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A Blueprint for Streamlining Patient Pathways Using a Hybrid Lean Management Approach.

Chantelle Rizan¹, Rob Low, Saskia Harden

¹Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Brighton, United Kingdom (Mss Rizan and Harden, Dr Low, and Messrs Groves, Das, and Bhutta); Mayfield House, University of Brighton, Falmer, Brighton, United Kingdom (Ms Flaherty); and Brighton and Sussex Medical School, University of Sussex, Falmer, Brighton, United Kingdom (Dr Welland).

Quality Management in Health Care

|September 29, 2020

Summary

This summary is machine-generated.

Frontline clinicians can streamline patient pathways using a practical blueprint. This method, utilizing Lean management techniques, translates quality improvement ideas into sustainable practice changes for better patient outcomes and reduced costs.

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Area of Science:

Healthcare Management
Process Improvement
Clinical Operations

Background:

Streamlining patient pathways in healthcare is challenging.
Clinician-led improvement ideas often face adoption barriers.

Purpose of the Study:

Provide a blueprint for frontline clinicians to develop business cases for streamlined pathways.
Guide the practical implementation of these streamlined pathways.

Main Methods:

Outlines a 7-step process for pathway streamlining.
Integrates Lean management techniques (e.g., value stream mapping, Pareto charts) and other methods (e.g., audits, patient surveys, cost analysis).

Main Results:

Demonstrates statistically significant reductions in referral-to-treatment time, pathway steps, and lead time.
Achieved improvements in patient contact time, satisfaction, and cost reduction through pathway optimization.

Conclusions:

Presents a comprehensive blueprint for streamlining patient pathways using Lean and complementary methods.
Enables sustainable change by empowering frontline clinicians to implement quality improvement initiatives.
Highlights benefits for patients, providers, and the overall health economy.