Reducing waiting time of patient in receiving physiotherapy in Geriatric Day Hospital (GDH) by Lean management

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Abstract Description
Abstract ID :
HAC5565
Submission Type
Authors (including presenting author) :
Ng CM (1), So YY (1), Woo PH (2), Kwan SF (3), Lo CK (3), Lo TM (1), Lau FO (1)
Affiliation :
(1) Physiotherapist, Physiotherapy Department, Tai Po Hospital (2) Health care assistant, Physiotherapy Department, Tai Po Hospital (3) Personal care assistant, Physiotherapy Department, Tai Po Hospital
Introduction :
The old equipment had condemned and the process of the replacement took few months to proceed. Patients had to wait for a long time for training modalities. As a result, patients had to leave before completing the exercises that they need. Their rehabilitation potentials could not maximize after the training.
Objectives :
To reduce the waiting time for training modalities.
Methodology :
There were average 18% of patients (8 out of 45 patients) waited at least 15 minutes for the equipment. They had to complete four exercises lasting 10-15 minutes in each session. Unfortunately, they could complete three exercises because of waiting. To streamline the workflow, all exercises had standardized as 15 minutes. Then, we categorized the exercises as core or elective. At least one core training should perform during the session. The elective exercises provided the choices of equipment with similar training effects. To prevent confusion, the alternative exercises were documented in treatment form by the highlighter. The first choice highlighted as orange in color — the second, third, and fourth highlighted as pink, yellow, and blue, respectively. By using the mappings, the sequence of the colors was marked on each documentation table, with corresponding highlighters placed in order.
Result & Outcome :
The percentage of patients waiting for the training equipment had reduced from 18% to 7% (3 out of 45 patients). It reduced the waiting time for training equipment without compromising their rehabilitation potential. It implemented the meaningful change to bring the greatest value to the patient.

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