Media Publication: Inspire article: The heart of the matter


Media Publication: Inspire article: The heart of the matter

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April 10, 2013, 00:00
Team: Events, Training & News

CHIMb.ca
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Media Publication: Inspire article: The heart of the matter

Team: Events, Training & News

April 10, 2013, 00:00

Description


Working with over 30 clinicians, managers and support staff, the George and Fay Yee Center for Healthcare Innovation Project Management Office (PMO) has recently wrapped up a yearlong project that helped reduce wait times for patients waiting for Cardiac Catheterization from 5 to 6 weeks to 1.5 weeks for urgent outpatients, and from 8 months to 3 weeks for elective outpatients.

The goal was to design and implement new processes to improve scheduling and throughput, focusing on improving the patient's access to care. The results were better than they could have hoped for.

Dr. Roger Philipp, Director Adult Cardiac Catheterization Labs, St. Boniface Hospital (SBGH) was the Project Sponsor and oversaw the coordination of opening of a third catheterization lab at St. Boniface Hospital.

"The team, led by Process Engineers Heidi Adamko and Jeff Friesen, tirelessly worked at optimizing the flow of information from the time of the referral to the day of the procedure. They observed, listened and offered creative solutions to improve patient care in the Adult Cardiac Cath Labs at St. Boniface Hospital," said Dr. Philipp.

With the opening of the new lab and work done on streamlining activities, not only was the impact on patient accessibility, outcomes and access to care outstanding, but there was a reduction in the time it took to book patients from over two weeks to less than one day. To maintain productivity, a system was implemented that displays live statistics such as wait times or the number of patients waiting for scheduling, clinic, or procedure by priority level.

Running alongside this project was an Echocardiography project. The goal was to improve scheduling and throughput at HSC and SBGH for patients seeking Echocardiograms. The tireless work of over 27 clinicians, managers, and support staff from HSC and SBGH Echo departments and the University of Manitoba Engineering Program led to outstanding results of which the team can be very proud.

  • No-show rates at HSC were reduced by 66%, resulting in 39 fewer no-shows per month
  • Roughly 2 hours of time was freed up for Charge Sonographers at SBGH through the implementation of LEAN process improvement.
  • Implemented centralized booking of elective patients.
  • The average difference in wait time between HSC and SBGH in the 12 months before the implementation was 90 days, and 68 days in the four months prior.  In the four months after implementation the average difference in the wait time between sites was 11 days. 
  • Implemented a new referral form for more appropriate triaging of patients and a net reduction of seven data fields

By Melanie Fatouros-Richardson

 

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