Patient Journey

Patient flow from admission through diagnosis, treatment, and discharge

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Lead Time

11.5h

Cycle Time

4.0h

Wait Time

7.5h

PCE

34.8%

Stages

8

Bottleneck

Diagnostic Tests

Value-Add vs Non-Value-Add

Value-Add (VA)

An activity is value-add if it meets all three criteria:

  • The customer is willing to pay for it
  • It transforms the product or service
  • It is done right the first time

Examples: Assembly, diagnosis, treatment, coding, machining, testing

Non-Value-Add (NVA)

Activities that consume time or resources but don't add value from the customer's perspective:

  • Waiting — queues, approvals, batching delays
  • Transport — moving materials or information
  • Motion — unnecessary movement of people
  • Rework — correcting defects or errors
  • Over-processing — doing more than required

Note: Some NVA is necessary (compliance, safety). Target unnecessary NVA first.

Process Timeline

Value-Add vs Non-Value-Add

Bottleneck Analysis

Stage Efficiency

# Stage Cycle (h) Wait (h) VA Resource Defect % Efficiency
1 Registration & Triage 0.5 0.75 VA Nurse 5.0% 40.0%
2 Waiting Room 0.0 1.5 NVA Patient 0.0% 0.0%
3 Initial Assessment 0.5 0.25 VA Doctor 8.0% 66.7%
4 Diagnostic Tests 0.75 2.0 VA Lab Tech 4.0% 27.3%
5 Results Review 0.25 1.0 VA Doctor 3.0% 20.0%
6 Treatment Plan 0.5 0.5 VA Doctor 2.0% 50.0%
7 Treatment Delivery 1.0 0.5 VA Nurse 3.0% 66.7%
8 Discharge & Follow-up 0.5 1.0 VA Admin 10.0% 33.3%