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Current State Value Stream Map
Outpatient Imaging Services
Pre-register
Patient

Customer Demand:
15 patients perDay
(Takt Time 1920seconds)
8 hours per day

Schedule
Appointment

Referring
Physician

Hospital

4

3

5

Lead Time = 24 days

2

6

Lead Time = 990 mins.

Cycle Time = 30 mins.
Lead Time = 990 mins.
% C&A = 100 %

Demand = 15 per day

1

Lead Time = 12 mins.

Cycle Time = 11 mins.
Lead Time = 12 mins.
% C&A = 98 %

% C&A = 65 %

CT=Cycle Time
LT=Lead Time
%C&A=% Complete & Accurate

Symposium

E Pay

Excel

ADS

Internet

Meditech

Fax Order
Solutions

Waiting Room
Management
System

PACS

Auto Fax 50%
Us Mail 25%
MD Mailbox 25%
Rework Loop
via Fax 25% of
the time

Check-in
Patient
(Admitting)

Prep
Patient
(Tech)

Check-in
Patient
(Imaging)

Complete
Exam
(Tech)

Transmit
Images
(Tech)

Read/Dictate
Exam
(Radiologist)

Transcribe
Report
(MDI)

Review
Draft/Sign
(Radiologist)

Print
Reports
(Imaging)

Send
Reports
(Imaging)

5 mins.
5

5

5 mins.

Cycle Time = 2 mins.
% C&A = 90 %
0.0833 hrs.

3

Cycle Time = 1 mins.
% C&A = 98 %

0.0833 hrs.
2 mins.

6

45 mins.

2

0.75 hrs.
1 mins.

7

30 mins.

Cycle Time = 10 mins.
% C&A = 100 %

2

0.5 hrs.
10 mins.

8

5 mins.

Cycle Time = 15 mins.
% C&A = 90 %

2

0.0833 hrs.
15 mins.

9

248 mins.

Cycle Time = 3 mins.
% C&A = 100 %

2

10

4.13 hrs.
3 mins.

365 mins.

Cycle Time = 15 mins.
% C&A = 95 %

6

11

6.08 hrs.
15 mins.

960 mins.

Cycle Time = 5 mins.
% C&A = 75 %

2

12

16 hrs.
5 mins.

110 mins.

Cycle Time = 1 mins.
% C&A = 95 %

2

1.83 hrs.
1 mins.

13

120 mins.

Cycle Time = 1 mins.
% C&A = 99 %

6

2 hrs.
1 mins.

14

Cycle Time = 3 mins.
% C&A = 90 %

LT = 32.5 hrs.
3 mins.

CT = 56 mins.
CT/LT Ratio = 2.87%
Rolled First Pass
yield = 29%

VSM Champion: Paul Scanner
Created: July 17, 2007

Published in: Business, Technology
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