Abstract of Dissertation

Keyword : Discharge Process, Turn-Around Time, Six Sigma Approach, Delay, Lean Six Sigma

Findings : Results were analyzed with help of Microsoft Excel using tables and bar graphs. Analysis was done to calculate the average TAT of month of February and March. The percentages of discharges occurring within the given TAT and those exceeding the benchmark were also calculated. The percentage analysis led to analyzing the current discharge process to identify the value added and non-value added activities. Based on the identified wastes and non-value added activities, problem statements were defined Interventions were designed based on the stated problem statements and recommendations given for improvement of the discharge process.

Recommendations :The study describes the application of a five-phase LEAN Six Sigma Approach - DMAIC (Define, Measure, Analyze, Improve and Control) to streamline the discharge process for all IPD patients. The study was carried out from 10th February, 2014 to 10th May 2014. Data collection was done for average discharge TAT for the total number of discharges from all the wards of the hospital. Primary data was collected for three parameters of the study by recording the time taken for the completion of the related sub-processes. The sources of secondary data were the records in HIS and observation in the wards. Within the different phases of DMAIC, six sigma tools applied were: • Process Mapping • Cause and Effect Matrix (Fish-bone Diagram)