Just about every one of us has experienced the following scenario: you’re driving down the highway and traffic is flowing nicely when all of a sudden you lurch to a halt and find yourself stuck in gridlock. It takes you about 20 minutes of stop-and-go when you pass an accident that has shut down the left lane leaving one lane open for everyone to pass through. This is a classic example of a bottleneck. Simply put, a bottleneck is something that either slows down or completely stops the flow of a process, and they can be a huge roadblock to medical practice efficiency. Here are a few simple ways to identify them in your practice.
Identifying bottlenecks in manufacturing is pretty easy. On the assembly line you can physically see the products begin to stack up and workers fall behind. Think of the famous chocolate factory scene from the show I Love Lucy.
However, it becomes more challenging in a complex system such as a medical practice or hospital system with multiple moving parts. Suddenly, people become your product, you’re heavily reliant upon technology, and you are no longer following a widget down a straight and narrow assembly line.
Indications that you may have a bottleneck reducing your medical practice efficiency
Ask yourself these simple questions to start:
- Are there any reoccurring themes that you are hearing over and over again in your practice?
- Are you receiving any specific feedback from your patients that may allude to a workflow issue?
- Are your patients experiencing longer than normal wait times?
- Are you finding yourself constantly waiting on people or equipment
- Do you often hear from your team that they just can’t get caught up on work?
- Are members of the team feeling stressed or overwhelmed?
If you answered “yes” to any of the above, you may have bottlenecks in your operational workflow.
Discovering the bottleneck
Process mapping can be an extremely valuable tool to help visualize and identify bottlenecks so that you can improve the efficiency of your practice. Mapping out the entire workflow identifies all of the steps it takes to complete a process from start to finish and can quickly show you where opportunities for improvement may lie.
Have your team map the process as they believe it flows. This is an extremely valuable exercise. By doing this, you have the people actually performing the work showing you what their understanding of the process is. You’ll often find the process varies from person to person, and the degree of variation can be quite surprising. You may see redundant tasks being performed, missed steps or deviations in how a task is performed. All of these lead to inefficiency among your team and can quickly identify waste in your operation.
Classifying the bottleneck
Bottlenecks typically fall into one of two common areas of inefficiency seen in workflow, both equally impactful and potentially limiting to the process:
- Performer-Based Bottlenecks: Inefficiencies caused by any person (employees or third-party vendors) involved in the process
- Systems-Based Bottlenecks: – Inefficiencies caused by any technology, programs, or equipment that are part of the workflow
Identifying Performer-Based Bottlenecks
You know the old adage: time will tell? Well, it literally will when you are identifying a slowdown in workflow. Gather information and have a basic understanding of how long a certain task will take. If the task is repeatedly taking longer than it should, you may have a performer-based issue. Remember to take into consideration the skill level of the performer, and be sure you have training and development in place to support their job functions.
Identifying System-Based Bottlenecks
System-based issues are often disguised as performer issues at first glance. It may appear as though a specific person or vendor is simply slow, but if you look a little closer, it’s often due to systems that are holding up the process. Look for key indicators such as long wait times. Listen closely for complaints from staff about programs or systems that are preventing them from moving easily through their work.
Once you have identified your bottlenecks, it’s time to resolve them. This may involve increasing efficiency of a step by using automation, implementing a new tool or software solution, or even removing a step in the workflow altogether to shorten the process.
Engage your team in problem-solving. Having faced the issue multiple times a day, it’s likely they have ideas for how to improve the process. Leverage their experience and encourage them to experiment and try new things. Be sure to celebrate even the smallest success.
Finally, keep in mind this is a continuous process. Resolving one bottleneck can often lead to the identification, or creation, of another bottleneck.
Why Focus on Operational Improvement?
The landscape of healthcare is becoming ever more complex. With consumerism on the rise and continued pressures from payors and government agencies, practices must get creative because adding more overhead is simply not an option in many cases. This is where the power of streamlining your operations comes into play. Focusing on process and eliminating bottlenecks can have a dramatic impact on reducing cost, increasing productivity, and improving employee morale.
If your practice could use a refresh, your healthcare consultants at Aldrich are here to help.
Get to know Jessica and learn about how she looks for bottlenecks with her clients.
Healthcare Business Advisor
Jessica McBurney, RN
Aldrich Core Consulting
Jessica joined Aldrich in 2018 with nearly a decade of diverse experience in the healthcare industry. As a registered nurse, Jessica knows firsthand the crucial elements to providing excellent patient care. In addition to her direct care experience Jessica served as an administrator for an independent review organization where she received extensive training in LEAN…
- Operational efficiency
- Continuous improvement
- Process standardization
- Change management
- Workflow optimization
- Organizational redesign
- Employee retention
- Kaizen facilitation
- LEAN Certified