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

Table 4

Solutions based on results from the focus group discussion.

Problem	Solution
1. Waiting for the doctor’s arrival for an extended time	(i) Increase patients’ value-added by adding time to the doctor’s examination; (ii) Doctor is asked to arrive on time; (iii) Discuss and schedule fixed hours of practice with doctors working in Yasmin Clinic; (iv) Recruit more doctors as substitute doctors to take over the morning shift
2. Waiting for the results of the diagnostic workups for an extended time	(i) Ovarian stimulation method can be satisfactorily evaluated by USG; thus, laboratory tests can be eliminated; (ii) Collaboration with laboratories outside the hospital for blood tests; (iii) Advance notice when a reagent in the laboratory is out of stock
3. The nurse’s wasted motion back and forth to provide information to the patient and calling new patients at the same time	(i) Adding a loudspeaker or patient queue number screen outside the examination room; thus, the patient can be called from inside the room; (ii) Counselling by a nurse is done in a separate room; (iii) Assign a separate nurse to provide counselling for patients to increase value added; (iv) Counselling can be continued in the injection room; (v) Counselling can be done when patients wait for diagnostic workups