Medical Problem Solving A3

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					 A3 provided by Tracey Richardson‐ ‐ 
                                                                                                                        Company X Medical Clinic Improvements
Clarify the Problem and Purpose                                                                                                                     Root Cause Analysis

Purpose for Solving: Control medical cost to improve profits for Company X
while maintaining worker satisfaction.
                                                                                                               Billing Cost         93
What should be happening: All scheduled visits in the company X                                         72
Medical clinic maintain a billing cost avg. of $72.00
                                                                                  50                                  GAP

          GAP = $21.00 cost per visit average
                                                                                                 National avg.                  Company X
Current conditions: Scheduled visits in the medical clinic avg cost of $93.00
*20 min appt. slot national avg=$72.00 of provider resource time
Breakdown the problem
                                                      Billing cost Average is $21.00 over 
                                                      National Average 
                                                                                                                                                    Develop Countermeasures                                                          Scale: 0=poor 4=excellent

                                         Clinic A                     Clinic B                            Clinic C 

   Hearing Clinic               Wellness Clinic                 Primary Care                   Vision Clinic                  Hand Clinic 

                                1st Shift visits                   2nd Shift visits                      Between Shift        Prioritized Problem
                                                                                                             Visits                                 Ghantt Chart - Action Plan
                                                                                                                                                    ACTION ITEM                                              WHO                     WHEN
                                                                                                                                                    Schedule Type III Standardized Work Training             Health Group            9/8/2008
                                                                                                                                                    Complete Type III Time Study                             Health Group            9/8/2008
                                                              Go to process                                                                         Trial Time Study countermeasure                          Health Group            9/8/2008
                               Arrive                                                                                                               Implement Clinic Changes                                 Health Group            9/8/2008
        Call to                  at                 Sign                                 Stage for           Completed in          Discharged 
                                                                  Wait for 
        schedule               clinic               in at                                  visit               allocated           from clinic 
        appt                    for                 clinic                                                        time 
                               appt                                                                                                                    See Countermeasure Through
                                                                                                                                                                   Countermeasure                        Report                   Inform
Problem Statement: Medical Clinic is not completing appt in allocated time.                                           POO=Point of Occurrence                             (what)                      (who/when)               (who/when)            Progress
                                                                                                                                                                                                        Healthgroup         Medical Team
Target Setting
                                                                                                                                                     Schedule Type III STD work training               Sept. 08                  Sept. 08              O
          100% Utilization of appt times for clinic from 2:20 ~6:00pm by Jan. 2009                                                                                                                      Healthgroup         Medical Team
                                                                                         *Target=20 mins per visit                                   Complete Type III Time Study                       Oct. 08                   Oct. 08              O
  12                                                                                                                                                                                               Healthgroup.
  10                                                                                                                                                                                         Medical Team.                      Company X
   8                                                                                                               2:20-6:00pm =11 visits            Trial time study c/m's                           Nov. 08                    Nov. 08               O
   6                                                                                                             11 visits x $72.00 = $792.00                                                                                Company X HR/GM
   4                       9                                                                                               standard                  Develop Type III STD work                                                  Nov. 08
   2                                                                                                                  792.00 / 9 =$92.00                                                               Company X
   0                                                                                                                                                                                                     Healthgroup         Company X Officers
                         Current                                              Jan. 09                                                                                                              Medical Mgmt Team        Medical Team
                                                                                                                                                     Implement clinic changes                            Jan. 09                  Jan. 08              X
                                                                                                      A3 provided by Tracey Richardson‐ ‐

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Description: A Sample A3 Report completed for a Medical Clinic by Tracey Richardson of Teaching Lean, Inc.