To reduce length of stay, focus on patient experience

Virginia Mason Medical Center Blog

 “When you set out to design the optimal stay for patients with pneumonia or hip fracture, for example, you take out huge wait states that patients experience and you embed quality within the process.”

— Robbi Bishop

There is a misperception by some in health care that the lean management approach is applicable to administrative but not clinical or diagnostic issues. In fact, significant progress is possible in a wide variety of clinical value streams, and teams at Virginia Mason have demonstrated meaningful gains during the past year or so.

Teams have demonstrated that when the Virginia Mason Production System (VMPS) is applied to clinical value streams, significant reductions in length of stay – from 10 to 25 percent – are achievable.

Robbi Bishop Robbi Bishop

“As we looked at length of stay before 2013, we typically looked at specific cycles of work – for example, the admission process, delirium screening…

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