Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach

The Health Service Executive Ireland model of care for elective surgery supports the delivery of elective surgical care in achieving both process and clinical outcomes. This project was conducted in the Orthopaedic Department. Following an outpatient consultation with an orthopaedic surgeon, patient...

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Autores principales:	Ailish Daly, Nicola Wolfe, Seán Paul Teeling, Marie Ward, Martin McNamara
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	elective surgery scheduling Lean Six Sigma collaborative voice of customer cross-functional team Medicine R
Acceso en línea:	https://doaj.org/article/c0cd57be29904217a83cc3d7d2cda84a
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spelling	oai:doaj.org-article:c0cd57be29904217a83cc3d7d2cda84a2021-11-25T17:49:42ZRedesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach10.3390/ijerph1822119461660-46011661-7827https://doaj.org/article/c0cd57be29904217a83cc3d7d2cda84a2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11946https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The Health Service Executive Ireland model of care for elective surgery supports the delivery of elective surgical care in achieving both process and clinical outcomes. This project was conducted in the Orthopaedic Department. Following an outpatient consultation with an orthopaedic surgeon, patients who required surgical intervention were scheduled for their intervention by the administrative team. Prior to commencing this project, the average time from patient consultation to being scheduled for surgery on the hospital system was 62 h/2.58 days. A pre- and post-team-based intervention design employing Lean Six Sigma methodology was applied to redesign the process for scheduling elective orthopaedic surgery. The project was informed by collaborative, inclusive, and participatory stakeholder engagement. The goal was to streamline the scheduling process for elective orthopaedic surgery, with a target that 90% of surgeries are scheduled “right first time” within 48 h/two working days of the outpatient consultant appointment. The main outcome measures showed that 100% of orthopaedic surgeries were scheduled successfully within 2 days of outpatient appointment. Duplication in work between patient services and scheduling teams was eliminated and facilitated a reduction in unnecessary staff workload. This project highlights the importance of collaborative interdisciplinary stakeholder engagement in the redesigning of processes to achieve sustainable outcomes, and the findings have informed further improvements across the hospital’s surgical scheduling system.Ailish DalyNicola WolfeSeán Paul TeelingMarie WardMartin McNamaraMDPI AGarticleelective surgeryschedulingLean Six Sigmacollaborativevoice of customercross-functional teamMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11946, p 11946 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	elective surgery scheduling Lean Six Sigma collaborative voice of customer cross-functional team Medicine R
spellingShingle	elective surgery scheduling Lean Six Sigma collaborative voice of customer cross-functional team Medicine R Ailish Daly Nicola Wolfe Seán Paul Teeling Marie Ward Martin McNamara Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach
description	The Health Service Executive Ireland model of care for elective surgery supports the delivery of elective surgical care in achieving both process and clinical outcomes. This project was conducted in the Orthopaedic Department. Following an outpatient consultation with an orthopaedic surgeon, patients who required surgical intervention were scheduled for their intervention by the administrative team. Prior to commencing this project, the average time from patient consultation to being scheduled for surgery on the hospital system was 62 h/2.58 days. A pre- and post-team-based intervention design employing Lean Six Sigma methodology was applied to redesign the process for scheduling elective orthopaedic surgery. The project was informed by collaborative, inclusive, and participatory stakeholder engagement. The goal was to streamline the scheduling process for elective orthopaedic surgery, with a target that 90% of surgeries are scheduled “right first time” within 48 h/two working days of the outpatient consultant appointment. The main outcome measures showed that 100% of orthopaedic surgeries were scheduled successfully within 2 days of outpatient appointment. Duplication in work between patient services and scheduling teams was eliminated and facilitated a reduction in unnecessary staff workload. This project highlights the importance of collaborative interdisciplinary stakeholder engagement in the redesigning of processes to achieve sustainable outcomes, and the findings have informed further improvements across the hospital’s surgical scheduling system.
format	article
author	Ailish Daly Nicola Wolfe Seán Paul Teeling Marie Ward Martin McNamara
author_facet	Ailish Daly Nicola Wolfe Seán Paul Teeling Marie Ward Martin McNamara
author_sort	Ailish Daly
title	Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach
title_short	Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach
title_full	Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach
title_fullStr	Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach
title_full_unstemmed	Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach
title_sort	redesigning the process for scheduling elective orthopaedic surgery: a combined lean six sigma and person-centred approach
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c0cd57be29904217a83cc3d7d2cda84a
work_keys_str_mv	AT ailishdaly redesigningtheprocessforschedulingelectiveorthopaedicsurgeryacombinedleansixsigmaandpersoncentredapproach AT nicolawolfe redesigningtheprocessforschedulingelectiveorthopaedicsurgeryacombinedleansixsigmaandpersoncentredapproach AT seanpaulteeling redesigningtheprocessforschedulingelectiveorthopaedicsurgeryacombinedleansixsigmaandpersoncentredapproach AT marieward redesigningtheprocessforschedulingelectiveorthopaedicsurgeryacombinedleansixsigmaandpersoncentredapproach AT martinmcnamara redesigningtheprocessforschedulingelectiveorthopaedicsurgeryacombinedleansixsigmaandpersoncentredapproach
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Redesigning the Process for Scheduling Elective Orthopaedic Surgery: A Combined Lean Six Sigma and Person-Centred Approach

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