Health Care Industry

1
Health Care Industry An Engineering Perspective
Design Systems Overview Healthcare
Industry Process Analysis Tools and Results
2
Considerations -
There are two distinctive arenas of Management
Engineering Consulting Services for the
healthcare industry

• Continuous Improvement/ Optimization Studies
• New Construction/Renovation Facilities Studies

Expectations - Healthcare study results
3
Lean Engineering Approach

• Understand operational parameters
• Patient census (volume, timing treatments)
• Staff resource allocations, timing and
  utilization
• Equipment and facilities allocations and
  utilization
• Staff interviews
• Study and analyze the non-medical processes
• Study and analyze patient and staff flow
• Identify direct patient care activities as
  value-added
• Identify, reduce and eliminate non-value added
  activities

4
Focus of Recommendation Serve the Patient,
Support the Staff

• Use the right resources for the right jobs
• Design flexible facility layouts with flexible
  uses
• Level resource utilization to match patient
  needs
• Improve non-medical processes to reduce or
  eliminate non-value added tasks
• Add technology/facilities/equipment for
  non-medical tasks . . .

5
Sample Analysis Tools

• Value stream mapping
• Statistical data analysis
• Patient, resource and process flow analysis
• Equipment and facility utilization analysis
• Standardized work
• Simulation Static Dynamic
• 3D Cad renderings

6
Documentation of Current Conditions
7
Current Condition Processes and Resource
Documentation
Sample of Current Resource Loading - Nurses and
Technicians
8
Sample Analysis Tools
Value Stream Mapping
Analysis of Processes and Resources
Patient Triage Process
Triage Step 1
Triage Step 2
Triage Step 3
Triage Step 4
Triage Step 5
Triage Step 6
Triage Step 7
Triage Step 8
I
I
I
I
I

3
5
8
10
12
0 LS
0 LS
0 LS
0 LS
0 LS
1
2
3
2
1
1
1
1
0 Con
0 Con
0 Con
0 Con
0 Con
1 TC
1 TC
1 TC
1 TC
1 TC
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
VAT 12 sec.
VAT 18 sec.
VAT 11 sec.
VAT 14 sec.
VAT 14 sec.
VAT 17 sec.
VAT 17 sec.
VAT 20 sec.
NVAT 58 sec.
NVAT 51 sec.
NVAT 58 sec.
NVAT 55 sec.
NVAT 55 sec.
NVAT 52 sec.
NVAT 52 sec.
NVAT 49 sec.
Units 1
Units 1
Units 1
Units 1
Units 1
Units 1
Units 1
Units 1
NVAU 0.8406
NVAU 0.7391
NVAU 0.8406
NVAU 0.7971
NVAU 0.7971
NVAU 0.7536
NVAU 0.7536
NVAU 0.7101
MVAT 12 sec.
MVAT 36 sec.
MVAT 32 sec.
MVAT 14 sec.
MVAT 27 sec.
MVAT 34 sec.
MVAT 33 sec.
MVAT 20 sec.
MNVAT 57 sec.
MNVAT 102 sec.
MNVAT 175 sec.
MNVAT 124 sec.
MNVAT 42 sec.
MNVAT 35 sec.
MNVAT 36 sec.
MNVAT 49 sec.
Cost 0
Cost 0
Cost 0
Cost 0
Cost 0
Cost 0
Cost 0
Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
.
.
.
.
Check-In Step 1
Check-In Step 2
Check-In Step 3
Check-In Step 4
Check-In Step 5
Check-In Step 6
Check-In Step 7
Check-In Step 8
I
I
I
I
I
I
16
19
23
25
1
26
1 LS
3 LS
0 LS
3 LS
0 LS
0 LS
1
1
1
2
1
1
1
1
1 Con
1 Con
0 Con
2 Con
0 Con
0 Con
2 TC
6 TC
1 TC
7 TC
1 TC
1 TC
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
C/T 69 sec.
VAT 19 sec.
VAT 19 sec.
VAT 25 sec.
VAT 0 sec.
VAT 35 sec.
VAT 48 sec.
VAT 16 sec.
VAT 14 sec.
NVAT 50 sec.
NVAT 50 sec.
NVAT 44 sec.
NVAT 69 sec.
NVAT 34 sec.
NVAT 21 sec.
NVAT 53 sec.
NVAT 55 sec.
Units 1
Units 1
Units 1
Units 1
Units 1
Units 1
Units 1
Units 1
NVAU 0.7246
NVAU 0.7246
NVAU 0.6377
NVAU 1
NVAU 0.4928
NVAU 0.3043
NVAU 0.7681
NVAU 0.7971
MVAT 1 sec.
MVAT 19 sec.
MVAT 25 sec.
MVAT 0 sec.
MVAT 23 sec.
MVAT 45 sec.
MVAT 16 sec.
MVAT 14 sec.
MNVAT 68 sec.
MNVAT 50 sec.
MNVAT 44 sec.
MNVAT 138 sec.
MNVAT 46 sec.
MNVAT 24 sec.
MNVAT 53 sec.
MNVAT 55 sec.
Cost 0
Cost 0
Cost 0
Cost 0
Cost 0
Cost 0
Cost 0
Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Cum. Cost 0
Patient Check-In Process
9
Sample Analysis Tools
Process and Resource Data Analysis
Current Physician Utilization
10
Sample Analysis Tools
Process and Resource Flow Simulation
FactoryFlow Simulation Analysis - Existing Floor
Plan Euclidian Comparison
Current
Proposed
11
Sample Analysis Tools
Process and Resource Flow Simulation
FactoryFlow Simulation Analysis - Existing Floor
Plan Data Comparison

• Recommended Operational Changes
• Implement Electronic Patient Tracking and Order
  System
• Revise triage process
• Revise x-ray order and delivery process

Current

• Recommended Facility Changes
• Add second triage room
• Relocate triage waiting area
• Revise nurses station
• Provide hallway between T/AC and UC

Proposed
12
Sample Analysis Tools
Facility Layout Analysis
Proposed Facility Layout
Added second triage room
Added hallway between Trauma / Acute Care and
Urgent Care
Utilize registration area as post-treatment
payment processing area, relocate registration
area
Revised nurses station
Relocate triage waiting area and increase capacity
13
Sample Analysis Tools
Facility 3D Renderings

• Visually track all patients within the dept.
• Revised patient charting using Visual Factory
  technique
• Patient charts located by process flow

Visual Management - Detailed Layout
Whiteboard
New Patients
Patient Charts
Patient Charts
14
Contact us at 248-489-4300 in Farmington
Hills, MI 519-944-8807 in Windsor, ONJohn T.
SchneiderJon Booth
Design Systems, Inc.