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Optimizing value utilizing Toyota Kata methodology in a multidisciplinary clinic.

Paul A Merguerian1, Richard Grady1, John Waldhausen2

  • 1Division of Urology, Seattle Children's Hospital, Seattle, WA, USA.

Journal of Pediatric Urology
|July 15, 2015
PubMed
Summary
This summary is machine-generated.

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Optimizing value in pediatric reconstructive pelvic medicine clinics is achievable. Implementing lean management and time-driven activity-based costing reduced patient costs by 69% while maintaining high family experience scores.

Area of Science:

  • Healthcare Management
  • Pediatric Medicine
  • Health Economics

Background:

  • Healthcare value is defined by patient outcomes relative to cost.
  • Optimizing value requires patient-level measurement of outcomes and costs.
  • Multidisciplinary clinics improve outcomes but often incur higher costs.

Purpose of the Study:

  • To reduce patient costs and enhance value in a pediatric multidisciplinary reconstructive pelvic medicine (RPM) clinic.
  • To implement and evaluate lean management principles for operational efficiency.
  • To measure the impact of changes on cost, patient flow, and family experience.

Main Methods:

  • Utilized time-driven activity-based costing (TDABC) to determine individual patient costs.
  • Applied Toyota Kata methodology to improve operational efficiency.
Keywords:
CostQuality improvementToyota Production SystemsValue

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  • Measured provider time, patient costs, value-added time (VAT), and family experience scores (FES).

    • Main Results:

    • Clinic preparation costs were reduced by 69%, from $619 to $194 per patient.
    • Achieved a significant cost reduction of 41% ($366/patient) initially, followed by a further reduction.
    • Increased the number of appointments per clinic and sustained improvements in family experience scores.

    Conclusions:

    • Time-based cost analysis is effective for measuring individualized patient costs.
    • Lean management methodology successfully optimized value in a multidisciplinary pediatric clinic.
    • Significant cost reductions were achieved without compromising patient care quality or family satisfaction.