Reengineering the Cardiac Catheterization Lab processes: A lean approach

Journal of Healthcare Engineering

Volumn 1, Issue 1, 2010, Pages 45-65

  Raghavan, Venkatesh A ^a   Venkatadri, Vikram ^a   Kesavakumaran, Varun ^a   Wang, Shengyong ^b   Khasawneh, Mohammad ^a   Srihari, Krishnaswami ^a  

^a State University of New York   (United States)

^b University of Akron   (United States)

Author keywords

Cardiac catheterization lab; Lean techniques; Patient turnaround time; Reengineering

Indexed keywords

EID: 79954606674     PISSN: 20402295     EISSN: 20402309     Source Type: Journal    
DOI: 10.1260/2040-2295.1.1.45     Document Type: Article

References (21)

1. National Heart Lung and Blood Institute, "Cardiac Catheterization", http://www.nhlbi.nih.gov/health/dci/Diseases/cath/cath_what.html, 2009, Accessed July 2009.
2. Heart Rhythm Society, "EP Study", http://www.hrspatients.org/patients/heart_tests/ electrophysiology_study.asp, 2009, Accessed July 2009.
3. Donald E. Lighter, Advanced Performance Improvement in Health Care: Principles and Methods, Jones & Bartlett Publishers, Massachusetts, USA, 2009.
4. Chalice, R.W., Stop Rising Healthcare Costs Using Toyota Lean Production Methods, ASQ Quality Press, Milwaukee, Wisconsin, USA, 2005.
5. Kumar, A. and Shim, S.J., Eliminating Emergency Department Wait by BPR Implementation, Industrial Engineering and Engineering Management: IEEE International Conference, 2007, 1679-1683.
6. King, D.L., Ben-Tovim, D.I. and Bassham, J., Redesigning emergency department patient flows: Application of Lean Thinking to health care, Emergency Medicine Australasia, 2006, 18(4), 391-397.
7. Connelly, L.G. and Bair, A.E., Discrete Event Simulation of Emergency Department Activity: A Platform for System-level Operations Research, Acad Emerg Med., 2004, 11(11), 1177-1185.
8. Eitel, D.R., Rudkin, S.E., Malvehy, M.A., Killeen J.P. and Pines, J.M., Improving Service Quality by Understanding Emergency Department Flow: AWhite Paper and Position Statement Prepared For The American Academy Of Emergency Medicine, Journal of Emergency Medicine, In Press, Corrected Proof, Available online 2 June 2008.
9. Davies, R. and H. Davies, Modeling patient flows and resource provision in health systems, Omega, 1994, 22(2), 123-131.
10. Hutzschenreuteryz, A.K., Bosmanz, P.A.N. and Blonk-Altenax, I., Agent-based Patient Admission Scheduling in Hospitals, Proceedings of the 7th international joint conference on Autonomous agents and multiagent systems: industrial track, Estoril, Portugal, 2008, 45-52.
11. Ramakrishnan, S., Nagarkar, K., DeGennaro, M., Courtney, A.K., Emick, F. and Srihari, K., A Study of the CT Scan Area of a Healthcare Provider, in: Ingalls, R.G., Rossetti, M.D., Smith, J.S. and Peters, B.A., eds., Proceedings of the 2004 Winter Simulation Conference, Washington DC, USA, 2004, 2025-2031.
12. Workman-Germann, J. and Woodward-Hagg, H., Implementing Lean Six Sigma Methodologies in the Radiology Department of a Hospital Healthcare System, http://docs.lib.purdue.edu/cgi/ viewcontent.cgi?article=1037&context=rche_rp, RCHE Publications, 2007 (accessed 5 July 2009).
13. Bosire, J., Gandhi, T., Wang, S. and Srihari, K, Comparing Simulation Alternatives Based on Quality Expectations, in: in: Henderson, S.G., Biller, B., Hsieh, M.H., Shortle, J., Tew, J.D. and Barton, R.R., eds., Proceedings of the 2007 Winter Simulation Conference, 2007, Washington DC, USA, 1579-1585.
14. Abraham, J. and Reddy, M.C., Moving Patients Around: A Field Study of Coordination between Clinical and Non-Clinical Staff in Hospitals, Proceedings of the ACM 2008 conference on Computer supported cooperative work, 2008, San Diego, USA, 225-228.
15. Jensen, K. and Crane, J., Improving Patient Flow in the Emergency Department, Healthcare Financial Management, 2008, 62(11), 104-108.
16. Egolf, B., Nail, G., Donoghue, M., Pexton, C. and Waukesha, Working to Eliminate Bottlenecks: Florida Hospital's Cardiac Cath Lab Achieves Greater Efficiency and Higher Satisfaction, Cath Lab Digest-ISSN: 1073-2667, 15(11), November 2007, 54-56.
17. Siegrist, R., Gutkin, M., Levtzion-Korach, O. and Madden, S., Improving Patient Flow in the Cath Lab, Healthcare Financial Management, 2009, 63(4), 92-98.
18. Dehmer, G.J., Hirshfeld, J.W., Oetgen, W.J., Mitchell, K., Simon, A.W., Elma, M.E., Kellett, M.A. and Brindis, R.G., CathKIT: Improving Quality in the Cardiac Catheterization Laboratory, J Am Coll Cardiol, 2004, 43, 893-899.
19. Moscucci, M., Rogers, E.K., Montoye, C., Smith, D.E., Share, D., O'Donnell, M., Maxwell-Eward, A., Meengs, W.L., De Franco, A.C., Patel, K., McNamara, R., McGinnity, J.G., Jani, S.M., Khanal, S. and Eagle, K.A., For the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2), Association of a Continuous Quality Improvement Initiative with Practice and Outcomes Variations of Contemporary Percutaneous Coronary Interventions, Circulation, 2006, 113, 814-822.
20. Konopka, S., Millar, M., O'Brien, B. and Weissman, M., Reducing Delays in the Cardiac Cath Lab with Six Sigma, Isixsigma Healthcare online, 2006, available at http://healthcare.isixsigma.com, (accessed 3 May 2009).
21. Moscucci, M and Eagle, K.A., Door-to-Balloon Time in Primary Percutaneous Coronary Intervention: Is the 90-Minute Gold Standard an Unreachable Chimera?, Circulation 2006, 113, 1048-1050.