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Door to doc process flow Aligns Staffing with Patient Demand, Physician Productivity, and Economies of ScaleCapacitates for Target Utilizations and Acceptable Patient Safety MeasuresSummarizes ED Patient Length of Use (LOU), Length of Hold (LOH), and Length of Test Turnaround (LOT) Durations by Urgency LevelIdentifies key activities for managing D2D implementationSelects ED's Busiest Times to Determine if `Split Flow` is RequiredAddresses process control issues after implementationDescribes team structures as well as roles and responsibilitiesDefines and Monitors Strategic Performance MeasuresAssesses change readiness and provides tips for improving acceptanceCharacterizes if LWOTs are a Problem. Plots Past LWOT% Vs. Patient VolumeCompares D2D Care Process with current ED to identify potential changesCalculates the Arrival Rates to Each ED Location

Process Toolkit Components
#
DMAIC
Names
File
Function
Example
1
D
LWOT Problem?
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Characterizes if LWOTs are a Problem. Plots Past LWOT% Vs. Patient Volume example chart
2
M
Volume ≥ Min?
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Selects ED's Busiest Times to Determine if "Split Flow" is Required example chart
3
M
Flow Calculation
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Calculates the Arrival Rates to Each ED Location example chart
4
M
LOU/LOH/LOT
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Summarizes ED Patient Length of Use (LOU), Length of Hold (LOH), and Length of Test Turnaround (LOT) Durations by Urgency Level example chart
5
A
Capacity Planning
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Capacitates for Target Utilizations and Acceptable Patient Safety Measures example chart
6
I
Staffing
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Aligns Staffing with Patient Demand, Physician Productivity, and Economies of Scale example chart
7
C
Scorecard
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Defines and Monitors Strategic Performance Measures example chart
 
People Toolkit Components
#
DMAIC
Names
File
Function
Example
A
D
Care Process
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Compares D2D Care Process with current ED to identify potential changes example chart
B
D
Ready to Change?
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Assesses change readiness and provides tips for improving acceptance example chart
C
M
Organizing for Change
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Describes team structures as well as roles and responsibilities example chart
D
I
Managing the Implementation
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Identifies key activities for managing D2D implementation example chart
E
C
Gap Analysis
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Addresses process control issues after implementation example chart

 

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