Though this system was viewed by the process owner as

Info icon This preview shows pages 159–161. Sign up to view the full content.

View Full Document Right Arrow Icon
Though this system was viewed by the process owner as simple and mostly successful, the issue of noncompliance hindered the impact on efficiency. As noted above, the interviewees estimated
Image of page 159

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
153 that only two or three of the four providers were using the electronic prescribing software and not always using it 100 percent of the time. Further, the pharmacists interviewed estimated that only 25 percent of prescriptions they filled from Suntown were being electronically prescribed. Outcomes attributed to this project are: An estimated 80 percent reduction in the number of steps. These steps shifted the burden of processing the prescriptions from the nursing staff to the providers who are actually writing the prescriptions. Most interviewees believed that this system was increasing efficiency and that using the electronic prescribing software saved staff time and reduced costs for both staff and pharmacy. However, impacts on overall efficiency were mitigated by the fact that not all providers were using the software consistently or all of the time. The process owner estimated that one of every 50 prescriptions required a call-back from the pharmacy, far fewer than the initial state. However, these data were collected only for the first 2 weeks post-implementation. Outcomes of Lean In this section, we discuss the outcomes of the Lean initiative at Suntown Hospital based on interviews with staff and materials provided by the organization. Overall, hospital staff reported moderate improvements in employee satisfaction and culture change. Staff also believed that gains in efficiency had occurred; however, Suntown does not routinely collect data after each RCE to validate efficiency gains. As noted previously, improvements in clinical quality and patient safety were not sustained. The findings reported here are based mainly on verbal reports from staff, since they had difficulty identifying specific quantitative data that addressed the effectiveness of Lean. We found that the measurement needed to examine progress and improvements after an RCE ends often does not occur, and actual impacts cannot be quantified; instead, hospital staff often relies on future- state mappings and predicted outcomes as part of the RCE process (see the Process for Implementing Lean section for more detail on the RCE process). The importance to Suntown of directly measuring the impact of Lean is not clear, but it seems likely that the long-term viability of Lean as a valid approach to reducing waste and improving performance will be limited without data specifically linking Lean implementation to improved efficiency, cost savings, improved safety, or other goals. The discussion of Lean outcomes in this report is organized into two major categories based on our conceptual framework: intermediate outcomes and ultimate outcomes. As described in the Introduction to this report and in Exhibit 4.16, intermediate outcomes include culture change, employee satisfaction, change in Lean knowledge and skills, Lean routinization, and Exhibit 4.16. Outcomes by Category
Image of page 160
Image of page 161
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern