Pre-Registration Radiology PatientsPre-Registration Radiology Patients

People use us because they are proud of us

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04/13/23 Pre-Registration 2

Sponsor/Leadership PanelSponsor/Leadership Panel

Jim Austin; Chief Executive of Operation (CEO)

Kim Babcock; Director of Organization (DOO)

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Value Stream ManagerValue Stream Manager

Penny Saemisch;

Patient Access Services (PAS) Manager

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Team MembersTeam Members

Pre-Registration Team– Scheduling; Scott Lewandowski– Registration; Laura Haller, Judy Hill,

Robbin Horton, Kathleen Howard, and Jennifer Shelton

– Radiology check in; Marsha Hudson

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Purpose of Project Purpose of Project

Ultimate goal of project

– Improve pre-registration flow to provide more value to process and reduce waste.

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Metrics and TargetsMetrics and Targets

Reduce registration errors. – Decrease in error reports and complaints – Increase in revenue

Reduce patient wait time.– Decrease in patients having to register in

person.

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Project ScopeProject Scope

Starting point:– Patient being scheduled for service.

Ending point:– Patient arrived for test and checked in.

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ParametersParameters

No new staffNo overtime

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DeliverablesDeliverables

Decrease days in (AR) Accounts Receivable thus, increasing revenue.

Decrease in patient complaints and wait time.

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TimelineTimeline

Target Date - Feb 16,2012

Completion Date - July 19, 2012

A3#1A3#1Project CharterPre-Registration Radiology Patients

Project:

PRE REGISTRATION RADIOLOGY PATIENTS Initiation Date:02/09/2012

 

Sponsor/ Leadership Panel:Jim Austin (CEO) Chief Executive OfficerKim Babcock (DOO) Director of Operations

Value Stream Manager (Person most directly responsible for the project area):

Penny Saemisch Office Manager

Team Members:

Pre-Registration TEAM–Scheduler; Scott Lewandowski–PAS Registration: Laura Haller, Judy Hall, Robbin Horton, Kathleen Howard –Greets and checks in radiology patients: Marsha Hudson

Purpose of Project: Improve pre-registration flow to provide more value to process and reduce waste.

Metrics and Targets (What metrics do you anticipate changing after the project, what are your goal numbers?):

Reduction in registration errors: Decrease in error reports and complaints. Increase in revenue

Reduction in patient wait times: Decrease in patients having to register in person.

Project Scope (Beginning and end points of the project):

Beginning point: Scheduling patientEnding point: Patient arrived for test and checked in.

Parameters (Processes that must be followed, constraints, etc.):

Constraints: No Over timeNo New Staff

Deliverables (Tangible outputs of the project):

Decrease days in (AR) accounts receivable, thus increasing revenue.

Timeline, including target completion date:

Start: February 16, 2012End: July 19, 2012

Updates (How often will leadership be updated?):

Bi weekly

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Current State Value Stream MapCurrent State Value Stream Map

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Lead Time = Cycle Time + Wait TimeLead Time = Cycle Time + Wait Time

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5’s Before5’s Before Sort Set In Order Shine Standardize Sustain

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5’s After5’s After Sort Set In Order Shine Standardize Sustain

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Visual Management and Standardized Visual Management and Standardized WorkWork

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Created an Intranet for

all registration staff to be

able to go to and pull

what they need in order to register a patient or

know what the steps are to page staff

on call, among other

things.

Future State Value Stream MapFuture State Value Stream MapON Going ON Going Value Added Non-Value Added, but necessary

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Value added Value added Missing Phone Number

BEFORE

Walking the Gamba it was found that no steps were taken in finding the correct phone number.

Wait until the morning of to find missing order

Current state

Starts with scheduler – who calls patient. Scheduler checks status of phone number and if no phone number on schedule, scheduler will add.

Registration now uses program to pull orders and places with all paper work. Packet complete.

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Never Ending JourneyNever Ending Journey

Things that encouraged me.

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