Salient Features of India constitution especially power and functions
Using Lean concept in DM clinic Thailand
1. efficiency in Diabetic clinic
service, Public Health Center 67
Taweewatthana
Suthee Saritsiri, MD Director of Public
Health Center 67
2. • Public Health Center 67 was
established in 2007.
• DM clinic opened service in 2008.
Background
-
6,445
*100
8,843
*122
12,339
*172
15,221
*214
20,600
*295
Patients * Registered DM patients
2008 2009 2010 2011 2012
3. By
1. Providing accurate, fast, through, and
fair (good Governance) service
2. Development benefits to the
organization and society.
3. Monitoring and evaluation of customer
satisfaction.
12 years Development Plan
Bangkok Metropolitan
Administration’s Policy
5th Strategy: Develop a model management
system of sustainable metropolis
5. Using LEAN concept to
increase efficiency service .
DM
Pati
ents
Visit
monthly
NPO
for
DTX
Unsati
sfied
emotio
n
Well glycemic control
Healthcare providers
may not be tired.
Loss F/U
Increased
risk of
complicati
ons
morbidity
mortality
Win – Win: Between patient and
7. Metodology of the study
1. Pre LEAN February 2012
2. Root Cause Analysis
3. Using LEAN Concept
4. Evaluate comparison Pre LEAN and Post LEAN
External
Customer needSWOT Analysis
8. 1.Time and Length in each steps of
services (start to the end)(value+nonvalue but necessary+waste)
Outcome evaluation
Quantitative Qualitative
1.Physical
environment:
No. of service points
2. Human
Resources:
No. of Healthcare
providers
3. Process:
No. of steps in
1.Efficiency of
service %
= value Time x
100
Total Time
2. Satisfaction:
DM patients and
Healthcare providers
21. Diabetic
patients’Satisfaction (n=50)
Mean Score
Pre
LEAN
Post
LEAN
p-
value
*
Convenience and speed in service
The speed of the process is available
(From visit to go home)
3.44 4.10
<
0.001
*
System managed service is a first (Queue system) 4.36 4.56 0.219
Providing a quick and easy
dispensing
3.62 4.24
<
0.001
*
Quality in service
Available tools 4.04 4.26 0.063
Personnel have knowledge and
talent in service
4.04 4.58
<
0.001
*
22. Conclusion
• Utilizing LEAN concept can lead to substantial
improvement in quality and efficiency of
healthcare service (DM clinic)
• Key success factor:
Lean concept technique and Good teamwork