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

Table 5

Prioritized solutions based on MIV/C scoring.

No	Solution	M	I	V	C	Total (MIV/C)
Problem 1: waiting for the doctor’s arrival for an extended time
1	Increase patients’ value-added by adding time to doctor’s examination	3	3	3	2	13.5
2	Doctor is asked to arrive on time	1	3	2	2	3
3	Discuss and schedule fixed hours of practice with doctors working in Yasmin Clinic	2	2	2	1	8
4	Recruit more doctors as substitute doctors to take over the morning shift	4	2	2	3	4.3
Problem 2: waiting for the results of the diagnostic workups for extended time
1	Ovarian stimulation method can be satisfactorily evaluated by USG; thus, laboratory tests can be eliminated	3	4	2	2	12
2	Collaboration with laboratories outside the hospital for blood tests	3	2	2	4	3
3	Advance notice when a reagent in laboratory is out of stock	3	2	2	2	6
Problem 3: the nurse’s wasted motion back and forth to provide information to the patient and calling new patients at the same time
1	Adding a loudspeaker or patient queue number screen outside the examination room; thus, patients can be called from inside the room	4	3	2	3	8
2	Counselling by a nurse is done in a separate room	4	2	2	3	5,3
3	Assign separate nurse to provide counselling for patients to increase value-added	4	3	2	2	12
4	Counselling can be continued in the injection room	4	3	3	2	18
5	Counselling can be done when patients wait for diagnostic workups	3	2	2	1	12

Bold text showed solutions with highest MIV/C score for each problem. M: magnitude; I: importance; V: vulnerability; C: cost.