STREAMLINE & OPTIMIZE

PATIENT FLOW

Expeditor applies LEAN management principles to increase efficiency in patient flow which results in better quality of care and higher patient satisfaction Typically, 30-60 minutes of wasted time per provider per day can be recovered. That translates to 2-3 more patients seen per day, 6-12% more time with each patient or some combination of the two.

Value Proposition

ROI

YOU CAN’T MANAGE WHAT YOU DON’T MEASURE.

For every 1 minute you save in efficiencies, you gain $10-$15 in revenue

Average Visit Times Nov 2014 73 minutes Nov 2015 59 minutes 1 Year Period 14 minutes more efficient each day (1-2 more patients per Dr. each day) 14 x 300 clinical days = 4,200 minutes x 5 Doctors = 21,000 minutes x $10 revenue = $210,000

Medical Center

YOU CAN’T MANAGE WHAT YOU DON’T MEASURE.

Decreased average turnaround time from 50 to 32 minutes. Original goal 45.

83 Additional Visits per month Net Revenue Per Visit = $119

83 Additional Visits x $119 = $9,877 per month

Annualized: $118,524 revenue

Floyd Taylorsville Green Belt

YOU CAN’T MANAGE WHAT YOU DON’T MEASURE.

2015 2016 $34.5B $66.5B 2016 54% of the $66.5B ($36B) will be spent on healthcare analytics. Healthcare Catalyst - Outcome Improvements Publication

Healthcare Technology

Budgets

Data Capture -Acquire key data elements (key

performance indicators)

Data Provisioning

-Turn lines of raw data into meaningful use data

Data Analysis -Interpret data

-Evaluate data quality

-Consult with Client

Healthcare Data Analysis

Lifecycle

1

3 2

Patient flow solution Analytics solutions

Decrease Wait Times -> Improve Patient Satisfaction

DOOR-TO-DOOR MEASUREMENT

WALK IN

FRONT

DOOR

EXIT

FRONT

DOOR

KEY PERFORMANCE INDICATORS - KPI

DOOR-TO-DOOR MEASUREMENT

Check-In, Back to

Room Times

Waiting Room Times

Patient Wait Time in

Exam Room

Dr. & Ancillary /Patient

Encounter Time

Average Time Dr. Between Patients

Check-Out

Door to Door Visit

Time

Patient Satisfaction

Survey

trac

DOOR-TO-DOOR MEASUREMENT

WALK IN

FRONT

DOOR

EXIT

FRONT

DOOR

KEY PERFORMANCE INDICATORS - KPI

DOOR-TO-DOOR MEASUREMENT

Check-In, Back to

Room Times

Waiting Room Times

Patient Wait Time in

Exam Room

Dr. & Ancillary /Patient

Encounter Time

Average Time Dr. Between Patients

Check-Out

Door to Door Visit

Time

Patient Satisfaction

Survey

trac

Average waiting room time: 24 minutes

WAITING ROOM

PATIENT VOICE PATIENT FLOW

Press Ganey, represents over 2.3 million patients treated in over 11,000 clinics

At 24 minutes, 3-4 out of 10 patients enter the exam room dissatisfied or upset

KEY PERFORMANCE INDICATORS:

PATIENT CHECK-IN TIME

PATIENT APPOINTMENT TIME

PATIENT BACK TO ROOM TIME

WAITING ROOM WAIT TIME

DOOR-TO-DOOR MEASUREMENT

WAITING ROOM WAIT TIMES PATIENT FLOW

PATIENT VIEW

DOOR-TO-DOOR MEASUREMENT

CHECK-IN PATIENT FLOW

CHECK-IN

KIOSK

CONCIERGE, RECEPTION OR PATIENT VIEW

CONCIERGE, RECEPTION OR PATIENT VIEW

24

CONCIERGE, RECEPTION OR PATIENT VIEW

CONCIERGE, RECEPTION OR PATIENT VIEW

RECEPTION VIEW

DOOR TO DOOR MEASUREMENT

RECEPTION VIEW PATIENT FLOW

RECEPTION VIEW PRIMARY CARE

RECEPTION VIEW URGENT CARE

NURSE/TECH VIEW

DOOR TO DOOR MEASUREMENT

NURSE VIEW PATIENT FLOW

NURSE VIEW URGENT CARE

NURSE VIEW PRIMARY CARE

NURSE VIEW

Check-In, Back to

Room Times

Waiting Room Times

Patient Wait Time in

Exam Room

Dr. & Ancillary /Patient

Encounter Time

Average Time Dr. Between Patients

Door to Door Visit

Time

Check-Out

Patient Satisfaction

Survey

DOOR-TO-DOOR MEASUREMENT

WALK IN

FRONT

DOOR

EXIT

FRONT

DOOR

KEY PERFORMANCE INDICATORS - KPI

DOOR-TO-DOOR MEASUREMENT

trac

Expeditor light system

• On-going accurate measurement

of staff efficiency

• Compare data to other facilities

around the country

Establish Patient Flow Benchmarks

• No extra effort for users

DOOR-TO-DOOR MEASUREMENT

EXPEDITOR LIGHT SYSTEM PATIENT FLOW

LIGHT SIGNALING SYSTEM FEATURES

YouTube Channel - MyExpeditorSystem

Room

Sequencing

Cascading

Room

Sequencing

Multi-key

Sequencing

Buried

Alive

Assistant Call Patient

Ready

Light

Flexible Room

Assignment

MOHS Slide

Ready

Room Status/

Occupied Light Priority

Override

Timed

Priority

Virtual

Monitor

Nurse

Call

PATIENT FLOW

USER ACTION

This light is pressed when

the patient is placed in

the room.

Upon activation, the light

illuminates to show that

the room is occupied.

INPUT TO REPORTS

Patient wait timer begins.

AM PM AM PM AM PM AM PM AM PM AM PM AM PM

Avg Pat Wait 0:05:37 0:09:13 0:12:47 0:09:34 0:12:19 0:08:12 0:07:41 0:09:51 0:09:39

# Past Max

Wait (60:00) 0 0 0 0 0 0 0 0 0

Avg Pat

Encounter 0:19:14 0:12:37 0:14:46 0:17:26 0:18:06 0:19:06 0:17:05 0:11:37 0:15:35

Avg Time

Between Pats 0:01:25 0:04:17 0:05:27 0:03:02 0:06:05 0:02:38 0:03:35 0:09:21 0:04:59

Total Pats 6 15 0 0 11 5 8 5 9 9 0 0 0 0 68

Doctor A

Monday Tuesday Wednesday ThursdayTotal

Friday Saturday Sunday

DOOR-TO-DOOR MEASUREMENT

EXPEDITOR LIGHT SYSTEM PATIENT FLOW

WALK IN

FRONT

DOOR

EXIT

FRONT

DOOR

Check-In, Sent Back to Room

Times

Patient Wait Time in

Exam Room

Dr. & Ancillary /Patient

Encounter Time

Average Time

Between Patients

Check-Out

Door to Door Visit

Time

Check-Out

Patient Satisfaction

Survey

DOOR-TODOOR MEASUREMENT

trac DOOR-TO-DOOR MEASUREMENT

KEY PERFORMANCE INDICATORS - KPI

CHECK-OUT VIEW

Move to another Dr, Lab, X-Ray, etc.

OR

Check-Out

CHECK-OUT VIEW

WALK IN

FRONT

DOOR

EXIT

FRONT

DOOR

Check-In, Sent Back to Room

Times

Patient Wait Time in

Exam Room

Dr. & Ancillary /Patient

Encounter Time

Average Time

Between Patients

Check-Out

Door to Door Visit

Time

Check-Out

Patient Satisfaction

Survey

DOOR-TODOOR MEASUREMENT

trac DOOR-TO-DOOR MEASUREMENT

KEY PERFORMANCE INDICATORS - KPI

PATIENT SATISFACTION SURVEY

PATIENT SATISFACTION SURVEY

Check-In, Appt & Sent

Back to Room Times

Patient Wait Time in

Exam Room

Dr. & Ancillary /Patient

Encounter Time

Average Time

Between Patients

Door to Door Visit

Time

Check-Out

Patient Satisfaction

Survey

trac DOOR-TO-DOOR MEASUREMENT

KEY PERFORMANCE INDICATORS - KPI

PATIENT FLOW DOOR-TO-DOOR MEASUREMENT

Granular Reports

Each Visit recorded

PATIENT FLOW DOOR-TO-DOOR MEASUREMENT

Recap report sent out each day of Waiting Room Times and Check-In to Check-Out

Times

METRICS DASHBOARD TOP LEVEL NAVIGATION

MULTI FACILITY

SECONDARY NAVIGATION

FACILITY SPECIFIC METRICS DASHBOARD

LEAN SCORECARD FACILITY BALANCED SCORECARD

Lean Six Sigma & Balanced Scorecard

Both methodologies require the organization to rely on patient flow data at each stage of the patient flow lifecycle.

Lean scorecard Facility balanced scorecard

Lean Six Sigma & Balanced Scorecard

Both methodologies require the organization to rely on patient flow data at each stage of the patient flow lifecycle

Establish KPI Goals

Lean scorecard Facility balanced scorecard

Lean Six Sigma & Balanced Scorecard

Both methodologies require the organization to rely on patient flow data at each stage of the patient flow lifecycle

Establish Percentage

of Goal

Lean scorecard Facility balanced scorecard

Lean Six Sigma & Balanced Scorecard

Both methodologies require the organization to rely on patient flow data at each stage of the patient flow lifecycle

Current Top 2 Box Percentage &

Established Goal

Lean scorecard Facility balanced scorecard

Lean Six Sigma & Balanced Scorecard

Both methodologies require the organization to rely on patient flow data at each stage of the patient flow lifecycle

Goal is to improve Top 2 Box Percentage

Lean Six Sigma & Balanced Scorecard

Both methodologies require the organization to rely on patient flow data at each stage of the patient flow lifecycle

Goal is to improve Top 2 Box Percentage

LEAN SCORECARD FACILITY BALANCED SCORECARD

Lean Six Sigma & Balanced Scorecard

Both methodologies require the organization to rely on patient flow data at each stage of the patient flow lifecycle

Goal is to improve Top 2 Box Percentage

LEAN SCORECARD FACILITY BALANCED SCORECARD