JIT and Medical Office Process Efficiency

Augmenting Labor and Human Resource Efficiency

By Dr. David Edward Marcinko; MBA, CMP™

Much of what is done in Just-In-Time [JIT] labor control is aimed at reducing the doctor’s wait time (radiographs, veni-puncture, urinalysis, vital signs, cast changes, etc.), the patient’s wait time (check-ins, check-outs, insurance verification, etc.), the move time (procedure set-up time, referrals, transportation, etc.) and quality time (education, emotional support and hand-holding); all increasing total actual patient service treatment time.

Summation Equation

This patient service time can be expressed as the sum of four parts:

Treatment Time                                        

(+) Wait Time

(+) Move Time

(+) Quality Time

Total Time: (Efficient or Inefficient)

Treatment Time is Key

Only the patient’s treatment time (doctor-patient interaction) adds value to the medical service. Wait, move and quality time are all non-value added services and should be eliminated to the extent possible, as they represent needless time and cost. All can, and should, be performed by non-physician personnel.

Labor JIT

When correctly applied, medical office HR JIT may reasonably be expected to yield the following benefits:

  • Greater doctor and employee productivity through improved office physical layout.
  • Reduced treatment and business management time resulting in the potential to see more patients – or – the same number of patients with less time urgency and personal stress.
  • Inventories of durable goods are reduced and expensive storage space is made available for revenue generating activities.
  • Patient quality and services are rendered in a cost effective and value added manner.

Conclusion

As always, your thoughts and comments on this Medical Executive-Post are appreciated.

Related Information Sources:

Practice Management: http://www.springerpub.com/prod.aspx?prod_id=23759

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Health Administration Terms: www.HealthDictionarySeries.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com  or Bio: www.stpub.com/pubs/authors/MARCINKO.htm

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