This document outlines a quality improvement plan to reduce patient wait times and improve customer service in the reception and phlebotomy rooms of an AMC laboratory. It identifies key values such as minimizing patient wait time between 10:30am-12pm and effective communication. A value stream map of the current phlebotomy workflow is presented along with facts and data on patient wait times collected over 3 hours. The document recommends applying Lean principles including establishing pull systems, perfection through PDCA cycles, and references to support continuous quality improvement and standardizing patient wait times to 10 minutes.
Overview of the hospital discharge process as it relates to the development of a new transition of care clinic aimed at reducing the rate of hospital readmissions.
Patient Satisfaction Survey as a Tool Towards Quality Improvement by Dr.Mahbo...Healthcare consultant
A mixed bag of poorly evaluated methods leaves patients frustrated, and doctors little wiser.The best way to ensure that services are responsive to those they aim to serve is to elicit feedback on people’s experiences and encourage providers to deal with any problems thus identified. This has been axiomatic in health policy for many years, but have we got the balance right in primary care? Patients’ experiences have become central to assessing the performance of healthcare systems worldwide and are increasingly being used to inform quality improvement processes. This paper explores the relative value of surveys and detailed patient narratives in identifying priorities for improving breast cancer services as part of a quality improvement process.
The Top 3 Benefits of Acuity-Based Staffing for Your OrganizationAPI Healthcare
In the past, acuity-based systems were known to be highly subjective, inconsistent and unreliable. Today, however, these systems can be much more consistent and accurate, based on scientific data, practice evidence and the ability to pull information directly from a single source of truth, the electronic health record (EHR).
Overview of the hospital discharge process as it relates to the development of a new transition of care clinic aimed at reducing the rate of hospital readmissions.
Patient Satisfaction Survey as a Tool Towards Quality Improvement by Dr.Mahbo...Healthcare consultant
A mixed bag of poorly evaluated methods leaves patients frustrated, and doctors little wiser.The best way to ensure that services are responsive to those they aim to serve is to elicit feedback on people’s experiences and encourage providers to deal with any problems thus identified. This has been axiomatic in health policy for many years, but have we got the balance right in primary care? Patients’ experiences have become central to assessing the performance of healthcare systems worldwide and are increasingly being used to inform quality improvement processes. This paper explores the relative value of surveys and detailed patient narratives in identifying priorities for improving breast cancer services as part of a quality improvement process.
The Top 3 Benefits of Acuity-Based Staffing for Your OrganizationAPI Healthcare
In the past, acuity-based systems were known to be highly subjective, inconsistent and unreliable. Today, however, these systems can be much more consistent and accurate, based on scientific data, practice evidence and the ability to pull information directly from a single source of truth, the electronic health record (EHR).
PowerPoint: Practical Approaches to Improving Patient Pre-Op PreparationEmCare
Michael Hicks, MD, MBA, FACHE, CEO of EmCare Anesthesia, and Lisa Kerich, PA-C, VP of Operations for EmCare Anesthesia, provide expert advice for improving the performance of your O.R. through an integrated, collaborative approach. Learn how Pre-Anesthesia Testing (PAT) clinics are being used successfully to improve patient readiness, surgeon satisfaction and financial performance.
Originally presented Sept. 17, 2015, as a webinar in partnership with Becker's Hospital Review.
Precepting is vital to promoting the competence, familiarity, confidence, and security of new nurses in a new environment. Historically, there have been few standardized or universally accepted guidelines for the curriculum that should be included in the preceptorship model.
We created this groundbreaking new course, The Preceptor Challenge, to provide the opportunity for practical application of theory-based precepting practice in a lifelike virtual hospital setting. The highly interactive course is available to nurses working in all patient care areas, and teaches how to apply best practices, and how to identify the rationale that makes these practices "best."
Communication using the SBAR tool, Patient Safety Team, NHS Improving Quality,
more at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
This presentation is all about staffing plan and schedule allocation. This is simplified method to compute a required nursing personnel in a nursing unit or department as a whole. This will help viewers especially nurse managers to easily understand on how to compute staffing requirement in a certain nursing units or department. This will also aid them in developing staffing plan on their respective nursing organization.
Patient Satisfaction deals with how patients evaluate the quality of their healthcare experience. It is mainly assessed by conducting Patient Satisfaction Surveys using Healthcare Survey Software to determine the high quality of care, in addition to numerous other dimensions of quality, such as relevance to need, effectiveness, and efficiency.
CPHQ certification is “world class” in the field of healthcare quality. Which certify that as a professional you are privileged to take the lead for Healthcare Quality Management Structure, Process and Evaluation within a healthcare organization. CPHQ is beneficial for both quality professional and managerial position in healthcare facility
PowerPoint: Practical Approaches to Improving Patient Pre-Op PreparationEmCare
Michael Hicks, MD, MBA, FACHE, CEO of EmCare Anesthesia, and Lisa Kerich, PA-C, VP of Operations for EmCare Anesthesia, provide expert advice for improving the performance of your O.R. through an integrated, collaborative approach. Learn how Pre-Anesthesia Testing (PAT) clinics are being used successfully to improve patient readiness, surgeon satisfaction and financial performance.
Originally presented Sept. 17, 2015, as a webinar in partnership with Becker's Hospital Review.
Precepting is vital to promoting the competence, familiarity, confidence, and security of new nurses in a new environment. Historically, there have been few standardized or universally accepted guidelines for the curriculum that should be included in the preceptorship model.
We created this groundbreaking new course, The Preceptor Challenge, to provide the opportunity for practical application of theory-based precepting practice in a lifelike virtual hospital setting. The highly interactive course is available to nurses working in all patient care areas, and teaches how to apply best practices, and how to identify the rationale that makes these practices "best."
Communication using the SBAR tool, Patient Safety Team, NHS Improving Quality,
more at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
This presentation is all about staffing plan and schedule allocation. This is simplified method to compute a required nursing personnel in a nursing unit or department as a whole. This will help viewers especially nurse managers to easily understand on how to compute staffing requirement in a certain nursing units or department. This will also aid them in developing staffing plan on their respective nursing organization.
Patient Satisfaction deals with how patients evaluate the quality of their healthcare experience. It is mainly assessed by conducting Patient Satisfaction Surveys using Healthcare Survey Software to determine the high quality of care, in addition to numerous other dimensions of quality, such as relevance to need, effectiveness, and efficiency.
CPHQ certification is “world class” in the field of healthcare quality. Which certify that as a professional you are privileged to take the lead for Healthcare Quality Management Structure, Process and Evaluation within a healthcare organization. CPHQ is beneficial for both quality professional and managerial position in healthcare facility
Standardized Spill Kits from Project Sales Corp, India Call _91-98851-49412Project Sales Corp
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Educational presentation for medical laboratory technologists on safety handling for minor and major body fluid spills. In addition to a workshop to practice step by step the handling for biohazard spills.
Versão preliminar do Guia do Projeto "Caminhos da Comunicação em São Paulo", que tem por objetivo a produção de uma Revista sobre as áreas profissionais de Comunicação.
Educational presentation for medical laboratory technologists on how to create a lean culture in their workplace to improve the healthcare service by minimizing waste and enhancing work effeciency. An example in this presentation is about minimizing patient's wait time in the laboratory reception area.
revelationMD developed a data bridge that reduces
healthcare costs & improves quality by connecting the
payer, the user & the authorizer for the first time ever
Create a wonderful healthcare telephone experience! Mark Ackley
Call centers can create better healthcare access with enterprise scheduling. Here is a live example of the process that created a call center that the medical and patient community found valuable!
Check-In Kiosk Eval Class of 2014 Aslie (Ashlie) Burnett.docxspoonerneddy
Check-In Kiosk
Eval Class of 2014
Aslie (Ashlie) Burnett-Project Facilitator
Overview
Michael E. DeBakey Veterans Affairs Hospital has been a leader in quality care since the 1930s, by serving, honoring, providing care to the men and women who are America’s Veterans. We have upgraded the facility and enriched technology to better meet the needs of our veterans- we are now excited to introduce a first-ever check-in kiosk .
Reason for Action
Problem Statement
In 2014 MEVAMC had reduced usage of innovative technology and complaints of long lines and long wait times lead to external customer dissatisfaction.
Business Case
The delay affects the customer's gratification, institutional status in the waiting area of the hospital corrective actions from higher authorities in reply to client criticisms and puts extra pressure on internal clients.
3
Reason for Action
Aim/Goal: Within 90 days, MEDVAMC Emerging VA Leaders will introduce the self-check-in kiosk, increase users' understanding of its functional purpose and benefits, improve patient satisfaction by reducing wait time and improve the kiosk check-in by 20%.
Scope: The check-in process for patients
Start: When the patient arrive to the clinic
Stops: When the patient is called to the back to see a provider.
Constraints: limited knowledge of kiosk
Start with areas that have high number of repeat patients
Start with check in and payments, then add functions as desired
Use a greeter during initial rollout
Place the kiosks in an obvious location
Enable as many languages as you reasonably expect to use
System selectin
Freestanding kiosk and countertop kiosk
4
6 Ambassadors
3 Actors
4 Graphic designers
3 people from volunteer services
Sponsor (Adam Walmus, MEDVAMC Director (2014)
Valerie Williams, Education/ EVAL coordinator
Joycelyn Westbrook
Larry Wilkerson
Kendra Price-Mayes
Team member/ Project Facilitator: Aslie Burnett
Natalie Delahoussaye
Merisha Freeney
Gregory Austin
Karl Murray
Shauna Babers
Grant Lenued
Chakita James
Tonya Hackney
Katress King
Sharice Easterling
Diana Pham
Shirley Collins
Rickey Reed
Members from Volunteer services
Surveys: were done with 98 patients from the 100 surveyed cases to estimate self-check-in awareness level, check-in experience, successful check-ins, timeliness of check in process, and why they used the kiosk.
Kiosk Interactions Report: Displayed how many interactions vs. transactions
A team was formed to survey customers in three piolet areas: Dental, Dermatology, & Eye clinics.
The Current State
Based on the current state, out of 79 patient complaints the top dental complaints were dental eligibility and patient access/ wait time.
Based on the all employee survey the top complaints were low moral amongst dental personnel and staff shortage/ burnout
Voice of customer: SHEP survey’s, v-signal, and share your experience
Voice of customer: All employee survey’s
Low Moral -15%
Patient Access/Wait time-.
Telemedicine is transforming the field of orthopedics. Telehealth solutions like eVisit offer orthopedic surgeons a way to revolutionize post-op care, making check-ins more efficient and convenient for patients. Plus, more time-effective post-op care means surgeons can spend more of their valuable time in the OR - getting paid.
This Slideshare introduces CMAP-Pro to Practice Managers and Administrators explaining how the device helps doctors improve outcomes for patients with soft tissue injuries, while increasing profit for the practice, and also shares 5 keys to easy implementation into your practice workflow. TO SEE TO LIVE PRESENTATION GO TO: https://nvmanagementcorp.com/cmap-perfect-auto-webinaripqpl961
The CMAP-Pro protocols capture the activity and function of specific muscle and nerve groups involved in soft tissue injuries.
FDA-approved in 2012, CMAP-Pro patient results have been validated through published clinical studies and featured in several peer reviewed journal articles.
A study was conducted with 114 consecutive patients with musculoskeletal pain claims results indicated a 6.9 times increase in the odds of case closure when there was concordance between CMAP-Pro results & the physicians independent diagnosis.
CMAP-Pro is indicated for use with:
Sprains or strains of the spine or limbs after 4 weeks without improvement; Upon consideration of upper or lower extremities; upon diagnosis of Carpal Tunnel Syndrome / Median Nerve Dysfunction; Upon diagnosis of Fibromyalgia, Myofascial Pain, Chronic Fatigue Syndrome; At symptom onset of Cumulative trauma disorder; Prior to or as part of the evaluation of Agreed Medical Evaluation / Qualified Medical Evaluation / Independent Medical Evaluation; At onset of new claim of patients with recurrent soft tissue claims; All neck and back cases when surgery considered; when symptoms do not match the description of injury/accident (ambiguous etiology); when trying to determine whether or not an injury is work related (causation analysis); when presence of pathology is in doubt (claims of an uncertain nature); to determine permanent and stationary (P&S) status or maximum medical improvement (MMI) in unexplained delayed return to work (RTW) claims; Prior to release of patient to modified duty to objectively define transitional/modified duties.
Effective communication skills presentation 1 amcWafa AlAhmed
Educational training for healthcare givers need to enhance soft skills, as well as, technical skills to communicate effeciently with their colleagues medical team, and customers. in addition, to improve the quality of the healthcare services.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
1. Wafa Al-Ahmed
Bsc, PgD, MLS(ASCP)CM
Senior Quality Assurance Officer
Improvement of AMC Customer
Services in Reception &
Phlebotomy Room
2.
3. 1ST VALUE: PATIENT WAIT TIME
Definition
Wait time from the patients’ arrival to the laboratory
reception area and the time at which the blood collected.
Problem
Patient waiting time in the reception area seem to be higher
between 10:30 AM – 12:00 PM.
Consequences
-Excessive time spent away from work or personal activities.
-Patients might leave and seek care elsewhere. 3
4. 2ND VALUE: CUSTOMER SERVICE
Effective Communication Skills with Patients
- Verbal Communication: face-to-face, or telephone
- Non-Verbal Communication: body language, gestures, how
we dress, act or our scent.
Maintenance for Reception Area & Phlebotomy Rooms
- Walls & Doors Paintings
- Lining Chairs
- New Storage Cabinets
- Rest Rooms Hygiene 4
5. VALUE STREAM MAPPING
PHLEBOTOMY WORK FLOW FOR
OUT-PATIENTS
5
Enter
Patient
Data in
LIs
Payment PhlebotomyPayment Type CASH
Get
Approval
from
Insurance
Dept
Insurance
6. MINIMIZE WASTE
PHLEBOTOMY WORK FLOW FOR OUT
PATIENTS
6
Enter
Patient
Data in
LIs
Payment Phlebotomy
Payment
Type
Get
Approval
from
Insurance
Dept
CASH
Insurance
Wait
Time
Wait
Time
8. CREATE FLOW
TAKT TIME PER 24 HOURS
ON 17TH AUGUST, 2015
Takt Time Calculator
Working Shifts per Day 3 Shifts
Hours per Shift 8 Hours
Break Time per Shift 5 Minutes
Lunch Time per Shift 30 Minutes
Planned Downtime per
Shift 10 Minutes
Customer Demand per
Day 135 Units
Available Time per Shift 480 Minutes
Net Working Time per
Shift 435 Minutes
Net Working Time per
Shift 26,100 Seconds
Net Available Time per
Day 78,300 Seconds
Takt Time = 580 Seconds per Piece
Takt Time = 9.7 Minutes per Piece
88
8
Definition
Takt time is the
time required to
deliver quality
services (to
produce customer
requirements)
9. ESTABLISH PULL
Minimize Waste
1. Insurance Approval by Accountant in Lab
Reception Area
2. Two Technologists for Serving the Customers
3. Two Technologists for Phlebotomy during Rush
Hours
Lean Thinking & Effective Communication
Training & Workshops 9
11. PLAN, DO, CHECK, ADJUST (PDCA) CYCLE
• Presentation for: Lean Thinking &
Effective Communication
• Training based on Simulation & Role
Play
• Insurance Approval by Accountant in
Lab Reception Area
• Two Technologists for Serving the
• Calculate Tact Time/patient for
Phlebotomy Service
• Lab Director Assign Phlebotomy
Senior
• Quality & Safety Calendar
• Quality Rounds
• Plan Educational program based on
Communication Skills
• Collect Data for Patients’ Waiting
Time for Two Weeks
• Calculate Tact Time
• Fix Phlebotomy Rooms Wall
Paintings & Chairs Lining
•Conduct Quality Rounds
•Develop Continuous Quality
• Improvement Policy
• The change was a measurable
success
• Standardized Patient Waiting to be
10 min/patient
Act Plan
DoCheck
12. REFERENCES
Improvement, N. H. S. Bringing lean to life. Leicester,
UK: NHS Improvement. 2010.
https://leansixsigmahealthcare.wordpress.com/2015/0
6/24/using-lean-six-sigma-analytics-to-improve-
patient-wait-times/
http://www.6ixconsulting.co.uk/IGLC-Application-of-
Batch-size-reduction-in-construction.pdf
12