The Registered Nurse Average Speed to Answer project aimed to improve members' phone experience by increasing the percentage of calls answered by RNs within 60 seconds from 13% to at least 50% by September 2012. Through testing changes via PDSAs, such as educating RNs on work states, monitoring call data, and restructuring call queues, the team increased the percentage of calls answered within 60 seconds to 80% and decreased abandoned calls and messages sent to RNs. Sustainability was supported by ongoing data monitoring, team meetings, and identifying process ownership.
This document outlines a project plan to increase standard operating procedure (SOP) adherence for Airtel's customer service process. Over the last 3 months, SOP adherence has fallen below targets, negatively impacting customer experience. The project aims to increase SOP adherence by 15% by December 31st through refresher training, call monitoring, feedback, and data analysis. Key activities and timelines are defined to guide the project from October to December 2015. The goals are to improve customer satisfaction, reduce customer churn and repeat calls, and enhance service quality.
This document outlines a Lean Six Sigma project undertaken by Sk. Noor Mohammad to increase the customer satisfaction percentage (CSAT%) for Digicon Technologies Ltd.'s (DTL) Airtel Inbound process. The current CSAT% is 79-81% but the goal is to increase it by 2% to over 83% by August 31, 2015. Key issues identified that contribute to low CSAT include unorganized conversations, dead air time, arguments, hurriedness, and unhelpful attitudes by customer service representatives. The project will involve defining the problem, measuring key aspects, analyzing the data, improving processes, and controlling the new processes. Improvement plans include refresher trainings, increased call monitoring, sharing
This document summarizes the average handle time (AHT) for an account over the past 6 months. The AHT target is 1 minute and 1 second, but the target was only met in July and September. Possible reasons for missing the target are listed as agents lacking motivation, high attrition rates, technology issues, and agents lacking basic information. The document provides recommendations in each of these areas to improve AHT metrics and ensure the target is met going forward, such as improving training programs, increasing agent satisfaction, and enhancing technical support.
This document summarizes a Six Sigma project aimed at lowering the average handling time (AHT) for bill processing at ATIOS, a business processing outsourcing company. The project charter establishes that in March 2015, ATIOS failed to meet its revised AHT service level agreement of 2.5 minutes per bill, putting business continuity at risk and subjecting the company to financial penalties. The project team, led by Mr. Livanshu Kashyap, will employ Six Sigma methods like data collection, cause-and-effect analysis, and control planning to achieve the goal of meeting an AHT of 2.5 minutes per bill by July 2015. Initial data analysis found that over 60% of bills processed in March
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.
How to improve call center quality and performance - InfographicPointel Inc
Improving call center quality and performance means looking at the way each employee handles calls. The employee must treat each customer with respect and take all the appropriate steps in order to ensure that the call is handled correctly. Poor quality can upset customers and reduce your profit.
1. A call center aimed to reduce its average call handling time of 150 seconds without hurting service quality.
2. Using lean tools, it identified five main causes of long calls like slow typing and unnecessary call steps.
3. After implementing solutions like streamlining processes and improving training, the call center reduced average call time to 120 seconds within three months, allowing it to handle 20% more calls with the same resources and saving an estimated $2.5 million annually.
This document outlines a project plan to increase standard operating procedure (SOP) adherence for Airtel's customer service process. Over the last 3 months, SOP adherence has fallen below targets, negatively impacting customer experience. The project aims to increase SOP adherence by 15% by December 31st through refresher training, call monitoring, feedback, and data analysis. Key activities and timelines are defined to guide the project from October to December 2015. The goals are to improve customer satisfaction, reduce customer churn and repeat calls, and enhance service quality.
This document outlines a Lean Six Sigma project undertaken by Sk. Noor Mohammad to increase the customer satisfaction percentage (CSAT%) for Digicon Technologies Ltd.'s (DTL) Airtel Inbound process. The current CSAT% is 79-81% but the goal is to increase it by 2% to over 83% by August 31, 2015. Key issues identified that contribute to low CSAT include unorganized conversations, dead air time, arguments, hurriedness, and unhelpful attitudes by customer service representatives. The project will involve defining the problem, measuring key aspects, analyzing the data, improving processes, and controlling the new processes. Improvement plans include refresher trainings, increased call monitoring, sharing
This document summarizes the average handle time (AHT) for an account over the past 6 months. The AHT target is 1 minute and 1 second, but the target was only met in July and September. Possible reasons for missing the target are listed as agents lacking motivation, high attrition rates, technology issues, and agents lacking basic information. The document provides recommendations in each of these areas to improve AHT metrics and ensure the target is met going forward, such as improving training programs, increasing agent satisfaction, and enhancing technical support.
This document summarizes a Six Sigma project aimed at lowering the average handling time (AHT) for bill processing at ATIOS, a business processing outsourcing company. The project charter establishes that in March 2015, ATIOS failed to meet its revised AHT service level agreement of 2.5 minutes per bill, putting business continuity at risk and subjecting the company to financial penalties. The project team, led by Mr. Livanshu Kashyap, will employ Six Sigma methods like data collection, cause-and-effect analysis, and control planning to achieve the goal of meeting an AHT of 2.5 minutes per bill by July 2015. Initial data analysis found that over 60% of bills processed in March
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.
How to improve call center quality and performance - InfographicPointel Inc
Improving call center quality and performance means looking at the way each employee handles calls. The employee must treat each customer with respect and take all the appropriate steps in order to ensure that the call is handled correctly. Poor quality can upset customers and reduce your profit.
1. A call center aimed to reduce its average call handling time of 150 seconds without hurting service quality.
2. Using lean tools, it identified five main causes of long calls like slow typing and unnecessary call steps.
3. After implementing solutions like streamlining processes and improving training, the call center reduced average call time to 120 seconds within three months, allowing it to handle 20% more calls with the same resources and saving an estimated $2.5 million annually.
Sometimes your practice needs a little extra help. That’s why we’re here. Our dedicated Client Support team includes hundreds of Client Support Analysts (CSAs); trained professionals, all expert in providing premium customer service and support to clients across the entire
NextGen® product suite.
This document provides a summary of projects completed by Karen Carswell and Kamal Babrah to achieve Lean Six Sigma Black Belt certification. It describes work done with the North Bay Nurse Practitioner Led Clinic to improve primary care access, efficiency, and process improvement. The summary includes defining issues around access to care, analyzing root causes using tools like value stream mapping and fishbone diagrams, implementing solutions like group intake and standard work, and tracking metrics to measure improvements in access, wait times, and data quality.
From reactive to proactive - How Azur transformed a service helpdesk and boos...Azur Global
In this case study, you will see first hand how Azur worked with our client in dramatically boosting the customer satisfaction of their internal IT helpdesk. When Azur took over the helpdesk, it was plagued by improper incident escalation, significant backlog of incidents and impaired communication between the offshore helpdesk team and the client. Azur turned this around through a managed service model, a SLA driven approach and a delivery playbook that incorporated ITIL best practices and reliable ticketing system. The result? We helped our client increase their business revenues, attained scores in excess of 90% in customer satisfaction and reduced costs.
The document discusses reducing average handle time (AHT) for a business credit services process at Genpact. The current AHT is 405 seconds, exceeding the target of 300 seconds set by the client, General Electric. Analysis found 46.61% of agents had AHT above the target. To improve AHT, the document defines a project charter to analyze causes of high AHT and identify improvements. Key metrics like AHT will be measured and potential factors like trainers, process knowledge, shift timing, gender and more will be analyzed to understand their impact on AHT. The goal is to improve AHT to the target of 300 seconds by November 30th without impacting quality.
P&L Solutions provides a comprehensive loss prevention program that utilizes the latest technology and strategies to significantly reduce retail shrinkage through various initiatives like early detection of problem stores, investigative programs, employee training and audits. Their program has helped client stores reduce shrink to well below industry averages, generating substantial profits. P&L Solutions offers a full suite of loss prevention services through collaborative partnerships at a lower cost than traditional in-house programs.
The document provides information about a collections process that did not meet its target in the previous quarter. Key points:
1. The collections team was unable to meet the target of collecting 25% of the total accounts receivable (AR) volume in the last quarter, collecting only 18% instead.
2. Most collectors were unable to meet their individual target of collecting 25% of their assigned AR.
3. Issues identified included collectors not being able to reach customers due to invalid contact information and lower than expected payment promises, conversions, and payments actually being kept.
4. The goal is to improve the collection process and efficiency to achieve the minimum target of collecting 25% of the total AR by the next
The document discusses three horror films - 11:11, 666: The Beast, and 666: The Child - that were in the top 10 movies broadcast on the Horror Channel. It provides brief summaries of the plots, which involve paranormal activity in 11:11 and religious themes around the devil and anti-Christ in the other two films. The document notes these themes are common across the three films and suggests the audience enjoys films containing religion and paranormal activity themes.
This document provides information about sales and promotions at Carrefour Egypt from March 9th to March 21st 2016. It lists prices for hundreds of products across various categories like kitchenware, home appliances, groceries, clothing and more. Store locations are also provided along with operating hours.
Sushil Shrigopal Jalan is seeking a challenging role in software quality assurance with over 12 years of experience as a test manager. He has experience testing web, Windows, and Citrix applications as well as database migration projects. He is proficient with test automation tools like HP QTP and test management tools like HP ALM and TCS MasterCraft. He has worked on projects in the financial services, mortgage lending, and manufacturing domains.
The document summarizes the process of editing two photos using different software. For the first image, Befunky was used to crop, darken edges, decrease brightness, blur parts of the image, and add effects like Holga Art and scratches. For the second image, Photoshop was used to remove the background, color it black, adjust brightness/contrast, add a title with blood, and tweak the contrast and blurriness. The final summary comments that Befunky was easier to use for the third image since the process was familiar, and a similar editing effect was achieved.
The Microsoft West Campus is a 1.1 million square foot office space for 4,400 employees located in Redmond, Washington. It consists of four identical LEED Silver certified office buildings separated by a four level underground parking structure with 4,700 stalls. The 40 acre site includes landscaped rooftop fields, retail shops, restaurants, a conference center, and pedestrian areas with landscaping and water features.
Итоги благотворительной акции Дети вместо цветовФонд Вера
«Если мы все будем помогать людям, то никто никогда не останется одиноким и беспомощным», - ученики 2Ж класса школы №1944.
Ура! Мы подвели итоги нашей акции «Дети вместо цветов» и рады поделиться отчетом с вами.
В акции приняли участие 220 школ, 500 классов, а сотрудники фонда провели 87 «Уроков доброты». В итоге в фонд было перечислено 8 миллионов рублей! Это помощь 220 детям с неизлечимыми заболеваниями по всей стране.
На эти средства мы смогли купить самое необходимое для подопечных фонда. Теперь у Элины из Казани есть электроколяска. Олег из поселка Торбеево не будет бояться попасть в реанимацию, потому что у него есть откашливатель – помощник при простудах. А семья Ильи не будет беспокоиться о покупке дорогого специального питания.
Подробный отчет с картинками и цифрами вы можете найти на нашем сайте: http://www.hospicefund.ru/fund/project/1sept/
Большое спасибо всем! Родителям и учителям, что подержали акцию, и школьникам за то, что рисовали открытки и плакаты с пожеланиями для подопечных фонда.
Powers and Problems of Integrating Social Media Data with Public Health and S...Cody Buntain
Social media sites like Twitter provide readily accessible sources of large-volume, high-velocity data streams, now referred to as ``Big Data.''
While private companies have already made great strides in leveraging these social media sources, many public organizations and government agencies could reap significant benefits from these resources.
Care must be exercised in this integration, however, as huge data sets come with their own intrinsic issues.
This presentation explores these advantages and hazards with several experiments that demonstrate social media data's ability to support government organizations and supplement existing programs.
The document provides summaries of various Cassandra shell commands and CQL operations including:
1. Commands like HELP, CAPTURE, CONSISTENCY are used to get help, capture output, and set consistency levels. Keyspace operations like CREATE KEYSPACE, USE, ALTER KEYSPACE, and DROP KEYSPACE are used to create, modify and delete keyspaces.
2. Table operations such as CREATE TABLE, ALTER TABLE, DROP TABLE, TRUNCATE TABLE, CREATE INDEX and DROP INDEX allow creating, modifying and deleting tables as well as indexes.
3. CRUD operations allow inserting, updating, reading and deleting data using CQL statements. Collection, user-defined and type operations provide functionality
The document provides an overview of 13 top attractions in Seattle, Washington. These include Pike Place Market, Chihuly Garden and Glass, the Space Needle, Seattle Art Museum, Olympic Sculpture Park, Museum of Flight, Mount Rainier National Park, Klondike Gold Rush National Historical Park, Bainbridge Island, Hiram M. Chittenden Locks, Savor Seattle Food Tours, Discovery Park, and Pioneer Square Park. For each attraction, a brief description is given highlighting things to see and do. Photos accompany each section to illustrate the attractions.
The document discusses aircraft affordability and defining good value from both financial and operational perspectives. It analyzes the procurement, operating, and maintenance costs as well as effectiveness, suitability, and intangible factors. Specific examples are provided comparing the daily employment costs and concept of operations for inserting Marines using HC-130 tankers and helicopters versus using V-22 aircraft. The V-22 provides benefits of increased payload, reduced execution time, and reduced number of aircraft required.
el test consta con una serie de preguntas que ayudaran a determinar tu personalidad, estas deben ser revisadas por un sicólogo, para que este determine la personalidad que tienes o que el test arroja gracias a tus respuestas
Sometimes your practice needs a little extra help. That’s why we’re here. Our dedicated Client Support team includes hundreds of Client Support Analysts (CSAs); trained professionals, all expert in providing premium customer service and support to clients across the entire
NextGen® product suite.
This document provides a summary of projects completed by Karen Carswell and Kamal Babrah to achieve Lean Six Sigma Black Belt certification. It describes work done with the North Bay Nurse Practitioner Led Clinic to improve primary care access, efficiency, and process improvement. The summary includes defining issues around access to care, analyzing root causes using tools like value stream mapping and fishbone diagrams, implementing solutions like group intake and standard work, and tracking metrics to measure improvements in access, wait times, and data quality.
From reactive to proactive - How Azur transformed a service helpdesk and boos...Azur Global
In this case study, you will see first hand how Azur worked with our client in dramatically boosting the customer satisfaction of their internal IT helpdesk. When Azur took over the helpdesk, it was plagued by improper incident escalation, significant backlog of incidents and impaired communication between the offshore helpdesk team and the client. Azur turned this around through a managed service model, a SLA driven approach and a delivery playbook that incorporated ITIL best practices and reliable ticketing system. The result? We helped our client increase their business revenues, attained scores in excess of 90% in customer satisfaction and reduced costs.
The document discusses reducing average handle time (AHT) for a business credit services process at Genpact. The current AHT is 405 seconds, exceeding the target of 300 seconds set by the client, General Electric. Analysis found 46.61% of agents had AHT above the target. To improve AHT, the document defines a project charter to analyze causes of high AHT and identify improvements. Key metrics like AHT will be measured and potential factors like trainers, process knowledge, shift timing, gender and more will be analyzed to understand their impact on AHT. The goal is to improve AHT to the target of 300 seconds by November 30th without impacting quality.
P&L Solutions provides a comprehensive loss prevention program that utilizes the latest technology and strategies to significantly reduce retail shrinkage through various initiatives like early detection of problem stores, investigative programs, employee training and audits. Their program has helped client stores reduce shrink to well below industry averages, generating substantial profits. P&L Solutions offers a full suite of loss prevention services through collaborative partnerships at a lower cost than traditional in-house programs.
The document provides information about a collections process that did not meet its target in the previous quarter. Key points:
1. The collections team was unable to meet the target of collecting 25% of the total accounts receivable (AR) volume in the last quarter, collecting only 18% instead.
2. Most collectors were unable to meet their individual target of collecting 25% of their assigned AR.
3. Issues identified included collectors not being able to reach customers due to invalid contact information and lower than expected payment promises, conversions, and payments actually being kept.
4. The goal is to improve the collection process and efficiency to achieve the minimum target of collecting 25% of the total AR by the next
The document discusses three horror films - 11:11, 666: The Beast, and 666: The Child - that were in the top 10 movies broadcast on the Horror Channel. It provides brief summaries of the plots, which involve paranormal activity in 11:11 and religious themes around the devil and anti-Christ in the other two films. The document notes these themes are common across the three films and suggests the audience enjoys films containing religion and paranormal activity themes.
This document provides information about sales and promotions at Carrefour Egypt from March 9th to March 21st 2016. It lists prices for hundreds of products across various categories like kitchenware, home appliances, groceries, clothing and more. Store locations are also provided along with operating hours.
Sushil Shrigopal Jalan is seeking a challenging role in software quality assurance with over 12 years of experience as a test manager. He has experience testing web, Windows, and Citrix applications as well as database migration projects. He is proficient with test automation tools like HP QTP and test management tools like HP ALM and TCS MasterCraft. He has worked on projects in the financial services, mortgage lending, and manufacturing domains.
The document summarizes the process of editing two photos using different software. For the first image, Befunky was used to crop, darken edges, decrease brightness, blur parts of the image, and add effects like Holga Art and scratches. For the second image, Photoshop was used to remove the background, color it black, adjust brightness/contrast, add a title with blood, and tweak the contrast and blurriness. The final summary comments that Befunky was easier to use for the third image since the process was familiar, and a similar editing effect was achieved.
The Microsoft West Campus is a 1.1 million square foot office space for 4,400 employees located in Redmond, Washington. It consists of four identical LEED Silver certified office buildings separated by a four level underground parking structure with 4,700 stalls. The 40 acre site includes landscaped rooftop fields, retail shops, restaurants, a conference center, and pedestrian areas with landscaping and water features.
Итоги благотворительной акции Дети вместо цветовФонд Вера
«Если мы все будем помогать людям, то никто никогда не останется одиноким и беспомощным», - ученики 2Ж класса школы №1944.
Ура! Мы подвели итоги нашей акции «Дети вместо цветов» и рады поделиться отчетом с вами.
В акции приняли участие 220 школ, 500 классов, а сотрудники фонда провели 87 «Уроков доброты». В итоге в фонд было перечислено 8 миллионов рублей! Это помощь 220 детям с неизлечимыми заболеваниями по всей стране.
На эти средства мы смогли купить самое необходимое для подопечных фонда. Теперь у Элины из Казани есть электроколяска. Олег из поселка Торбеево не будет бояться попасть в реанимацию, потому что у него есть откашливатель – помощник при простудах. А семья Ильи не будет беспокоиться о покупке дорогого специального питания.
Подробный отчет с картинками и цифрами вы можете найти на нашем сайте: http://www.hospicefund.ru/fund/project/1sept/
Большое спасибо всем! Родителям и учителям, что подержали акцию, и школьникам за то, что рисовали открытки и плакаты с пожеланиями для подопечных фонда.
Powers and Problems of Integrating Social Media Data with Public Health and S...Cody Buntain
Social media sites like Twitter provide readily accessible sources of large-volume, high-velocity data streams, now referred to as ``Big Data.''
While private companies have already made great strides in leveraging these social media sources, many public organizations and government agencies could reap significant benefits from these resources.
Care must be exercised in this integration, however, as huge data sets come with their own intrinsic issues.
This presentation explores these advantages and hazards with several experiments that demonstrate social media data's ability to support government organizations and supplement existing programs.
The document provides summaries of various Cassandra shell commands and CQL operations including:
1. Commands like HELP, CAPTURE, CONSISTENCY are used to get help, capture output, and set consistency levels. Keyspace operations like CREATE KEYSPACE, USE, ALTER KEYSPACE, and DROP KEYSPACE are used to create, modify and delete keyspaces.
2. Table operations such as CREATE TABLE, ALTER TABLE, DROP TABLE, TRUNCATE TABLE, CREATE INDEX and DROP INDEX allow creating, modifying and deleting tables as well as indexes.
3. CRUD operations allow inserting, updating, reading and deleting data using CQL statements. Collection, user-defined and type operations provide functionality
The document provides an overview of 13 top attractions in Seattle, Washington. These include Pike Place Market, Chihuly Garden and Glass, the Space Needle, Seattle Art Museum, Olympic Sculpture Park, Museum of Flight, Mount Rainier National Park, Klondike Gold Rush National Historical Park, Bainbridge Island, Hiram M. Chittenden Locks, Savor Seattle Food Tours, Discovery Park, and Pioneer Square Park. For each attraction, a brief description is given highlighting things to see and do. Photos accompany each section to illustrate the attractions.
The document discusses aircraft affordability and defining good value from both financial and operational perspectives. It analyzes the procurement, operating, and maintenance costs as well as effectiveness, suitability, and intangible factors. Specific examples are provided comparing the daily employment costs and concept of operations for inserting Marines using HC-130 tankers and helicopters versus using V-22 aircraft. The V-22 provides benefits of increased payload, reduced execution time, and reduced number of aircraft required.
el test consta con una serie de preguntas que ayudaran a determinar tu personalidad, estas deben ser revisadas por un sicólogo, para que este determine la personalidad que tienes o que el test arroja gracias a tus respuestas
Team performance review scenario - showcasing analytical thinking.Renan Conceição
In this presentation, I am analyzing a customer support team's monthly results, compared against the agreed-upon KPIs.
Identifying strengths and weaknesses.
Please let me know if your feedback. Thank you.
This resume is for Priyanka Kamat, who has over 6 years of experience in project management, EHR implementation, training, and consulting for US healthcare systems. She currently works as a Process Trainer for IKS Health, where she is responsible for training new and existing employees on billing processes and systems. She has expertise in several EMR systems including NextGen and experience working with medical practices in specialties like pediatrics, internal medicine, and family practice.
How to build a centralized healthcare call centerNisos Health
The document provides guidance on setting up a centralized healthcare call center, including determining the need, gathering baseline data, identifying leadership, integrating software, hiring staff, ensuring compliance, testing, and establishing metrics. Key steps include assessing the patient experience, integrating practice management software with call center software via APIs or HL7, hiring the right supervisor and agents, creating scripts, getting a single phone number, and establishing metrics to measure performance.
Maintenance of Certification, Quality Improvement and Your EMRdsandro1
This document summarizes a presentation about Maintenance of Certification (MOC), quality improvement using electronic medical records (EMRs), and developing quality improvement projects. The presentation discusses how MOC can integrate professional competency maintenance with EMR-based quality improvement programs. It outlines the four parts of MOC and various pathways to fulfill the requirements. It also explains how EMRs can be leveraged as tools for quality improvement through functions like clinical decision support, computerized order entry, and reporting quality measures. The document provides guidance on developing a quality improvement project, including writing an aims statement and measure, creating a process flow, and planning the project timeline and team.
Induction about Standards and Satisfaction in Local Committee levelAnastasiia Isakii
This document discusses Standards and Satisfaction (SnS) at AIESEC. It defines SnS as meeting quality standards to deliver on the leadership development promise. The 16 Standards and Team Minimum provide criteria for exchange programs. Success is measured by Net Promoter Score (NPS) surveys. Local committees must implement the standards, respond to issues fast through "firefighting," and conduct regular reviews to improve NPS scores and satisfy customers. International policies like the Exchange Program Policies must also be followed to ensure quality worldwide.
This document is a resume for Diane A. Carr which summarizes her experience in health information management roles over several years. It highlights her expertise in areas such as electronic health records, computerized health information systems, coding, clinical documentation improvement, and revenue cycle management. The resume lists her work history in various interim management positions where she improved coding quality and productivity, reduced denied or unpaid claims, and oversaw transitions to new computer systems.
Strategic Visioning for Health Systems: What's holding health systems back?VSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Cheryl Kreider, MBA, FACHE
CEO of Kreider Health Solution, LLC
More info at: vsee.com/conference
Here are some questions teams have about core and extended teams, pre-visit planning/huddles, self-management goal setting workflows, and coaching roles:
Core and Extended Teams:
- How are you identifying your patient care teams (PODS) so patients know their team?
- What specific roles have you seen change on teams and how?
- How are you training staff on team-based care?
- How do you maintain team integrity with turnover/MAs covering multiple teams?
- Are managers/leaders part of your core and extended team model?
Pre-Visit Planning/Huddles:
- How do you manage prep time for huddles? Are you using E
Here are some questions teams have about core and extended teams, pre-visit planning/huddles, self-management goal setting workflows, and the coaching role:
Core and Extended Teams:
- How are you identifying your patient care teams (PODS) so staff and patients know their team?
- What specific roles have you seen change on teams and how?
- How are you training staff on team-based care?
- How do you maintain team integrity with turnover/MAs covering multiple teams?
- Are managers/leaders part of your core and extended team model?
Pre-Visit Planning and Huddles:
- How do you manage prep time for huddles? Are
This document outlines the responsibilities and experience of an Assistant Manager of Operations. Some key points:
- The individual manages a team of 180 employees and is responsible for meeting SLAs, improving processes, ensuring quality standards, and monitoring team performance.
- Previous experience includes managing teams of up to 120 agents across various clients and processes like customer care, order management, and promotions.
- Responsibilities involved meeting KPIs, handling escalations, training agents, and improving metrics like average handling time, idle time, and customer satisfaction.
- Achievements include improving retention rates, error rates, quality scores, and recognition from clients for effective management and business results.
This is a presentation from the 2013 American Academy of Pediatrics National Conference and Exhibition that discusses Maintenance of Certification, Quality Improvement and Electronic Health Records
1. The document discusses various aspects of customer experience management (CEM) including firefighting response rates, managing detractors and promoters, tracking and reporting, process improvement, and incentives.
2. It provides information on tracking firefighting response rates, the importance of response rates, and how to boost response rates.
3. Managing detractors is also discussed, specifically the importance of handling detractors, possible actions to take with detractors like solving issues and follow ups, and how to convert detractors into promoters.
4. Other sections provide guidance on tracking and reporting CEM data, using feedback for process improvement, and ideas for incentives to encourage members to advance CEM.
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1. Registered Nurse Average Speed to
Answer Project
Improvement Advisor: Becky Sheely RN, BSN
Colorado Region, Highlands Ranch MOB
August 2012
2. 2
Goal Statement - What Are We Trying to
Accomplish?:
Improve the member’s phone experience with
Registered Nurses by increasing their average speed
to answer calls in 60 seconds from 13% to 50%
Threshold, 55% Target and 65% Stretch by
September 2012.
Business Case: By improving the average speed of
answer of the registered nurses for our member’s
seeking advice calls, our member’s satisfaction will
increase due to faster RN response time. This
addresses our KP Value Compass in the area of best
service and affordability by staying cost neutral..
Team Members:
Ashley Drahn, Office Supervisor
Janice Brashier RN
Ruth Higgins RN
Kris Leddin RN
Norma Mathews RN
Jeanne Norman RN
Patti Smith RN
Lori Wilson RN
Co-Leads:
Debroah Beasely RN, BSN
Improvement Advisor: Becky Sheely, RN BSN
Lead IA: NA
Mentor: Paul Hans
Sponsor: Katy Hoxworth and Jose DelToro
PI Oversight Group:
Colorado PI Department
RNs Average Speed to Answer Calls
Colorado/Highlands Ranch Medical Offices
UCL 24.44
CL 12.41
LCL 0.370.00
5.00
10.00
15.00
20.00
25.00
30.00
PercentAnswered
within60Seconds
RN Average Speed of Answer
Baseline Data
3. 3
Driver Diagram:
Registered Nurse Average Speed of Answer for Member’s Phone Calls
Goal Primary Drivers Secondary Drivers Process Owners Initiatives & Metrics Method
Improve the
member’s phone
experience with
Registered
Nurses by
increasing their
average speed to
answer calls in
60 seconds from
17% to 50%
Threshold
55% Target
65% Stretch by
September 2012
Optimize
queuing
process of
calls
Increase RN
Awareness of
relevance and
importance of
phone
management
Decrease RN
Talk Time
Create Accountabilities
Increase Awareness
Increase RN
Available Time
Create Accountabilities
Increase Awareness
Decrease RN
Time in ACW
Create Accountabilities
Increase Awareness
Effective Queues
Increase Education
Increase
Awareness
Individual
RNs
Individual RNs
Individual
RNs
RN Team
Becky
Sheely
Becky
Sheely
Baseline Avaya data shared and
informed RNs with expectations
created
Baseline Avaya data shared and
informed RNs with expectations
created
Use Avaya CMS data displayed on
DTM screen to view call
information and ready states of
RNS. Inform/Create expectations.
Use CHAT function in sametime
for reminders and RN
communication
Recognition
Queues restructured to streamline
calls. Direct Connect Metrics used
to reinforce workflows
Communications/ through
daily huddle and Friday
weekly reviews. Education
of RNs. Inform with baseline
Avaya data and
expectations created
Recognition
JDI
JDI
JDI
RIM
JDI
Legend:
JDI – Just Do It
RIM – Rapid
Improvement Model
4. Project Selection:
How Does the Project Fit in Our Organizational Goal?
Impacts to all points of the Value Compass:
1) Quality- Improved quality by the "right people" answering the "right questions"
at the "right time.“
2) Service- Direct impact on patient satisfaction with ability to talk with their
physician's registered nurse and overall experience on the telephone.
3) Best place to work- Improved team work (through social agreement)
and decreased work load by answering the question on the first
call (not having to answer a message or a call back) which improves
morale too.
4) Affordability- Improved member experience on the phone translates to
improved member satisfaction which leads to greater retention. One
call resolution will decrease rework, making each call more affordable.
4
5. 5
What Are We Trying to Accomplish?
• Project Background
The Registered Nurse Average Speed to Answer project was kicked off in
response to our member’s frustration of not getting their calls answered in a
timely manner when they wanted to talk to their nurse.
Initiate the development of a process to meet the customer expectations within
the current call volume.
Initiate a plan to eliminate wait times, transfers, call back to the clinic, and ensure
one call resolution.
• SMART Goal
Improve the member’s phone experience with Registered Nurses by increasing
their average speed to answer calls in 60 seconds from 13% to 50% Threshold,
55% Target and 65% Stretch by September 1,2012[.
To ensure the best possible member experience on the phone, the registered
nurses are focusing on one part of the KP Compass: Better Service and will
positively impact member retention. This goal was set using the data from the
telephone metrics from the Avaya CMS. This goal is specific to RN average
speed of answer and is one goal that is sequential leading to any ultimate
outcome of improving RN Productivity.
6. 6
Project Milestones
Project Deliverables Due Date Status
Baseline data collected, goal set 05/11/12 Completed
Sponsor/champion engaged, team kickoff 05/011/12 Completed
Project charter finalized 05/18/12 Completed
Process/value stream mapped 05/18/12 Completed
Set of changes identified through PDSAs 7/15/12 Completed
Annotated run/control charts showing
results
9/1/12 Completed
Sustainability plan developed 10/1/12 Completed
7. 7
How Will We Know a Change Is an Improvement?
Family of Measures
Key Measures for the Project
Measure Operational
Definition
Type Data Collection Plan
Increase percent from
baseline that the registered
nurse average speed of
answer is less than 60
seconds
Use telephone metrics Outcome Weekly, Avaya Report
Increase percent of time RN
is in available state
Run report from CMS Avaya Process Weekly, Avaya Report
Maintain or decrease the
number of messages sent to
RN in-basket from DTM an
no increase in abandoned
calls.
Run report from HC Balancing Bi Weekly, HC report
Staff satisfaction with new
process
Huddles, discussion,
informal feedback
Balancing Daily, conversations
Member comments
regarding RN answer time
Qualitative recorded by staff
during member call
Outcome Daily, as comments are noted
10. 10
What Changes Lead to Improvement?
Change Concept PDSAs Adopt, Adapt, Abandon?
Staff Education and
awareness
Educated staff on how to use different work states
on the phones, reducing variation and use “chat”
function in lotus notes sametime . while logged in
on phones, enhancing communication.
Adopt
Data availability
and monitoring
Data posted for quick reference on boards, verbally
reviewed at huddle, and RN “quick meeting” (30
minutes) every Friday to review data and problem
solve
Increase awareness of desired auto in state by
sharing weekly data
Adopt
Education
regarding proper
work states
Visible reminder of work state attached to phones
to increase awareness and affect behavior
regarding logging in. Custom made and affix a
bright pink log in state reminder to phones.
Adopt
Process change in
queuing structure
1.Combined MA/LPN to monitor and assist with
DTM queue and to back up RN queue for their team.
2. Streamline RN queues to ensure at least 1 RN is
available.
3. Monitor queues and change as needed to ensure
coverage for members to reach RNs.
Adopt
Reinforcement Create a “6 week” stretch goal reward plan to
reinforce behavior
Adapt, after initial off site recognition, will
need to adapt to more cost effective
program
11. How will we know a change is an
improvement? Monitoring the measures
11
UCL 24.44
CL 12.41
LCL 0.370.00
5.00
10.00
15.00
20.00
25.00
30.00
3/19/2012 3/26/2012 4/2/2012 4/9/2012 4/16/2012 4/23/2012 4/30/2012 5/7/2012
Seconds
Date
Baseline Percent RNs Able to Answer Phone < 60
Seconds
Baseline mean is 12.4% of the time RN answers a call in < 60 seconds
per this graph. Goal is to increase by 50% Threshold, 55% Target and
65% Stretch by September 2012.
12. RN Phone Averages to Answer
calls in < 60 seconds
12
PDSA #1
PDSA #2
Goal: Increase RN average speed to answer calls in 60 seconds from 13% to
50% Threshold, 55% Target and 65% Stretch by September 2012.
Stretch goal
13. Telephone Scorecard PDSA
13
Data posted for
quick reference
on boards,
verbally reviewed
at huddle.
Positive
reinforcement of
RN that took most
calls and RN that
was most
available to take
calls shared daily.
14. PDSA Telephone Score Card Results
14
Data posted for
quick reference
on boards,
verbally reviewed
at huddle.
15. Balancing Measure:
Percent of Abandoned Calls Decrease
15
PDSA Implementation
Goal: Maintain or decrease the amount of abandoned calls.
16. Balancing Measure to ensure calls are answered by RNs
and not being sent as a message to RN Pool.
16
Goal: To maintain or decrease the number of message sent to RN in-basket from
DTM
17. 17
LOG IN – click on “Log In” and enter your 5-digit
log-in number, then click on “Auto In.”
AUTO IN – when you are available to take a call
ACW – when you are completing work from a call
and are temporary unavailable
AUX – away from desk temporarily
LOG OUT – at lunch and end of day
PDSA - Bright Pink Reminders on RN Phones to assist with behavior change
Custom made and affix a bright pink log in state reminder to phones.
18. 18
Nurse 1... (1:17 PM) Dr. Wright's OBs pt guessing for
another hour
Nurse 2... (1:34 PM) Nurse 2 back
Nurse 3... (1:35 PM) OK, Nurse 3 leaving.
Nurse 1... (1:40 PM) OBs pt reported off to Nurse 4
going to lunch
DTM clerk…(1:42 PM) Nurse #2- You have been in aux
for 10 minutes, please return to auto in
Nurse 4 – (1:46 PM) Nurse stat being called, I am going
Example of PDSA Chat function in sametime for RNS
19. 19
Financial Impact
Soft Financial Benefit
Increase the likelihood of
member and staff retention
Member’s having their calls
to RNs answered 80% of
the time in < 60 seconds
will increase their
satisfaction.
Enabling staff to provide
this high level of service
increases staff retention.
Key Assumptions
Hard Financial Benefit
Improve performance
without increasing RN FTE
or overtime
If increase RN
FTE instead of
improving
performance, to
get to 80% of calls
answered in < 60
seconds would
need to add
0.6FTE
$93,000
Cost of RN with wages
and benefits
12-month
Financial Impact Key Assumptions
20. Sustainability Plan
Sustainable
Activity
Accountability/Action Plan Frequency
Actions Continue all PDSA cycles that are to
be adopted or adapted. Manager will
communicate to RN team:
Ownership of this process and
outcomes-identify a champion
Weekly
Data Data shared daily at huddles Daily
Meetings RN Team meet to review outcomes
and problem solve any deviations
from their goal. Meetings are
scheduled routinely, results
standardized.
Monthly
20
Recognition done at 6 weeks of sustaining stretch
21. 21
Moving Forward
• Key to Success
Registered Nurses owned the need to improve
Daily and weekly data to share trends in their work to improve
• Barriers
Existing governance board over changing queues unable to support our requests
RN staffing levels with summer vacations difficult to support all queues.
• Lessons learned
Registered Nurses are excellent problem solvers due to learned critical thinking
skills so use their strengths to design pdsa cycles. The processes developed drives
the performance and success of project.
• Next steps
Share data on talk time and develop strategy to decrease talk time so that more
calls can be taken by the RN (average talk time – 5 minutes, 14 seconds)
Share storyboard with Janelle Banat to include in spread for telephone excellence
Next initiative is to look at RN work and capacity for role expansion
22. 22
Average time RN is on the phone with each call
Goal: To decrease talk time with each member so that the RN has more capacity for other
member's calls. Did not see a change in this metric but will use as baseline for next IA
Project around RN Productivity.
23. 23
RN Average time in Aux/Avail time needing to increase avaialbe and decrease Aux
Goal: To increase available time and decrease aux time so that RNs are
more available to take a member’s call. Did not see a change in this
metric but will use as baseline for next IA Project around RN
Productivity.
24. 24
"Evidence"/Expert Opinion/Basis: The average speed for RNs to answer member’s calls within 60 seconds were
significantly increased from 13% of the time to 80% of the time in the Highlands Ranch medical center.
Opportunity: Performance Improvement
Source Throughput model, RIM,
Key
Assumptions
• Data, Culture, Technology, process efficiency, phone
emphasis into integral daily process
Key
Enablers
• Ability to monitor and measure average speed to answer
calls, PI Sponsor, PI support, PI Mentor
Sustainability
Plan
• Manager will communicate to RN team: Ownership of this
process and outcomes-identify a champion. Data shared
daily at huddles. RN Team meet to review outcomes and
problem solve any deviations from their goal.
Contact Becky Sheely, RN BSN Highlands Ranch MOB
Paul Hans, PI Mentor Colorado region
Ashley Drahn – Office Supervisor Highlands Ranch MOB
Deborah Beasley- RN Co lead
Lever: Utilize the KP Improvement* Methods to improve efficiency for Registered Nurses to answer member’s calls
Key Changes Applied:
RNs use chat function in sametime on computer to monitor calls with
DTM and communicate among themselves to ensure 1 RN is always
logged in.
Educated RNs as to different work states on phones and desired work
state (Available) to work in throughout the day
Conducted weekly RN quick meetings to discuss team and individual
results with expectation.
Conducted unit huddles during each morning to discuss yesterday’s
data, give recognition and discuss any potential needs for phone
coverage for that day.
Service level agreements for RN calls in < 60 seconds
Streamline RN queues to decrease variation
#00381
Improvement Metrics: Results
RN Calls taken in < 60 seconds 13% to 80% increase
DTM to RN In-basket messages 80msgs to 30 decrease
Abandoned calls 13 calls to 2 calls decrease
PDSA #1
PDSA #2