Damelio, Robert. The basics of process mapping. Productivity Press, 2011. Pluto, Delores M., and Barbara A. Hirshorn. "Process mapping as a tool for home health network analysis." Home Health Care Services Quarterly 22.2 (2003): 1-16. Rath, Frank. "Tools for developing a quality management program: proactive tools (process mapping, value stream mapping, fault tree analysis, and failure mode and effects analysis)." International Journal of Radiation Oncology* Biology* Physics 71.1 (2008): S187-S190. Cendán, Juan C., and Mike Good. "Interdisciplinary work flow assessment and redesign decreases operating room turnover time and allows for additional caseload." Archives of Surgery 141.1 (2006): 65. Trebble, Timothy M., et al. "Process mapping the patient journey through health care: an introduction." BMJ 341.7769 (2010): 394-397. c. Example: There are many different formats for such maps.
Page 62 Draft 5. 5.2016 Diagrams can be arranged in various formats. Typically time flows from left to right or top down. One popular version, called a “swim lane” map, involves segmenting the map by organizational unit. The swim line map demonstrates when work on a process moves from one organizational unit to another. Many such movements back and forth between units may be an indication of waste. d. Steps: 1) Define a process or system to be analyzed by the diagram. 2) Determine the type and level of detail necessary. Often, such diagrams are first sketched simply and the details and rearrangements are done as the understanding of the system emerges. It is possible to do an overall diagram and then to do separate more complete diagrams of the details of each area. 3) Draw the di agram from the start of the process, indicated by the “start” symbol, through the endpoint, with an “end” symbol. Many process mapping efforts at hospitals are started with “sticky notes” stuck on a wall as part of a group discussion or Kaizen. Then, the r esulting diagram may be transferred to a more formal drawing or perhaps the exercise on a wall is sufficient. 4) Once a first draft is done, review the diagram with the people who directly do the processes diagrammed to see if they concur, and revise accordingly. This may mean reviewing the diagram with nurses, doctors or technicians but the graphic nature of the diagrams makes them relatively easy to explain. Register Nurse check New Patient Business office interview Start Leave Provider exam Paper received
Page 63 Draft 5. 5.2016 5) Review the resulting diagram for bottlenecks, unnecessary steps and other opportunities for simplification or improvement in the system drawn.
Page 64 Draft 5. 5.2016 37. Project Management a. Definition: A project is a one-time occurrence with starting and end time. Project management is a discipline to assure that a successful project occurs. This involves planning the project and controlling it as it occurs. Project management also involves getting the project started, completing it according to the intended goals. The challenge is to balance the three conflicting objectives of performance (results), time and cost. Improvement regarding one objective often has an undesirable effect on the
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