Laguna Honda Hospital

Value Stream #2 – DischargeKaizen Workshop #2 – Discharge Preparation

Future State

2

This is how the value stream workshop team envisionedthe improved discharge process. The care planning kaizenteam focused on the time from admission through the firstinterdisciplinary care conference.

Care Planning Discharge Preparation

3

Kaizen #2 A3

The resident is often unaware of their discharge timeline andpreparation plans. There is inconsistent medication education anddocumentation and the home evaluations with DME procurementare often done without adequate lead time.

4

Initial Target Sheet

The Gemba: Where the work is done

5

Wastes

6

• Looking for information in multipleplaces

• Delayed ordering of Home Eval/DME• Waiting for pharmacy to initiate med

teaching

Idea: Med Teaching and Simplification

7

Grouping of Ideas by Category

8

• MedicationTraining andSimplification

• DischargeInformation

• CentralizedChecklist

• DME

Mapping the Process

9

Experiments

10

Problem Experiment ExpectedResult

Actual Result Still to Do

Proposed Change #1: Discharge Prep Pt Info

11

To keep theresident informedof their dischargeplan

“I really like havingthat info in myroom.”

LHH S2 Resident

Proposed Change #2: Discharge Prep Checklist

12

This Discharge PrepChecklist is the onestop shop fordischarge prepinformation.

The checklist will livein the front of thechart. RCT memberscheck off items asthey are completed.

Trial of RCC Q 2weeks

Proposed Change #3: Medication Assessment& Teaching

Medicationadministrationteaching needs will beassessed in the first48 hours afteradmission thenweekly. Theassessment alsoserves as thecareplan.

13

Thank you so much forall the information aboutmy discharge meds, it is

really helpful!

S4 Resident at the pharmacy window

Proposed Change #4: DME Workflow

14

Our interdisciplinaryteam created newstandard work toimprove theworkflow fordurable medicalequipment (DME).

15

Final 1-2-3 Target Sheet

INSERT UPDATED TARGET SHEET

Kaizen Action Bulletin

16

INSERT NEW KAB

Team

17