Door to Doc in Ed

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An overview of the project demonstrates how the Six Sigma DMAIC methodology provided tools to decrease Door-to-Doc times and meet the ED target. Overcrowding in the ED has the potential to leave without being seen, creates a perception to inefficiency. Which to loss in revenue and could ultimately become a life issue. DEFINE PHASE

Door to Doc throughput was selected as a project by a Hospital for several reasons, including the opportunity to improve: Lapses in patient safety and quality of care Patient/family dissatisfaction Patients leaving before medical screening (PLBM) Loss Revenue Privacy Issues Life Safety issues Community perception of inefficiency Project scope:

The objective of this project is to decrease the time it takes patients to go from Door to Doc Problem statement:
The average throughput time of the Door to Doc does not consistently meet the ED target. Goal:
Reduce the average time
PO BOX 560728 Miami, Fl 33256-0728 Phone: 305.663.3432 Fax: 305.667.1715 Email: The following chart shows average time spent on some cases before the changes. The team consisted of the four Green Belts, managers and staff from the emergency department and registration staff. Serving as the project Champions were the vice president of nursing and the director of the emergency department. An emergency department physician served as physician Champions; their active support were key elements in the success of the project. The project charter established a focus and direction for the team, and also established parameters for the process beginning and completion. The team developed a process map of the current process. Employees working in the process assisted in verifying the map details. MEASUREMENT AND A NALYSIS OF THE DATA

The team created a value stream map of the five sub-processes: 1. Patient arrival
2. Patient seen by ERT
3. Patient seen by Nurse
4. Registration
5. After registration
While analyzing the...
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