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首页> 外文会议>30th annual national conference of the American Society for Engineering Management 2009 >Improving Hospital Inpatient Discharge Planning Process Using Lean Thinking Principles
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Improving Hospital Inpatient Discharge Planning Process Using Lean Thinking Principles

机译：运用精益思维原理改善医院住院病人出院计划流程

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The upward trend in healthcare costs has invigorated the pursuit for a gamut of process and productivity improvement solutions in hospital systems. This has led to the adoption of concepts such as lean manufacturing, a combination of techniques that are often leveraged to facilitate the elimination of waste and the eventual enhancement of the value derived from business processes. Despite being a technique founded in the automotive industry, lean principles have recorded widespread success in both manufacturing and service industries. Therefore, this research endeavor focuses on streamlining and improving the inpatient discharge planning process using lean principles at Virtua Health, a four-hospital community system in New Jersey, and an early adopter in the use of six sigma and lean process improvement methodologies. To ensure an effective inpatient discharge process, the need for care coordination between different care providers, the adoption of a more holistic approach to deliver patient care, enhancing the utilization of nursing staff, and moving towards more effective means of communication represent different pieces of the puzzle that need to come together. As part of the inpatient discharge planning value stream, the initial focus was spent on the bed turnaround issue and the emergency room discharge process to create a culture of 'pull'. Using various lean thinking tools and the available technology, a 40% reduction in 'patient discharge to room clean time' was achieved. Moreover, a reduction of 15 minutes in the 'patient disposition to patient admit time' in the Emergency Department (ED) was reached along with over 20 percentile increase in patient satisfaction for time spent in ED prior to getting a bed. Furthermore, the average distance a bed flow coordinator travels in a year is expected to reduce by over 300 miles.
机译：医疗保健成本的上升趋势激发了对医院系统中一系列过程和生产率提高解决方案的追求。这导致采用诸如精益制造等概念，这些技术通常被用来促进消除浪费和最终提高从业务流程中获得的价值的技术组合。尽管精益原理是在汽车行业中建立的一种技术，但在制造和服务行业中都取得了广泛的成功。因此，这项研究工作的重点是使用Virtua Health（新泽西州的四医院社区系统）的精益原则简化和改善住院病人出院计划流程，并率先采用六西格玛和精益流程改进方法。为确保有效的住院流程，不同护理提供者之间的护理协调需求，采用更全面的方法来提供患者护理，提高护理人员的利用率以及朝着更有效的沟通方式迈进，这些代表了不同的方面。难题，需要走到一起。作为住院病人出院计划价值流的一部分，最初的重点是花费在病床周转问题和急诊室出院过程上，以营造一种“拉动”的文化。通过使用各种精益思维工具和可用技术，“出院到房间清洁时间”减少了40％。此外，急诊室（ED）的“患者对住院时间的安排”减少了15分钟，并且患者对上床前在ED上花费的时间的满意度提高了20％以上。此外，床流协调员一年的平均行驶距离预计将减少300英里以上。

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