On the Lean Blog, Jesus “Chuy” Ellin, HT PA andPeter P Patterson, MD MBA noted that the histopathology laboratory at their hospital recently had a breakthrough in the lean journey begun in 2007. The monthly defect rate in the order entry process has fallen precipitously from 33.5% to 2.5% over the past five months, after they initiated comprehensive new employee training.
When the order entry incumbent resigned without notice in November 2008, the management team began to seriously investigate the real sources of the high defect rate. A major insight was the realization that initial training of new employees was completely inadequate. Furthermore, many of the important aspects of the job were either undocumented or inadequately documented making effective training difficult.
In the first month after the new person was hired and trained the new way, the defect rate fell 72%. The next month it fell 17%. The defect rate has fallen by similar amounts each subsequent month, now five months running. As the defect rate falls to low levels, they have begun exploring the ideas behind a “zero-defect” program.
Read about their process improvement journey.
Filed Under: Clinical Improvement • Financial Performance
Tags: better hospitals, hospital process improvement
About the Author
From sports journalist to editor of an international trade magazine to Marketing Director for 3 companies before founding WBK Marketing, eventually one of the 50 largest promotional marketing agencies in America. Dale has pioneered "contextual marketing" for successful brands at P&G, Pepsi, Disney, Toshiba, Compaq, Imation, 3M and many regional hospitals and healthcare insurers.
“From my days in college as a pre-med student and working as a transporter for Christ Hospital in Cincinnati, to developing marketing programs for hospitals and health insurers, I have always had a passion for how science and medicine can help bring sick people back to health. Hospitals are incredibly complex organizations, with two large clinical teams (doctors and nurses) and many highly skilled specialists and therapists. There are times when various groups working in medical centers have opposing view points that can lead to dissonance, which at the extreme can potentially impair patient safety and quality outcomes. The work we do at Compass Clinical Consulting guides many of these hospitals through contentious issues, process failure or breakdown with a negative impact on financial stability. Our department of education and information services has been assembled to produce high-value content for hospital leaders. Our goal is to help these leaders transform their organizations into better hospitals by reducing the cost of delivering safe, quality healthcare.”
Dale has been an active blogger since 2004 when he launched The Perfect Customer Experience (www.perfectcem.com); recently recognized as one of Top 20 CRM blogs and on healthcare improvement (www.better-hospitals.com) where we now communicate about issues that impact making better American hospitals.
Case studies to learn more about ways in which Compass Clinical has worked to create better American hospitals.