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Management systems keep hospitals from meeting goals: applying Lean and Six-Sigma can help eliminate wasted time and effort in treating heart attack patients.(HOSPITALS AND PROVIDERS)

Publication: Managed Healthcare Executive
Publication Date: 01-MAY-08
Format: Online
Delivery: Immediate Online Access

Article Excerpt
[ILLUSTRATION OMITTED]

WHEN IT COMES TO TREATING heart attacks, time is a crucial component. Each minute between the onset of a heart attack and proper treatment can mean the difference between life and death. Yet only a fraction of patients who arrive at the nation's emergency suffering...

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...departments from ST-elevation myocardial infarction (STEMI) receive what the Centers for Medicare and Medicaid Services (CMS) consider quality care.

A time elapse of under 90 minutes between the patient's arrival at the hospital and intracoronary balloon inflation, otherwise known as door-to-balloon time, is imperative. Research shows what stands in the way of faster treatment isn't technology. Rather it is a host of problems associated with workflow and processes.

Consider the conclusions of the recent studies on reducing door-to-balloon time by Elizabeth H. Bradley, PhD. In the first study, Dr. Bradley states: "We know that reducing door-to-balloon time is important, but now we also have more evidence about how to achieve faster door-to-balloon times. How the hospital processes are organized and managed, and...

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