Bacewicz, Aleksandra

Beaty, Elizabeth

Calogero, Cristina

Greenberg, Marna R, DO, MPH, FACEP

Hansen, Susan E, MA

Laverty, Anne

Lee, Andre

Rajan, Preethi

Smith, Amy B, PhD

VanZant, Seth

Walheim, Lauren

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksUSF-LVHN SELECTImplementing 5S Methodology to Maximize Flowand Efficiency in Shelter-Based Student Clinic.Seth VanZantUSF MCOM-LVHN Campus, Seth.Vanzant@lvhn.orgAndre LeeUSF MCOM-LVHN Campus, Andre.Lee@lvhn.orgLauren WalheimUSF MCOM-LVHN Campus, Lauren.Walheim@lvhn.orgAnne LavertyUSF MCOM-LVHN Campus, Anne.Laverty@lvhn.orgPreethi RajanUSF MCOM-LVHN Campus, Preethi.Rajan@lvhn.orgSee next page for additional authorsFollow this and additional works at: https://scholarlyworks.lvhn.org/select-programPart of the Family Medicine Commons, and the Medical Education CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtVanZant, S. Lee, L. Walheim, L. Laverty, A. Rajan, P. Bacewicz, A. Beaty, E. Calogero, C. Smith, A. Hansen, S. Greenberg, M. (2017,December 4). Implementing 5S Methodology to Maximize Flow and Efficiency in Shelter-Based Student Clinic. Poster Presented at:Institute for Healthcare Improvement National Forum, Orlando FL.AuthorsSeth VanZant; Andre Lee; Lauren Walheim; Anne Laverty; Preethi Rajan; Aleksandra Bacewicz; ElizabethBeaty; Cristina Calogero; Amy B. Smith PhD; Susan E. Hansen MA; and Marna R. Greenberg DO, MPH,FACEPThis poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/select-program/182© 2017 Lehigh Valley Health Network INTRODUCTION & BACKGROUND: •  Valley Youth House (VYH) is a shelter for temporarily homeless and displaced teenagers in Allentown PA. •  Student-volunteer shelter-based clinic •  Partnered with Lehigh Valley Street Medicine •  Provides mandated physical exams as well as acute care for residentsAIM:Use 5S Methodology to sustain prior clinical improvements throughout leadership turnover and continue to increase efficiency by decreasing patient down time and total visit time. MEASUREMENTS/METRICS: •  Sustained Measures:   −  100% of patient charts completed at end of clinic   −  Reduced H&P completion time •  Overall patient visit time •  Patient downtime between vitals and visit •  Total clinic time DATA & RESULTS:Figure 1: Average H&P completion time decreased from 27 minutes to 23 minutes, a 14% reduction.Figure 2: Average chart completion by end of clinic rose from 0 to 100% and sustained through remaining phases.Figure 3: Patient visit vs Total clinic time  Figure 4: Subdivisions of clinic time (Current phase)   Phase 1 interventions performed by original student leadersPhase 2 after implementation of chart prep ahead of time Phase 3 after separation and organization of clinic suppliesPhase 4 current intervention with electronic patient trackingACKNOWLEDGEMENTS:We would like to thank the student volunteers at Valley Youth House for all of their help at clinic as well as our faculty advisor- Dr. Marna Greenberg– and our other faculty support– Dr. Amy Smith and Susan Hansen for all of their continued support of this project.SortSet in OrderShineStandardizeSustain5SS• Prepping charts ahead of timeS• Organizing supplies into set areas• Patient tracking board (Current phase)S• “Check out” time after each clinic used to discuss areas for improvementS• Leadership turnover clinical manual• Mapping patient flowS• Supervised hands-on training for new leaders at the clinic during transitionsACTIONS TAKEN: •  Staff prioritizes seeing patients when volume is higher than normalRecording times at each clinic •  Personnel that are not accustomed to the role of recording timepoints may miss the timepoint or interpret them differentlyVariation in personnel recording times •  Only 2 per month, with alternating volunteersInfrequency of clinic dates •  Transporting equipment •  Converting rooms into clinical spacesBringing care to the patientCHALLENGES FACED:NEXT STEPS:Implement new electronic patient tracking sheetSubdivision of recorded times for better visualization of where improvements can be madeSustain effects of previous changesUniversity of South Florida Morsani College of Medicine, Lehigh Valley Health Network CampusImplementing 5S Methodology to Maximize Flow and Efficiency in Shelter-Based Student ClinicSeth VanZant, MPH, Andre Lee, MS, Lauren Walheim, Anne Laverty, Preethi Rajan, Aleksandra Bacewicz, MPH, Liz Beaty, Cristina Calogero, Amy Smith, PhD, Susan Hansen, MA , and Marna Greenberg DO, MPH

Implementing 5S Methodology to Maximize Flow and Efficiency in Shelter-Based Student Clinic.

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1185&context=select-program

Implementing 5S Methodology to Maximize Flow and Efficiency in Shelter-Based Student Clinic.

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Lehigh Valley Health Network: LVHN Scholarly Works