LEAN SIX SIGMA TOOLS
Performance
Measurement
5S Visual Management
Spaghetti Diagrams
Time Study
DETAILS - Performance Measurement
1) The team first learned about Performance Measurement
and then created their Performance Scorecards. Click on the link for
the Primary Care scorecard example.
http://www.supplyvelocity.com/Dec_2009_Primary_Care.ppt
2) As you can see, On Time Delivery of service shows up
twice as measures of seeing patients at their appointment times. (How may of you have waited for your doctor's
visit well past your appointment time?)
These are also the measures that are doing the worst.
DETAILS - 5S Visual Management
1) The improvement project began with the most important
Lean tool, 5S Visual Management. The
team felt that an important contributor to poor on-time-appointments was the
time that Doctors and Nurses were spending looking for instruments, supplies
(gloves), phone numbers and patient-educational pamphlets.
2) The rooms were 5S-ed, with the most important aspect
being the standardization of supplies and patient information (pamphlets).
3) What you see in
the picture is Primary Care hallway. It
was cluttered with things on the floor (hard for patients to maneuver around)
and too many bulletin boards (which had random information). It is now organized and patient-friendly.
DETAILS - Spaghetti
Diagrams & Time Study
1) In the linked
slides you will see the Spaghetti Diagram we did of a Primary Care visit.
2) The diagram shows
two areas for improvement. First, was the
incredible number of in and out trips by the Provider and Nurse. Second, the wasted space in this room.
3) By also doing a
time study, we can see additional areas of improvement including the time that
the patient must sit in the room while the Provider completes the
Encounter.
4)
This analysis led to a complete rethinking on the layout of the Primary Care
department to improve Patient Service and Nurse/Provider productivity.
