| Topic | Targets and actions |
---|---|---|
Topics and targets from value stream analyses and activity analyses | Evaluation of time from GP referrals to addition to list and response to patient (within the national 10-day limit). | Average evaluation time < 2 days; none > 10 days. Organize regular resources for evaluation of referrals (no batching) < 65 days. |
Long waiting time. | Plan for booking the longest waiters (top 30 each week). | |
Long wait list. | Number on wait list reduced to an appropriate level for attaining steady state of a 65-day wait time. | |
High number of delayed follow-up patients. | No delayed follow-up patients. | |
Inefficient use of secretarial resources due to patients calling for lacking appointments. | Optimization of secretarial resources. | |
Large number of patients rebooked. | Longer booking horizon may reduce rebooking? | |
Large number of no-shows. | Longer booking horizon may reduce no-shows? | |
Resources | Clinic management. | Establish regular huddle meetings with involved personnel to discuss current problems and find solutions. |
Cross-professional teams analyzing problems and suggesting solutions. | ||
Temporarily buying extra working time. | Temporary increase in physicians’ extended working hours. | |
Exporting delayed controls to other providers. | Eliminate old problems that may not be expected to be solved within ordinary steady state resources. |