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Processes From a Patient Perspective

In Jim Shaw's book, "Customer-Inspired® Quality - Looking Backward Through the Telescope", he describes how hospitals and healthcare providers must begin to analyze and improve the quality of their patient services by discovering the work processes that directly affect the care and service delivered to the patient. This evaluation must address service quality through the eyes of the patient, not from the perspective of the hospital job or department.

"Your workplace and the processes that occur there may be so familiar to you that to talk about "discovering" them may appear superfluous. But making improvements involves seeing your processes in a new way, detached from familiar assumptions.

To see a process in a new way, in a way relevant to improving it, you need to look at it through the eyes of the customer. The customer's perspective of a process invariably illuminates its whys and whats.

Processes can be defined from a variety of perspectives. Often, no two people will agree on exactly what constitutes a process even when they both are involved in it. But when everyone takes the customer's point of view, everyone looks at the process in the same way and in a way that is relevant to the organization's success. Thus, the customer's perspective provides a single, objective perspective that everyone can use and that works for all the organization's processes."

The following list of key hospital processes have been defined by client hospitals and healthcare providers in their efforts to improve the quality of delivered services from a patient's perspective.

Typical List of Hospital Key Processes From a Patient Perspective

Key Process

Improvement Priority

High/Medium/Low

Provide and Manage Inpatient Care

 

Admit/Place Inpatients (Direct/Prescheduled) Prescheduled)

 

Admit/Place ED Inpatients

 

Discharge Patients

 

Manage Inpatient Care: Medical/Surgical Care

 

Manage Inpatient Care: Intensive/Critical Care

 

Manage Inpatient Care: Perinatal/Obstetrical Care

 

Manage Inpatient Care: Psychiatric Care

 

Manage Inpatient Care: Rehabilitation/SNF Care

 

Manage Patient Medical Information

 

Provide And Manage Standards for Care

 

Provide Diagnostic Support (e.g., X-ray) lab)

 

Provide Hotel Services

 

Provide Inpatient Scheduling

 

Provide Surgical Support

 

Provide Therapeutic Support (e.g., drug/RX) respiratory)

 

Provide and Manage Ambulatory Care

 

Provide Home Health Care

 

Provide Same Day Noninvasive Diagnostic Services

 

Provide Outpatient Rehabilitative/Therapeutic Care

 

Provide and Manage Clinic Care

 

Provide Same Day Surgery Procedure Services

 

Provide and Manage Emergency/Urgent Care

 

Manage Customer Complaints

 

Manage Patient Complaints

 

Manage Physician Complaints

 

Improve Revenue Cycle Processes

 

Provide Community Health Services/Education

 

Provide Information on Service Availability and Cost

 

Provide Support Processes

 

Evaluate and Improve Performance

 

Ensure Compliance with Regulatory Requirements

 

Manage Payer Contracts and Relations

 

Manage Risk and Safety

 

Manage Human Resources

 

Manage Information Systems

 

Obtain and Manage Supplies/Facilities/Equipment

 

Plan the Future

 

© 1999-2003, Wayne New and James Shaw, Shaw Resources, all rights reserved

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Last updated: 05 May 2008