Muda Marauders Attack Central Registration

In this presentation, you will learn 1) a Lean and Six Sigma approach to address the design of a central registration process at an outpatient lab and imaging facility, 2) how simulation and modeling techniques were used to align staffing to the reengineered process, and 3) results from the implementation.

Objective/Purpose

Healthcare is plagued with waiting. In the Ambulatory arena, patients may have lab appointments, imaging appointments and/or lab and imaging appointments on the same day. However, they have to repeat check-in and registration multiple times at different service areas. Part of the reason is that the system and processes are designed for individual clinics and departments rather than centered around patients. The Healthcare industry is at a cross-roads to redefine its care delivery model with a patient-centered experience.

Methods/Approach

We utilized Lean and Six Sigma methodologies to address the design of a central registration process, how patients flow in the facility, and automations via technology innovation. In addition, we utilized simulation and modeling to investigate the appropriate level of staffing.

Results/Findings

This project enabled a 33% reduction in non-value adds, achieved the established operational goal twelve out of twelve months, and increased patient satisfaction score from 76% to 83%.

Conclusion

This project was a collaboration among operational leaders, frontline team members and information technology. It helped streamline the experience for our patients at an ambulatory facility. The implemented improvements are being used as an example to improve patient experience at other outpatient lab and imaging centers across the system and to design a new 115,00 square foot/$53M ambulatory facility.