- 10 Common Misconceptions About Lean Manufacturing
- Ten Reasons Why One Piece Flow Will Not Work
- The Best Visual Control in the World
- Give Me 60 Minutes and I'll Give You a Lean Transformation
- Toyota Owes Grandpa Ford
- Look Up from Your Work and Ask: ;Could We Flow This?
- Ouch! Change Hurts
- E-mail 5S
- The Top 5 Reasons for Using Production Preparation Process (3P)
- You've Gotta Go to Gemba More Often Than That!
- 5S Your Desk: And Other Tips for Office Productivity
- Skill Matrix Enables Suggestion System
- Work Content for Line Leads
- Strong Supervision: The Key to Long-term Kaizen
- The Four Elements for Sustaining Kaizen
- Keys to Sustaining 5S
- Top 10 Improvement Tools Named After Lean Sensei
- Intuition, Information and the Toyota Production System
- Nine Rules for Fighting Endless Meetings
A Fairly Lean Healthcare ExperienceI hope everyone who celebrates Easter had a good Easter Sunday, and those of you who don't also had a good weekend. Thanks to a culture change in my throat brought on by some visiting Streptococcus, I didn't have a good weekend. A few amoxicillin pills later, I can reflect on the experience. It was fairly Lean, as healthcare experiences go. This morning I called up the local clinic at 8AM and they had openings at either 1045AM or 2PM. I picked the earlier time. They asked me to arrive 15 minutes early to get registered as a new patient. There was a PDF on their website to download, print and fill out at home. The clinic housed eight doctors. There were two more pieces of paper to fill out, mostly to do with details of my medical history and my rights regarding that information. The co-payment was taken upfront, and I waited about another 10 minutes to be seen by a medical assistant. She took my information on a tablet PC, took my vitals, and left me to wait for not long enough to crack a magazine. When my doctor arrived she also had a tablet PC which she synched with a docking station, asked me a few more questions to make sure she had the right patient, and flashed a light down my throat ("It's really swollen"). She punched a few buttons on the screen with her stylus and told me she'd faxed the prescription to my choice of local pharmacy. If anyone else in my family came down with the same thing, just come in and ask for the prescription, she said "You don't need to go through all of this." Out of the house at 1033AM, home by 1150AM. Total time = 77 minutes. Value added time = 8 minutes (face time with medical assistant + face time with doctor + face time with pharmacist). Ten point three eight percent value added. Not at all bad, considering the weekend was a total loss. Prevention is still the best healthcare solution. By Jon Miller - April 9, 2007 4:35 PM |
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Here in the UK our National Health Service (NHS) is in a bad way (http://tinyurl.com/2cqeff): "Many hospital stays 'waste money': Shortening hospital stays could help cut waiting times. Keeping NHS patients in hospital too long takes up the equivalent of 13,000 beds a year and costs £1bn, a think tank has estimated." However, Lean techniques are just being introduced (http://tinyurl.com/25m689) using the following principles: . Who are our customers? Simply the patient? Who is the customer for public health? How successful this will be remains to be seen, my personal experience in A&E is far worse than yours Jon. Totally agree |









