la) of 1, or 100 percent. ommunity Medical Associates Case Study Community Medic
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la) of 1, or 100 percent. ommunity Medical Associates Case Study Community Medical Associates (CMA) is a large health p patient insurance information was mainta separate database. The patient's medical chart was part paper-based and part electronic. The paper medical file care system with 2 hospitals, 25 satellite health centers, and 56 ourpatient clinics. CMA had 1.5 million outpa tient visits and 60,000 inpatient admissions the previous could be stored at the hospital, centers, or clinics. system was having significant problems with quality of their notes were seldom input into the patient's medi- the system. Doctors, nurses, lab technicians, managers, log off and access another system for radiology, then year. Just a few years ago, CMA's health care delivery Nurses handwrote their notes on each patient, but care. Long patient waiting times, uncoordinated clini cal and patient information, and medical errors plagued cal records or chart. "We must access one database for lab results, then and medical students in training were very aggra vated with the labyrinth of forms, databases, and communication links. Ac counting and billing were in a situation of constant confusion and constantly correcting medical bills and insurance payments. The complexity of the CMA information and communication system overwhelmed its people log off and access the CMA pharmacy system to gain an integrated view of the patient's health. If I can't find the patient's re- cords within five minutes or so, I have to abandon my search and tell the pa tient to wait or make an other appointment," said one doctor. The doctor continued, "You have to abandon the patient be- cause you have to move on to patients you truly can diagnose and help. If you don't abandon the patient, you might make Prior to redesigning its systems, physicians were faced with a com plex array of appoint consolidates over 50 CCMA databases into Today, CMA uses an integrated operating system that consolidates over 50 CCMA databases into one. clinical decisions about ments and schedules in order to see patients in the hospital, centers, clinics. For example, an elderly patient with shoulder pain would get an X ray at the clinic bu up an appointment for a CAT scan in the hospital. Furthermore, the patient's blood was sent to an off- site lab while physician notes were transcribed from tape recorders. Radiology would read and interpret the X rays and body scans in a consultant report. the patient's health without having a complete set of information. Not having all the medical information fast has a direct impact on quality of care and patient and t have to set satisfaction." that consolidates over S0 access to these recor Today, CMA uses an integrated operating system CMA databases into one. Health care providers in the CMA system now have ds through 7,000 computer termi- the X rays and body scans in a consultant report cess to these records through 7,000 computer termi- Past and present medication records were kept in the nals. Using many levels of security and some restricted hospital and offsite pharmacies. Physicians would databases, all patient informat write paper prescriptions for each patient. Billing and ion is accessible in less than two minutes. For example, sensitive categories of M4 Chapte Lean Operating s 385Explanation / Answer
Community medical Association was facing the following problems:
The four lean system adopted by the CMA are as follows:
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