Using Lean to Improve Wait Time Performance in Diagnostic Assessment for Lung Cancer

Area of Science:

• Oncology
• Healthcare Management
• Health Services Research

Background:

• Cancer Care Ontario initiated a diagnostic assessment program (DAP) to enhance patient experience and health system efficiency.
• The lung cancer diagnostic pathway is critical for timely patient care and treatment initiation.

Purpose of the Study:

• To evaluate the impact of a Lean improvement event on the Lung Diagnostic Assessment Program (DAP) at the Stronach Regional Cancer Centre.
• To assess improvements in patient wait times and overall patient experience for lung cancer diagnosis.

Main Methods:

• Implementation of Lean improvement strategies within the Lung DAP.
• Monitoring of patient volumes and wait times from consultation to diagnosis.
• Analysis of changes in patient experience metrics.

Main Results:

• Monthly patient volumes increased by 65%.
• Wait times for diagnosis improved by 60%, meeting the provincial target of 65% within 28 days.
• Overall patient experience of care was enhanced.

Conclusions:

• Lean improvement events can significantly enhance capacity and efficiency in cancer diagnostic programs.
• Optimizing the diagnostic pathway for lung cancer leads to reduced wait times and improved patient care.
• The Lung DAP model demonstrates successful integration of patient-centered care and health system effectiveness.