Unscheduled Care

ALPha | DELta | OMega

The Lean journey does not stop for the qualified Lean Six Sigma Green Belt within the Mater Hospital. Apart from their clinical work commitments, our Green Belts are employees who spend time on continuing process improvement teams. They analyse and solve identified problems, and are involved with Six Sigma, Lean or other quality improvement projects.


Overview

The qualified Green Belt participants have the skill, knowledge and confidence needed to use the Define-Measure-Analyse-Improve-Control (DMAIC) framework and Lean Six Sigma tools to deliver person centred improvement across the organisation. Our Lean Six Sigma on-going Projects adopt a cross-departmental and interdisciplinary approach to identifying root causes of quality and process inefficiencies and improving performance. Ultimately, our Projects in Lean for healthcare help to provide a catalyst to find answers to the question, "What is the right strategy?"

Lean Six Sigma analyses can be applied to a vast array of health system issues that also lend themselves to our second generation projects. Examples include the following:

  • Patient Satisfaction: Wait time, medical errors, length of stay, fewer patients leaving without being seen
  • Medical Operations: Procedure quality, procedure time, equipment utilisation, staff utilisation, staff scheduling, diagnostic time
  • Laboratory Testing: Efficiency, testing errors, availability capacity (patients per lab per workday)
  • Administrative: Corrections, billing, filing, chart management, storage

Ongoing Projects on which Lean graduates participate within the Unscheduled Care workflow include, the ALPha (Acute Floor Lean Project), DELta (Delivering Lean at ward level) and OMega (Ongoing Management for discharge). These Project teams are looking at:

ALPha: Acute Floor Lean Project, Unscheduled Care

Purpose:
To map the un-scheduled care pathway within Acute Floor (ED & AMAU) and all its sub-processes, end to end, in order to remove all non-value-add for patients, staff and relevant stakeholders. This process ends with the decision to admit and/or the patient leaving the ED.

DELta: Delivering Lean at ward/unit level, Unscheduled Care

Purpose:
To map the un-scheduled care pathway within targeted specialities from the time of decision to admit , to the time of decision to discharge, in order to remove all non-value-add for patients, staff and relevant stakeholders. Projects to date include work with the Respiratory and Acute Medicine teams and the General Internal Medicine (GIM) Project with the Division of Medicine.

OMega: On-going Management of the Elderly - Unscheduled Care

Purpose:
To map and streamline un-scheduled care discharge pathway, with specific reference to rehabilitation beds, end to end, in order to remove all non-value-add for patients, staff and relevant stakeholders.The Project is a collaborative work between Cappagh National Orthopaedic Hospital, Saint Mary’s Hospital Phoenix Park, the Incorporated Orthopaedic Hospital Clontarf and the Mater Misericordiae University Hospital.