Related Experiment Video
Updated: Dec 7, 2025

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
Published on: July 12, 2024
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).
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.
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.
Related Concept Videos
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Flow Sheet
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Integrated Healthcare System
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

