Publications by authors named "Stacy R Schultz"

4 Publications

  • Page 1 of 1

Improving Efficiency Using Time-Driven Activity-Based Costing Methodology.

J Am Coll Radiol 2017 Mar 13;14(3):353-358. Epub 2017 Jan 13.

Department of Radiology, Mayo Clinic, Rochester, Minnesota.

Purpose: The aim of this study was to increase efficiency in MR enterography using a time-driven activity-based costing methodology.

Methods: In February 2015, a multidisciplinary team was formed to identify the personnel, equipment, space, and supply costs of providing outpatient MR enterography. The team mapped the current state, completed observations, performed timings, and calculated costs associated with each element of the process. The team used Pareto charts to understand the highest cost and most time-consuming activities, brainstormed opportunities, and assessed impact. Plan-do-study-act cycles were developed to test the changes, and run charts were used to monitor progress. The process changes consisted of revising the workflow associated with the preparation and administration of glucagon, with completed implementation in November 2015.

Results: The time-driven activity-based costing methodology allowed the radiology department to develop a process to more accurately identify the costs of providing MR enterography. The primary process modification was reassigning responsibility for the administration of glucagon from nurses to technologists. After implementation, the improvements demonstrated success by reducing non-value-added steps and cost by 13%, staff time by 16%, and patient process time by 17%. The saved process time was used to augment existing examination time slots to more accurately accommodate the entire enterographic examination. Anecdotal comments were captured to validate improved staff satisfaction within the multidisciplinary team.

Conclusions: This process provided a successful outcome to address daily workflow frustrations that could not previously be improved. A multidisciplinary team was necessary to achieve success, in addition to the use of a structured problem-solving approach.
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http://dx.doi.org/10.1016/j.jacr.2016.11.014DOI Listing
March 2017

Improving Patient Flow Utilizing a Collaborative Learning Model.

Radiol Manage 2016 May-Jun;38(3):19-26; quiz 28

This initiative utilized a collaborative learning approach to increase knowledge and experience in process improvement and systems thinking while targeting improved patient flow in seven radiology modalities. Teams showed improvements in their project metrics and collectively streamlined the flow for 530 patients per day by improving patient lead time, wait time, and first case on-time start rates. In a post-project survey of 50 project team members, 82% stated they had more effective solutions as a result of the process improvement methodology, 84% stated they will be able to utilize the process improvement tools again in the future, and 98% would recommend participating in another project to a colleague.
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September 2016

Lean Management Systems in Radiology: Elements for Success.

Radiol Manage 2016 Mar-Apr;38(2):23-30; quiz 32

This article is a review of the literature on Lean and Lean Management Systems and how they have been implemented in healthcare organizations and particularly in radiology departments. The review focuses on the elements required for a successful implementation of Lean by applying the principles of a Lean Management System instead of a Lean tools-only approach. This review shares the successes and failures from healthcare organizations' efforts to improve the quality and safety of the services they provide. There are a limited number of healthcare organizations in the literature who have shared their experiences and additional research is necessary to determine whether a Lean Management System is a viable alternative to the current management structure in healthcare.
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June 2016

Patient safety event reporting in a large radiology department.

AJR Am J Roentgenol 2011 Sep;197(3):684-8

Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.

Objective: The purpose of this article is to describe our experience developing a Web-based radiology-specific event reporting system.

Conclusion: The Web-based safety event reporting system has been a valuable tool permitting us to address potential safety concerns in our department.
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http://dx.doi.org/10.2214/AJR.11.6718DOI Listing
September 2011
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