Redesigning patient flow in orthopedics and radiology clinics via a three-phase 'Kaizen' improvement approach and interrupted time series analysis.

Introduction: The orthopedics clinic at an academic medical center has low patient satisfaction rates for patients that require an X-ray and have difficulty ambulating. The project aimed to reduce the 'non-value-added' time during appointments by using Lean and Six Sigma methodologies and enhance pa...

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Publicado en:International Journal for Quality in Health Care Vol. 34; no. 3; pp. 1 - 8
Autores principales: Sullivan, Kali, Topper, Langley, Rajwani, Aliysa
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA 2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Redesigning patient flow in orthopedics and radiology clinics via a three-phase 'Kaizen' improvement approach and interrupted time series analysis.
      aug:
        au:
          Sullivan, Kali
          Topper, Langley
          Rajwani, Aliysa
        affil: Tufts University School of Medicine , 800 Washington Street, Boston, MA 02111, USA
      sug:
        subj:
          Specialties, Medical
          Organizational Efficiency
          Quality Improvement
          Interrupted Time Series Analysis
      ab: Introduction: The orthopedics clinic at an academic medical center has low patient satisfaction rates for patients that require an X-ray and have difficulty ambulating. The project aimed to reduce the 'non-value-added' time during appointments by using Lean and Six Sigma methodologies and enhance patient experience.Methods: An analysis of the current state was conducted using Gemba walks, interviews with subject matter experts and an interrupted time study to assess baseline data. The project was implemented using a three-phase Kaizen event approach.Results: Interventions implemented included: (i) re-engineering patient flow and (ii) standardizing appointment scheduling guidelines. The 'non-value-added' appointment time was measured post-intervention and it decreased from 17 to 8 min (51%), and 87% (N = 47) of patients rated the scheduling process positively.Conclusion: Lean, Six Sigma and Kaizen improvement methodologies are invaluable tools to improve operational efficiency. The implemented interventions enhanced patient experience and improved clinic efficiency.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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