Kaizen Event
MAN 4504 Operational Decision Making
10/29/22
Christian Hernandez
Florida State College at Jacksonville
Value Stream Mapping and Analysis:
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Current State Value Stream Map
Title: Current State Value Stream Map for Patient Admission
Patient
Insert LT
Insert PT
| Total LT* = 121 min |
| Total PT* = 57 min |
Dashboard
Registration
RN Exam
Patient History
Provider Exam
Patient History
Provider Order
RN Collects Lab
Completion of labs and req
Labs sent Therapy begins
Patient care received. Patient departs system
Insert LT
Insert PT
Insert LT
INSERT PT
Insert LT
Insert PT
Insert LT
Insert PT
Insert LT
Insert PT
PT= 4min
LT= 5min
PT=12 min
LT=21 min
PT=9 min
LT=17 min
PT=6 min
LT= 12 min
PT=12 min
LT=21 min
PT=14 min
LT= 45 min
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Value Stream Current State Overview
Overview of the Process
The procedure entails: For the implementation, a six-step strategy that included Lean education, ED observation, patient flow analysis, process redesign, new process testing, and complete implementation was used. The emphasis of process redesign was on soliciting ideas for improvement from frontline employees across all departmental units. During the calendar year, patient volume, cost per patient, ED length of stay (LOS), and value-based and operational outcome metrics such as patient satisfaction were compared.
Challenges
value stream mapping from reception to patient care received is the complexity of the process. There are numerous steps involved in this process, and each one must be completed correctly in order for the patient to receive the necessary care.
The requirement for coordination between all of the hospital's departments in order for the process to run smoothly.
Lack of enough staff to help in providing service to the patient.
Bottlenecks
Reception: The reception area is where patients and visitors arrive, and it is often the busiest area in a hospital. This can become a bottleneck if there aren't enough employees to handle the volume of people.
Waiting areas: In hospital waiting rooms, there is frequently a bottleneck as patients wait to be seen by a doctor or nurse. This can be due to a lack of staff or patients who have been waiting for a long time.
Treatment areas: Treatment areas in a hospital can be a bottleneck because they are where patients receive care. This can be due to a lack of staff or patients who have been waiting for a long time.
References
Erick Dickson, Sabi Singh, Dickson Cheung, Christopher C Wyatt(2018). Application of Lean Manufacturing Techniques in the Emergency Department Value Stream Mapping.
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