Service

• Sorting and metering mail at fewer locations
• Centralizing facilities mail processing for greater efficiency
• Adding meters, offering overtime, and negotiating lower rates for needed vendor services

What can your team do to consolidate supplies or services? What else could your team do to reduce waste?

• Opening the lab a half-hour earlier to prevent long lines at the open of business
• Shifting work schedules and staggering lunch hours to have more staff covering available time
• Cross-training staff to register patients, process specimens and draw blood

 What can your team do to improve its workflow? 

• Identifying the problem of lab wait times and its root causes
• Employing a "one-on-one" style of service so more staffers help reduce the queue
• Having lab technicians handle patients from check-in to blood draw

 What can your team do to find out the root cause of a nagging problem?

• Identifying the problem was with the needle supplier
• Filing a Responsible Reporting Form, and working together to arrive at the solution
• Switching needle suppliers to improve care and safety

 What can your team do to listen to the voice of the patient? 

• Having lab assistants, not runners, pick up blood samples at 6 a.m. and drop off specimens every half-hour
• Using clinical lab scientists from other departments to help process blood in the morning
• Moving weekend shifts for clinical lab scientists to 6 a.m. instead of 9 a.m.

 What can your team do to shift its workflow for the benefit of patients? 

• Having medical assistants take vitals instead of waiting for LPNs
• Huddling twice daily to discuss needs and concerns
• Dividing labor and shifting schedules where necessary

 What can your team do to huddle more often and more effectively? 

• Educating about the proper use of VTE orders for post-operative patients
• Coordinating with pharmacists and other teams to ensure orders are followed
• Outlining how the Joint Commission's SCIP guidelines can help improve compliance

 What can your team do to work with other teams to improve outcomes for patients? 

• Keeping gurneys and equipment where they are needed, and having staff speak with patients during transport
• Cleaning and making the gurneys with sheets and blankets before they are needed
• Designating a staff member to ensure equipment is placed where needed

What can your team do to make the best use of your "down time"?

• Identifying the number of patients off telemetry monitoring for longer than 3 minutes and why
• Huddling to discuss the severity and consequences of the problem
• Creating reminders to check monitors, and make it part of the routine

What can your team do hardwire improvements you make into your workflow?