## [1] "C:/Users/User/Documents/RStudio/OPD"
## 
## Attaching package: 'dplyr'
## The following objects are masked from 'package:stats':
## 
##     filter, lag
## The following objects are masked from 'package:base':
## 
##     intersect, setdiff, setequal, union

1 Time reference 2024

Month

Week

January
February
March
April
May
June
July
August
September
October
November
December

1-5
5-9
9-13
14-18
18-22
22-26
27-31
31-35
36-40
40-44
44-48
49-52

2 Control chart

Control charts, also known as Shewhart Charts or Statistical Process Control Charts (SPC) are tools used to determine if a process is in a state of statistical control, or how much variation exists in a process. Like run charts, they are graphs of data over time (time-series charts). Clinical Excellence Commission, Quality Improvement Tools, Control Charts

  • Common Causes are those that are inherent in a system over time, affecting everyone working in the system and all outcomes of that system. They indicate a stable process that is in statistical control.

  • Special Causes, in contrast, are not part of the system all the time, but arise because of specific circumstances, and indicate an unstable system which is not in statistical control.

  • The improvement approach in this case is to identify when special cause occurred and why; if positive, improvement efforts may seek to replicate that event as a part of the system, while negative special cause may be the subject of attempts to eliminate the possibility of recurrence and bring the system into statistical control.

There are five rules for identifying special cause in control charts to understand whether improvement is occurring:

  • A single point outside the control limits
  • Eight or more consecutive points above or below the centre line
  • Six consecutive points increasing (trend up) or decreasing (trend down)
  • Two out of three consecutive points near a control limit (outer one-third)
  • Fifteen consecutive points close to the centre line (inner one-third).

2.1 Attribute charts

Source: Quality America, Quality Improvement Tools, Control charts

2.1.1 u-chart

  • for monitoring the percent of samples having the condition, relative to either a fixed or varying sample size, when each sample can have more than one instance of the condition.

2.1.2 p chart

  • for monitoring the percent of samples having the condition, relative to either a fixed or varying sample size, when each sample can either have this condition, or not have this condition

3 Pareto chart

Pareto Chart is a powerful tool for showing the relative importance of problems. It contains both bars and lines, where individual values are represented in descending order by bars, and the cumulative total of the sample is represented by the curved line. An 80% cut off line indicate where the 80/20 rule applies i.e. the Vital Few factors (compared with Trivial Many) that warrant the most attention sit under the 80% cut off line. For many events, roughly 80% of the effects come from 20% of the causes. Clinical Excellence Commission, Quality Improvement Tools, Pareto Charts
The cumulative line should be steep, with a lot of arch to it, implying that the first few problem areas rapidly add to a high percentage of the total problems. If the cumulative line is straight, the contribution from each successive bar (after the first) is about even. These bars, then, should be about the same height. This says no problems stand out than the rest. Quality America, Quality Improvement Tools, Pareto chart

4 Attendance

With varying No.Patients every week, u-control chart is applied. The special causes are detected when violating 2 in five rules.

  • Eight or more consecutive points above (week 2-11) or below (week 23-31) the centre line

  • Six consecutive points increasing (trend up) (week 24-30)

  • Pareto chart is then used to analyze the No.Attendance with other factors in those weeks.

## No. Attendances

## List of 11
##  $ call      : language qcc::qcc(data = df_uChart$sum, type = "u", sizes = df_uChart$size, labels = df_uChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "u"
##  $ data.name : chr "df_uChart$sum"
##  $ data      : num [1:31, 1] 3709 5854 5753 5941 5927 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.699 0.727 0.715 0.717 0.729 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.714
##  $ std.dev   : num 0.845
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0.679 0.686 0.686 0.686 0.686 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"

4.0.1 Attendance vs. Booking

  • No.of Attendance but not booking increase significantly on week 31. This highlights the DNA (below) going up sharply in the same week.
## No. Attendance but not booking

## List of 11
##  $ call      : language qcc::qcc(data = df_uChart$sum, type = "u", sizes = df_uChart$size, labels = df_uChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "u"
##  $ data.name : chr "df_uChart$sum"
##  $ data      : num [1:36, 1] 496 550 577 565 570 553 547 548 589 575 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:36] 0.1337 0.094 0.1003 0.0951 0.0962 ...
##   ..- attr(*, "names")= chr [1:36] "1" "2" "3" "4" ...
##  $ sizes     : num [1:36] 3709 5854 5753 5941 5927 ...
##  $ center    : num 0.109
##  $ std.dev   : num 0.33
##  $ nsigmas   : num 3
##  $ limits    : num [1:36, 1:2] 0.0927 0.096 0.0959 0.0961 0.096 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"

4.0.2 Attendance vs. Clinic

  • No.of Clinic vary from 320 - 338 clinics between week 26 and 30. According to the Pareto Principle, 80% of Patient Attendances come from 20% of clinics as in table (narrowed down to less than 140 clinics). Among that, Clinic 850, 379 always have the most visits those weeks. Next are clinics 1522, 1555, 467, 1038 or 1499; except for week 30, clinic 1499 increases slightly more than previous weeks.
## Pareto of No. Attendance with selected weeks on Clinic Code

## Frequency table of Clinic Code W26 :
##        nominalValue freq   percent cum.percent
## 1    ClinicCode_850  250 4.5012604    4.501260
## 2    ClinicCode_379   87 1.5664386    6.067699
## 3   ClinicCode_1522   74 1.3323731    7.400072
## 4   ClinicCode_1555   72 1.2963630    8.696435
## 5    ClinicCode_467   66 1.1883327    9.884768
## 6   ClinicCode_1038   63 1.1343176   11.019085
## 7   ClinicCode_1175   63 1.1343176   12.153403
## 8    ClinicCode_766   61 1.0983075   13.251710
## 9    ClinicCode_493   60 1.0803025   14.332013
## 10   ClinicCode_269   57 1.0262874   15.358300
## 11  ClinicCode_1392   56 1.0082823   16.366583
## 12   ClinicCode_987   53 0.9542672   17.320850
## 13  ClinicCode_1498   52 0.9362622   18.257112
## 14   ClinicCode_546   50 0.9002521   19.157364
## 15  ClinicCode_1499   50 0.9002521   20.057616
## 16   ClinicCode_337   49 0.8822470   20.939863
## 17  ClinicCode_1132   48 0.8642420   21.804105
## 18  ClinicCode_1210   48 0.8642420   22.668347
## 19   ClinicCode_109   47 0.8462369   23.514584
## 20  ClinicCode_1171   46 0.8282319   24.342816
## 21   ClinicCode_666   44 0.7922218   25.135038
## 22   ClinicCode_785   44 0.7922218   25.927260
## 23   ClinicCode_938   44 0.7922218   26.719481
## 24  ClinicCode_1020   44 0.7922218   27.511703
## 25  ClinicCode_1029   43 0.7742168   28.285920
## 26  ClinicCode_1458   43 0.7742168   29.060137
## 27   ClinicCode_439   41 0.7382067   29.798344
## 28   ClinicCode_711   41 0.7382067   30.536550
## 29  ClinicCode_1479   41 0.7382067   31.274757
## 30   ClinicCode_293   40 0.7202017   31.994959
## 31  ClinicCode_1133   38 0.6841916   32.679150
## 32   ClinicCode_404   37 0.6661865   33.345337
## 33   ClinicCode_922   37 0.6661865   34.011523
## 34  ClinicCode_1391   37 0.6661865   34.677710
## 35  ClinicCode_1150   36 0.6481815   35.325891
## 36   ClinicCode_529   35 0.6301764   35.956068
## 37   ClinicCode_641   35 0.6301764   36.586244
## 38   ClinicCode_683   35 0.6301764   37.216421
## 39   ClinicCode_731   35 0.6301764   37.846597
## 40  ClinicCode_1243   35 0.6301764   38.476773
## 41  ClinicCode_1517   35 0.6301764   39.106950
## 42   ClinicCode_602   34 0.6121714   39.719121
## 43   ClinicCode_877   34 0.6121714   40.331293
## 44  ClinicCode_1551   34 0.6121714   40.943464
## 45   ClinicCode_233   33 0.5941664   41.537631
## 46   ClinicCode_572   33 0.5941664   42.131797
## 47   ClinicCode_713   33 0.5941664   42.725963
## 48  ClinicCode_1201   33 0.5941664   43.320130
## 49  ClinicCode_1371   33 0.5941664   43.914296
## 50  ClinicCode_1432   33 0.5941664   44.508462
## 51  ClinicCode_1341   32 0.5761613   45.084624
## 52  ClinicCode_1389   32 0.5761613   45.660785
## 53   ClinicCode_424   31 0.5581563   46.218941
## 54   ClinicCode_551   31 0.5581563   46.777098
## 55   ClinicCode_757   31 0.5581563   47.335254
## 56  ClinicCode_1324   31 0.5581563   47.893410
## 57  ClinicCode_1480   31 0.5581563   48.451566
## 58   ClinicCode_414   30 0.5401512   48.991718
## 59  ClinicCode_1124   30 0.5401512   49.531869
## 60  ClinicCode_1550   30 0.5401512   50.072020
## 61   ClinicCode_634   29 0.5221462   50.594166
## 62   ClinicCode_663   29 0.5221462   51.116313
## 63   ClinicCode_763   29 0.5221462   51.638459
## 64   ClinicCode_277   28 0.5041412   52.142600
## 65   ClinicCode_585   28 0.5041412   52.646741
## 66  ClinicCode_1005   28 0.5041412   53.150882
## 67   ClinicCode_800   27 0.4861361   53.637018
## 68  ClinicCode_1006   27 0.4861361   54.123154
## 69   ClinicCode_451   26 0.4681311   54.591286
## 70   ClinicCode_841   26 0.4681311   55.059417
## 71  ClinicCode_1113   26 0.4681311   55.527548
## 72  ClinicCode_1261   26 0.4681311   55.995679
## 73  ClinicCode_1390   26 0.4681311   56.463810
## 74   ClinicCode_507   25 0.4501260   56.913936
## 75   ClinicCode_709   25 0.4501260   57.364062
## 76   ClinicCode_814   25 0.4501260   57.814188
## 77  ClinicCode_1125   25 0.4501260   58.264314
## 78  ClinicCode_1351   25 0.4501260   58.714440
## 79  ClinicCode_1424   25 0.4501260   59.164566
## 80  ClinicCode_1447   25 0.4501260   59.614692
## 81   ClinicCode_448   24 0.4321210   60.046813
## 82   ClinicCode_472   24 0.4321210   60.478934
## 83   ClinicCode_718   24 0.4321210   60.911055
## 84   ClinicCode_849   24 0.4321210   61.343176
## 85  ClinicCode_1134   24 0.4321210   61.775297
## 86  ClinicCode_1526   24 0.4321210   62.207418
## 87   ClinicCode_874   23 0.4141160   62.621534
## 88   ClinicCode_287   22 0.3961109   63.017645
## 89   ClinicCode_456   22 0.3961109   63.413756
## 90   ClinicCode_855   22 0.3961109   63.809867
## 91   ClinicCode_927   22 0.3961109   64.205978
## 92  ClinicCode_1217   22 0.3961109   64.602089
## 93  ClinicCode_1229   22 0.3961109   64.998199
## 94  ClinicCode_1468   22 0.3961109   65.394310
## 95  ClinicCode_1576   22 0.3961109   65.790421
## 96   ClinicCode_635   21 0.3781059   66.168527
## 97   ClinicCode_883   21 0.3781059   66.546633
## 98  ClinicCode_1137   21 0.3781059   66.924739
## 99  ClinicCode_1372   21 0.3781059   67.302845
## 100  ClinicCode_925   20 0.3601008   67.662946
## 101 ClinicCode_1047   20 0.3601008   68.023046
## 102 ClinicCode_1135   20 0.3601008   68.383147
## 103 ClinicCode_1282   20 0.3601008   68.743248
## 104 ClinicCode_1445   20 0.3601008   69.103349
## 105  ClinicCode_719   19 0.3420958   69.445445
## 106  ClinicCode_919   19 0.3420958   69.787541
## 107  ClinicCode_936   19 0.3420958   70.129636
## 108 ClinicCode_1059   19 0.3420958   70.471732
## 109 ClinicCode_1117   19 0.3420958   70.813828
## 110 ClinicCode_1173   19 0.3420958   71.155924
## 111 ClinicCode_1249   19 0.3420958   71.498019
## 112 ClinicCode_1302   19 0.3420958   71.840115
## 113  ClinicCode_150   18 0.3240907   72.164206
## 114  ClinicCode_726   18 0.3240907   72.488297
## 115  ClinicCode_781   18 0.3240907   72.812387
## 116  ClinicCode_786   18 0.3240907   73.136478
## 117  ClinicCode_811   18 0.3240907   73.460569
## 118  ClinicCode_906   18 0.3240907   73.784660
## 119 ClinicCode_1204   18 0.3240907   74.108750
## 120 ClinicCode_1248   18 0.3240907   74.432841
## 121 ClinicCode_1431   18 0.3240907   74.756932
## 122  ClinicCode_408   17 0.3060857   75.063018
## 123 ClinicCode_1369   17 0.3060857   75.369103
## 124 ClinicCode_1460   17 0.3060857   75.675189
## 125 ClinicCode_1495   17 0.3060857   75.981275
## 126  ClinicCode_297   16 0.2880807   76.269355
## 127 ClinicCode_1127   16 0.2880807   76.557436
## 128 ClinicCode_1180   16 0.2880807   76.845517
## 129 ClinicCode_1306   16 0.2880807   77.133597
## 130 ClinicCode_1478   16 0.2880807   77.421678
## 131 ClinicCode_1501   16 0.2880807   77.709759
## 132  ClinicCode_625   15 0.2700756   77.979834
## 133  ClinicCode_762   15 0.2700756   78.249910
## 134  ClinicCode_816   15 0.2700756   78.519986
## 135  ClinicCode_930   15 0.2700756   78.790061
## 136  ClinicCode_979   15 0.2700756   79.060137
## 137 ClinicCode_1170   15 0.2700756   79.330212
## 138 ClinicCode_1295   15 0.2700756   79.600288
## 139 ClinicCode_1355   15 0.2700756   79.870364

## Total Value of Clinic Code W26[1] 5554
## Total Value of Clinic Code in 80% W26[1] 4436
## No.of Clinic Code W26[1] 328
## No.of Clinic Code in 80% W26[1] 139

## Frequency table of Clinic Code W27 :
##        nominalValue freq   percent cum.percent
## 1    ClinicCode_850  229 4.0914776    4.091478
## 2    ClinicCode_379   91 1.6258710    5.717349
## 3   ClinicCode_1522   83 1.4829373    7.200286
## 4   ClinicCode_1038   74 1.3221369    8.522423
## 5   ClinicCode_1555   67 1.1970699    9.719493
## 6    ClinicCode_493   65 1.1613364   10.880829
## 7    ClinicCode_766   64 1.1434697   12.024299
## 8   ClinicCode_1392   61 1.0898696   13.114168
## 9    ClinicCode_724   60 1.0720029   14.186171
## 10  ClinicCode_1210   58 1.0362694   15.222441
## 11   ClinicCode_932   57 1.0184027   16.240843
## 12   ClinicCode_987   56 1.0005360   17.241379
## 13  ClinicCode_1588   54 0.9648026   18.206182
## 14   ClinicCode_709   53 0.9469359   19.153118
## 15  ClinicCode_1479   53 0.9469359   20.100054
## 16  ClinicCode_1499   51 0.9112024   21.011256
## 17  ClinicCode_1458   49 0.8754690   21.886725
## 18   ClinicCode_938   48 0.8576023   22.744327
## 19  ClinicCode_1171   47 0.8397356   23.584063
## 20   ClinicCode_233   46 0.8218689   24.405932
## 21   ClinicCode_546   46 0.8218689   25.227801
## 22   ClinicCode_666   46 0.8218689   26.049669
## 23   ClinicCode_269   44 0.7861354   26.835805
## 24   ClinicCode_922   44 0.7861354   27.621940
## 25  ClinicCode_1391   44 0.7861354   28.408076
## 26   ClinicCode_757   43 0.7682687   29.176344
## 27   ClinicCode_711   42 0.7504020   29.926746
## 28  ClinicCode_1113   42 0.7504020   30.677148
## 29   ClinicCode_717   41 0.7325353   31.409684
## 30  ClinicCode_1133   41 0.7325353   32.142219
## 31   ClinicCode_268   40 0.7146686   32.856888
## 32   ClinicCode_414   39 0.6968019   33.553689
## 33  ClinicCode_1029   39 0.6968019   34.250491
## 34  ClinicCode_1517   39 0.6968019   34.947293
## 35  ClinicCode_1551   39 0.6968019   35.644095
## 36   ClinicCode_439   38 0.6789351   36.323030
## 37   ClinicCode_641   38 0.6789351   37.001965
## 38  ClinicCode_1201   38 0.6789351   37.680900
## 39  ClinicCode_1274   38 0.6789351   38.359836
## 40  ClinicCode_1351   38 0.6789351   39.038771
## 41   ClinicCode_404   37 0.6610684   39.699839
## 42   ClinicCode_859   37 0.6610684   40.360908
## 43  ClinicCode_1480   36 0.6432017   41.004109
## 44   ClinicCode_529   35 0.6253350   41.629444
## 45   ClinicCode_731   35 0.6253350   42.254779
## 46   ClinicCode_424   34 0.6074683   42.862248
## 47   ClinicCode_789   34 0.6074683   43.469716
## 48  ClinicCode_1020   34 0.6074683   44.077184
## 49   ClinicCode_369   33 0.5896016   44.666786
## 50   ClinicCode_467   33 0.5896016   45.256387
## 51  ClinicCode_1150   33 0.5896016   45.845989
## 52  ClinicCode_1433   33 0.5896016   46.435590
## 53  ClinicCode_1249   32 0.5717349   47.007325
## 54  ClinicCode_1324   32 0.5717349   47.579060
## 55  ClinicCode_1424   32 0.5717349   48.150795
## 56  ClinicCode_1369   31 0.5538681   48.704663
## 57  ClinicCode_1583   31 0.5538681   49.258531
## 58   ClinicCode_851   30 0.5360014   49.794533
## 59  ClinicCode_1481   30 0.5360014   50.330534
## 60   ClinicCode_456   29 0.5181347   50.848669
## 61   ClinicCode_507   29 0.5181347   51.366804
## 62   ClinicCode_800   29 0.5181347   51.884938
## 63   ClinicCode_337   28 0.5002680   52.385206
## 64   ClinicCode_712   28 0.5002680   52.885474
## 65   ClinicCode_929   28 0.5002680   53.385742
## 66   ClinicCode_551   27 0.4824013   53.868144
## 67   ClinicCode_585   26 0.4645346   54.332678
## 68  ClinicCode_1006   26 0.4645346   54.797213
## 69  ClinicCode_1341   26 0.4645346   55.261747
## 70  ClinicCode_1550   26 0.4645346   55.726282
## 71  ClinicCode_1591   26 0.4645346   56.190817
## 72   ClinicCode_293   25 0.4466679   56.637484
## 73   ClinicCode_806   25 0.4466679   57.084152
## 74  ClinicCode_1047   25 0.4466679   57.530820
## 75  ClinicCode_1134   25 0.4466679   57.977488
## 76  ClinicCode_1243   25 0.4466679   58.424156
## 77  ClinicCode_1282   25 0.4466679   58.870824
## 78  ClinicCode_1371   25 0.4466679   59.317492
## 79   ClinicCode_277   24 0.4288011   59.746293
## 80   ClinicCode_287   24 0.4288011   60.175094
## 81   ClinicCode_786   24 0.4288011   60.603895
## 82  ClinicCode_1419   24 0.4288011   61.032696
## 83  ClinicCode_1526   24 0.4288011   61.461497
## 84   ClinicCode_814   23 0.4109344   61.872432
## 85   ClinicCode_841   23 0.4109344   62.283366
## 86  ClinicCode_1005   23 0.4109344   62.694301
## 87  ClinicCode_1124   23 0.4109344   63.105235
## 88  ClinicCode_1390   23 0.4109344   63.516169
## 89   ClinicCode_150   22 0.3930677   63.909237
## 90   ClinicCode_718   22 0.3930677   64.302305
## 91   ClinicCode_927   22 0.3930677   64.695373
## 92   ClinicCode_936   22 0.3930677   65.088440
## 93  ClinicCode_1350   22 0.3930677   65.481508
## 94  ClinicCode_1389   22 0.3930677   65.874576
## 95  ClinicCode_1402   22 0.3930677   66.267643
## 96   ClinicCode_472   21 0.3752010   66.642844
## 97   ClinicCode_602   21 0.3752010   67.018045
## 98   ClinicCode_672   21 0.3752010   67.393246
## 99  ClinicCode_1175   21 0.3752010   67.768447
## 100 ClinicCode_1180   21 0.3752010   68.143648
## 101 ClinicCode_1445   21 0.3752010   68.518849
## 102 ClinicCode_1495   21 0.3752010   68.894050
## 103  ClinicCode_625   20 0.3573343   69.251385
## 104  ClinicCode_635   20 0.3573343   69.608719
## 105  ClinicCode_761   20 0.3573343   69.966053
## 106 ClinicCode_1248   20 0.3573343   70.323388
## 107 ClinicCode_1306   20 0.3573343   70.680722
## 108  ClinicCode_906   19 0.3394676   71.020189
## 109 ClinicCode_1447   19 0.3394676   71.359657
## 110 ClinicCode_1570   19 0.3394676   71.699125
## 111 ClinicCode_1576   19 0.3394676   72.038592
## 112  ClinicCode_726   18 0.3216009   72.360193
## 113  ClinicCode_765   18 0.3216009   72.681794
## 114  ClinicCode_919   18 0.3216009   73.003395
## 115 ClinicCode_1125   18 0.3216009   73.324996
## 116 ClinicCode_1127   18 0.3216009   73.646596
## 117 ClinicCode_1135   18 0.3216009   73.968197
## 118 ClinicCode_1229   18 0.3216009   74.289798
## 119  ClinicCode_408   17 0.3037341   74.593532
## 120  ClinicCode_448   17 0.3037341   74.897266
## 121  ClinicCode_550   17 0.3037341   75.201001
## 122  ClinicCode_979   17 0.3037341   75.504735
## 123 ClinicCode_1218   17 0.3037341   75.808469
## 124 ClinicCode_1484   17 0.3037341   76.112203
## 125  ClinicCode_320   16 0.2858674   76.398070
## 126  ClinicCode_650   16 0.2858674   76.683938
## 127  ClinicCode_715   16 0.2858674   76.969805
## 128  ClinicCode_874   16 0.2858674   77.255673
## 129  ClinicCode_925   16 0.2858674   77.541540
## 130  ClinicCode_930   16 0.2858674   77.827408
## 131 ClinicCode_1195   16 0.2858674   78.113275
## 132 ClinicCode_1355   16 0.2858674   78.399142
## 133 ClinicCode_1504   16 0.2858674   78.685010
## 134 ClinicCode_1452   15 0.2680007   78.953011
## 135  ClinicCode_698   14 0.2501340   79.203145
## 136  ClinicCode_710   14 0.2501340   79.453279
## 137 ClinicCode_1079   14 0.2501340   79.703413
## 138 ClinicCode_1148   14 0.2501340   79.953547

## Total Value of Clinic Code W27[1] 5597
## Total Value of Clinic Code in 80% W27[1] 4475
## No.of Clinic Code W27[1] 338
## No.of Clinic Code in 80% W27[1] 138

## Frequency table of Clinic Code W28 :
##        nominalValue freq   percent cum.percent
## 1    ClinicCode_850  234 4.2154567    4.215457
## 2    ClinicCode_379   90 1.6213295    5.836786
## 3   ClinicCode_1499   85 1.5312556    7.368042
## 4   ClinicCode_1549   85 1.5312556    8.899297
## 5   ClinicCode_1038   76 1.3691227   10.268420
## 6    ClinicCode_766   67 1.2069897   11.475410
## 7    ClinicCode_493   66 1.1889750   12.664385
## 8   ClinicCode_1498   65 1.1709602   13.835345
## 9    ClinicCode_467   64 1.1529454   14.988290
## 10  ClinicCode_1392   64 1.1529454   16.141236
## 11  ClinicCode_1555   61 1.0989011   17.240137
## 12  ClinicCode_1576   60 1.0808863   18.321023
## 13  ClinicCode_1588   60 1.0808863   19.401910
## 14   ClinicCode_709   56 1.0088272   20.410737
## 15   ClinicCode_269   53 0.9547829   21.365520
## 16   ClinicCode_938   53 0.9547829   22.320303
## 17   ClinicCode_718   52 0.9367681   23.257071
## 18  ClinicCode_1006   51 0.9187534   24.175824
## 19   ClinicCode_546   49 0.8827238   25.058548
## 20  ClinicCode_1522   48 0.8647091   25.923257
## 21   ClinicCode_987   47 0.8466943   26.769951
## 22  ClinicCode_1133   47 0.8466943   27.616646
## 23   ClinicCode_666   46 0.8286795   28.445325
## 24   ClinicCode_717   45 0.8106647   29.255990
## 25  ClinicCode_1171   45 0.8106647   30.066655
## 26   ClinicCode_883   44 0.7926500   30.859305
## 27   ClinicCode_439   43 0.7746352   31.633940
## 28  ClinicCode_1020   42 0.7566204   32.390560
## 29  ClinicCode_1029   42 0.7566204   33.147181
## 30  ClinicCode_1324   42 0.7566204   33.903801
## 31  ClinicCode_1458   40 0.7205909   34.624392
## 32   ClinicCode_109   39 0.7025761   35.326968
## 33   ClinicCode_711   39 0.7025761   36.029544
## 34   ClinicCode_922   39 0.7025761   36.732120
## 35  ClinicCode_1517   39 0.7025761   37.434696
## 36   ClinicCode_408   38 0.6845613   38.119258
## 37  ClinicCode_1180   38 0.6845613   38.803819
## 38   ClinicCode_414   37 0.6665466   39.470366
## 39  ClinicCode_1351   37 0.6665466   40.136912
## 40   ClinicCode_855   35 0.6305170   40.767429
## 41  ClinicCode_1150   35 0.6305170   41.397946
## 42  ClinicCode_1391   35 0.6305170   42.028463
## 43  ClinicCode_1113   34 0.6125023   42.640966
## 44  ClinicCode_1248   34 0.6125023   43.253468
## 45   ClinicCode_811   33 0.5944875   43.847955
## 46  ClinicCode_1550   33 0.5944875   44.442443
## 47   ClinicCode_404   32 0.5764727   45.018916
## 48   ClinicCode_731   32 0.5764727   45.595388
## 49  ClinicCode_1175   32 0.5764727   46.171861
## 50  ClinicCode_1245   32 0.5764727   46.748334
## 51   ClinicCode_233   31 0.5584579   47.306792
## 52   ClinicCode_337   31 0.5584579   47.865250
## 53   ClinicCode_424   31 0.5584579   48.423707
## 54   ClinicCode_585   31 0.5584579   48.982165
## 55   ClinicCode_757   31 0.5584579   49.540623
## 56   ClinicCode_641   30 0.5404432   50.081066
## 57   ClinicCode_800   30 0.5404432   50.621510
## 58  ClinicCode_1432   30 0.5404432   51.161953
## 59  ClinicCode_1480   30 0.5404432   51.702396
## 60  ClinicCode_1066   29 0.5224284   52.224824
## 61  ClinicCode_1479   29 0.5224284   52.747253
## 62   ClinicCode_150   28 0.5044136   53.251666
## 63   ClinicCode_602   28 0.5044136   53.756080
## 64  ClinicCode_1389   28 0.5044136   54.260494
## 65  ClinicCode_1481   28 0.5044136   54.764907
## 66   ClinicCode_277   27 0.4863988   55.251306
## 67   ClinicCode_478   27 0.4863988   55.737705
## 68   ClinicCode_634   27 0.4863988   56.224104
## 69  ClinicCode_1447   27 0.4863988   56.710503
## 70  ClinicCode_1590   27 0.4863988   57.196901
## 71  ClinicCode_1591   27 0.4863988   57.683300
## 72   ClinicCode_293   26 0.4683841   58.151684
## 73   ClinicCode_529   26 0.4683841   58.620068
## 74   ClinicCode_765   26 0.4683841   59.088453
## 75  ClinicCode_1137   26 0.4683841   59.556837
## 76  ClinicCode_1201   26 0.4683841   60.025221
## 77   ClinicCode_320   25 0.4503693   60.475590
## 78   ClinicCode_930   25 0.4503693   60.925959
## 79  ClinicCode_1369   25 0.4503693   61.376329
## 80   ClinicCode_713   24 0.4323545   61.808683
## 81  ClinicCode_1125   24 0.4323545   62.241038
## 82  ClinicCode_1282   23 0.4143398   62.655377
## 83  ClinicCode_1341   23 0.4143398   63.069717
## 84  ClinicCode_1445   23 0.4143398   63.484057
## 85  ClinicCode_1460   23 0.4143398   63.898397
## 86  ClinicCode_1495   23 0.4143398   64.312736
## 87   ClinicCode_551   22 0.3963250   64.709061
## 88  ClinicCode_1583   22 0.3963250   65.105386
## 89   ClinicCode_650   21 0.3783102   65.483697
## 90   ClinicCode_786   21 0.3783102   65.862007
## 91   ClinicCode_814   21 0.3783102   66.240317
## 92   ClinicCode_841   21 0.3783102   66.618627
## 93  ClinicCode_1390   21 0.3783102   66.996937
## 94  ClinicCode_1431   21 0.3783102   67.375248
## 95  ClinicCode_1506   21 0.3783102   67.753558
## 96  ClinicCode_1551   21 0.3783102   68.131868
## 97   ClinicCode_456   20 0.3602954   68.492164
## 98   ClinicCode_726   20 0.3602954   68.852459
## 99   ClinicCode_785   20 0.3602954   69.212754
## 100  ClinicCode_849   20 0.3602954   69.573050
## 101  ClinicCode_979   20 0.3602954   69.933345
## 102 ClinicCode_1134   20 0.3602954   70.293641
## 103 ClinicCode_1229   20 0.3602954   70.653936
## 104 ClinicCode_1338   20 0.3602954   71.014232
## 105 ClinicCode_1371   20 0.3602954   71.374527
## 106 ClinicCode_1526   20 0.3602954   71.734823
## 107  ClinicCode_472   19 0.3422807   72.077103
## 108  ClinicCode_816   19 0.3422807   72.419384
## 109 ClinicCode_1005   19 0.3422807   72.761665
## 110 ClinicCode_1173   19 0.3422807   73.103945
## 111 ClinicCode_1274   19 0.3422807   73.446226
## 112 ClinicCode_1491   19 0.3422807   73.788507
## 113  ClinicCode_625   18 0.3242659   74.112772
## 114 ClinicCode_1124   18 0.3242659   74.437038
## 115 ClinicCode_1448   18 0.3242659   74.761304
## 116 ClinicCode_1452   18 0.3242659   75.085570
## 117  ClinicCode_416   17 0.3062511   75.391821
## 118  ClinicCode_635   17 0.3062511   75.698072
## 119 ClinicCode_1355   17 0.3062511   76.004324
## 120 ClinicCode_1402   17 0.3062511   76.310575
## 121  ClinicCode_507   16 0.2882364   76.598811
## 122  ClinicCode_710   16 0.2882364   76.887047
## 123 ClinicCode_1283   16 0.2882364   77.175284
## 124 ClinicCode_1306   16 0.2882364   77.463520
## 125 ClinicCode_1350   16 0.2882364   77.751756
## 126 ClinicCode_1570   16 0.2882364   78.039993
## 127  ClinicCode_630   15 0.2702216   78.310214
## 128  ClinicCode_761   15 0.2702216   78.580436
## 129  ClinicCode_763   15 0.2702216   78.850658
## 130  ClinicCode_874   15 0.2702216   79.120879
## 131  ClinicCode_907   15 0.2702216   79.391101
## 132  ClinicCode_927   15 0.2702216   79.661322
## 133 ClinicCode_1372   15 0.2702216   79.931544

## Total Value of Clinic Code W28[1] 5551
## Total Value of Clinic Code in 80% W28[1] 4437
## No.of Clinic Code W28[1] 320
## No.of Clinic Code in 80% W28[1] 133

## Frequency table of Clinic Code W29 :
##        nominalValue freq   percent cum.percent
## 1    ClinicCode_850  229 4.0495137    4.049514
## 2    ClinicCode_379   85 1.5030946    5.552608
## 3    ClinicCode_467   81 1.4323607    6.984969
## 4   ClinicCode_1499   79 1.3969938    8.381963
## 5   ClinicCode_1038   73 1.2908930    9.672856
## 6   ClinicCode_1555   69 1.2201592   10.893015
## 7    ClinicCode_493   68 1.2024757   12.095491
## 8   ClinicCode_1588   66 1.1671088   13.262599
## 9    ClinicCode_766   64 1.1317418   14.394341
## 10  ClinicCode_1392   58 1.0256410   15.419982
## 11  ClinicCode_1479   57 1.0079576   16.427940
## 12  ClinicCode_1522   55 0.9725906   17.400531
## 13   ClinicCode_933   54 0.9549072   18.355438
## 14  ClinicCode_1576   52 0.9195402   19.274978
## 15   ClinicCode_233   50 0.8841733   20.159151
## 16   ClinicCode_546   50 0.8841733   21.043324
## 17   ClinicCode_717   48 0.8488064   21.892131
## 18   ClinicCode_724   47 0.8311229   22.723254
## 19   ClinicCode_790   47 0.8311229   23.554377
## 20  ClinicCode_1006   47 0.8311229   24.385500
## 21  ClinicCode_1550   47 0.8311229   25.216622
## 22   ClinicCode_987   46 0.8134394   26.030062
## 23  ClinicCode_1458   46 0.8134394   26.843501
## 24  ClinicCode_1517   46 0.8134394   27.656941
## 25   ClinicCode_666   45 0.7957560   28.452697
## 26   ClinicCode_109   44 0.7780725   29.230769
## 27   ClinicCode_268   43 0.7603890   29.991158
## 28   ClinicCode_439   43 0.7603890   30.751547
## 29   ClinicCode_718   42 0.7427056   31.494253
## 30  ClinicCode_1020   42 0.7427056   32.236958
## 31  ClinicCode_1591   42 0.7427056   32.979664
## 32   ClinicCode_293   41 0.7250221   33.704686
## 33   ClinicCode_709   41 0.7250221   34.429708
## 34   ClinicCode_711   41 0.7250221   35.154730
## 35   ClinicCode_859   41 0.7250221   35.879752
## 36   ClinicCode_404   40 0.7073386   36.587091
## 37  ClinicCode_1171   40 0.7073386   37.294430
## 38   ClinicCode_938   39 0.6896552   37.984085
## 39  ClinicCode_1113   39 0.6896552   38.673740
## 40   ClinicCode_408   38 0.6719717   39.345712
## 41   ClinicCode_585   38 0.6719717   40.017683
## 42   ClinicCode_922   38 0.6719717   40.689655
## 43  ClinicCode_1029   38 0.6719717   41.361627
## 44   ClinicCode_641   37 0.6542882   42.015915
## 45  ClinicCode_1324   37 0.6542882   42.670203
## 46   ClinicCode_414   36 0.6366048   43.306808
## 47   ClinicCode_369   35 0.6189213   43.925729
## 48   ClinicCode_731   35 0.6189213   44.544651
## 49   ClinicCode_800   35 0.6189213   45.163572
## 50   ClinicCode_269   34 0.6012378   45.764810
## 51   ClinicCode_337   34 0.6012378   46.366048
## 52  ClinicCode_1210   34 0.6012378   46.967286
## 53   ClinicCode_785   33 0.5835544   47.550840
## 54  ClinicCode_1245   33 0.5835544   48.134394
## 55  ClinicCode_1351   32 0.5658709   48.700265
## 56   ClinicCode_529   30 0.5305040   49.230769
## 57   ClinicCode_602   30 0.5305040   49.761273
## 58  ClinicCode_1150   30 0.5305040   50.291777
## 59  ClinicCode_1274   30 0.5305040   50.822281
## 60  ClinicCode_1371   30 0.5305040   51.352785
## 61   ClinicCode_712   29 0.5128205   51.865606
## 62   ClinicCode_929   29 0.5128205   52.378426
## 63  ClinicCode_1067   29 0.5128205   52.891247
## 64  ClinicCode_1369   29 0.5128205   53.404067
## 65  ClinicCode_1390   29 0.5128205   53.916888
## 66  ClinicCode_1480   29 0.5128205   54.429708
## 67  ClinicCode_1590   29 0.5128205   54.942529
## 68  ClinicCode_1133   28 0.4951370   55.437666
## 69  ClinicCode_1432   28 0.4951370   55.932803
## 70  ClinicCode_1583   28 0.4951370   56.427940
## 71   ClinicCode_277   27 0.4774536   56.905393
## 72   ClinicCode_551   27 0.4774536   57.382847
## 73   ClinicCode_686   27 0.4774536   57.860301
## 74   ClinicCode_855   27 0.4774536   58.337754
## 75  ClinicCode_1341   27 0.4774536   58.815208
## 76  ClinicCode_1249   26 0.4597701   59.274978
## 77  ClinicCode_1282   26 0.4597701   59.734748
## 78  ClinicCode_1372   26 0.4597701   60.194518
## 79  ClinicCode_1402   26 0.4597701   60.654288
## 80   ClinicCode_456   25 0.4420866   61.096375
## 81   ClinicCode_634   25 0.4420866   61.538462
## 82  ClinicCode_1005   25 0.4420866   61.980548
## 83  ClinicCode_1135   25 0.4420866   62.422635
## 84  ClinicCode_1243   25 0.4420866   62.864721
## 85  ClinicCode_1248   25 0.4420866   63.306808
## 86   ClinicCode_287   24 0.4244032   63.731211
## 87   ClinicCode_763   24 0.4244032   64.155615
## 88   ClinicCode_930   24 0.4244032   64.580018
## 89  ClinicCode_1261   24 0.4244032   65.004421
## 90  ClinicCode_1445   23 0.4067197   65.411141
## 91  ClinicCode_1551   23 0.4067197   65.817860
## 92   ClinicCode_761   22 0.3890363   66.206897
## 93  ClinicCode_1229   22 0.3890363   66.595933
## 94   ClinicCode_806   21 0.3713528   66.967286
## 95  ClinicCode_1173   21 0.3713528   67.338638
## 96  ClinicCode_1338   21 0.3713528   67.709991
## 97   ClinicCode_726   20 0.3536693   68.063660
## 98  ClinicCode_1125   20 0.3536693   68.417330
## 99  ClinicCode_1389   20 0.3536693   68.770999
## 100 ClinicCode_1501   20 0.3536693   69.124668
## 101  ClinicCode_765   19 0.3359859   69.460654
## 102  ClinicCode_786   19 0.3359859   69.796640
## 103  ClinicCode_816   19 0.3359859   70.132626
## 104  ClinicCode_979   19 0.3359859   70.468612
## 105 ClinicCode_1059   19 0.3359859   70.804598
## 106 ClinicCode_1066   19 0.3359859   71.140584
## 107 ClinicCode_1350   19 0.3359859   71.476569
## 108 ClinicCode_1391   19 0.3359859   71.812555
## 109 ClinicCode_1447   19 0.3359859   72.148541
## 110  ClinicCode_290   18 0.3183024   72.466844
## 111  ClinicCode_472   18 0.3183024   72.785146
## 112  ClinicCode_649   18 0.3183024   73.103448
## 113  ClinicCode_814   18 0.3183024   73.421751
## 114 ClinicCode_1175   18 0.3183024   73.740053
## 115 ClinicCode_1306   18 0.3183024   74.058355
## 116 ClinicCode_1506   18 0.3183024   74.376658
## 117 ClinicCode_1526   18 0.3183024   74.694960
## 118  ClinicCode_547   17 0.3006189   74.995579
## 119  ClinicCode_663   17 0.3006189   75.296198
## 120 ClinicCode_1124   17 0.3006189   75.596817
## 121 ClinicCode_1127   17 0.3006189   75.897436
## 122 ClinicCode_1203   17 0.3006189   76.198055
## 123 ClinicCode_1283   17 0.3006189   76.498674
## 124 ClinicCode_1355   17 0.3006189   76.799293
## 125  ClinicCode_550   16 0.2829355   77.082228
## 126  ClinicCode_762   16 0.2829355   77.365164
## 127  ClinicCode_907   16 0.2829355   77.648099
## 128  ClinicCode_919   16 0.2829355   77.931034
## 129 ClinicCode_1148   16 0.2829355   78.213970
## 130 ClinicCode_1180   16 0.2829355   78.496905
## 131 ClinicCode_1204   16 0.2829355   78.779841
## 132  ClinicCode_418   15 0.2652520   79.045093
## 133  ClinicCode_424   15 0.2652520   79.310345
## 134  ClinicCode_625   15 0.2652520   79.575597
## 135 ClinicCode_1078   15 0.2652520   79.840849

## Total Value of Clinic Code W29[1] 5655
## Total Value of Clinic Code in 80% W29[1] 4515
## No.of Clinic Code W29[1] 333
## No.of Clinic Code in 80% W29[1] 135

## Frequency table of Clinic Code W30 :
##        nominalValue freq   percent cum.percent
## 1    ClinicCode_850  252 4.3106398    4.310640
## 2   ClinicCode_1499   95 1.6250428    5.935683
## 3    ClinicCode_379   79 1.3513514    7.287034
## 4   ClinicCode_1555   76 1.3000342    8.587068
## 5    ClinicCode_493   72 1.2316114    9.818679
## 6   ClinicCode_1588   69 1.1802942   10.998974
## 7    ClinicCode_938   67 1.1460828   12.145056
## 8    ClinicCode_766   66 1.1289771   13.274034
## 9   ClinicCode_1392   62 1.0605542   14.334588
## 10   ClinicCode_666   56 0.9579199   15.292508
## 11   ClinicCode_717   56 0.9579199   16.250428
## 12  ClinicCode_1132   56 0.9579199   17.208348
## 13   ClinicCode_467   55 0.9408142   18.149162
## 14   ClinicCode_883   54 0.9237085   19.072870
## 15  ClinicCode_1038   54 0.9237085   19.996579
## 16   ClinicCode_404   50 0.8552857   20.851865
## 17   ClinicCode_546   50 0.8552857   21.707150
## 18  ClinicCode_1066   50 0.8552857   22.562436
## 19   ClinicCode_709   49 0.8381800   23.400616
## 20   ClinicCode_789   49 0.8381800   24.238796
## 21  ClinicCode_1522   47 0.8039685   25.042764
## 22   ClinicCode_408   46 0.7868628   25.829627
## 23   ClinicCode_529   46 0.7868628   26.616490
## 24  ClinicCode_1020   46 0.7868628   27.403353
## 25  ClinicCode_1458   46 0.7868628   28.190216
## 26  ClinicCode_1006   45 0.7697571   28.959973
## 27  ClinicCode_1133   44 0.7526514   29.712624
## 28   ClinicCode_987   43 0.7355457   30.448170
## 29  ClinicCode_1391   43 0.7355457   31.183715
## 30  ClinicCode_1591   43 0.7355457   31.919261
## 31   ClinicCode_109   42 0.7184400   32.637701
## 32   ClinicCode_233   42 0.7184400   33.356141
## 33   ClinicCode_922   42 0.7184400   34.074581
## 34  ClinicCode_1576   42 0.7184400   34.793021
## 35   ClinicCode_337   41 0.7013342   35.494355
## 36   ClinicCode_585   39 0.6671228   36.161478
## 37   ClinicCode_731   39 0.6671228   36.828601
## 38  ClinicCode_1210   39 0.6671228   37.495724
## 39  ClinicCode_1341   39 0.6671228   38.162846
## 40   ClinicCode_293   37 0.6329114   38.795758
## 41   ClinicCode_711   37 0.6329114   39.428669
## 42   ClinicCode_269   36 0.6158057   40.044475
## 43  ClinicCode_1248   36 0.6158057   40.660281
## 44   ClinicCode_414   35 0.5987000   41.258980
## 45   ClinicCode_439   35 0.5987000   41.857680
## 46  ClinicCode_1201   35 0.5987000   42.456380
## 47  ClinicCode_1550   35 0.5987000   43.055080
## 48   ClinicCode_369   34 0.5815943   43.636675
## 49  ClinicCode_1029   34 0.5815943   44.218269
## 50  ClinicCode_1171   34 0.5815943   44.799863
## 51   ClinicCode_785   33 0.5644885   45.364352
## 52   ClinicCode_930   33 0.5644885   45.928840
## 53  ClinicCode_1324   33 0.5644885   46.493329
## 54  ClinicCode_1432   33 0.5644885   47.057817
## 55   ClinicCode_641   32 0.5473828   47.605200
## 56   ClinicCode_800   32 0.5473828   48.152583
## 57  ClinicCode_1249   32 0.5473828   48.699966
## 58   ClinicCode_405   31 0.5302771   49.230243
## 59   ClinicCode_507   31 0.5302771   49.760520
## 60  ClinicCode_1282   31 0.5302771   50.290797
## 61   ClinicCode_478   30 0.5131714   50.803969
## 62   ClinicCode_277   29 0.4960657   51.300034
## 63   ClinicCode_634   29 0.4960657   51.796100
## 64  ClinicCode_1137   29 0.4960657   52.292166
## 65  ClinicCode_1150   29 0.4960657   52.788231
## 66  ClinicCode_1479   29 0.4960657   53.284297
## 67   ClinicCode_424   28 0.4789600   53.763257
## 68   ClinicCode_663   28 0.4789600   54.242217
## 69  ClinicCode_1175   28 0.4789600   54.721177
## 70   ClinicCode_287   27 0.4618543   55.183031
## 71  ClinicCode_1351   27 0.4618543   55.644885
## 72   ClinicCode_456   26 0.4447485   56.089634
## 73   ClinicCode_713   26 0.4447485   56.534382
## 74   ClinicCode_763   26 0.4447485   56.979131
## 75   ClinicCode_814   26 0.4447485   57.423880
## 76  ClinicCode_1047   26 0.4447485   57.868628
## 77  ClinicCode_1245   26 0.4447485   58.313377
## 78  ClinicCode_1369   26 0.4447485   58.758125
## 79  ClinicCode_1402   26 0.4447485   59.202874
## 80  ClinicCode_1447   26 0.4447485   59.647622
## 81  ClinicCode_1590   26 0.4447485   60.092371
## 82   ClinicCode_602   25 0.4276428   60.520014
## 83   ClinicCode_718   25 0.4276428   60.947657
## 84  ClinicCode_1134   25 0.4276428   61.375299
## 85  ClinicCode_1229   25 0.4276428   61.802942
## 86  ClinicCode_1517   25 0.4276428   62.230585
## 87  ClinicCode_1583   25 0.4276428   62.658228
## 88   ClinicCode_635   24 0.4105371   63.068765
## 89   ClinicCode_811   24 0.4105371   63.479302
## 90   ClinicCode_816   24 0.4105371   63.889839
## 91  ClinicCode_1114   24 0.4105371   64.300376
## 92  ClinicCode_1371   24 0.4105371   64.710913
## 93  ClinicCode_1516   24 0.4105371   65.121451
## 94   ClinicCode_874   23 0.3934314   65.514882
## 95  ClinicCode_1372   23 0.3934314   65.908313
## 96  ClinicCode_1495   23 0.3934314   66.301745
## 97   ClinicCode_849   22 0.3763257   66.678070
## 98   ClinicCode_907   22 0.3763257   67.054396
## 99   ClinicCode_927   22 0.3763257   67.430722
## 100 ClinicCode_1480   22 0.3763257   67.807048
## 101 ClinicCode_1506   22 0.3763257   68.183373
## 102 ClinicCode_1526   22 0.3763257   68.559699
## 103  ClinicCode_786   21 0.3592200   68.918919
## 104 ClinicCode_1243   21 0.3592200   69.278139
## 105 ClinicCode_1261   21 0.3592200   69.637359
## 106 ClinicCode_1445   21 0.3592200   69.996579
## 107  ClinicCode_719   20 0.3421143   70.338693
## 108  ClinicCode_919   20 0.3421143   70.680807
## 109 ClinicCode_1005   20 0.3421143   71.022922
## 110 ClinicCode_1390   20 0.3421143   71.365036
## 111  ClinicCode_625   19 0.3250086   71.690044
## 112  ClinicCode_762   19 0.3250086   72.015053
## 113 ClinicCode_1059   19 0.3250086   72.340062
## 114 ClinicCode_1113   19 0.3250086   72.665070
## 115 ClinicCode_1389   19 0.3250086   72.990079
## 116 ClinicCode_1570   19 0.3250086   73.315087
## 117  ClinicCode_550   18 0.3079028   73.622990
## 118  ClinicCode_551   18 0.3079028   73.930893
## 119  ClinicCode_855   18 0.3079028   74.238796
## 120  ClinicCode_925   18 0.3079028   74.546699
## 121 ClinicCode_1180   18 0.3079028   74.854601
## 122 ClinicCode_1355   18 0.3079028   75.162504
## 123 ClinicCode_1476   18 0.3079028   75.470407
## 124 ClinicCode_1551   18 0.3079028   75.778310
## 125  ClinicCode_279   17 0.2907971   76.069107
## 126  ClinicCode_297   17 0.2907971   76.359904
## 127  ClinicCode_649   17 0.2907971   76.650701
## 128 ClinicCode_1125   17 0.2907971   76.941498
## 129 ClinicCode_1127   17 0.2907971   77.232296
## 130 ClinicCode_1504   17 0.2907971   77.523093
## 131  ClinicCode_472   16 0.2736914   77.796784
## 132  ClinicCode_781   16 0.2736914   78.070476
## 133  ClinicCode_782   16 0.2736914   78.344167
## 134  ClinicCode_906   16 0.2736914   78.617858
## 135 ClinicCode_1148   16 0.2736914   78.891550
## 136 ClinicCode_1173   16 0.2736914   79.165241
## 137 ClinicCode_1338   16 0.2736914   79.438933
## 138 ClinicCode_1451   16 0.2736914   79.712624
## 139  ClinicCode_726   15 0.2565857   79.969210

## Total Value of Clinic Code W30[1] 5846
## Total Value of Clinic Code in 80% W30[1] 4675
## No.of Clinic Code W30[1] 338
## No.of Clinic Code in 80% W30[1] 139

4.0.3 Attendance vs. Specialty

  • Ophthamology, Haematology, Cardiology, Infectious Diseases, Orthopaedics are the top 5 specialties having the high OP Visits. According to the Pareto Principle, 80% of Patient Attendances come from 20% of Specialties as in table (narrowed down from 31 to 14 specialties).
## Pareto of No. Attendance with selected weeks on Specialty Mater

## Frequency table of Specialty Mater W26 :
##                         nominalValue freq   percent cum.percent
## 1            SpecMater_Ophthalmology  765 13.773857    13.77386
## 2              SpecMater_Haematology  462  8.318329    22.09219
## 3               SpecMater_Cardiology  445  8.012243    30.10443
## 4      SpecMater_Infectious Diseases  395  7.111991    37.21642
## 5             SpecMater_Orthopaedics  373  6.715880    43.93230
## 6            SpecMater_Endocrinology  272  4.897371    48.82967
## 7                  SpecMater_Urology  255  4.591286    53.42096
## 8  SpecMater_General Surgery: Breast  239  4.303205    57.72416
## 9     SpecMater_Respiratory Medicine  213  3.835074    61.55924
## 10       SpecMater_Gastro-Enterology  210  3.781059    65.34030
## 11                SpecMater_Oncology  195  3.510983    68.85128
## 12             SpecMater_Dermatology  184  3.312928    72.16421
## 13              SpecMater_Nephrology  175  3.150882    75.31509
## 14               SpecMater_Neurology  155  2.790781    78.10587

## Total Value of Specialty Mater W26[1] 5554
## Total Value of Specialty Mater in 80% W26[1] 4338
## No.of Specialty Mater W26[1] 32
## No.of Specialty Mater in 80% W26[1] 14

## Frequency table of Specialty Mater W27 :
##                         nominalValue freq   percent cum.percent
## 1            SpecMater_Ophthalmology  784 14.007504    14.00750
## 2              SpecMater_Haematology  499  8.915490    22.92299
## 3      SpecMater_Infectious Diseases  395  7.057352    29.98035
## 4               SpecMater_Cardiology  347  6.199750    36.18010
## 5             SpecMater_Orthopaedics  334  5.967483    42.14758
## 6  SpecMater_General Surgery: Breast  281  5.020547    47.16813
## 7                  SpecMater_Urology  281  5.020547    52.18867
## 8            SpecMater_Endocrinology  256  4.573879    56.76255
## 9        SpecMater_Gastro-Enterology  254  4.538145    61.30070
## 10             SpecMater_Dermatology  209  3.734143    65.03484
## 11    SpecMater_Respiratory Medicine  197  3.519743    68.55458
## 12            SpecMater_Rheumatology  181  3.233875    71.78846
## 13                SpecMater_Oncology  171  3.055208    74.84367
## 14              SpecMater_Nephrology  167  2.983741    77.82741

## Total Value of Specialty Mater W27[1] 5597
## Total Value of Specialty Mater in 80% W27[1] 4356
## No.of Specialty Mater W27[1] 31
## No.of Specialty Mater in 80% W27[1] 14

## Frequency table of Specialty Mater W28 :
##                         nominalValue freq   percent cum.percent
## 1            SpecMater_Ophthalmology  775 13.961448    13.96145
## 2              SpecMater_Haematology  487  8.773194    22.73464
## 3             SpecMater_Orthopaedics  417  7.512160    30.24680
## 4               SpecMater_Cardiology  410  7.386057    37.63286
## 5      SpecMater_Infectious Diseases  376  6.773554    44.40641
## 6                  SpecMater_Urology  293  5.278328    49.68474
## 7  SpecMater_General Surgery: Breast  289  5.206269    54.89101
## 8              SpecMater_Dermatology  255  4.593767    59.48478
## 9            SpecMater_Endocrinology  206  3.711043    63.19582
## 10       SpecMater_Gastro-Enterology  195  3.512881    66.70870
## 11                SpecMater_Oncology  183  3.296703    70.00540
## 12              SpecMater_Nephrology  167  3.008467    73.01387
## 13               SpecMater_Neurology  156  2.810304    75.82418
## 14            SpecMater_Rheumatology  142  2.558098    78.38227

## Total Value of Specialty Mater W28[1] 5551
## Total Value of Specialty Mater in 80% W28[1] 4351
## No.of Specialty Mater W28[1] 31
## No.of Specialty Mater in 80% W28[1] 14

## Frequency table of Specialty Mater W29 :
##                         nominalValue freq   percent cum.percent
## 1            SpecMater_Ophthalmology  817 14.447392    14.44739
## 2              SpecMater_Haematology  477  8.435013    22.88240
## 3               SpecMater_Cardiology  454  8.028294    30.91070
## 4      SpecMater_Infectious Diseases  382  6.755084    37.66578
## 5             SpecMater_Orthopaedics  361  6.383731    44.04951
## 6                  SpecMater_Urology  293  5.181256    49.23077
## 7            SpecMater_Endocrinology  276  4.880637    54.11141
## 8             SpecMater_Rheumatology  227  4.014147    58.12555
## 9          SpecMater_Plastic Surgery  186  3.289125    61.41468
## 10             SpecMater_Dermatology  185  3.271441    64.68612
## 11    SpecMater_Respiratory Medicine  185  3.271441    67.95756
## 12 SpecMater_General Surgery: Breast  180  3.183024    71.14058
## 13       SpecMater_Gastro-Enterology  173  3.059240    74.19982
## 14              SpecMater_Nephrology  173  3.059240    77.25906

## Total Value of Specialty Mater W29[1] 5655
## Total Value of Specialty Mater in 80% W29[1] 4369
## No.of Specialty Mater W29[1] 31
## No.of Specialty Mater in 80% W29[1] 14

## Frequency table of Specialty Mater W30 :
##                         nominalValue freq   percent cum.percent
## 1            SpecMater_Ophthalmology  812 13.889839    13.88984
## 2              SpecMater_Haematology  514  8.792337    22.68218
## 3               SpecMater_Cardiology  443  7.577831    30.26001
## 4      SpecMater_Infectious Diseases  419  7.167294    37.42730
## 5             SpecMater_Orthopaedics  357  6.106740    43.53404
## 6                  SpecMater_Urology  283  4.840917    48.37496
## 7            SpecMater_Endocrinology  270  4.618543    52.99350
## 8  SpecMater_General Surgery: Breast  235  4.019843    57.01334
## 9             SpecMater_Rheumatology  235  4.019843    61.03319
## 10       SpecMater_Gastro-Enterology  217  3.711940    64.74512
## 11    SpecMater_Respiratory Medicine  196  3.352720    68.09784
## 12             SpecMater_Dermatology  195  3.335614    71.43346
## 13              SpecMater_Nephrology  176  3.010606    74.44406
## 14                SpecMater_Oncology  173  2.959288    77.40335

## Total Value of Specialty Mater W30[1] 5846
## Total Value of Specialty Mater in 80% W30[1] 4525
## No.of Specialty Mater W30[1] 31
## No.of Specialty Mater in 80% W30[1] 14

4.1 Virtual Attendance

  • No.Virtual Attendances: Week 20 increases out of control limit. Week 21, 25 drops out of control limit.
## No. Virtual Attendances

## List of 11
##  $ call      : language qcc::qcc(data = df_uChart$sum, type = "u", sizes = df_uChart$size, labels = df_uChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "u"
##  $ data.name : chr "df_uChart$sum"
##  $ data      : num [1:31, 1] 463 728 744 782 785 653 767 802 795 818 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.0872 0.0904 0.0924 0.0944 0.0965 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.0964
##  $ std.dev   : num 0.31
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0.0836 0.086 0.086 0.0861 0.086 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"

4.2 New Attendance

  • No.New Attendances: Week 14 drops out of control limit. Week 22 increases out of control limit.
## No. New Attendances

## List of 11
##  $ call      : language qcc::qcc(data = df_uChart$sum, type = "u", sizes = df_uChart$size, labels = df_uChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "u"
##  $ data.name : chr "df_uChart$sum"
##  $ data      : num [1:31, 1] 893 1470 1424 1556 1564 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.168 0.182 0.177 0.188 0.192 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.181
##  $ std.dev   : num 0.425
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0.164 0.167 0.167 0.167 0.167 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"

4.3 Return Attendance

  • No.Return Attendances: Week 17 increases out of control limit.
## No. Return Attendances

## List of 11
##  $ call      : language qcc::qcc(data = df_uChart$sum, type = "u", sizes = df_uChart$size, labels = df_uChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "u"
##  $ data.name : chr "df_uChart$sum"
##  $ data      : num [1:31, 1] 2816 4384 4329 4385 4363 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.531 0.544 0.538 0.529 0.536 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.533
##  $ std.dev   : num 0.73
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0.503 0.509 0.509 0.509 0.509 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"

5 Do not attend (DNAs)

With unequal subgroup size of classification DNAs, p-control chart is applied. In the percentage of DNA, the special cause is detected when violating 1 in five rules.

  • A single point outside the control limits week 31.
## Percent. DNAs

## List of 11
##  $ call      : language qcc::qcc(data = df_pChart$per, type = "p", sizes = df_pChart$size, labels = df_pChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "p"
##  $ data.name : chr "df_pChart$per"
##  $ data      : num [1:31, 1] 13.4 13 12.9 12.5 12.5 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.00252 0.00161 0.0016 0.00151 0.00154 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.00162
##  $ std.dev   : num 0.0403
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0 0.000278 0.000277 0.000296 0.000284 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"

5.1 DNA vs. Booking Type

  • According to the Pareto Principle, 80% of DNAs come from Return Patient.
## No. DNA with bookings
## Pareto of No. DNA with selected weeks on Booking Type

## Frequency table of Booking Type W31 :
##                nominalValue freq  percent cum.percent
## 1 BookingTypeDNA_R : RETURN 2309 64.89601    64.89601
## `geom_line()`: Each group consists of only one observation.
## ℹ Do you need to adjust the group aesthetic?

## Total Value of Booking Type W31[1] 3558
## Total Value of Booking Type in 80% W31[1] 2309
## No.of Booking Type W31[1] 7
## No.of Booking Type in 80% W31[1] 1

5.2 DNA vs. Clinic

5.2.1 Clinic Code

  • As clinic 850 has the highest Attendances, so as DNAs. Following is clinic 724 and 1020. According to the Pareto Principle, roughly 80% of Patient Attendances come from “Vital Few” Clinics as in table (narrowed down from 322 to 102 clinics).
## Pareto of No. DNA with selected weeks on Clinic Code

## Frequency table of Clinic Code W31 :
##           nominalValue freq   percent cum.percent
## 1    ClinicCodeDNA_850  169 4.7498595    4.749859
## 2    ClinicCodeDNA_724   64 1.7987634    6.548623
## 3   ClinicCodeDNA_1020   63 1.7706577    8.319280
## 4    ClinicCodeDNA_337   57 1.6020236    9.921304
## 5   ClinicCodeDNA_1499   56 1.5739179   11.495222
## 6    ClinicCodeDNA_666   54 1.5177066   13.012929
## 7    ClinicCodeDNA_766   51 1.4333895   14.446318
## 8    ClinicCodeDNA_467   50 1.4052839   15.851602
## 9    ClinicCodeDNA_546   50 1.4052839   17.256886
## 10   ClinicCodeDNA_987   49 1.3771782   18.634064
## 11  ClinicCodeDNA_1576   48 1.3490725   19.983137
## 12   ClinicCodeDNA_717   47 1.3209668   21.304103
## 13   ClinicCodeDNA_268   46 1.2928612   22.596965
## 14  ClinicCodeDNA_1351   45 1.2647555   23.861720
## 15   ClinicCodeDNA_938   44 1.2366498   25.098370
## 16   ClinicCodeDNA_731   43 1.2085441   26.306914
## 17  ClinicCodeDNA_1549   41 1.1523328   27.459247
## 18  ClinicCodeDNA_1583   41 1.1523328   28.611580
## 19   ClinicCodeDNA_709   40 1.1242271   29.735807
## 20  ClinicCodeDNA_1201   40 1.1242271   30.860034
## 21  ClinicCodeDNA_1006   39 1.0961214   31.956155
## 22  ClinicCodeDNA_1282   39 1.0961214   33.052277
## 23  ClinicCodeDNA_1392   39 1.0961214   34.148398
## 24   ClinicCodeDNA_293   38 1.0680157   35.216414
## 25   ClinicCodeDNA_785   37 1.0399101   36.256324
## 26  ClinicCodeDNA_1274   36 1.0118044   37.268128
## 27   ClinicCodeDNA_456   34 0.9555930   38.223721
## 28   ClinicCodeDNA_635   33 0.9274874   39.151209
## 29  ClinicCodeDNA_1047   32 0.8993817   40.050590
## 30   ClinicCodeDNA_277   31 0.8712760   40.921866
## 31   ClinicCodeDNA_634   31 0.8712760   41.793142
## 32   ClinicCodeDNA_424   30 0.8431703   42.636313
## 33   ClinicCodeDNA_602   30 0.8431703   43.479483
## 34  ClinicCodeDNA_1113   30 0.8431703   44.322653
## 35   ClinicCodeDNA_641   28 0.7869590   45.109612
## 36   ClinicCodeDNA_718   28 0.7869590   45.896571
## 37   ClinicCodeDNA_763   28 0.7869590   46.683530
## 38  ClinicCodeDNA_1038   27 0.7588533   47.442383
## 39  ClinicCodeDNA_1175   27 0.7588533   48.201237
## 40   ClinicCodeDNA_269   26 0.7307476   48.931984
## 41  ClinicCodeDNA_1555   26 0.7307476   49.662732
## 42   ClinicCodeDNA_320   25 0.7026419   50.365374
## 43   ClinicCodeDNA_906   25 0.7026419   51.068016
## 44  ClinicCodeDNA_1117   25 0.7026419   51.770658
## 45  ClinicCodeDNA_1195   25 0.7026419   52.473300
## 46  ClinicCodeDNA_1369   25 0.7026419   53.175942
## 47   ClinicCodeDNA_404   24 0.6745363   53.850478
## 48   ClinicCodeDNA_800   24 0.6745363   54.525014
## 49   ClinicCodeDNA_979   24 0.6745363   55.199550
## 50  ClinicCodeDNA_1180   24 0.6745363   55.874087
## 51   ClinicCodeDNA_379   23 0.6464306   56.520517
## 52   ClinicCodeDNA_816   23 0.6464306   57.166948
## 53  ClinicCodeDNA_1550   23 0.6464306   57.813378
## 54   ClinicCodeDNA_472   22 0.6183249   58.431703
## 55  ClinicCodeDNA_1419   22 0.6183249   59.050028
## 56  ClinicCodeDNA_1458   22 0.6183249   59.668353
## 57  ClinicCodeDNA_1480   22 0.6183249   60.286678
## 58  ClinicCodeDNA_1591   22 0.6183249   60.905003
## 59   ClinicCodeDNA_150   21 0.5902192   61.495222
## 60   ClinicCodeDNA_493   21 0.5902192   62.085441
## 61  ClinicCodeDNA_1218   21 0.5902192   62.675660
## 62  ClinicCodeDNA_1481   21 0.5902192   63.265880
## 63   ClinicCodeDNA_414   20 0.5621135   63.827993
## 64   ClinicCodeDNA_786   20 0.5621135   64.390107
## 65   ClinicCodeDNA_932   20 0.5621135   64.952220
## 66  ClinicCodeDNA_1350   20 0.5621135   65.514334
## 67   ClinicCodeDNA_290   19 0.5340079   66.048342
## 68   ClinicCodeDNA_547   19 0.5340079   66.582350
## 69  ClinicCodeDNA_1078   19 0.5340079   67.116358
## 70  ClinicCodeDNA_1468   19 0.5340079   67.650365
## 71  ClinicCodeDNA_1452   18 0.5059022   68.156268
## 72   ClinicCodeDNA_448   17 0.4777965   68.634064
## 73   ClinicCodeDNA_761   17 0.4777965   69.111861
## 74  ClinicCodeDNA_1504   17 0.4777965   69.589657
## 75   ClinicCodeDNA_927   16 0.4496908   70.039348
## 76  ClinicCodeDNA_1204   16 0.4496908   70.489039
## 77   ClinicCodeDNA_787   15 0.4215852   70.910624
## 78  ClinicCodeDNA_1338   15 0.4215852   71.332209
## 79  ClinicCodeDNA_1479   15 0.4215852   71.753794
## 80   ClinicCodeDNA_314   14 0.3934795   72.147274
## 81   ClinicCodeDNA_929   14 0.3934795   72.540753
## 82  ClinicCodeDNA_1059   14 0.3934795   72.934233
## 83  ClinicCodeDNA_1249   14 0.3934795   73.327712
## 84  ClinicCodeDNA_1324   14 0.3934795   73.721192
## 85  ClinicCodeDNA_1389   14 0.3934795   74.114671
## 86   ClinicCodeDNA_874   13 0.3653738   74.480045
## 87  ClinicCodeDNA_1171   13 0.3653738   74.845419
## 88  ClinicCodeDNA_1390   13 0.3653738   75.210793
## 89  ClinicCodeDNA_1491   13 0.3653738   75.576166
## 90   ClinicCodeDNA_373   12 0.3372681   75.913435
## 91   ClinicCodeDNA_544   12 0.3372681   76.250703
## 92   ClinicCodeDNA_870   12 0.3372681   76.587971
## 93  ClinicCodeDNA_1150   12 0.3372681   76.925239
## 94  ClinicCodeDNA_1402   12 0.3372681   77.262507
## 95  ClinicCodeDNA_1447   12 0.3372681   77.599775
## 96  ClinicCodeDNA_1501   12 0.3372681   77.937043
## 97   ClinicCodeDNA_538   11 0.3091625   78.246206
## 98   ClinicCodeDNA_908   11 0.3091625   78.555368
## 99  ClinicCodeDNA_1121   11 0.3091625   78.864531
## 100 ClinicCodeDNA_1124   11 0.3091625   79.173693
## 101 ClinicCodeDNA_1210   11 0.3091625   79.482856
## 102 ClinicCodeDNA_1248   11 0.3091625   79.792018

## Total Value of Clinic Code W31[1] 3558
## Total Value of Clinic Code in 80% W31[1] 2839
## No.of Clinic Code W31[1] 322
## No.of Clinic Code in 80% W31[1] 102

5.2.2 Clinic Type

  • General Type has the highest No.of DNA, then Anti-Coagulation and Retina. According to the Pareto Principle, 80% of Patient Attendances come from “Vital Few” Clinic Types as in table (narrowed down from 139 to 27 Clinic Types).
## Pareto of No. DNA with selected weeks on Clinic Type

## Frequency table of Clinic Type W31 :
##                                      nominalValue freq    percent cum.percent
## 1                        ClinicType_GEN : GENERAL 1639 46.0652052    46.06521
## 2        ClinicType_ACC : ANTI-COAGULATION CLINIC  169  4.7498595    50.81506
## 3                  ClinicType_RET : RETINA CLINIC  108  3.0354132    53.85048
## 4      ClinicType_SBC : SYMPTOMATIC BREAST CLINIC   64  1.7987634    55.64924
## 5                        ClinicType_MED : MEDICAL   61  1.7144463    57.36369
## 6      ClinicType_DRT : DIABETIC RETINA TREATMENT   59  1.6582350    59.02192
## 7          ClinicType_STW : SELF TESTING WARFARIN   51  1.4333895    60.45531
## 8                 ClinicType_HFC : HUMPHREY FIELD   50  1.4052839    61.86060
## 9    ClinicType_PST : PREVENTATIVE SUPPORT CLINIC   48  1.3490725    63.20967
## 10         ClinicType_DSC : EYE SPECIALIST CLINIC   47  1.3209668    64.53064
## 11         ClinicType_VRC : VIRTUAL REVIEW CLINIC   41  1.1523328    65.68297
## 12                 ClinicType_END : ENDOCRINOLOGY   40  1.1242271    66.80720
## 13 ClinicType_STD : STI CNS INFECTIOUS NURSE CLIN   39  1.0961214    67.90332
## 14   ClinicType_ANP : ADVANCED NURSE PRACTITIONER   38  1.0680157    68.97133
## 15    ClinicType_PRE : PRE. OP. ASSESSMENT CLINIC   37  1.0399101    70.01124
## 16      ClinicType_CON : CONGENITAL HEART DISEASE   36  1.0118044    71.02305
## 17       ClinicType_GNS : NURSE SPECIALIST CLINIC   31  0.8712760    71.89432
## 18                  ClinicType_LIV : LIVER CLINIC   31  0.8712760    72.76560
## 19           ClinicType_RAP : RAPID ACCESS CLINIC   30  0.8431703    73.60877
## 20                ClinicType_VIR : VIRTUAL CLINIC   29  0.8150646    74.42383
## 21    ClinicType_NHF : NURSE HEART FAILURE CLINIC   28  0.7869590    75.21079
## 22   ClinicType_GOG : GYNAE ONCOLOGY GROUP REVIEW   27  0.7588533    75.96965
## 23                 ClinicType_SPN : SPINAL CLINIC   27  0.7588533    76.72850
## 24                  ClinicType_JNT : JOINT CLINIC   26  0.7307476    77.45925
## 25       ClinicType_FSC : FAMILY SCREENING CLINIC   25  0.7026419    78.16189
## 26            ClinicType_MSC : MULTIPLE SCLEROSIS   25  0.7026419    78.86453
## 27                      ClinicType_POD : PODIATRY   25  0.7026419    79.56717

## Total Value of Clinic Type W31[1] 3558
## Total Value of Clinic Type in 80% W31[1] 2831
## No.of Clinic Type W31[1] 139
## No.of Clinic Type in 80% W31[1] 27

5.3 DNA vs. Specialty

  • As Ophthamology, Haematology, Cardiology and Infectious Diseases have high Attendances, so as high DNAs. According to the Pareto Principle, 80% of No.of DNAs come from 20% of Specialties as in table (narrowed down from 29 to 14 specialties).
## Pareto of No. DNA with selected weeks on Specialty Mater

## Frequency table of Specialty Mater W31 :
##                         nominalValue freq   percent cum.percent
## 1            SpecMater_Ophthalmology  507 14.249578    14.24958
## 2              SpecMater_Haematology  362 10.174255    24.42383
## 3               SpecMater_Cardiology  251  7.054525    31.47836
## 4      SpecMater_Infectious Diseases  238  6.689151    38.16751
## 5            SpecMater_Endocrinology  197  5.536818    43.70433
## 6             SpecMater_Orthopaedics  193  5.424396    49.12872
## 7              SpecMater_Dermatology  183  5.143339    54.27206
## 8        SpecMater_Gastro-Enterology  146  4.103429    58.37549
## 9  SpecMater_General Surgery: Breast  132  3.709949    62.08544
## 10                 SpecMater_Urology  124  3.485104    65.57055
## 11    SpecMater_Respiratory Medicine  121  3.400787    68.97133
## 12               SpecMater_Neurology  120  3.372681    72.34401
## 13                SpecMater_Oncology  110  3.091625    75.43564
## 14    SpecMater_Otolaryngology (ENT)  109  3.063519    78.49916

## Total Value of Specialty Mater W31[1] 3558
## Total Value of Specialty Mater in 80% W31[1] 2793
## No.of Specialty Mater W31[1] 29
## No.of Specialty Mater in 80% W31[1] 14

6 Cancellations

6.1 Cancellations No.

With the count of CNAs in varying No.Patients weekly, u-control chart is applied.

No.CNAs Covid Hospital: in control limit.

No.CNAs Covid Patient: The special causes are detected when violating 3 in five rules. - A single point outside the control limits (week 3, 27-29).
- Eight or more consecutive points below (week 10-25) the centre line
- Six consecutive points decreasing (trend down) (week 27-31)

## No. CNAs Covid Hospital

## List of 11
##  $ call      : language qcc::qcc(data = df_uChart$sum, type = "u", sizes = df_uChart$size, labels = df_uChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "u"
##  $ data.name : chr "df_uChart$sum"
##  $ data      : num [1:6, 1] 2 1 1 9 8 4
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:6] 0.000249 0.000121 0.000125 0.001143 0.001004 ...
##   ..- attr(*, "names")= chr [1:6] "3" "9" "27" "28" ...
##  $ sizes     : num [1:6] 8048 8260 7998 7872 7967 ...
##  $ center    : num 0.000517
##  $ std.dev   : num 0.0227
##  $ nsigmas   : num 3
##  $ limits    : num [1:6, 1:2] 0 0 0 0 0 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"
## No. CNAs Covid Patient

## List of 11
##  $ call      : language qcc::qcc(data = df_uChart$sum, type = "u", sizes = df_uChart$size, labels = df_uChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "u"
##  $ data.name : chr "df_uChart$sum"
##  $ data      : num [1:29, 1] 6 19 25 7 7 11 11 8 13 3 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:29] 0.00113 0.002358 0.003106 0.000845 0.000861 ...
##   ..- attr(*, "names")= chr [1:29] "1" "2" "3" "4" ...
##  $ sizes     : num [1:29] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.00123
##  $ std.dev   : num 0.0351
##  $ nsigmas   : num 3
##  $ limits    : num [1:29, 1:2] 0.00 5.84e-05 5.79e-05 7.47e-05 6.41e-05 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"

6.2 Cancellations rate

With unequal subgroup size of classification CNAs, p-control chart is applied:

  • Percent.CNAs: in control limit

  • Percent.CNAs Hosital: in control limit

  • Percent.CNAs Patient: in control limit

  • Percent.CNAs Other: in control limit

## Percent. CNAs

## List of 11
##  $ call      : language qcc::qcc(data = df_pChart$per, type = "p", sizes = df_pChart$size, labels = df_pChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "p"
##  $ data.name : chr "df_pChart$per"
##  $ data      : num [1:31, 1] 29.6 29.3 30.9 30.5 28.3 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.00558 0.00364 0.00384 0.00368 0.00347 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.00398
##  $ std.dev   : num 0.0629
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0.00139 0.00187 0.00187 0.0019 0.00188 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"
## Percent. CNAs Hospital

## List of 11
##  $ call      : language qcc::qcc(data = df_pChart$per, type = "p", sizes = df_pChart$size, labels = df_pChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "p"
##  $ data.name : chr "df_pChart$per"
##  $ data      : num [1:31, 1] 13.7 15.8 16.2 17 15.3 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.00258 0.00196 0.00201 0.00205 0.00188 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.00226
##  $ std.dev   : num 0.0475
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0.000303 0.000671 0.00067 0.000693 0.000679 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"
## Percent. CNAs Patient

## List of 11
##  $ call      : language qcc::qcc(data = df_pChart$per, type = "p", sizes = df_pChart$size, labels = df_pChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "p"
##  $ data.name : chr "df_pChart$per"
##  $ data      : num [1:31, 1] 11.4 10.7 11.5 10.4 10.2 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.00215 0.00133 0.00143 0.00125 0.00126 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.00135
##  $ std.dev   : num 0.0368
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0 0.000124 0.000124 0.000141 0.00013 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"
## Percent. CNAs Other

## List of 11
##  $ call      : language qcc::qcc(data = df_pChart$per, type = "p", sizes = df_pChart$size, labels = df_pChart$timeUnit,      plot = T, ax| __truncated__
##  $ type      : chr "p"
##  $ data.name : chr "df_pChart$per"
##  $ data      : num [1:31, 1] 1.66 1.48 2.03 2.05 1.72 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ statistics: Named num [1:31] 0.000312 0.000183 0.000252 0.000248 0.000212 ...
##   ..- attr(*, "names")= chr [1:31] "1" "2" "3" "4" ...
##  $ sizes     : num [1:31] 5308 8056 8048 8284 8134 ...
##  $ center    : num 0.000225
##  $ std.dev   : num 0.015
##  $ nsigmas   : num 3
##  $ limits    : num [1:31, 1:2] 0 0 0 0 0 0 0 0 0 0 ...
##   ..- attr(*, "dimnames")=List of 2
##  $ violations:List of 2
##  - attr(*, "class")= chr "qcc"