Changes that could be made to maximize patient throughput, surgeries and revenue without compromising the quality of medical care. There are several changes and options that could help maximize patient throughput and revenue without compromising the quality and standards of medical care at Dr. Christopher’s orthopedic clinic. These options include hiring more surgeons, reducing the length of changeover time for the two surgeons, increasing the amount of hours the surgeons’ work every day and creating some time to see patients on Fridays and weekends. These changes could enable the surgeons attend to more patients and increase their revenue without compromising the standards of quality care. To avoid compromising the quality of medical care, the surgeons could hire a professional to review the medical records of patients and draft reports on their specific needs. First, the clinic could hire additional surgeons to cater for the large number of patients in need of surgeries. With more surgeons working at the clinic, more patients will be attended to, and that will increase the revenue of the clinic. The quality of the medical care will not be compromised because the surgeons will have enough time to rest and review the records of patients. Increasing the number of surgeons to attend to the large number of patients being served by the two surgeons will improve effectiveness and efficiency. However, they should not hire more than two surgeons because they will incur high expenses and the number of patients might not change. Secondly, Dr. Christopher could reduce the changeover period by few minutes to create additional time to attend to an additional patient every day. In addition, they could reduce the length of time for lunch by a few minutes. Combining these minutes that they cut off from their other schedules, they could create enough time to attend to an additional patient at the end of the day. For example, Cartilage knee repair and Achilles tendon repair take 30 minutes each. If they reduce the changeover time by 15 minutes and lunchtime by 20 minutes, they could have time to operate on one patient at the end of the day. Thirdly, they could increase the amount of time they work every week by one or two hours. The surgeon changeover time and surgery time for the orthopedic surgeries are different. For example, Achilles tendon repair and ACL ligament repair require 50 minutes each to complete the procedures. They require surgeon changeover time of 20 minutes and surgery time of 30 minutes. If they increased the amount of time they work each day by one hour, they could be able to attend to an additional patient with a requirement that needs a little time. They could either choose to come to work earlier than they do or leave work later than they currently do. Fourthly, they could create some time on Fridays and weekends to attend to additional patients. The two surgeons do not work on Fridays and weekends. Therefore, if they could set aside some hours to attend to patients, they could increase their productivity. For example, they could set aside two hours on Friday and Saturday. On Sunday, they could use it to rest and spend time with their families