Team Admission: Changing the Way We Work

Lean service operations: Reflections and new directions for capacity expansion in outpatient clinics

“…ThedaCare, a hospital system in Wisconsin, also initiated its lean improvement by studying manufacturing systems and saved $10 million in 2005 due to its lean programs (Matzek, 2006). Lean approaches have produced other measurable improvements such as shortened time to admit patients at Prairie Lakes Healthcare (Homolo and Fuller, 2008). Three successful lean applications at the University of Pittsburgh Medical Center improved patient flow in an emergency intake process, an outpatient foot‐and‐ankle clinic, and the discharge of cancer patients from inpatient to ambulatory services (Martin et al, 2009).…”

Weathering the storm: nurses’ satisfaction with a mobile admission nurse service

“…This finding was also reported by Hlipala et al . (2005), Homola and Fuller (2008) and Giangiulio et al . (2008).…”

“…Admission processes need to meet patient requirements within the structure and resources of the organization. During the review of the literature, a variety of interventions were discovered: creating a dedicated admission unit (Keyes & Biedron 1995); using an admissions team approach (Homola & Fuller 2008); and introducing a dedicated admission nurse to assist with focused admission activities (Hlipala et al. 2005, Siehoff et al.…”

“…These redesign approaches frequently included other simultaneous changes to workflow during implementation, such as simplification of admission paperwork (Keyes & Biedron 1995, Hlipala et al. 2005) and implementation of electronic medical and nursing records (Homola & Fuller 2008).…”

“…Redesigned admission processes have also resulted in improved patient and nurse satisfaction (Keyes & Biedron 1995, Haraden & Resar 2004, Hlipala et al. 2005, Homola & Fuller 2008, Giangiulio et al. 2008, Siehoff et al.…”