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Time-motion studies of the OR revealed a chaotic inventory system. Supplies were not systematically accounted for, resulting in either too much or inappropriate inventory. Sterilized surgical kits would be opened for one instrument, requiring resterilization of the rest. Establishing a master control inventory system and a master location for each supply made it easier to track them all in real time.

He thinks hospitalists are uniquely qualified for the job. One of the first processes Dr. In radiation oncology, treatment for brain and bone metastases was streamlined from a three-visit procedure to a single hospital appointment by using lean methods. They feared job loss or increased workload, but soon found that lean is more about working smarter than harder. Success is not always assured. The failures? Lean is definitely not a set of cookie-cutter procedures. Each hospital has its own bottlenecks and waste points.

Lean is a way of finding them and finding a customized correction for them. At St. The results of his lean initiative were impressive. By getting a handle on inventory control, eliminating batching of tests, and standardizing procedures, Dr. Pool decreased test time considerably. That minimized backups in the emergency department.

His department is able to turn the meter off. The savings? Any organization has its own long-term institutional culture. That was the culture the Denver Health System wanted to change when it chose to go lean. And she felt there was a lot to learn from outsiders, [like] how to manage operations and different products of the medical center. Chu is one of them. One project is to standardize the admissions procedure.

Now, admissions are the responsibility of the hospitalists. No more chasing after a busy resident to get the pertinent facts out of his pocket. Admissions are transparent on Excel folders in hospital computers, for all staff to access. Lean savings relating to billing procedures or food service can be easily measured. Savings related to actual patient care can be difficult to quantify. Julia Wright, MD, a hospitalist at the University of Wisconsin Hospital and Clinics in Madison, says her hospital is using a different approach to increase efficiency.

That saves patients time. Other systems have come and gone as hospitals seek to rein in costs and improve care. Kim concludes. Skip to main content. The Lean Hospital. The Hospitalist. Author s : Carol Berczuk. What does being lean entail? All Rights Reserved. Interactive Palette - Website by Interactive Palette. About Us. Inpatient Services. Download our Newsletter.

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