1/ Draw the Process Block Diagram for the process blocks and all activities (i.e. item/data/information flow) among them. (hint: To draw the Process Block Diagram, first identify the parties and departments the process will flow through. For example: the patient, the admission clerk, the hospital information system…)

2- Discuss whether each activity is value-added, non-value-added (Handoff, Delay, or Rework), Business value added (Control, or policy compliance). (make a list in a table and indicate their types)

3- Which blocks should be maintained in a reengineered process for the above and which blocks should be removed and Explain why? (remember the possible use of technologies, simplification, eliminating rework, data reentry, storage and buffers, delay, etc…)

A rural hospital currently admits new non-emergency patients according to the following steps: • The new patient is received by the admission clerk member at the admission office in order to identify the patient’s needs and collect her/his physician’s transfer documents. • The admission clerk enters the patient’s data in a new record in the hospital system information then generates accounting documents that one of the patient’s relatives will take copies to the accounting office in order to verify insurance data and/or pay any admission fee. The patient’s insurance and data payment method is then entered into the hospital’s accounting system by the accountant who then prints accounting receipts and give them to the patient’s relative. • Once this step is completed, the patient’s relative returns to submits the proper receipts to the admission clerk who is taking care of the patient and waiting in the admission floor lobby. These receipts are then verified in the hospital information system by the admission clerk and when all is OK they are inserted into the patient’s medical hard copy file. • The medical file is then transferred to another clerk member in the admission office who will look for appropriate room and bed for the patient to occupy while in the hospital. When that is done, a transfer staff is called out to accompany the patient to the appropriate floor where he/she will stay in for hospitalization. • Every floor has a transfer admission clerk who receives the patient medical file from the transfer staff and verify the admission data in the hospital information system while the patient’s is waiting in the floor’s lobby. • Once done, the floor transfer clerk will then call the head nurse to verify whether the assigned room/bed is clear for the new patient. Until that becomes clear for use, the head nurse will then ask the patient in the lobby to accompany her/him to the room where he/she will stay in for his hospitalization. • Having done that, the head nurse uses her access computer terminal to activate the patient’s billing record in the hospital system with personal and medical data that she/he collect from the patient’s medical file. She/he then place this file in its appropriate cabinet.