The Veterans Health Administration (VHA) is the largest integrated health care network in the United States, providing a unique system of health care delivery and access to nine million veterans. However, it has come under increased media scrutiny over the past two years for delays in scheduling, lengthy patient wait times, and lack of access.
In a study published online by JAMA Surgery, Andrew C. Eppstein, of the Indiana University School of Medicine, Indianapolis, and colleagues examined whether lean processes can be used to improve wait times for surgical procedures in Veterans Affairs hospitals.
Veterans Satisfied With Mental Health Care Given by Veterans Health Administration
US veterans are satisfied with the mental health services given by the Veterans Health Administration, claims a new survey.
Advertisement
‘Implementation of lean processes can be used to improve patient wait times for surgical procedures in Veterans Affairs hospitals.’
Tweet it Now
In this study, various databases were examined to assess changes in wait times for elective general surgical procedures and clinical volume before, during, and after implementation of lean processes over three fiscal years (FYs) at a tertiary care Veterans Affairs medical center (Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis). The surgery service and systems redesign service performed an analysis in FY 2013, culminating in multiple rapid process improvement workshops.
Multidisciplinary teams identified systemic inefficiencies and strategies to improve interdepartmental and patient communication to reduce canceled consultations and cases, diagnostic rework, and no-shows. High-priority triage with enhanced operating room flexibility was instituted to reduce scheduling wait times. General surgery department pilot projects were then implemented mid-FY 2013.
![For Cancer Patients Aged Over 65, Veterans Health Administration Similar or Better Than Private Sector]( "For Cancer Patients Aged Over 65, Veterans Health Administration Similar or Better Than Private Sector")
Report finds the cancer care provided by the Veterans Health Administration (VHA) for men 65 years and older is at least as good as Medicare-funded fee-for-service care
The researchers found that average patient wait times for elective general surgical procedures decreased from 33 days in FY 2012 to 26 days in FY 2013. In FY 2014, average wait times were half the value of the previous FY at 12 days. This was a three-fold decrease from wait times in FY 2012. Operative volume increased from 931 patients in FY 2012 to 1,090 in FY 2013 and 1,072 in FY 2014. Combined clinic, telehealth, and e-consultation encounters increased from 3,131 in FY 2012 to 3,460 in FY 2013 and 3,517 in FY 2014, while the number of no-shows decreased from 366 in FY 2012 to 227 in FY 2014.
"This study demonstrated a significant reduction in patient wait times for surgical procedures and an improvement in access in the clinical and operative settings when implementing lean processes. The improvement gained was noted over multiple areas and seen during the implementation of new technologies. The changes in the measured outcome categories occurred early, and the differences were sustained across the entire observation period," the authors write.
"Improvement in the overall surgical patient experience can stem from multidisciplinary collaboration among systems redesign personnel, clinicians, and surgical staff to reduce systemic inefficiencies. Monitoring and follow-up of system efficiency measures and the employment of lean practices and process improvements can have positive short- and long-term effects on wait times, clinical throughput, and patient care and satisfaction."
Source: Eurekalert
For Cancer Patients Aged Over 65, Veterans Health Administration Similar or Better Than Private Sector
Report finds the cancer care provided by the Veterans Health Administration (VHA) for men 65 years and older is at least as good as Medicare-funded fee-for-service care
Advertisement
The researchers found that average patient wait times for elective general surgical procedures decreased from 33 days in FY 2012 to 26 days in FY 2013. In FY 2014, average wait times were half the value of the previous FY at 12 days. This was a three-fold decrease from wait times in FY 2012. Operative volume increased from 931 patients in FY 2012 to 1,090 in FY 2013 and 1,072 in FY 2014. Combined clinic, telehealth, and e-consultation encounters increased from 3,131 in FY 2012 to 3,460 in FY 2013 and 3,517 in FY 2014, while the number of no-shows decreased from 366 in FY 2012 to 227 in FY 2014.
"This study demonstrated a significant reduction in patient wait times for surgical procedures and an improvement in access in the clinical and operative settings when implementing lean processes. The improvement gained was noted over multiple areas and seen during the implementation of new technologies. The changes in the measured outcome categories occurred early, and the differences were sustained across the entire observation period," the authors write.
"Improvement in the overall surgical patient experience can stem from multidisciplinary collaboration among systems redesign personnel, clinicians, and surgical staff to reduce systemic inefficiencies. Monitoring and follow-up of system efficiency measures and the employment of lean practices and process improvements can have positive short- and long-term effects on wait times, clinical throughput, and patient care and satisfaction."
Source: Eurekalert
Wait Times for Mental Illness Patients in Emergency Departments Shorter During Crowded Periods
A new study reveals that the waiting times at emergency departments for patients with mental illness during crowded period is actually shorter compared to the waiting times during less busy periods.
Advertisement
 Reducing Wait Time Could Improve Spinal Cord Stimulator Success for Chronic Pain PatientsSuccess rates soared to 75% for patients who waited less than 2 years for a spinal cord stimulator (SCS) implant, compared with 15% for patients whose implants happened 20 years after the onset of pain. | Advertisement
|
Advertisement
Latest Hospital News
Is hand hygiene important in hospital settings? Clean hands can help patients and staff in healthcare settings to avoid healthcare-associated infections (HAIs). So, wash your hands
Antibiotic resistance may result from poor hygiene practices in hospitals or other medical facilities, stated study.
Will patient care be better if the specialist knows the referred doctor? Yes, friendly relationships among physicians have a major impact on the quality of care.
The novel device developed is integrated into a device small enough and cheap enough for medical professionals slip into their pocket as they travel to remote areas.
Heart Health Meter (HHM) developed by Madhavbaug under its 'Save My Heart's mission uses a scorecard that measures various stages of heart health.