Lean Management Improves the Process Efficiency of Controlled Ovarian Stimulation Monitoring in IVF Treatment
Table 2
COS process in Yasmin Clinic.
No.
Process
Subprocess
Waiting
CT
Lead time
VA
NVA
1.
Administration
Registration
0 : 00
0 : 06
0 : 00
0 : 06
2.
Laboratory
Admission
0 : 10
0 : 02
0 : 00
0 : 12
Blood sample withdrawal
0 : 26
0 : 09
0 : 00
0 : 35
Test result pickup
9 : 35
0 : 03
0 : 00
9 : 38
3.
Nurse station
Calling the patients
6 : 51
0 : 00
0 : 00
6 : 51
4.
IVF clinic
Entering the room
0 : 00
0 : 00
0 : 00
0 : 00
Patient examination
0 : 00
0 : 30
0 : 00
0 : 30
Counselling
0 : 01
0 : 06
0 : 00
0 : 07
5.
Payment
Patient’s record submission
0 : 05
0 : 07
0 : 00
0 : 12
Payment
0 : 30
0 : 06
0 : 00
0 : 36
Proof of payment pickup
0 : 04
0 : 03
0 : 00
0 : 07
6.
Pharmacy
Drug prescription submission
0 : 22
0 : 03
0 : 00
0 : 24
Drug preparation
1 : 04
0 : 10
0 : 00
1 : 14
Drug pickup
0 : 46
0 : 07
0 : 00
0 : 53
7.
Injection room
Entering the room
0 : 13
0 : 01
0 : 00
0 : 14
Informed consent
0 : 00
0 : 10
0 : 00
0 : 10
Equipment preparation
0 : 00
0 : 05
0 : 00
0 : 05
Drug injection
0 : 00
0 : 05
0 : 00
0 : 05
TOTAL
20:07
01:53
0:00
22:00
VAR score
9%
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.