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Reducing Urgent Neurology Referral Lead Time: A Comprehensive Improvement Plan

This project aims to reduce the lead time for urgent neurology referrals from the Emergency Department (ED) to outpatient services by 20% by November 15, 2006. Key strategies include consulting process owners and stakeholders, conducting value stream mapping to identify waste, performing root cause analysis, and implementing a Kaizen Blitz. The project targets key wastes identified, including motion, rework, and missing information. Specific actions involve educating clerical and medical staff on the importance of complete patient information and redesigning the referral form to enhance clarity and completeness.

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Reducing Urgent Neurology Referral Lead Time: A Comprehensive Improvement Plan

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Presentation Transcript

  1. Bayside Health Lean Team Members Anthony Ball Leanne Smith

  2. Project Aim & Plan Project aim: Reduce the lead time for urgent neurology referrals from ED to outpatients by 20% by 15/11/06 • Project Plan: • Consultation with owners of process and stakeholders • Value stream map • Identification of waste • Root cause analysis • Kaizen Blitz • Look to long term IT based solution

  3. Current State Value Stream Map

  4. Key Wastes • Motion • Rework • Missing Information (defects) • Misinformation (defects) • Waiting

  5. Key baseline statistics Key stats for Neurology referrals: • Appointments available per month: 70* • *26 of these appointment are available on the first Tuesday of the month, the remaining appointments are available each Friday • Number of total referrals to neurology: 120 • Can only see 58% of referrals (assuming every patient arrives for their appointment). It is essential that available slots are allocated to most urgent cases. Hence the importance of a comprehensive referral. • Key Stats for ED referrals: • ED makes on average 16 referrals to Neurology outpatients per month (4 per week) • 100% of referrals from ED have been incomplete in terms of missing information

  6. Kaizen Blitz Actions: • Educate clerical staff on importance of updated patient information including address and phone details. • Redesign referral form to include tick box for information sheet • Education for medical staff on importance of listing investigations done and to give patient information form.

  7. Outcome • Education of Medical and Clerical Staff • Clerical staff are more confident / assertive in ensuring that medical staff complete all sections of the form • A new Outpatient Form Designed – see below

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