Lean is more effective when using Simulation, an ED Case Study from SIMUL8

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Lean Six Sigma (LSS) programs are more effective when they integrate the use of process simulation into their toolkit.

By doing so, improvement practitioners improve both their technical solutions and adoption of new/redesigned processes.

This Case Study looks at 'Implementing Rapid Clinical Examination (RCE) flow in the Emergency Room of Memorial Medical Centre.


Published in: Health & Medicine
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Lean is more effective when using Simulation, an ED Case Study from SIMUL8

  1. 1. Lean & Simulation E.D. Case Study February 21, 2014 Todd Roberts & Brittany Hagedorn
  2. 2. Our Hypothesis Lean Six Sigma (LSS) programs are more effective when they integrate the use of process simulation into their toolkit. By doing so, improvement practitioners improve both their technical solutions and adoption of new/redesigned processes. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
  3. 3. The Problem • Implementing Rapid Clinical Examination (RCE) flow in the Emergency Room. • Consultants brought in to help with implementation. • Recommendations based on industry standards. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
  4. 4. The Simulation SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
  5. 5. Desired Outcomes 1. Determine the most efficient model for routing patients. 2. Determine the number of provider resources necessary for staffing based upon patient distribution. 3. Determine primary macro factors affecting length of stay for all patients. 4. Identify process constraints and bottlenecks affecting wait times. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
  6. 6. Implementation Results SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
  7. 7. Implementation Results SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
  8. 8. Final Thoughts With growing demand for LSS practitioners and increasingly restricted resources, healthcare organizations are looking to maximize their return on investment from their LSS programs. • • • • • • Value Stream Mapping – Incorporate measures of process variability. Fail Modes Affects Analysis – Assess the real impact of a change on the process. Future State – Test a variety of scenarios and conditions, prior to implementation. Charters – Set the right performance target. Spaghetti Diagram – Simulate a layout prior to implementation. Change Management –Visualize the future state in order to gain buy-in. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

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