la) of 1, or 100 percent. ommunity Medical Associates Case Study munity Medical
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la) of 1, or 100 percent. ommunity Medical Associates Case Study munity Medical Associates (CMA) is a large health patient insurance information was maintained in a eparate 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. Nurses handwrote their notes on each patient, but cal records or chart. ar. Just a few years ago, CMA's health care delivery system was having significant problems with quality of their notes were seldom input into the patient's medi- care. Long patient waiting times, uncoordinated clini cal and patient information, and medical errors plagued "We must access one database for lab results, then the system. Doctors, nurses, lab technicians, managers, log off and access another system for radiology, 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 consolidates over plex array of appoint- 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. Past and present medication records were kept in the Today, CMA uses an integrated operating system that 50 CCMA databases into one. clinical decisions about and the patient's health without having a complete set of information. Not having all the medical information t have to set fast has a direct impact on quality of care and patient satisfaction." Today, CMA uses an integrated operating system that consolidates over 50 CMA databases into one. he CMA system now have through 7,000 computer termi- nals. Using many levels of security and some restricted databases, all patient information is accessible in less Health care providers in t access to these records hospital and offsite pharmacies. Physicians would databases, all patient informat pital and offsite pharmacies. Physicians would than two minutes. For example, sensitive categories of write paper prescriptions for each patient. Billing and than two minutes. For example, sensitive categories M4 Chapter Lean Operating s 385Explanation / Answer
Q ) What are the trade offs ?
A ) CMA has been focussing on its quality in services and to check -limit the length of the queues and patient waiting lines.It has been constantly mouldy to provide better services to its patients and customers.Maintaning storing and retrival data is iften a hectic task even for large softwarre companies.The rate at whch the company stores the data and the operating system speed to retreive the data decides the performance level of the system. Lean prinicples provide an adequate measure to enhance the quality and speed .This also accomplishes reducing waste and costs.The tradeoffs of this methodology are :
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