presentation to promodel solutions conference
TRANSCRIPT
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Presentation toProModel Solutions
Conference
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INTRODUCING
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Delta Healthcare Consulting Group, Inc. © 2006
Company BioDelta Healthcare Consulting Group
• Background:–Combined 60+ years of healthcare experience among staff
–Over 80 hospitals have used DHCG consultants
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Delta Healthcare Consulting Group, Inc. © 2006
• Specializing in:–Process Improvement–Dependency-based staffing systems for Nursing
–Mix-sensitive staffing approaches for all other departments
Company BioDelta Healthcare Consulting Group
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Delta Healthcare Consulting Group, Inc. © 2006
Company BioDelta Healthcare Consulting Group
• Client Profiles:–Magnet-designated hospitals–Top 100 Hospitals–Specialty and acute care facilities
–Teaching Hospitals
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Delta Healthcare Consulting Group, Inc. © 2006
Company BioDelta Healthcare Consulting Group
• Client Profiles (cont’d):–Outpatient Clinics–Tertiary Teaching hospitals–Long Term Care facilities
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Delta Healthcare Consulting Group, Inc. © 2006
Company BioDelta Healthcare Consulting Group
• Don Ballash – Director
–Designed multiple healthcare applications
• Cory Carrigan – Senior Consultant
–Head of process improvement
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Delta Healthcare Consulting Group, Inc. © 2006
Abstract• December 2004 embarked on a patient flow/process
improvement study with large pediatric Cardiology clinic. The clinic includes; echo lab, stress test, pacemaker, ekg, and patient exam rooms.
• After documenting all patient flow and staff workflow processes a data collection captured the time elements associated with the steps in the process.
• Data analysis yielded potential process changes. Changes were implemented in the model to determine the impact on the patient and staff.
• As a result major patient flow and staff role changes were made as well as changes to the patient schedule.
• Estimated financial impact from recommendations was near $5,000,000.
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryBusiness Situation
• Business Situation:
–Management felt capacity had been reached
–Patients were experiencing very long length of stay
–Echo and clinic schedule were not working well together
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryBusiness Situation
• Business Situation (cont’d):–Had a very large backlog of patients
–Patient satisfaction was very poor
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Objectives
• Project Objectives:
–Increase capacity
–Decrease patient length of stay
–Increase compatibility of echo and clinic schedule
–Decrease scheduling backlog
–Increase patient satisfaction
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Solutions
• Project Solutions:–Identified physician, staff and clinic
capacity• Physicians not meeting contract
– Changed scheduling
• Staff working below capacity– Used modeling to match staffing with volume
• Rooms had excess capacity – Increased patient volume
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Solutions
• Project Solutions (cont’d):
–Decreased patient length of stay• Identified and eliminated bottlenecks
– Used modeling to test solutions
• Identified scheduling issues– Used modeling to test scheduling changes
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Solutions
• Project Solutions (cont’d):–Increase compatibility of clinic and
echo schedule• Found appointments not synchronized
– Used modeling to verify proposed changes
• Found high percentage of patients not being schedule properly
– Implemented check-out process and used modeling to look at impact on patient flow
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Solutions
• Project Solutions (cont’d):
–Decreased scheduling backlog• Excess physician capacity helped decrease
scheduling backlog– At same time reduced physician time in clinic
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Solutions
• Project Solutions (cont’d):
–Increased patient satisfaction• Unsolicited feedback from parents almost
instantaneously upon changes– Especially noticed less waiting time, smoother
flow through department, and convenience of new checkout process
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Results
• Project Results:
–Increased physician, staff and clinic capacity and utilization• Increased physician capacity by 20%• Increased clinic staff utilization by 16%• Increased echo staff utilization by 15%
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Results
• Project Results:–Increased physician, staff and clinic
capacity and utilization (cont’d)• Identified clinic room excess capacity of
47%• Increased clinic room utilization by 19%• Identified echo room excess capacity of
55%• Increased echo lab room utilization by 11%
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Results
• Project Results (cont’d):
–Decreased patient length of stay• Clinic length of stay decreased 10%• Echo length of stay decreased 27%
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Results
• Project Results (cont’d):–Increased compatibility of echo and
clinic schedule• Contributed to decrease clinic length of
stay of 10%• Decreased overall length of stay of clinic
patient receiving an echo by 10%• Increased return scheduling percentage by
23% to a percentage of 98%
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Results
• Project Results (cont’d):
–Decreased scheduling backlog• Clinic backlog decreased 20%• Echo backlog decreased 25%
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Results
• Project Results (cont’d):
– Increased customer satisfaction• No large increase in hospital survey
customer satisfaction but results were already high prior to project. Have not reissued project customer survey to compare results.
• Have seen a large increase in real-time positive feedback
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Delta Healthcare Consulting Group, Inc. © 2006
Application SummaryProject Results
• Project Results (cont’d):
–Revenue, cost reduction and cost avoidance• Increased revenue of $1.73 million• Decreased staffing cost by $65,000• Cost avoidance of over $3 million• 1 year ROI of 9x• 3 year ROI of 24x
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Delta Healthcare Consulting Group, Inc. © 2006
Thank you for your Participation!
• Questions and Discussion