Reduction of Length of Stay (LOS) from Registration to Discharge for Cataract Operation
Care Process & Redesign
Singapore Healthcare Management Congress
National University Health System
31 December 2018
Reduce Total Turnaround Time (TAT) from registration to discharge for cataract operations. Workflow streamlining significantly improved efficiency, reduced delays, and optimized resource use.
Year Submitted: 2018
Published Date: 31 December 2018
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Access To Care, Turnaround Time, Waiting Time, Value Based Care, Length Of Stay, Discharge Planning, Lean Methodology, Productivity, Time Saving
About this Content
Aims
Reduce Total Turnaround Time (TAT) from registration to discharge for cataract operations.
Background
Pre-RIE TAT for cataract surgery under local anesthesia averaged 6 hours, driven by inefficiencies in pre-op and discharge processes.
Methods
Used Value Stream Mapping, Root Cause Analysis, Lean tools, and Rapid Improvement Events (RIEs) to identify and eliminate workflow inefficiencies.
Results
Achieved a 25% reduction in TAT (from 6 hours to 4.5 hours for the 50th percentile); 24% increase in caseload within existing resources.
Conclusion
Workflow streamlining significantly improved efficiency, reduced delays, and optimized resource use.
Lessons Learnt
Standardized workflows, periodic stakeholder reviews, and Lean methodologies sustain efficiency improvements and enhance outcomes.
Additional Information
Recognized at NUH Process Improvement Awards 2023
Keywords
Cataract Surgery, Turnaround Time, Lean Methodology, Workflow Redesign
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Medical, Healthcare Administration |
Applicable Specialty or Discipline | Ophthalmology, Surgery |
Project Lead(s) | Raymond Siew |
Project Member(s) | Paul Zhao |
Connect with this contributor!
Dr. Raymond Siew - raymond_siew@nuhs.edu.sg
Project Attachment
26_NUH_Reduce_Length_of_Stay_from_Registration_to_Discharge_for_Cataract_Operation_combine.pdf