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	<title>DMGMA Blog &#187; Sharon Ruth</title>
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		<title>WHAT IS YOUR PATIENTS FIRST IMPRESSION?  ARE THEY SATISFIED OR FRUSTRATED?</title>
		<link>http://blog.dmgma.com/what-is-your-patients-first-impression-are-they-satisfied-or-frustrated/</link>
		<comments>http://blog.dmgma.com/what-is-your-patients-first-impression-are-they-satisfied-or-frustrated/#comments</comments>
		<pubDate>Fri, 22 May 2009 11:58:44 +0000</pubDate>
		<dc:creator>Rick Creveling</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[improved service in healthcare]]></category>
		<category><![CDATA[LEAN]]></category>
		<category><![CDATA[MSDS]]></category>
		<category><![CDATA[patient frustration]]></category>
		<category><![CDATA[patient satisfaction]]></category>
		<category><![CDATA[Sharon Ruth]]></category>

		<guid isPermaLink="false">http://blog.dmgma.com/?p=82</guid>
		<description><![CDATA[Today&#8217; post is generously provided by Sharon Ruth of MSDS.  Hope everyone enjoys the early summer holiday!   Let’s use a scenario that I think many of you have experienced….  Imagine that you have never flown in an airplane, you will be taking your first flight and confess to being a little nervous and unsure [...]]]></description>
			<content:encoded><![CDATA[<p><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;"></span></p>
<p><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Today&#8217; post is generously provided by Sharon Ruth of MSDS.  Hope everyone enjoys the early summer holiday!</span></p>
<p> </p>
<p><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Let’s use a scenario that I think many of you have experienced….<span style="mso-spacerun: yes;">  </span>Imagine that you have never flown in an airplane, you will be taking your first flight and confess to being a little nervous and unsure of what to expect. </span></p>
<p><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">You approach the ticket counter and notice several partially destroyed pieces of luggage stacked among the mountain of paper files along the wall.<span style="mso-spacerun: yes;">  </span>Appearing frustrated, the ticket agent mumbles, “Where are the luggage labels?<span style="mso-spacerun: yes;">  </span>I hate working here”.<span style="mso-spacerun: yes;">  </span>The agent finally looks up, notices you, and blurts out “Destination?”  You try to explain that you bought your ticket online and unfortunately, more than one airline is involved.<span style="mso-spacerun: yes;">  </span>You are interrupted with the next verbal command, “Name”?<span style="mso-spacerun: yes;">  </span>After several minutes, the flight information is located and the boarding pass is issued.<span style="mso-spacerun: yes;">  </span>You are advised that there are no more luggage labels.<span style="mso-spacerun: yes;">  </span>You must take your luggage to another ticket counter to get it checked.<span style="mso-spacerun: yes;">  </span>Worried that you will never see your luggage again, you follow the instructions and hope for the best.</span><span id="more-82"></span></p>
<p><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Feeling quite proud of yourself, you survived the gauntlet of security screeners and make your way to the gate.<span style="mso-spacerun: yes;">  </span>Following a 2-hour delay in departure due to mechanical problems, you are about to board the plane.<span style="mso-spacerun: yes;">  </span>As you make your way down the jet-way, you notice numerous brief cases, bags, and boxes.<span style="mso-spacerun: yes;">  </span>Seeing no explanation for this, you keep moving with your personal belongings on to the plane.<span style="mso-spacerun: yes;">  </span>There is no one to greet you as you enter.<span style="mso-spacerun: yes;">  </span>Walking down the aisle, you pass two seats with crime scene tape and a “Broken” sign across them.<span style="mso-spacerun: yes;">  </span>You quickly begin to realize why the bags were on the jet-way – the overhead compartments are overflowing.<span style="mso-spacerun: yes;">  </span>You locate your assigned seat, only to find another passenger claims to have the identical seat assignment.<span style="mso-spacerun: yes;">  </span>Ringing the flight attendant call bell, you contemplate whether you should attempt to just get off of the plane or keep fighting for the basic services for which you paid.</span></p>
<p><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Would you want to fly this airline?<span style="mso-spacerun: yes;">  </span>Would you feel confident that the flight would make it safely to its destination after so many problems? </span></p>
<p><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Consistent application of lean principles could drastically improve this first time flyer’s experience.</span></p>
<ul type="disc">
<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">5S Points of Public Reception</span><span style="font-size: small; font-family: Times New Roman;"> </span></li>
<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Consistent Staff Training</span><span style="font-size: small; font-family: Times New Roman;"> </span></li>
<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Squeeze the Waste out of Front End Value Streams</span><span style="font-size: small; font-family: Times New Roman;"> </span></li>
<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Institute Proactive Preventive Maintenance</span><span style="font-size: small; font-family: Times New Roman;"> </span></li>
<li class="MsoNormal" style="margin: 0in 0in 0pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">Clear Visual Management for Customers and Staff</span></li>
</ul>
<p style="margin: 0in 0in 0pt;"><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;">A hospital admission, physician appointment or outpatient procedure can be as intimidating as a first time flying experience.  Customer perceptions, both positive and negative are shaped by the queues along the process flow to obtaining that product or service.  You are busy healthcare providers; you often become numb to essentially identical frustrations to those described in the airline scenario.<span style="mso-spacerun: yes;">  </span>It is important to step into the gemba, look at the patient experience with fresh lean eyes, and ask the question, “Are we promoting a positive first impression?<span style="mso-spacerun: yes;">  </span>Would our patient intake process frustrate or satisfy me if I were the customer?”</span></p>
<p style="margin: 0in 0in 0pt;"><em><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;"><span style="mso-spacerun: yes;"> </span></span></em></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small; font-family: Times New Roman;">For more information, please contact Sharon Ruth MSDIS<span style="mso-spacerun: yes;">  </span>(302) 397-0173</span></p>
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		<item>
		<title>“Lean…It is The New Capital”</title>
		<link>http://blog.dmgma.com/%e2%80%9clean%e2%80%a6it-is-the-new-capital%e2%80%9d/</link>
		<comments>http://blog.dmgma.com/%e2%80%9clean%e2%80%a6it-is-the-new-capital%e2%80%9d/#comments</comments>
		<pubDate>Fri, 27 Mar 2009 20:52:00 +0000</pubDate>
		<dc:creator>Rick Creveling</dc:creator>
				<category><![CDATA[Discussion]]></category>
		<category><![CDATA[Medical Group Mgmt. Help]]></category>
		<category><![CDATA[Jim Jones]]></category>
		<category><![CDATA[LEAN]]></category>
		<category><![CDATA[New Capital]]></category>
		<category><![CDATA[Sharon Ruth]]></category>
		<category><![CDATA[Surviving the meltdown]]></category>

		<guid isPermaLink="false">http://blog.dmgma.com/?p=74</guid>
		<description><![CDATA[It&#8217;s hard top believe that March is nearly over and finally spring is here. Are there signs of life rising from our struggling economy? Here&#8217;s some hope from another reader-contributed post. Thanks to Sharon Ruth of MSDIS and Jim Jones of DMEP for the following article, a continuation of our series on LEAN Healthcare Management [...]]]></description>
			<content:encoded><![CDATA[<p>It&#8217;s hard top believe that March is nearly over and finally spring is here. Are there signs of life rising from our struggling economy? Here&#8217;s some hope from another reader-contributed post. Thanks to Sharon Ruth of MSDIS and Jim Jones of DMEP for the following article, a continuation of our series on LEAN Healthcare Management<br />
&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-<br />
Not long before the current financial meltdown began to accelerate, a CFO of a for-profit health system make a statement that has stuck with us since the day we learned about it.  He told the team of hospital system administrators of his organization, &#8220;Folks, Lean Healthcare principles and methodologies have become the new capital in our organization.&#8221; <span id="more-74"></span>Although a simple statement, it says volumes in my opinion. Although it was true just a few months ago and always will be, it is certainly true today more than ever due to the financial crisis and with healthcare’s rising costs of delivery, diminishing reimbursements, shortages of skilled caregivers, the increasing number of uninsured, and of course the tight credit markets. As we continue to ponder this simple but powerful statement, a number of things come to mind. Yes, Lean is the new capital. The issue is whether or not leaders, both political and corporate, will recognize it. Will leaders &#8220;cut and run&#8221; without any regard to improving their processes, which only creates a weak and thin organization. Or will they invest in their people?  Will you invest in your people?</p>
<p>As we’ve begun our Lean education to Delaware organizations of all shapes and sizes, we’re often asked &#8220;how do you get an organization excited and motivated to change?&#8221; Other than old fashioned leadership that is required for any change, in many organizations they need a crisis to rally and focus the organization. Are you nearing a crisis yet? Well we  think it goes without saying that no one could craft a crisis of the magnitude we’re currently in to motivate change. Our fear is that we’ll let this current crisis go to waste (in all industries and government) without capitalizing upon it. You don’t have to be a futurist to know that other crisis’ in healthcare are on the horizon (rising costs on one side of the equation with rising demand on the other) which loomed even before this current financial mess presented itself. Those issues haven’t gone away.   </p>
<p>Lean (Healthcare) focuses on the elimination of Waste to improve customer or patient value (cost, quality, safety, satisfaction), and it puts the value in people. Many Lean practitioners even consider &#8220;under-utilized talent&#8221; as a form of Waste within itself. In this financial environment we find the perfect time to invest in our people more than ever, and to do more with the same amount of equipment and facilities given the lack of capital. This is what made Toyota, Toyota. They are currently the best equipped to weather this drastic downturn that is effecting the entire auto industry, and the system they developed over many years initially came about as a matter of necessity after WWII with little to no resources. They had no choice but to eliminate Waste and they are much better off today as a result.  </p>
<p>In many instances there isn’t a choice of whether or not to change. Yes we know, it isn’t easy to make Lean a way of life, but the alternative is to struggle not only now but for many years to come. Utilize Lean principles and tools to accelerate solving the problems that committees are spending countless hours on that are not producing results right now (Lean is about making change now). Capitalize upon your staff’s ability to solve problems via Lean Healthcare principles, removing waste from your processes, and striving for the IDEAL. In our opinion, those organizations that do will kill the competition as this financial climate improves. This is a capital investment that is proven to provide a positive return in the long term.    </p>
<p>For More Information Contact:</p>
<p>Jim Jones   DEMEP (302) 283-3135</p>
<p>jjones@demep.org</p>
<p>Sharon Ruth Willis of DE/MSDIS (302) 397-0173</p>
<p>sruth@zutzgroup.com      </p>
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