A Continuous Quality Improvement Project to Improve the Workflow and Patient Throughput at a Digestive Disease Institute Public Deposited

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  • February 28, 2019
  • Barnola, Andreina
    • Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
  • Introduction. The American health system urgently needs a comprehensive transformation focused on improving quality of care. The health system has had a successful yet limited application of Continuous Quality Improvement (CQI), as an organizational process to achieve a continuous flow of improvements to provide quality care for the population. In this quest for CQI, health organizations have effectively used the Lean methodology as a transformative management approach to improve quality of care. Objective. The goal of this paper is to systematically evaluate a Continuous Improvement Lean-based project, as an approach to improve the quality of care in a Hospital setting. Methods. A multi-disciplinary team was assigned to develop and implement a Continuous Quality Improvement (CQI) project at the Digestive Disease Institute that aimed to improve workflow and patient throughput by using the Lean Methodology. After the analysis of background and current conditions, the problem was defined as follows: Seventy percent of patients with 8:00 am appointments were roomed late. Root causes were determined, and the proposed countermeasures were tested in a three-months pilot project, modeled on a PDCA cycle methodology. Results. After the implementation of the pilot project, the goal of increasing by 50% the number of patients with 8:00 am appointments that are roomed on time was successfully achieved. Conclusion. The Lean methodology was a successful approach that provided a systematized yet flexible framework to improve the workflow and patient throughput at the Digestive Disease Center.
Date of publication
Resource type
Rights statement
  • In Copyright
  • Track: Leadership
  • Paper type: Systematic review
  • Steffen, David
  • Sollecito, William
  • Master of Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2015
Deposit record
  • 2dc43f64-46db-45c5-9196-163655be92b3

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