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Hospital Admission Process

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Viewing 8 posts - 1 through 8 (of 8 total)
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  • August 8, 2012 at 10:47 am #54140

    Kapla
    ★ 10 Years ★
    Participant

    We are looking at the admission process nursing performs for each patient. Question – does the nursing process have to be the same for an inpatient admit as for an Observation/Ambulatory patient or can the Observation/Ambulatory admit be shorter? If they are different, what are the differences?

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    August 8, 2012 at 10:47 pm #193879

    Prabhu V
    Participant

    Hi,
    Can you please elaborate your query in detail on LSS(Lean & Six sigma) perspective?

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    August 9, 2012 at 10:45 am #193883

    Kapla
    ★ 10 Years ★
    Participant

    Currently our nurses complete the same paperwork, perform the same screenings, and do a full admission for every patient regardless of their status: inpatient, observation, ambulatory, or outpatient. This is very standard but not very efficient. Inpatient length of stay averages 5 days, whereas ambulatory and observation are less then 24 hours, while outpatient is typically only a few hours. We are tryng to determine if their is a more efficient way to handle the nurse admission process. For example many of our nurses tell us for non-inpatients they are still performing admission tasks and the patient is ready to go home. Do any hospitals have a better way of handling this?

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    August 9, 2012 at 2:50 pm #193884

    Roger
    ★ 20 Years ★
    Guest

    Are all the fields in the paperwork document required for each group (e.g inpatient, outpatient, observation. ambulatory etc..)? Is the same data rquired needed for each population set?

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    August 10, 2012 at 3:51 am #193887

    Prabhu V
    Participant

    Hi,

    From my understanding on the hospital industry, may be the admission process can be classified as “in-patient”, “out-patient” and “Emergency”.

    As “Emergency” is unavoidable situation and the process to be simple and quick, we need a special admission process for the same.

    After that to follow, only “Out-patient” admission process with pre-screening techniques to all other “non-emergency” candidates and later if required the same candidate can be transferred to “In-patient” admission process.

    May be this method could be efficient from my perspective.

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    October 16, 2012 at 2:20 pm #194225

    Anastasia
    ★ 20 Years ★
    Guest

    to PrabhuV
    Would you please kindly share a VSM the process of admitting an outpatient if you happen to have worked or seen one. i need to do a VSM on the one day surgery clinic as part of my master in lean healthcare. as i am not working i am bit far from the real work. so your help will be much appreciated. any article or model related is fine. thanks

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    October 16, 2012 at 8:17 pm #194230

    Shabana Wollin
    Participant

    @pkapla: What are some of the techniques/tools that you have currently employed to study your processes? Its seems like you might have some observations, interviews and some level of VOC being captured? After you have some preliminary insight on the processes, the problem areas, you might consider doing a process mapping using business process modeling notation. BPMN is easy to understand for everyone involved: nurses, analysts etc.Once a visual map is established, you can begin to identify commonalities and variances to design a more efficient process. This way any non-value added process is easily identifiable and avoided. For example: for a patient being admitted to ER vs patient being admitted for a pre-scheduled surgery procedure, the non-value added tasks for the nurses can be easily identifiable and eliminated.
    Good Luck!

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    October 17, 2012 at 1:22 am #194232

    Prabhu V
    Participant

    @anastasia:

    Please do share your contact email to [email protected]

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