Objective : The
main objective is to study
the factors which affect average waiting time and timely discharge.
To determine the source
of error and the reasons for its occurrence. Identifying rework loops, non-value-added
steps. To plan out an effective and efficient flow
of discharge process in new
Background : The
critical bottleneck for
efficient patient flow. Slow or unpredictable
discharge translates into a reduction in effective
capacity and admission process delays
Methodology : The
methodology includes Data collection
through Primary data through
Brainstorming, Intervies and
data by Literature review, Case studies
review, Internet search, Research papers, reviewing the process
of existing hospitals. Qualitative analyses
Findings : Hospital discharge process is characterized by fragmented, non-standardized, and haphazard care which further leads to lengthy discharge and admission cycles.
Incomplete information on transfer
between services. Poor
communication and poor follow-up care. Too many
people involved in discharge
decision. Some providers are
not informed of
discharge decision. Too many people involved in discharge
Chaotic, repetitive process with
various gaps. Delays
in discharge process as well
as inappropriately early discharge which further excludes any input from
their perceived readiness
for discharge. Prolonged
hospitalization. Re-checking of the entries of
consultant visits have to be done
for each bill. This takes a lot of time as the doctor has to be contacted many times.
This further adds up in delaying the whole process. Its takes a long time to process the bill of patients with long
2-3 months) as rechecking of all records
has to be done. This affects the
process time of other bills as well.
The discharge summary printout is taken out only when the bill is taken out from the
billing department. This
result in wastage of time
and the discharge
process comes to a
hold till the time the bill prints out is taken out. Poor
communication between the administrative staffs and the medical team or between the patient party and the hospital itself.
Lengthy discharge and admission cycles arises
chaotic situation and
Recommendations : There should be a cash counter on each
floor, taking care
of their respective specialties. Roles and responsibilities should be
clearly defined. Discharge is an actively managed process
that it begins at the point of admission (if not before, e.g. elective
admissions with agreed care pathways).
To determine the source of error and the reasons for its occurrence. Identifying rework loops, non-value-added steps.