Synchrony is the ability of a healthcare process to control the pace of the physician process and the pace of the patient process such that the physician and patient are ready for each other at the same time, without waste or delay. When a process achieves synchrony, the patient does not wait for the doctor, nor does the doctor wait for the patient. Dr. Dennis Han is an ophthalmologist specializing in diseases of the retina at the Medical College of Wisconsin and Froedtert Memorial Hospital; Aneesh Suneja is an engineer and lean consultant who worked with Dr. Han to transform his practice. With the help of Suneja, Han s patients experienced an 85% reduction in non-value added wait times, and a corresponding 97% top box rating on patient satisfaction surveys ( strongly agree to recommend this doctor s office to others ). Financially, his practice saw a 25% year-over-year increase in relative value units (RVU) production and a 41% increase in payments due to increased physician availability. If you are a physician, clinic manager, administrator, technician, or provider of health services in a clinic setting, you can use the guidelines described in this book to effect a transformation as well.
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Dennis P. Han, M.D. is currently the Jack A. and Elaine D. Klieger Professor of Ophthalmology at the Medical College of Wisconsin, where he has served on the faculty since 1988. For the last 16 years, Dr. Han has served as Chief of the Vitreoretinal Section. He is also Medical Director of Clinical Imaging Services at the Eye Institute in Milwaukee. Dr. Han received Lean Healthcare certification by the University of Michigan College of Engineering. He serves as a consultant to both private and academic clinical practices on the topic of improving healthcare efficiency, and has lectured at prominent venues such as the American Academy of Ophthalmic Executives, the Leadership Academy at the University of Wisconsin-Milwaukee Lubar School of Business, and the American Society of Retina Specialists Practice Management Symposia. His academic interests include management of retinal diseases, retinal imaging, and application of Lean principles in ophthalmic practice. Aneesh Suneja is the president and founder of FlowOne Lean Consulting LLC. Aneesh is a chemical engineer, and holds an MBA from Marquette University. He earned a Six Sigma Black Belt through the Whirlpool Corporation in 1998, and studied Lean Manufacturing at the University of Michigan s Center for Professional Development. He has spent the last 10 years applying lean in healthcare, from emergency departments to clinics to inpatient hospital settings.
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