Operational Excellence
 

Document Type

Article

Publication Date

10-2018

Institution/Department

Operational Excellence

MeSH Headings

epilepsy, outpatient neurology, referrals, emergency department, root cause analysis, goal

Abstract

ORGANIZING A SYSTEM TO CONSOLIDATE EPILEPSY REFERRALS TO AN OUTPATIENT NEUROLOGY PRACTICE

An outpatient neurology practice was experiencing delayed or lost referrals for epilepsy monitoring. This delay was leading many patients to suffer unnecessary and unmanaged seizures and, in some cases, frequent trips to the emergency department.

As a result, a team consisting of the neurology practice and neuro-navigators used baseline metrics to demonstrate the current state of the problem and conducted a root cause analysis that outlined several causes. A number of countermeasures were initiated with the goal of decreasing referral misses.

Post the initiation of two KPIs, a significant improvement was noted in missed referrals. Next steps include sustaining the process by follow up KPIs to make sure the system is running effectively.

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