Question: Hello, please with the help of the below-attached documents, find ideas to help me draw a diagram (model) of the current process: - what are
Hello, please with the help of the below-attached documents, find ideas to help me draw a diagram (model) of the current process:
- what are the shortcomings of this process
- Make clear recommendations for improvement
- Draw a diagram (model) of the to be process (ideas for a better one, just few notes)
I really need help please, thank you very much.


The thread of this case highlights one main set-up problematic consisting in knowing how they will increase the number of vaccinated individuals in an outdoor environment, considering a systematic process to efciently administer the nrass vaccination. Three main issues are addressed. The first is that there is no systematic process or proper distribution of workloads in the vaccination site. The current process cannot be really evaluated and improved properly because these are all volunteers, and the turnover would be frequent. Then, the vaccines run out as there is no proper scheduling on the side of patients. The number of patients inside the car cannot be predetermined and it usually exceeds what is prior anticipated. Ultimately, as there were no proper training and orientation conducted prior to letting these volunteers sent out to the site, they have little to no idea on how to properly address some concerns of the patients. The reasons for these issues are clear. Volunteers have only limited time allocation for the vaccination site, there is a high turnover rate, and that is why the possibility of developing the system in a uniform and quick-pacing process is hard. As there is a possibility of these volunteers are not able to practice the job on the site every day so it seems like they must study the process every time they will go to the site, the ability to hone expertise and build familiarity with the process is very little. That is why it seems to be chaotic on the site as they don't have an organized set of processes. It is also mentioned that there is no standard assignment of some responsibilities, they do act based on their own judgment that even the one to facilitate the vaccines replenishment is not properly assigned to anyone, this may also relate to not having a standard person attending to the vaccination, but more importantly, concerning the run out of the vaccine is because there is no proper scheduling of the patients. They don't have an idea of what volume of patients will arrive in a period, making it hard to determine how many vaccines should be prepared ahead of time. In the current scenario, the patients can come whenever they want, and, they seem to not have set rules to control the patients who will get those vaccines since some of the patients do not even have QR codes or have undergone a proper registration, which makes the process slower then. Lastly, because there are no specified standards the volunteers have a hard time with some concerns of patients. Volunteers do not have proper training or orientation before they face the patients so it's becoming hard for them, they end up setting their own rules because there seems to be nothing to follow or no one to organize the workow. In this case, there should be really specied measures or standards in so that it will guide the participants, volunteers, and patients, and will make the process goes smoothly as possible, and if ever there's a conflict, then they can resolve it align with those measures. Having someone who will supervise and encomage collaboration would also help, which seems to be not the case in this situation presented. 622-003 -9- Exhibit 2 Process flow for Fair Park Mass Vaccination Site, February 9, 2021 Off-site Vaccine Draw (Deliver to Grand Hall) Fridge Medical Tent Syringe Prep QC & Count Vaccine Observation 18 lanes Luminare Vaccination Screening Patient 4 lanes 18 Lanes Exit Vaccine 3 Hours 60 min Patient / Cars Not including traffic 15 min outside of the park 2 hours, 33 min 30 min Source: TSSC document. Note: Average waiting times measured on February 9, 2021, day two of full scale site operation. Luminare is the supplier of an online vaccine registration system called "Innoculate," which was HIPPA compliant and handled the process of vaccine registration and qualification with a paperless system to manage the vaccine waitlist, a full listing of who has or hasn't been vaccinated, and filtering to invite registrants once they qualified for a vaccine shot. It automated the registration process and consent forms, and provided a scannable QR code which registrants could show (printed or on their smartphone) when they arrived at Fair Park. Volunteers scanned the QR code to link a patient to the registration record
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