Research Article

Lean Management Improves the Process Efficiency of Controlled Ovarian Stimulation Monitoring in IVF Treatment

Table 2

COS process in Yasmin Clinic.

No.ProcessSubprocessWaitingCTLead time
VANVA

1.AdministrationRegistration0 : 000 : 060 : 000 : 06

2.LaboratoryAdmission0 : 100 : 020 : 000 : 12
Blood sample withdrawal0 : 260 : 090 : 000 : 35
Test result pickup9 : 350 : 030 : 009 : 38
3.Nurse stationCalling the patients6 : 510 : 000 : 006 : 51

4.IVF clinicEntering the room0 : 000 : 000 : 000 : 00
Patient examination0 : 000 : 300 : 000 : 30
Counselling0 : 010 : 060 : 000 : 07

5.PaymentPatient’s record submission0 : 050 : 070 : 000 : 12
Payment0 : 300 : 060 : 000 : 36
Proof of payment pickup0 : 040 : 030 : 000 : 07

6.PharmacyDrug prescription submission0 : 220 : 030 : 000 : 24
Drug preparation1 : 040 : 100 : 001 : 14
Drug pickup0 : 460 : 070 : 000 : 53

7.Injection roomEntering the room0 : 130 : 010 : 000 : 14
Informed consent0 : 000 : 100 : 000 : 10
Equipment preparation0 : 000 : 050 : 000 : 05
Drug injection0 : 000 : 050 : 000 : 05
TOTAL20:0701:530:0022:00
VAR score9%

CT: cycle time; IVF: in vitro fertilization; NVA: nonvalue added; VA: value-added; VAR: value-added ratio. Bold text represents total value of waiting time, VA, NVA, and lead time.