Transcript TECH 58100 Measure Phase Improving Patient Bed Wait time in Healthcare DATE: 29 OCTOBER 2014 TEAM MEMBERS: PRIYANKA PRIYANKA. AHMAD ALMATROOD.

TECH 58100
Measure Phase
Improving Patient Bed Wait time in
Healthcare
DATE: 29 OCTOBER 2014
TEAM MEMBERS:
PRIYANKA PRIYANKA.
AHMAD ALMATROOD.
Project Charter
Improving Patient Wait time in Healthcare
Basic Information
Location:
Business Case
Team Members: priyanka priyanka - Ahmad Almatrood.
Indianapolis, IN
What is ‘In Scope’
Delay in the emergency department and
post anesthesia unit (PACU) resulted a
situation when patients wait time for bed
and staff is increased, which leads to a
lot of dissatisfaction in patients. By
Bed assignment turnaround time is in scope.
reducing this wait time will increase
Total turnaround times is the time which
satisfaction in patients and leads to
starting from the discharge instruction given to
growth of profit in hospital.
patient to the registered nurse made aware of a
If this approaches unsuccessful, then
clean and ready the bed for next patient.
there would be more delay in the
emergency and PACU, which leads to
increased frustration in patients, staff and
loss of revenue.
What is ‘Out of Scope’
The number of patients admitted and profit to
the hospital is out of scope.
Project Charter (continued)
Problem Statement
Objective Statement
What? Total turnaround time.
Where? Emergency department and post
anesthesia care unit.
When? When patient is waiting for assignment
of bed.
How Much ? – Target is to reduce bed
assignment time nearby 60 minutes.
How do I know? Increase in patient flow and
after observing the bed tracking system it is noted
that turnaround time is very slow rather than
patient flow which leads to increase waits time for
patients.
• Increase efficiency and reduced waiting time while enhancing the overall system.
• Increase sigma level.
Voice of the Customer
Two type of customers:
• External:
• Patients who want to have an available bed soon.
• Internal:
• Nurses who want to receive the notifications early as possible.
• Patient & Support Care Associate who would use the system to
enter bed info.
SIPOC
SIPOC DIAGRAM
Suppliers
Inputs
Nurses
Fill discharged sheet
Cleaning Employees
Cleaning the bed.
Software - Bed Tracking System
Bed Info
Support care associate
Enter bed info to BTS
Patient care associate
PROCESS
Cleaning process
&
Entering the information to the
system.
Outputs
Customers
Bed is get cleaned and ready fast.
Patients
New patients will have more available beds.
Nurses
SCA - PCA
Bed availability will be in the system
Nurses
Critical to Quality Tree (CTQ)
Process Map
Process Observation Worksheet
Process observed: Priyanka and Ahmad.
Date:10/24/2014.
Time:10:00am
Steps#
Description
Worker
Task Time
Wait Time
1.
RN fills out the discharge sheet and notifies other services
notifies other services
Registered Nurse
Nurse
10min
0
Discharge patients
Registered Nurse
Nurse
15min
0
CSA
5min
0
PCA/SCA
20min
20min
Environmental services set the position to “running”
Environmental
al Services
10min
0
ES change the status from “running” to “done”
Environmental
al Services
10min
0
Registered Nurse
Nurse
15min
15min
2.
3.
5.
6.
7.
8.
Discharge time entered by clerical support associate.
PCA/SCA keys information in Bed Tracking System (BTS)
System (BTS)
Registered nurse notify of ready bed
Observation
PCA/SCA takes long time
time
Delay for nurses to be
to be notified
Data Collection
Measurement
Type of Measure
Type of Data
Operational Definition
Person
What Input, Output and Process
and Process measure the team
the team will collect
Select as an Input(I),Process
Input(I),Process
Measure(P), or Output(O)
Output(O)
Select whether measure is
measure is continuous or
continuous or discrete
discrete
Description to enable a
enable a common
understanding
Who is involve in the process
process
RN
ES
Discharge Instructions
Instructions
I
Continuous
Discharge instructions given to
instructions given to patient
to patient
Entered in bed tracking system
tracking system (BTS)
I
Continuous
By PCA/SCA into BTS
In progress
P
Continuous
Cleaning time
P
Continuous
Notification time
I,O
Continuous
ES hold it as “running”
“running”
Time taken by housekeeping
housekeeping
Filled by RN as “clean room”
room”
SCA/PCA
ES
Housekeeping
Gantt chart
Notes
Date
% Complete
START
END
DEFINE
1-Sep-14
1-Oct-14
100%
MEASURE
1-Oct-14
29-Oct-14
100%
ANALYZE
29-Oct-14
19-Nov-14
0%
IMPROVE
19-Nov-14
12-Dec-14
0%
1
2
COMPLETE
INCOMPLETE
3
4
Check sheet
project charter
SIPOC
CTQ Trees
Process Map
Process Observation Worksheet
Data collection plan
graphical representation
Gantt Chart
Thank You