Optimizing Patient Flow in Ambulatory Clinic Setting

Ophthalmology Patient Flow
Process Analysis
Ophthalmology Clinic Flow Value Stream Map
Takt Time: 3.16 mins
Q
Check
In
Tech
Work
Up
OCT/
Images
Tech
Rooming
Provider
Exam
Check
Out
Avg 0
Min 0
Max 3
PT
2
Min 1
Ma 7
Res 2
PT
19
Min 12
Ma 39
Res 11
PT
12
Min 7
Ma 25
Res 2
PT
3
Min 1
Max 5
Res 6
PT
9
Min 6
Ma 19
Res 6.5
PT
7
Min 1
Ma 14
Res 3
2 min
11 min
19 min
13.6 min
12 min
10 min
3 min
15 min
9 min
7 min
Ophthalmology Clinic Workload Balancing
Chart
Value Added Process Time
43
Total Cycle Time 101.6
% Process Efficiency 42.3%
8.00
6.00
4.00
2.00
0.00
1.00
1.73
6.00
Check In Work Up OCT /
Imaging
2.33
1.38
0.50
Rooming Provider Check Out
The Ophthalmic imaging equipment, the
OCT, of which there are 2 in the clinic was
found to be a bottleneck in the process.
Per Person Procress time
Takt Time