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LEAN SIX SIGMA TECHNIQUES TO IMPROVE OPHTHALMOLOGY CLINIC EFFICIENCY.
Thomas A Ciulla1,2,3, Mohan V Tatikonda2, Yehya A ElMaraghi2
1Retina Service, Midwest Eye Institute, Indianapolis, Indiana.
Retina (Philadelphia, Pa.)
|July 21, 2017
Summary
Lean Six Sigma methods significantly reduced patient flow times by 18% in an ophthalmology clinic. This process improvement enhanced patient and employee satisfaction while minimizing waste in healthcare delivery.
Area of Science:
- Healthcare Management
- Process Improvement
- Ophthalmology
Background:
- Elderly populations require complex outpatient care, leading to extended patient visit times.
- Prolonged patient flow times negatively impact healthcare quality, satisfaction, and efficiency.
- Identifying and reducing waste in clinical processes is crucial for effective healthcare delivery.
Purpose of the Study:
- To decrease patient flow time in a vitreoretinal practice using Lean Six Sigma.
- To demonstrate the effectiveness of process improvement in healthcare settings.
- To enhance patient and employee satisfaction by optimizing clinic operations.
Main Methods:
- Process flow mapping identified common patient care pathways.
- Electronic medical record data tracked patient task times over three months.
- Care pathways with high time consumption and variation were modified, followed by a six-week assessment.
Main Results:
- Patient flow was redesigned to minimize waiting room time and optimize staffing.
- Mean patient flow time decreased by a statistically significant 18%.
- Standard deviation of patient flow time reduced by 4.6%, with improved patient and employee satisfaction.
Conclusions:
- Lean Six Sigma techniques are applicable to improving outpatient clinic efficiency.
- Process improvement can significantly reduce waste and enhance satisfaction in healthcare.
- Implementing manufacturing industry methodologies can optimize patient care pathways.
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