Ambulatory Clinic Layout and Design

Business case New Space Layouts

  • Large AHC was planning new ambulatory clinic operations
  • Desire to enhance building entrances, way finding, waiting areas, expand exam and procedure rooms
  • Desire defect fee start up to maximize patient experience

Initial Condition

  • 8 FTE assigned to patient registration process
  • Floor space planned to serve registration process appeared excessive

Target Condition

  • Reduce FTE’s in registration process 50% or more
  • Reduce overall registration and waiting room floor space by 40% to accommodate more patient exam rooms
  • Reduce inventory levels in excess of 1M
  • Reduce case cart pull times and decontam process response times

Planned Activities / Intervention

  • Clinic management team attended a 2 Day Lean Overview / Leadership class
  • Launch team trained on Lean Overview, 7 Wastes, 5S, and Standardized Work
  •  Value stream mapping sessions to determine true patient flow  and process support requirements
  • Waste analysis and yamazumi (work balalnce) applied to patient registrations positionsAmbulatory Clinic Surgery layout space

Achieved Metrics

  • Receptionists and registrations positions reduced from 8 to 4
  • Overall floor space reduced by 10%— allowing for 1 extra procedure and 1 exam room room to be added to start-up