1. Pre-Registration Radiology Patients
People use us
because they
are proud of us
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2. Sponsor/Leadership Panel
 Jim Austin; Chief Executive of Operation
(CEO)
 Kim Babcock; Director of Organization
(DOO)
08/08/12 Pre-Registration 2

3. Value Stream Manager
 Penny Saemisch;
Patient Access Services (PAS) Manager
08/08/12 Pre-Registration 3

4. Team Members
 Pre-Registration Team
– Scheduling; Scott Lewandowski
– Registration; Laura Haller, Judy Hill,
Robbin Horton, Kathleen Howard, and
Jennifer Shelton
– Radiology check in; Marsha Hudson
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5. Purpose of Project
 Ultimate goal of project
– Improve pre-registration flow to
provide more value to process and
reduce waste.
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6. Metrics and Targets
 Reduce registration errors.
– Decrease in error reports and complaints
– Increase in revenue
 Reduce patient wait time.
– Decrease in patients having to register in
person.
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7. Project Scope
 Starting point:
– Patient being scheduled for service.
 Ending point:
– Patient arrived for test and checked in.
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8. Parameters
 No new staff
 No overtime
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9. Deliverables
 Decrease days in (AR) Accounts
Receivable thus, increasing revenue.
 Decrease in patient complaints and wait
time.
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10. Timeline
Target Date - Feb 16,2012
Completion Date - July 19, 2012
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11. PRE REGISTRATION RADIOLOGY PATIENTS
Initiation Date:
Project: 02/09/2012
Jim Austin (CEO) Chief Executive Officer
Sponsor/ Leadership Panel: Kim Babcock (DOO) Director of Operations
Penny Saemisch Office Manager
Value Stream Manager (Person
most directly responsible for the
project area):
Pre-Registration TEAM
–Scheduler; Scott Lewandowski
Team Members: –PAS Registration: Laura Haller, Judy Hall, Robbin Horton, Kathleen Howard
–Greets and checks in radiology patients: Marsha Hudson
• Improve pre-registration flow to provide more value to process and reduce waste.
Purpose of Project:
• Reduction in registration errors:
Metrics and Targets (What metrics
Decrease in error reports and complaints. Increase in revenue
do you anticipate changing after
• Reduction in patient wait times:
the project, what are your goal
Decrease in patients having to register in person.
numbers?):
A3#1Project Charter
A3#1
Project Scope (Beginning and end Beginning point: Scheduling patient
Ending point: Patient arrived for test and checked in.
Pre-Registration Radiology
points of the project):
Constraints:
Parameters (Processes that must No Over time
Patients
be followed, constraints, etc.): No New Staff
Decrease days in (AR) accounts receivable, thus increasing revenue.
Deliverables (Tangible outputs of
the project):
Timeline, including target Start: February 16, 2012
completion date: End: July 19, 2012
Updates (How often will leadership Bi weekly
be updated?):
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12.  Current State Value Stream Map
08/08/12 Pre-Registration 12

13. Lead Time = Cycle Time + Wait Time
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14. 5’s Before
 Sort
 Set In Order
 Shine
 Standardize
 Sustain
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15. 5’s After
 Sort
 Set In Order
 Shine
 Standardize
 Sustain
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16. Visual Management and Standardized Work
Created an
Intranet for
all
registration
staff to be
able to go to
and pull
what they
need in order
to register a
patient or
know what
the steps are
to page staff
on call,
08/08/12 Pre-Registration 16
among other

17. Future State Value Stream Map
ON Going
Non-Value Added, but
Value Added necessary
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18. Value added
Missing Phone Number Current state
BEFORE  Starts with scheduler –
who calls patient.
 Walking the Gamba it
Scheduler checks
was found that no steps
status of phone number
were taken in finding
and if no phone number
the correct phone
on schedule, scheduler
number.
will add.
 Wait until the morning  Registration now uses
of to find missing order
program to pull orders
and places with all
paper work. Packet
complete.
08/08/12 Pre-Registration 18

19. Never Ending Journey
Things that encouraged me.
 Gemba
 PDCA
 Listen
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