Student Dissertation

Agency : Hospital Discharge Process; Turnaround Time; IPD Patients; Six Sigma

Objective : 1) To study the current discharge process. 2) To determine the TAT in IPD. 3) To diagnose the reasons of delay and to find out the value-added and non-value-added processes. 4) To implement interventions to reduce the TAT. 5) To carry out analysis of post intervention phase.

Background : Discharge process start when consultant will declare about discharge to the medical officer or nurse. And after that nurse or medical officer will tell to the ward incharge, and ward incharge starts the billing process. The delay in discharge affects the patient satisfaction and on other side it affects the financial aspect of hospital. The main focus is to stream line the current procedures of hospital and modifying them in such a way that we get maximum output from minimum input of manpower & resources for best results.

Methodology : It is a interventional study design study carried out on IPD patients over a period of one month. Primary Data was collected through direct observation and secondary data was collected retrospectively. A sample size of 200 was taken for the study in the control phase. DMAIC Six Sigma approach was used to understand the quality aspect of the discharge process. Data was analyzed by different data analysis tools like Fishbone diagram, Pareto chart, Histogram.

Findings : The discharge time in the analytic phase was 225 min and, in the control, phase was 178 minutes. The sigma value in the analytic phase was 2.7 and, in the control, phase was 3.03.

Recommendations : This project has provided analytic and valuable information to the top management and certain managerial decision which can reduce more Turn Around Time for discharge. Thus, this will help us to increase patient satisfaction and cost reduction.