presentation to promodel solutions conference. introducing

Presentation toProModel Solutions

Conference

INTRODUCING

Company BioDelta Healthcare Consulting Group

• Background:–Combined 60+ years of healthcare experience among staff

–Over 80 hospitals have used DHCG consultants

• Specializing in:–Process Improvement–Dependency-based staffing systems for Nursing

–Mix-sensitive staffing approaches for all other departments

• Client Profiles:–Magnet-designated hospitals–Top 100 Hospitals–Specialty and acute care facilities

–Teaching Hospitals

• Client Profiles (cont’d):–Outpatient Clinics–Tertiary Teaching hospitals–Long Term Care facilities

• Don Ballash – Director

–Designed multiple healthcare applications

• Cory Carrigan – Senior Consultant

–Head of process improvement

Abstract• December 2004 embarked on a patient flow/process

improvement study with large pediatric Cardiology clinic. The clinic includes; echo lab, stress test, pacemaker, ekg, and patient exam rooms.

• After documenting all patient flow and staff workflow processes a data collection captured the time elements associated with the steps in the process.

• Data analysis yielded potential process changes. Changes were implemented in the model to determine the impact on the patient and staff.

• As a result major patient flow and staff role changes were made as well as changes to the patient schedule.

• Estimated financial impact from recommendations was near $5,000,000.

Application SummaryBusiness Situation

• Business Situation:

–Management felt capacity had been reached

–Patients were experiencing very long length of stay

–Echo and clinic schedule were not working well together

Application SummaryBusiness Situation

• Business Situation (cont’d):–Had a very large backlog of patients

–Patient satisfaction was very poor

Application SummaryProject Objectives

• Project Objectives:

–Increase capacity

–Decrease patient length of stay

–Increase compatibility of echo and clinic schedule

–Decrease scheduling backlog

–Increase patient satisfaction

Application SummaryProject Solutions

• Project Solutions:–Identified physician, staff and clinic

capacity• Physicians not meeting contract

– Changed scheduling

• Staff working below capacity– Used modeling to match staffing with volume

• Rooms had excess capacity – Increased patient volume

• Project Solutions (cont’d):

–Decreased patient length of stay• Identified and eliminated bottlenecks

– Used modeling to test solutions

• Identified scheduling issues– Used modeling to test scheduling changes

• Project Solutions (cont’d):–Increase compatibility of clinic and

echo schedule• Found appointments not synchronized

– Used modeling to verify proposed changes

• Found high percentage of patients not being schedule properly

– Implemented check-out process and used modeling to look at impact on patient flow

–Decreased scheduling backlog• Excess physician capacity helped decrease

scheduling backlog– At same time reduced physician time in clinic

–Increased patient satisfaction• Unsolicited feedback from parents almost

instantaneously upon changes– Especially noticed less waiting time, smoother

flow through department, and convenience of new checkout process

Application SummaryProject Results

• Project Results:

–Increased physician, staff and clinic capacity and utilization• Increased physician capacity by 20%• Increased clinic staff utilization by 16%• Increased echo staff utilization by 15%

• Project Results:–Increased physician, staff and clinic

capacity and utilization (cont’d)• Identified clinic room excess capacity of

47%• Increased clinic room utilization by 19%• Identified echo room excess capacity of

55%• Increased echo lab room utilization by 11%

• Project Results (cont’d):

–Decreased patient length of stay• Clinic length of stay decreased 10%• Echo length of stay decreased 27%

• Project Results (cont’d):–Increased compatibility of echo and

clinic schedule• Contributed to decrease clinic length of

stay of 10%• Decreased overall length of stay of clinic

patient receiving an echo by 10%• Increased return scheduling percentage by

23% to a percentage of 98%

–Decreased scheduling backlog• Clinic backlog decreased 20%• Echo backlog decreased 25%

– Increased customer satisfaction• No large increase in hospital survey

customer satisfaction but results were already high prior to project. Have not reissued project customer survey to compare results.

• Have seen a large increase in real-time positive feedback

–Revenue, cost reduction and cost avoidance• Increased revenue of $1.73 million• Decreased staffing cost by $65,000• Cost avoidance of over $3 million• 1 year ROI of 9x• 3 year ROI of 24x

Thank you for your Participation!

• Questions and Discussion

presentation to promodel solutions conference. introducing

clinic slide

patient flow slide

scheduling changes slide

poor slide

patient schedule

years of healthcare

clinic schedule

clinic capacity physicians

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