8,6,33,131,0,0,2,0,0,0 10,33,Error Discovery Rate,574,428,50,19,40,3,0,0,-1,0,0,0 12,34,48,989,334,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,35,37,29,4,0,0,22,0,0,0,-1--1--1,,1|(875,331)| 1,36,37,34,100,0,0,22,0,0,0,-1--1--1,,1|(948,331)| 11,37,48,911,331,6,8,34,3,0,0,1,0,0,0 10,38,Error Creation Rate,911,358,47,19,40,3,0,0,-1,0,0,0 10,39,Time to Discover Errors,543,327,54,19,8,3,0,0,0,0,0,0 1,40,9,38,1,0,43,0,0,64,0,-1--1--1,,1|(955,434)| 10,41,Service Capacity,1145,680,56,11,8,131,0,0,0,0,0,0 1,42,41,23,1,0,43,0,0,64,0,-1--1--1,,1|(1083,642)| 12,43,0,716,970,31,11,8,7,0,48,-1,0,0,0,-1--1--1,255-255-0,Tw Cen MT|14|I|0-0-0 Overtime 12,44,0,898,452,25,11,8,7,0,48,-1,0,0,0,-1--1--1,255-255-0,Tw Cen MT|14|I|0-0-0 Rework 10,45,Maximum Completion Rate,774,453,55,19,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 10,46,Minimum Delivery Delay,792,395,58,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,47,46,45,1,0,45,0,32,192,0,-1--1--1,Tw Cen MT|14||0-0-0,1|(726,426)| 12,48,0,777,495,14,14,4,132,0,32,-1,0,0,0,-1--1--1,0-0-0,Tw Cen MT|14||0-0-0 B 12,49,0,776,520,58,11,8,132,0,48,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14|I|0-0-0 Work Availability 1,50,1,45,1,0,43,0,0,64,0,-1--1--1,,1|(685,468)| 1,51,45,8,1,0,43,0,0,64,0,-1--1--1,,1|(859,475)| 1,52,10,1,0,0,0,0,0,64,1,-1--1--1,,1|(489,580)| 10,53,Exogenous Request Arrival Rate,352,471,69,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,54,53,5,1,0,43,0,0,64,0,-1--1--1,,1|(444,489)| 1,55,14,18,1,0,43,0,0,64,0,-1--1--1,,1|(485,863)| 10,56,Effect of Work Pressure on Workweek,609,1018,76,19,8,3,0,0,0,0,0,0 10,57,"Over-time Switch",589,1171,28,28,6,131,0,3,0,0,0,0,0-128-0,0-0-0,|10||255-0-0 1,58,18,56,1,0,43,0,0,64,0,-1--1--1,,1|(541,956)| 1,59,56,21,1,0,43,0,0,64,0,-1--1--1,,1|(763,1079)| 10,60,Recent Workweek,1127,884,49,21,3,131,0,0,0,0,0,0 10,61,Fatigue Onset Time,1184,963,46,19,8,3,0,0,0,0,0,0 10,62,Effect of Fatigue on Productivity,1221,761,65,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 10,63,Table for Effect of Fatigue on Productivity,1258,851,75,19,8,3,0,0,0,0,0,0 12,64,0,1101,758,14,14,5,132,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 R 12,65,0,1102,785,25,11,8,132,0,48,-1,0,0,0,-1--1--1,0-0-0,Tw Cen MT|9|I|0-0-0 Fatigue 1,66,62,41,1,0,43,0,0,64,0,-1--1--1,,1|(1211,712)| 1,67,21,60,1,0,43,0,0,64,0,-1--1--1,,1|(1032,991)| 1,68,19,60,1,0,45,0,0,64,0,-1--1--1,,1|(994,875)| 10,69,Long Term Workweek,1060,1046,53,20,3,131,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 10,70,Burnout Onset Time,1091,1121,46,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 1,71,21,69,1,0,43,0,0,64,0,-1--1--1,,1|(955,1078)| 1,72,19,69,1,0,45,0,0,64,0,-1--1--1,,1|(897,948)| 1,73,39,29,0,0,0,0,0,64,1,-1--1--1,,1|(660,330)| 10,74,Rework Switch,997,469,37,17,8,131,0,2,-1,0,0,0,-1--1--1,0-0-0,|12||255-0-0 1,75,74,38,1,0,0,0,0,64,0,-1--1--1,,1|(965,415)| 1,76,57,56,0,0,0,0,0,64,0,-1--1--1,,1|(598,1097)| 1,77,61,60,0,0,45,0,0,64,0,-1--1--1,,1|(1160,930)| 1,78,60,62,1,0,45,0,0,64,0,-1--1--1,,1|(1195,821)| 1,79,63,62,0,0,0,0,0,64,0,-1--1--1,,1|(1242,812)| 1,80,70,69,0,0,45,0,0,64,0,-1--1--1,,1|(1078,1090)| 10,81,Probability of Error Generation,1070,369,69,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,82,81,38,0,0,43,0,0,64,0,-1--1--1,,1|(986,363)| 10,83,Effective Workforce,1171,601,42,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,84,83,41,1,0,43,0,2,192,0,-1--1--1,|12||0-0-0,1|(1211,646)| 10,85,"Table for Effect of Work Pressure on Workweek -- SP",489,1207,55,55,6,131,0,3,0,0,0,0,0-128-0,0-0-0,|12||255-128-0 10,86,"Table for Effect of Work Pressure on Workweek -- PA",424,1109,55,55,6,131,0,3,0,0,0,0,0-128-0,0-0-0,|12||255-128-0 10,87,Initial Workforce,214,472,56,56,6,130,0,3,-1,0,0,0,0-128-0,0-0-0,|12||128-128-128 10,88,Normal Workweek,642,875,37,19,8,3,0,32,-1,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||0-0-0 1,89,88,19,0,0,43,0,0,64,0,-1--1--1,,1|(706,861)| 12,90,0,898,427,14,14,5,132,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 R 10,91,Service Capacity,426,990,39,17,8,130,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,92,91,18,0,0,45,0,0,64,0,-1--1--1,,1|(469,958)| 12,93,0,717,948,14,14,5,132,0,32,-1,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||0-0-0 B 12,94,0,1109,973,14,14,5,132,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 R 12,95,0,1110,1000,25,11,8,132,0,48,-1,0,0,0,-1--1--1,0-0-0,Tw Cen MT|9|I|0-0-0 Burnout 12,96,1378044,1798,611,386,424,3,188,0,0,2,0,0,0 #Recent Workweek>SMOOTHI#,Graph 12,97,1574372,2134,1102,80,20,3,124,0,0,0,0,0,0 Time to Adjust Desired Workforce,0,50,1 12,98,919288,2125,1186,80,20,3,124,0,0,0,0,0,0 Time to Adjust Workforce,0,50,1 12,99,1116008,1712,1114,80,20,3,124,0,0,0,0,0,0 Experienced Quit Fraction,0,0.5,0.01 12,100,0,1863,1119,57,19,8,7,0,0,-1,0,0,0 sensitive as approaches zero 12,101,0,2296,1187,77,19,8,7,0,0,-1,0,0,0 super sensitive -- larger increases amplitude 12,102,0,2315,1095,76,28,8,7,0,0,-1,0,0,0 main delay in system -- larger leads to bigger initial spike 1,103,29,32,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(667,393)| 1,104,39,33,1,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(557,370)| 12,105,1574732,261,177,199,191,3,188,0,0,2,0,0,0 Exogenous Request Arrival Rate,Graph 1,106,86,56,0,0,0,0,0,64,0,-1--1--1,,1|(515,1064)| \\\---/// Sketch information - do not modify anything except names V300 Do not put anything below this section - it will be ignored *Workforce $192-192-192,0,Tw Cen MT|12||0-0-0|0-0-0|0-0-255|-1--1--1|-1--1--1|96,96,80,0 10,1,Long Term Workweek,1284,411,43,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|10||128-128-128 10,2,Effect of Burnout on Turnover,1140,494,64,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 10,3,Table for Effect of Burnout on Turnover,1294,558,65,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 1,4,1,2,0,0,43,0,32,64,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(1218,449)| 1,5,3,2,0,0,0,0,0,64,0,-1--1--1,,1|(1223,528)| 10,6,Standard Workweek,1292,457,43,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|10||128-128-128 1,7,6,2,0,0,45,0,32,64,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(1233,470)| 12,8,48,872,229,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,9,11,13,4,0,0,22,0,0,0,-1--1--1,,1|(866,320)| 1,10,11,8,100,0,0,22,0,0,0,-1--1--1,,1|(866,260)| 11,11,48,866,289,8,6,33,3,0,0,4,0,0,0 10,12,Hiring,895,289,21,11,40,3,0,0,-1,0,0,0 10,13,Rookie Employees,860,369,51,24,3,131,0,0,0,0,0,0 12,14,48,1065,373,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,15,17,14,4,0,0,22,0,0,0,-1--1--1,,1|(1014,371)| 1,16,17,13,100,0,0,22,0,0,0,-1--1--1,,1|(936,371)| 11,17,48,968,371,6,8,34,3,0,0,1,0,0,0 10,18,Rookie Quits,968,390,41,11,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,19,13,17,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(908,338)| 10,20,Rookie Quit Fraction,1005,320,39,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 1,21,20,17,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(985,346)| 10,22,"Matur-ing Time",1012,483,30,30,6,131,0,1,0,0,0,0,0-128-0,0-0-0,|14||0-0-0 10,23,Experienced Employees,865,614,59,25,3,131,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,24,26,23,4,0,0,22,0,0,0,-1--1--1,,1|(893,549)| 1,25,26,13,100,0,0,22,0,0,0,-1--1--1,,1|(893,445)| 11,26,2844,893,503,8,6,33,131,0,0,4,0,0,0 10,27,Maturing,931,503,30,11,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 12,28,48,1058,613,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,29,31,28,4,0,0,22,0,0,0,-1--1--1,,1|(1015,615)| 1,30,31,23,100,0,0,22,0,0,0,-1--1--1,,1|(947,615)| 11,31,48,977,615,6,8,34,3,0,0,1,0,0,0 10,32,Expert Quits,977,634,40,11,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 1,33,13,27,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(893,399)| 1,34,23,31,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(945,584)| 10,35,Total Quit Rate,429,116,49,11,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 10,36,Steady State Rookie Fraction,1142,188,50,19,8,3,0,32,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|14||0-0-0 10,37,Experienced Quit Fraction,1318,163,63,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|14|B|128-128-128 1,38,37,36,0,0,43,0,34,64,0,-1--1--1,Tw Cen MT|14||0-0-0,1|(1230,174)| 10,39,"Matur-ing Time",1324,247,39,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|14||128-128-128 1,40,39,36,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(1245,221)| 10,41,Experienced Quit Fraction,1080,703,40,40,6,131,0,3,-1,0,0,0,0-128-0,0-0-0,|12||128-64-0 1,42,41,32,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(1025,666)| 10,43,Rookie productivity fraction,975,796,63,19,8,131,0,0,0,0,0,0 10,44,Desired Hiring Rate,256,553,50,23,8,131,0,0,0,0,0,0 10,45,Replacement Rate,297,176,59,11,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|14||0-0-0 10,46,Workforce Adjustment Rate,278,724,52,25,8,131,0,0,0,0,0,0 10,47,Time to Adjust Workforce,95,576,49,49,6,131,0,3,0,0,0,0,0-128-0,0-0-0,|12||255-128-0 1,48,47,46,1,0,45,0,32,64,0,-1--1--1,Tw Cen MT|14||0-0-0,1|(168,622)| 1,49,46,44,1,0,43,0,32,64,0,-1--1--1,Tw Cen MT|14||0-0-0,1|(246,608)| 1,50,45,44,1,0,43,0,32,64,0,-1--1--1,Tw Cen MT|14||0-0-0,1|(217,491)| 1,51,35,45,1,0,43,0,34,64,0,-1--1--1,Tw Cen MT|14||0-0-0,1|(347,138)| 10,52,Time to Perceive Productivity,830,931,54,19,8,3,0,0,0,0,0,0 10,53,Time to Adjust Desired Workforce,588,963,58,27,8,131,0,2,0,0,0,0,0-0-0,0-0-0,|12||255-128-0 10,54,"Capacity Slack Fraction (can be included as a test)",627,777,86,19,8,3,0,2,0,0,0,0,-1--1--1,0-0-0,|14||255-0-0 10,55,Effective Workforce,843,743,36,19,8,3,0,0,-1,0,0,0 1,56,13,55,1,0,43,0,2,192,0,-1--1--1,|12||0-0-0,1|(883,543)| 1,57,43,55,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(909,769)| 1,58,22,27,1,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(962,466)| 1,59,2,31,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(1088,555)| 1,60,2,18,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(1078,417)| 10,61,Total Employees,428,740,42,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,62,61,46,0,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(364,733)| 10,63,Service Capacity,802,830,56,11,8,3,0,32,-1,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||0-0-0 10,64,Effect of Fatigue on Productivity,960,873,70,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,65,64,63,0,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(873,849)| 1,66,55,63,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(841,782)| 10,67,Initial Workforce,1148,107,55,11,8,3,0,0,-1,0,0,0 1,68,23,55,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(863,665)| 10,69,Desired Service Capacity,290,861,52,19,8,3,0,0,-1,0,0,0 10,70,Desired Completion Rate,133,839,61,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,71,70,69,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(209,849)| 10,72,Standard PDY,124,752,59,11,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,73,72,69,0,0,45,0,2,192,0,-1--1--1,|12||0-0-0,1|(194,798)| 10,74,Standard Workweek,150,909,43,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,75,74,69,0,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(208,888)| 12,76,48,648,374,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 1,77,78,76,4,0,0,22,0,0,0,-1--1--1,,1|(689,373)| 11,78,48,726,373,6,8,34,3,0,0,1,0,0,0 10,79,Rookie Lay Off Rate,726,399,43,18,40,131,0,0,-1,0,0,0 10,80,Maximum Layoff Rate,703,520,56,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 10,81,"Avg. Layoff Time",804,478,31,31,6,131,0,1,0,0,0,0,0-128-0,0-0-0,|12||0-0-0 1,82,80,79,1,0,43,0,32,192,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(712,465)| 1,83,81,80,1,0,45,0,32,192,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(753,517)| 10,84,Desired Lay Off Rate,438,466,54,19,8,3,0,0,0,0,0,0 1,85,84,79,1,0,43,0,32,192,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(480,435)| 10,86,Willingness to Lay Off,383,532,45,19,8,3,0,2,0,0,0,0,-1--1--1,0-0-0,|12||255-0-0 1,87,86,84,1,0,43,0,32,192,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(399,499)| 1,88,44,84,1,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(314,485)| 1,89,78,13,100,0,0,22,0,0,0,-1--1--1,,1|(770,373)| 1,90,13,80,1,0,0,0,0,64,0,-1--1--1,,1|(766,437)| 1,91,36,13,0,0,0,0,0,64,1,-1--1--1,,1|(1010,272)| 10,92,"PID -- Desired Service Capacity",342,947,62,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 10,93,PID Switch,467,963,35,11,8,3,0,2,0,0,0,0,-1--1--1,0-0-0,|12||255-0-0 10,94,Desired Workforce,426,844,46,22,3,131,0,0,0,0,0,0 10,95,Perceived Employee Effectiveness,642,876,64,24,3,131,0,0,0,0,0,0 1,96,54,94,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(527,809)| 1,97,69,94,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(351,856)| 1,98,53,94,0,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(509,905)| 1,99,52,95,0,0,0,0,0,64,0,-1--1--1,,1|(747,907)| 10,100,Total Employees,732,962,42,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,101,100,95,0,0,0,0,0,64,0,-1--1--1,,1|(695,926)| 1,102,94,46,1,0,0,0,0,64,0,-1--1--1,,1|(328,787)| 1,103,93,94,0,0,0,0,0,64,0,-1--1--1,,1|(450,915)| 1,104,92,94,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(378,902)| 12,105,48,640,630,10,8,0,3,0,0,-1,0,0,0 1,106,108,105,4,0,0,22,0,0,0,-1--1--1,,1|(685,629)| 1,107,108,23,100,0,0,22,0,0,0,-1--1--1,,1|(769,629)| 11,108,48,727,629,6,8,34,3,0,0,1,0,0,0 10,109,"Exp. Lay Off Rate",727,648,59,11,40,3,0,0,-1,0,0,0 12,110,0,480,410,40,20,8,3,0,0,-1,0,0,0 1,111,80,108,0,0,0,0,0,64,0,-1--1--1,,1|(714,574)| 1,112,36,23,0,0,0,0,0,64,1,-1--1--1,,1|(1009,392)| 1,113,84,109,1,0,0,0,0,64,0,-1--1--1,,1|(585,624)| 1,114,79,109,1,0,0,0,0,64,0,-1--1--1,,1|(639,496)| 12,115,0,1009,542,40,20,8,3,0,0,-1,0,0,0 1,116,63,95,1,0,0,0,0,64,0,-1--1--1,,1|(748,858)| 1,117,44,11,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(401,302)| 10,118,Rookie Quits,562,147,52,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,119,Expert Quits,552,69,51,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,120,119,35,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(497,90)| 1,121,118,35,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(502,133)| 1,122,95,94,1,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(509,867)| 10,123,Initial WF,1041,151,43,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,124,123,13,0,0,0,0,0,64,1,-1--1--1,,1|(959,248)| 1,125,123,23,0,0,0,0,0,64,1,-1--1--1,,1|(957,368)| \\\---/// Sketch information - do not modify anything except names V300 Do not put anything below this section - it will be ignored *Performance Measures $192-192-192,0,Tw Cen MT|12||0-0-0|0-0-0|0-0-255|-1--1--1|-1--1--1|96,96,80,0 10,1,Effect of Inexperience on Probability of Error Free,210,464,82,19,8,3,0,0,0,0,0,0 10,2,Probability of Error Generation,421,559,64,19,8,3,0,32,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||0-0-0 1,3,1,2,1,0,45,0,32,64,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(347,504)| 10,4,Table for Effect of Inexperience on PEF,5,414,67,19,8,3,0,2,0,0,0,0,-1--1--1,0-0-0,|12||255-128-0 1,5,4,1,0,0,0,0,0,64,0,-1--1--1,,1|(95,435)| 10,6,"Prod- uctivity",1236,316,42,42,11,131,0,1,-1,0,0,0,255-0-0,0-0-0,|12||0-0-0 10,7,Total Employees,1416,319,42,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,8,7,6,0,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(1332,317)| 10,9,Standard Workweek,-1,671,43,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|10||128-128-128 10,10,Effect of Fatigue on Probability of Error Free,198,661,80,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 10,11,Recent Workweek,2,612,43,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|10||128-128-128 1,12,11,10,0,0,45,0,32,64,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(76,630)| 1,13,9,10,0,0,45,0,32,64,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(73,667)| 1,14,10,2,1,0,45,0,32,64,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(349,627)| 10,15,Table for Effect of Fatigue on PEF,3,736,60,19,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 1,16,15,10,0,0,0,0,0,64,0,-1--1--1,,1|(93,701)| 10,17,Cumulative Error in Delivery Delay,1090,154,60,24,3,131,0,0,0,0,0,0 12,18,48,1262,151,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 1,19,21,17,4,0,0,22,0,0,0,-1--1--1,,1|(1183,152)| 1,20,21,18,100,0,0,22,0,0,0,-1--1--1,,1|(1240,152)| 11,21,48,1223,152,6,8,34,3,0,0,1,0,0,0 10,22,changing delay,1223,171,51,11,40,3,0,0,-1,0,0,0 10,23,Target Delivery Delay,1153,246,58,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,24,23,22,0,0,0,0,0,64,0,-1--1--1,,1|(1186,209)| 10,25,Cumulative Delivery Delay,1070,14,40,20,3,3,0,0,0,0,0,0 12,26,48,1232,8,10,8,0,3,0,0,-1,0,0,0 1,27,29,25,4,0,0,22,0,0,0,-1--1--1,,1|(1135,8)| 1,28,29,26,100,0,0,22,0,0,0,-1--1--1,,1|(1197,8)| 11,29,48,1166,8,6,8,34,3,0,0,1,0,0,0 10,30,changing reported delay,1166,27,52,19,40,3,0,0,-1,0,0,0 10,31,Clinic Utilization Rate,139,279,62,62,11,131,0,1,0,0,0,0,255-0-0,0-0-0,|12||0-0-0 10,32,Standard Workweek,-29,251,43,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,33,32,31,0,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(38,261)| 10,34,Target Clinic Utilization,253,257,42,19,8,3,0,0,0,0,0,0 10,35,Workweek,-1,325,48,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,36,35,31,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(47,308)| 10,37,Delivery Delay,143,-103,49,11,8,131,0,0,0,0,0,0 10,38,Reported Delivery Delay,311,-96,60,60,11,131,0,1,0,0,0,0,255-0-0,0-0-0,|12||0-0-0 1,39,37,38,0,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(214,-99)| 10,40,Service Backlog,-24,-52,33,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,41,Request Completion Rate,-11,34,61,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,42,40,37,1,0,43,0,2,64,0,-1--1--1,|12||0-0-0,1|(41,-68)| 1,43,41,37,1,0,45,0,2,64,0,-1--1--1,|12||0-0-0,1|(86,-31)| 10,44,Reported Delivery Delay,1249,78,56,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,45,44,29,0,0,0,0,0,64,0,-1--1--1,,1|(1203,40)| 10,46,Delivery Delay,1379,2,34,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,47,46,22,0,0,0,0,0,64,0,-1--1--1,,1|(1302,86)| 10,48,Insufficiency Rate,148,114,41,41,11,131,0,1,0,0,0,0,255-0-0,0-0-0,|12||0-0-0 10,49,Target Insufficiency Rate,270,98,57,19,8,3,0,0,0,0,0,0 10,50,Error Creation Rate,-23,157,53,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,51,50,48,0,0,0,0,0,64,0,-1--1--1,,1|(61,136)| 1,52,41,48,1,0,0,0,0,64,0,-1--1--1,,1|(45,58)| 10,53,Cost per Employee,1385,527,45,45,6,131,0,1,0,0,0,0,0-128-0,0-0-0,|12||0-0-0 10,54,Total Employees,1280,565,42,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,55,"Avg. Cost per Patient - Salary",794,1019,61,61,11,131,0,1,0,0,0,0,255-0-0,0-0-0,|12||0-0-0 10,56,Service Backlog,1367,1261,33,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,57,"Avg. Requests per Patient",1154,1252,60,19,8,3,0,0,0,0,0,0 10,58,"Cumulative Cost-FS",1024,471,40,20,3,3,0,0,0,0,0,0 12,59,48,1200,472,10,8,0,3,0,0,-1,0,0,0 1,60,62,58,4,0,0,22,0,0,0,-1--1--1,,1|(1094,476)| 1,61,62,59,100,0,0,22,0,0,0,-1--1--1,,1|(1163,476)| 11,62,48,1130,476,6,8,34,3,0,0,1,0,0,0 10,63,"Yearly Cost of C&P-FS",1130,503,48,19,40,3,0,0,-1,0,0,0 10,64,"Avg. Cost - Fee for Service",611,630,48,48,11,131,0,17,0,0,0,0,255-0-255,0-0-0,|12|U|0-0-0 1,65,58,64,0,0,0,0,0,64,0,-1--1--1,,1|(828,545)| 10,66,Total time,922,905,33,11,8,3,0,0,0,0,0,0 1,67,66,237,0,0,0,0,0,64,0,-1--1--1,,1|(901,818)| 10,68,Total time,1122,77,44,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,69,"Avg. Reported Delivery Delay",802,-7,61,61,11,131,0,17,0,0,0,0,255-0-255,0-0-0,|12|U|0-0-0 1,70,68,69,0,0,0,0,0,64,0,-1--1--1,,1|(978,40)| 1,71,25,69,0,0,0,0,0,64,0,-1--1--1,,1|(953,6)| 10,72,"Avg. Absolute Delivery Delay Error",881,149,66,66,11,131,0,1,0,0,0,0,255-0-0,0-0-0,|12||0-0-0 1,73,68,72,0,0,0,0,0,64,0,-1--1--1,,1|(1023,107)| 1,74,17,72,0,0,0,0,0,64,0,-1--1--1,,1|(995,151)| 10,75,Cumulative Service Backlog,1158,1102,40,20,3,3,0,0,0,0,0,0 12,76,48,1342,1100,10,8,0,3,0,0,-1,0,0,0 1,77,79,75,4,0,0,22,0,0,0,-1--1--1,,1|(1228,1100)| 1,78,79,76,100,0,0,22,0,0,0,-1--1--1,,1|(1301,1100)| 11,79,48,1264,1100,6,8,34,3,0,0,1,0,0,0 10,80,changing SB,1264,1119,41,11,40,3,0,0,-1,0,0,0 1,81,56,80,0,0,0,0,0,64,0,-1--1--1,,1|(1316,1191)| 10,82,"Avg. Backlog",680,906,47,47,11,131,0,17,0,0,0,0,255-0-255,0-0-0,|12|U|0-0-0 1,83,75,82,0,0,0,0,0,64,0,-1--1--1,,1|(928,1008)| 1,84,66,82,0,0,0,0,0,64,0,-1--1--1,,1|(815,905)| 10,85,Cumulative Insufficiency Rate,285,13,40,20,3,3,0,0,0,0,0,0 12,86,48,117,10,10,8,0,3,0,0,-1,0,0,0 1,87,89,85,4,0,0,22,0,0,0,-1--1--1,,1|(218,10)| 1,88,89,86,100,0,0,22,0,0,0,-1--1--1,,1|(153,10)| 11,89,48,186,10,6,8,34,3,0,0,1,0,0,0 10,90,changing insufficiency,186,29,39,19,40,3,0,0,-1,0,0,0 1,91,48,90,0,0,0,0,0,64,0,-1--1--1,,1|(168,67)| 10,92,Total time,308,196,44,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,93,"Avg. Insuff- iciency Rate",590,76,56,56,11,131,0,17,0,0,0,0,255-0-255,0-0-0,|12|U|0-0-0 1,94,85,93,0,0,0,0,0,64,0,-1--1--1,,1|(422,42)| 1,95,92,93,0,0,0,0,0,64,0,-1--1--1,,1|(427,145)| 10,96,Cumulative CU Rate,320,331,40,20,3,3,0,0,0,0,0,0 12,97,48,190,329,10,8,0,3,0,0,-1,0,0,0 1,98,100,96,4,0,0,22,0,0,0,-1--1--1,,1|(263,329)| 1,99,100,97,100,0,0,22,0,0,0,-1--1--1,,1|(217,329)| 11,100,48,241,329,6,8,34,3,0,0,1,0,0,0 10,101,changing CU,241,348,43,11,40,3,0,0,-1,0,0,0 1,102,31,100,1,0,0,0,0,64,0,-1--1--1,,1|(215,287)| 10,103,"Avg. Clinic Utilization Rate",593,223,64,64,11,131,0,17,0,0,0,0,255-0-255,0-0-0,|12|U|0-0-0 1,104,96,103,0,0,0,0,0,64,0,-1--1--1,,1|(438,284)| 1,105,92,103,0,0,0,0,0,64,0,-1--1--1,,1|(433,207)| 10,106,"Cumulative Avg. PDY",1041,294,40,20,3,3,0,0,0,0,0,0 12,107,48,1166,288,10,8,0,3,0,0,-1,0,0,0 1,108,110,106,4,0,0,22,0,0,0,-1--1--1,,1|(1099,292)| 1,109,110,107,100,0,0,22,0,0,0,-1--1--1,,1|(1143,292)| 11,110,48,1124,292,6,8,34,3,0,0,1,0,0,0 10,111,changing productivity,1124,311,39,19,40,3,0,0,-1,0,0,0 1,112,6,111,0,0,0,0,0,64,0,-1--1--1,,1|(1185,314)| 10,113,Total time,1075,368,44,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,114,"Avg. Productivity",965,405,44,44,11,131,0,17,0,0,0,0,255-0-0,0-0-0,|12|U|0-0-0 1,115,106,114,0,0,0,0,0,64,0,-1--1--1,,1|(1015,331)| 1,116,113,114,0,0,0,0,0,64,0,-1--1--1,,1|(1032,382)| 10,117,"Cost per Patient - Salary",911,1088,54,54,11,131,0,1,0,0,0,0,255-0-0,0-0-0,|12||0-0-0 1,118,57,117,0,0,0,0,0,64,0,-1--1--1,,1|(1051,1182)| 1,119,63,218,0,0,0,0,0,64,0,-1--1--1,,1|(1016,907)| 1,120,56,117,0,0,0,0,0,64,0,-1--1--1,,1|(1156,1180)| 10,121,"Cumulative Cost per Patient - S",881,1190,40,20,3,3,0,0,0,0,0,0 12,122,48,1063,1191,10,8,0,3,0,0,-1,0,0,0 1,123,125,121,4,0,0,22,0,0,0,-1--1--1,,1|(951,1191)| 1,124,125,122,100,0,0,22,0,0,0,-1--1--1,,1|(1023,1191)| 11,125,48,987,1191,6,8,34,3,0,0,1,0,0,0 10,126,"Changing costs - Salary",987,1210,54,19,40,3,0,0,-1,0,0,0 1,127,117,125,0,0,0,0,0,64,0,-1--1--1,,1|(962,1158)| 1,128,121,55,0,0,0,0,0,64,0,-1--1--1,,1|(851,1131)| 1,129,66,55,0,0,0,0,0,64,0,-1--1--1,,1|(887,935)| 10,130,Service Capacity,1391,386,37,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,131,130,6,0,0,0,0,0,64,0,-1--1--1,,1|(1322,354)| 10,132,Cumulative Service Capacity,874,281,40,20,3,3,0,0,0,0,0,0 12,133,48,983,281,10,8,0,3,0,0,-1,0,0,0 1,134,136,132,4,0,0,22,0,0,0,-1--1--1,,1|(925,281)| 1,135,136,133,100,0,0,22,0,0,0,-1--1--1,,1|(961,281)| 11,136,48,943,281,6,8,34,3,0,0,1,0,0,0 10,137,changing service capacity,943,300,55,19,40,3,0,0,-1,0,0,0 10,138,"Avg. Service Capacity",722,333,48,48,11,131,0,1,0,0,0,0,255-0-255,0-0-0,|12||0-0-0 1,139,132,138,0,0,0,0,0,64,0,-1--1--1,,1|(808,302)| 1,140,113,138,0,0,0,0,0,64,0,-1--1--1,,1|(907,351)| 1,141,130,137,0,0,0,0,0,64,0,-1--1--1,,1|(1182,345)| 10,142,Standard PDY,1178,408,59,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,143,142,6,0,0,0,0,0,64,0,-1--1--1,,1|(1192,383)| 10,144,"Avg. Instantaneous PDY",2,473,61,19,8,3,0,0,0,0,0,0 1,145,144,1,0,0,0,0,0,64,0,-1--1--1,,1|(88,469)| 10,146,Effective Workforce,-98,536,42,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,147,Total Employees,-2,546,42,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,148,146,144,0,0,0,0,0,64,0,-1--1--1,,1|(-53,508)| 1,149,147,144,0,0,0,0,0,64,0,-1--1--1,,1|(0,516)| 10,150,"Days/week",989,61,39,11,8,3,0,0,0,0,0,0 1,151,150,69,0,0,0,0,0,64,0,-1--1--1,,1|(917,36)| 1,152,150,72,0,0,0,0,0,64,0,-1--1--1,,1|(966,80)| 10,153,"Avg. Cost per Patient - S - wPAs",548,1051,59,19,8,3,0,0,0,0,0,0 10,154,"Cost per Patient - S - wPAs",539,1116,58,19,8,3,0,0,0,0,0,0 1,155,55,153,0,0,0,0,0,64,0,-1--1--1,,1|(676,1033)| 1,156,117,154,0,0,0,0,0,64,0,-1--1--1,,1|(733,1100)| 10,157,Cumulative Delivery Delay 0,1064,-166,40,20,3,3,0,0,0,0,0,0 12,158,48,1226,-172,10,8,0,3,0,0,-1,0,0,0 1,159,161,157,4,0,0,22,0,0,0,-1--1--1,,1|(1129,-172)| 1,160,161,158,100,0,0,22,0,0,0,-1--1--1,,1|(1191,-172)| 11,161,48,1160,-172,6,8,34,3,0,0,1,0,0,0 10,162,changing delivery delay,1160,-153,59,19,40,3,0,0,-1,0,0,0 10,163,Total time,1116,-103,44,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,164,"Avg. Delivery Delay",796,-187,61,61,11,131,0,17,0,0,0,0,255-0-255,0-0-0,|12|U|0-0-0 1,165,163,164,0,0,0,0,0,64,0,-1--1--1,,1|(972,-140)| 1,166,157,164,0,0,0,0,0,64,0,-1--1--1,,1|(947,-174)| 10,167,"Days/week 0",958,-107,46,11,8,3,0,0,0,0,0,0 1,168,167,164,0,0,0,0,0,64,0,-1--1--1,,1|(902,-133)| 1,169,46,162,0,0,0,0,0,64,0,-1--1--1,,1|(1275,-71)| 10,170,Workweek,1452,695,48,11,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,171,Standard Workweek,1451,653,43,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,172,Salaried Employees' Cost,1306,861,54,19,8,3,0,0,0,0,0,0 10,173,"Fee-Service Employee's Cost",1217,629,54,19,8,3,0,0,0,0,0,0 1,174,170,173,0,0,0,0,0,64,0,-1--1--1,,1|(1348,665)| 10,175,Total Employees,1458,745,42,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,176,Cost per Employee,1458,805,39,19,8,2,0,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,177,175,172,0,0,0,0,0,64,0,-1--1--1,,1|(1387,798)| 1,178,176,172,0,0,0,0,0,64,0,-1--1--1,,1|(1394,828)| 1,179,175,173,0,0,0,0,0,64,0,-1--1--1,,1|(1343,690)| 1,180,176,173,0,0,0,0,0,64,0,-1--1--1,,1|(1343,721)| 10,181,"Avg. Total Cost - Salary",602,776,48,48,11,131,0,17,0,0,0,0,255-0-255,0-0-0,|12|U|0-0-0 10,182,"Cumulative Cost - Salary",1046,885,40,20,3,3,0,0,0,0,0,0 12,183,48,1222,886,10,8,0,3,0,0,-1,0,0,0 1,184,186,182,4,0,0,22,0,0,0,-1--1--1,,1|(1116,890)| 1,185,186,183,100,0,0,22,0,0,0,-1--1--1,,1|(1185,890)| 11,186,48,1152,890,6,8,34,3,0,0,1,0,0,0 10,187,"Yearly Cost of C&P - Salary",1152,917,48,19,40,3,0,0,-1,0,0,0 1,188,66,236,0,0,0,0,0,64,0,-1--1--1,,1|(891,853)| 1,189,182,236,0,0,0,0,0,64,0,-1--1--1,,1|(952,835)| 1,190,173,63,0,0,0,0,0,64,0,-1--1--1,,1|(1177,571)| 1,191,172,186,0,0,0,0,0,64,0,-1--1--1,,1|(1211,878)| 1,192,171,173,0,0,0,0,0,64,0,-1--1--1,,1|(1346,642)| 10,193,"Cumulative Cost - Salary OT",1057,784,40,20,3,3,0,0,0,0,0,0 12,194,48,1233,785,10,8,0,3,0,0,-1,0,0,0 1,195,197,193,4,0,0,22,0,0,0,-1--1--1,,1|(1127,789)| 1,196,197,194,100,0,0,22,0,0,0,-1--1--1,,1|(1196,789)| 11,197,48,1163,789,6,8,34,3,0,0,1,0,0,0 10,198,"Yearly Cost of C&P - Salary OT",1163,816,65,19,40,3,0,0,-1,0,0,0 1,199,171,198,0,0,0,0,0,64,0,-1--1--1,,1|(1313,731)| 1,200,170,198,0,0,0,0,0,64,0,-1--1--1,,1|(1323,748)| 1,201,175,198,0,0,0,0,0,64,0,-1--1--1,,1|(1328,775)| 1,202,176,198,0,0,0,0,0,64,0,-1--1--1,,1|(1330,809)| 10,203,OT Cost Ratio,1215,720,36,36,6,131,0,1,0,0,0,0,0-128-0,0-0-0,|12||0-0-0 1,204,203,197,0,0,0,0,0,64,0,-1--1--1,,1|(1184,760)| 1,205,193,237,0,0,0,0,0,64,0,-1--1--1,,1|(970,749)| 10,206,"Total Yearly Cost - Salary",1142,1009,62,19,8,3,0,0,0,0,0,0 1,207,198,206,0,0,0,0,0,64,0,-1--1--1,,1|(1153,905)| 1,208,187,206,0,0,0,0,0,64,0,-1--1--1,,1|(1147,956)| 1,209,206,117,0,0,0,0,0,64,0,-1--1--1,,1|(1032,1046)| 12,210,0,1439,1001,40,20,8,3,0,0,-1,0,0,0 10,211,"Avg. Cost per Patient - Fee for Service",741,1255,64,64,11,131,0,1,0,0,0,0,255-0-0,0-0-0,|12||0-0-0 10,212,Cumulative Service Backlog 0,1137,1374,40,20,3,3,0,0,0,0,0,0 12,213,48,1321,1372,10,8,0,3,0,0,-1,0,0,0 1,214,216,212,4,0,0,22,0,0,0,-1--1--1,,1|(1207,1372)| 1,215,216,213,100,0,0,22,0,0,0,-1--1--1,,1|(1280,1372)| 11,216,48,1243,1372,6,8,34,3,0,0,1,0,0,0 10,217,changing SB 0,1243,1391,47,11,40,3,0,0,-1,0,0,0 10,218,"Cost per Patient - Fee for Service",890,1361,55,55,11,131,0,1,0,0,0,0,255-0-0,0-0-0,|12||0-0-0 10,219,"Cumulative Cost per Patient - FFS",860,1462,40,20,3,3,0,0,0,0,0,0 12,220,48,1042,1463,10,8,0,3,0,0,-1,0,0,0 1,221,223,219,4,0,0,22,0,0,0,-1--1--1,,1|(930,1463)| 1,222,223,220,100,0,0,22,0,0,0,-1--1--1,,1|(1002,1463)| 11,223,48,966,1463,6,8,34,3,0,0,1,0,0,0 10,224,"Changing costs - Fee for Service",966,1482,68,19,40,3,0,0,-1,0,0,0 1,225,218,223,0,0,0,0,0,64,0,-1--1--1,,1|(941,1431)| 1,226,219,211,0,0,0,0,0,64,0,-1--1--1,,1|(816,1386)| 10,227,"Avg. Cost per Patient - FFS - wPAs",552,1273,71,19,8,3,0,0,0,0,0,0 10,228,"Cost per Patient - FFS - wPAs",546,1324,58,19,8,3,0,0,0,0,0,0 1,229,211,227,0,0,0,0,0,64,0,-1--1--1,,1|(656,1262)| 1,230,218,228,0,0,0,0,0,64,0,-1--1--1,,1|(726,1343)| 12,231,0,1418,1273,40,20,8,3,0,0,-1,0,0,0 1,232,57,218,0,0,0,0,0,64,0,-1--1--1,,1|(1032,1301)| 1,233,56,218,0,0,0,0,0,64,0,-1--1--1,,1|(1146,1306)| 1,234,56,216,0,0,0,0,0,64,0,-1--1--1,,1|(1301,1318)| 1,235,66,211,0,0,0,0,0,64,0,-1--1--1,,1|(848,1047)| 10,236,"Avg. Cost - Salary",849,781,37,19,8,3,0,0,0,0,0,0 10,237,"Avg. Cost - SalaryOT",875,711,37,19,8,3,0,0,0,0,0,0 1,238,66,64,0,0,0,0,0,64,0,-1--1--1,,1|(789,787)| 1,239,236,181,0,0,0,0,0,64,0,-1--1--1,,1|(737,778)| 1,240,237,181,0,0,0,0,0,64,0,-1--1--1,,1|(750,739)| \\\---/// Sketch information - do not modify anything except names V300 Do not put anything below this section - it will be ignored *Demand $192-192-192,0,Times New Roman|12||0-0-0|0-0-0|0-0-255|-1--1--1|-1--1--1|96,96,90,0 10,1,Input,423,662,18,11,8,131,0,32,-1,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||0-0-0 10,2,Pink Noise,771,594,40,20,3,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 12,3,48,903,597,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 10,4,White Noise,798,697,41,11,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 10,5,Noise Standard Deviation,691,725,53,19,8,3,0,34,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||255-128-0 10,6,TIME STEP,705,657,45,11,0,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|128-128-128 10,7,Pink Noise,350,611,45,11,0,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|128-128-128 10,8,Noise Start Time,450,547,53,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,9,Pulse Quantity,524,622,47,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,10,Pulse Time,556,676,34,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,11,Sine Amplitude,557,701,49,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,12,Sine Period,523,730,38,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,13,Step Height,425,776,39,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,14,Step Time,484,757,33,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,15,Time,310,647,28,11,0,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|128-128-128 11,16,44,861,599,6,8,34,3,0,0,1,0,0,0 10,17,Change in Pink Noise,861,626,49,19,40,3,0,32,0,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 10,18,Noise Correlation Time,928,678,58,19,8,3,0,34,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||255-128-0 1,19,8,1,0,0,0,0,0,0,0,-1--1--1,,1|(438,597)| 1,20,9,1,0,0,0,0,0,0,0,-1--1--1,,1|(475,641)| 1,21,10,1,0,0,0,0,0,0,0,-1--1--1,,1|(488,668)| 1,22,11,1,1,0,0,0,0,0,0,-1--1--1,,1|(514,690)| 1,23,12,1,0,0,0,0,0,0,0,-1--1--1,,1|(478,699)| 1,24,13,1,0,0,0,0,0,0,0,-1--1--1,,1|(424,725)| 1,25,14,1,0,0,0,0,0,0,0,-1--1--1,,1|(457,715)| 1,26,15,1,0,0,0,0,0,0,0,-1--1--1,,1|(364,653)| 1,27,16,2,4,0,0,22,0,0,0,-1--1--1,,1|(833,599)| 1,28,16,3,100,0,0,22,0,0,0,-1--1--1,,1|(880,599)| 1,29,2,17,2,0,0,0,0,0,0,-1--1--1,,1|(820,649)| 1,30,4,17,2,0,0,0,0,0,0,-1--1--1,,1|(858,664)| 1,31,18,17,2,0,0,0,0,0,0,-1--1--1,,1|(914,630)| 1,32,18,4,1,0,0,0,0,0,0,-1--1--1,,1|(858,715)| 1,33,6,4,1,0,0,0,0,0,0,-1--1--1,,1|(741,685)| 1,34,5,4,1,0,0,0,0,0,0,-1--1--1,,1|(758,714)| 1,35,7,1,0,0,0,0,0,0,0,-1--1--1,,1|(380,632)| 10,36,Noise Seed,798,783,38,11,8,3,0,32,-1,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||0-0-0 10,37,Pulse Duration,570,648,46,11,8,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 1,38,37,1,0,0,0,0,0,64,0,-1--1--1,,1|(489,655)| 10,39,Input,693,505,29,11,0,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 10,40,Initial Arrival Rate,695,371,58,11,8,3,0,32,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||0-0-0 10,41,Exogenous Request Arrival Rate,818,424,64,19,8,3,0,32,0,0,0,0,-1--1--1,0-0-0,Tw Cen MT|12||0-0-0 1,42,39,41,0,0,43,0,32,192,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(742,472)| 12,43,0,1354,440,325,262,3,188,0,32,2,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 Clinic Utilization Rate,Graph 1,44,40,41,0,0,43,0,32,64,0,-1--1--1,Tw Cen MT|12||0-0-0,1|(740,390)| 10,45,Standard Completion Rate,276,555,61,19,8,2,1,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 10,46,Standard Completion Rate,436,437,55,19,8,3,0,32,-1,0,0,0,0-0-0,0-0-0,Tw Cen MT|12||0-0-0 10,47,Standard PDY,277,448,59,11,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,48,47,46,0,0,43,0,0,0,0,-1--1--1,,1|(351,442)| 10,49,Service Capacity,292,391,37,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,50,49,46,0,0,43,0,0,0,0,-1--1--1,,1|(348,408)| 10,51,Standard Workweek,278,509,43,19,8,2,0,35,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||128-128-128 1,52,51,46,0,0,43,0,0,0,0,-1--1--1,,1|(350,475)| 10,53,Ramp End Time,187,785,51,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||0-0-0 10,54,Ramp Slope,99,713,41,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||0-0-0 10,55,Ramp Start Time,111,756,54,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12||0-0-0 10,56,Ramp End Time 2,326,908,57,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,57,Ramp Slope 2,238,836,47,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 10,58,Ramp Start Time 2,250,879,61,11,0,3,0,33,-1,0,0,0,128-128-128,0-0-0,Tw Cen MT|12|B|0-0-0 1,59,54,1,0,0,0,0,0,64,0,-1--1--1,,1|(265,686)| 1,60,55,1,0,0,0,0,0,64,0,-1--1--1,,1|(269,708)| 1,61,53,1,0,0,0,0,0,64,0,-1--1--1,,1|(300,725)| 1,62,57,1,0,0,0,0,0,64,0,-1--1--1,,1|(324,753)| 1,63,58,1,0,0,0,0,0,64,0,-1--1--1,,1|(331,775)| 1,64,56,1,0,0,0,0,0,64,0,-1--1--1,,1|(371,791)| 12,65,0,1170,758,80,20,3,92,0,0,0,0,0,0 Initial Workforce,0,200,1 10,66,Noise Multiplier,668,856,40,40,6,131,0,1,0,0,0,0,0-128-0,0-0-0,|12||0-0-0 1,67,66,5,0,0,0,0,0,64,0,-1--1--1,,1|(679,787)| 10,68,Initial WF,697,267,32,11,8,3,0,0,0,0,0,0 1,69,41,68,0,0,0,0,0,64,1,-1--1--1,,1|(758,347)| 1,70,47,68,0,0,0,0,0,64,1,-1--1--1,,1|(480,360)| 1,71,51,68,0,0,0,0,0,64,1,-1--1--1,,1|(487,387)| 10,72,Probability of Error Generation,697,297,67,19,8,2,1,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,73,Rookie productivity fraction,697,297,68,19,8,2,1,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 10,74,Steady State Rookie Fraction,697,297,57,19,8,2,1,3,-1,0,0,0,128-128-128,0-0-0,|12||128-128-128 1,75,73,68,0,0,0,0,0,64,1,-1--1--1,,1|(697,278)| 1,76,74,68,0,0,0,0,0,64,1,-1--1--1,,1|(697,278)| ///---\\\ :GRAPH Clinic_Utilization :TITLE Clinic Utilization :X-AXIS Target Clinic Utilization :X-LABEL Target Clinic Utilization :SCALE :VAR Clinic Utilization Rate :Y-MAX 1.1 :GRAPH forecast :TITLE forecast :X-MAX 100 :SCALE :VAR Extrapolated Quantity :Y-MIN 200 :Y-MAX 250 :VAR PerceivedQuantity :VAR Actual Quantity :GRAPH arrival_v_completions :TITLE referrals and delay :X-AXIS Request Arrival Rate :X-LABEL Request Arrival Rate :LABEL-INTERVALS :SCALE :VAR Reported Delivery Delay :Y-MIN 3 :Y-MAX 7 :GRAPH arrivals_and_errors :TITLE arrivals and errors :X-AXIS Error Discovery Rate :X-LABEL Error Discovery Rate :X-MAX 150 :SCALE :VAR Request Arrival Rate :Y-MIN 300 :Y-MAX 1200 :GRAPH metrics_and_cause :TITLE metrics and cause :SCALE :VAR Insufficiency Rate :Y-MAX 0.4 :VAR Target Insufficiency Rate :SCALE :VAR Reported Delivery Delay :VAR Target Delivery Delay :GRAPH Performance_v_Cost :TITLE Performance v Cost :X-AXIS "Yearly Cost of C&P" :X-LABEL Cost :SCALE :VAR "Delivery Delay" :UNITS weeks :L<%^E!@ 1:N:\Documents\DISSERTATION\3 - C&P Case Study\test.vdf 9:test 22:weeks=week 23:0 18:C&P_July-v4.vsc 15:0,0,0,0,0,0 19:80,0 27:2, 34:0, 4:Time 5:Total time 35:Date 36:YYYY-MM-DD 37:2000 38:1 39:1 40:3 41:0 24:0 25:500 26:500