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Six easy steps on how to create a lean sigma value stream map for a multidisciplinary clinical operation
Emily Lee1, Richard Grooms2, Soumya Mamidala3
1Department of Radiology, The Johns Hopkins Hospital, Baltimore, Maryland.
Journal of the American College of Radiology : JACR
|December 4, 2014
Summary
Value stream mapping (VSM) improves clinical workflows by identifying delays. This study used VSM for pediatric MRI, revealing significant wait times and leading to targeted interventions for better efficiency.
Area of Science:
- Healthcare Management
- Process Improvement
- Clinical Operations
Background:
- Clinical environments often have complex workflows that are difficult to manage.
- Value stream mapping (VSM) is a tool to visualize and quantify these processes.
- Multidisciplinary teams can use VSM to identify bottlenecks and develop solutions.
Purpose of the Study:
- To apply Value Stream Mapping (VSM) to a clinical process.
- To identify inefficiencies in the pediatric MRI with general anesthesia workflow.
- To develop an intervention package for process improvement.
Main Methods:
- Value stream mapping (VSM) was employed to analyze the workflow.
- Data was collected on process steps and timings.
- A multidisciplinary team identified areas for improvement.
Main Results:
- The VSM revealed a significant delay between patient referral and appointment scheduling.
- Potential areas for efficiency improvements were identified.
- An intervention package was developed for the department.
Conclusions:
- VSM is effective in visualizing and quantifying clinical process delays.
- Targeted interventions can be developed based on VSM findings.
- This approach can lead to improved efficiency in pediatric MRI services.
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