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Bayside Health. Lean Team Members Anthony Ball Leanne Smith. Project Aim & Plan. Project aim : Reduce the lead time for urgent neurology referrals from ED to outpatients by 20% by 15/11/06. Project Plan : Consultation with owners of process and stakeholders Value stream map
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Bayside Health Lean Team Members Anthony Ball Leanne Smith
Project Aim & Plan Project aim: Reduce the lead time for urgent neurology referrals from ED to outpatients by 20% by 15/11/06 • Project Plan: • Consultation with owners of process and stakeholders • Value stream map • Identification of waste • Root cause analysis • Kaizen Blitz • Look to long term IT based solution
Key Wastes • Motion • Rework • Missing Information (defects) • Misinformation (defects) • Waiting
Key baseline statistics Key stats for Neurology referrals: • Appointments available per month: 70* • *26 of these appointment are available on the first Tuesday of the month, the remaining appointments are available each Friday • Number of total referrals to neurology: 120 • Can only see 58% of referrals (assuming every patient arrives for their appointment). It is essential that available slots are allocated to most urgent cases. Hence the importance of a comprehensive referral. • Key Stats for ED referrals: • ED makes on average 16 referrals to Neurology outpatients per month (4 per week) • 100% of referrals from ED have been incomplete in terms of missing information
Kaizen Blitz Actions: • Educate clerical staff on importance of updated patient information including address and phone details. • Redesign referral form to include tick box for information sheet • Education for medical staff on importance of listing investigations done and to give patient information form.
Outcome • Education of Medical and Clerical Staff • Clerical staff are more confident / assertive in ensuring that medical staff complete all sections of the form • A new Outpatient Form Designed – see below