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.

1. Lean & Simulation
E.D. Case Study
February 21, 2014
Todd Roberts & Brittany Hagedorn

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.
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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.
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4. The Simulation
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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.
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6. Implementation Results
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7. Implementation Results
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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.
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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.
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