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Managing and Evaluating Rapid-Cycle Process Improvements as Vehicles for Hospital System Redesign: Table 3. Value stream metrics (as revised October 2006)

AccessBillingClinicHospital flowOperating room
Payer source appointmentsAccounts receivable daysVisits per provider sessionThroughput in days-average daily census/discharges per dayZero case errors
Copay/deposit collection/per visitPayer denialsDiscipline specific quality outcomesDivert status (ED divert %)Charges per staffed or hour
Registration accuracyClaims documents that are error freeClinic flow time-door to doorTime ICU patients waiting for floor bedExpenses per staffed or hour
Third-party collectionsBad debt as percentage of gross chargesStaff satisfactionStaff satisfaction (Press Ganey)Operating room utilization per staffed or hour
Enrollment in payer source programs Users per full-time equivalentBed fallow timeStaff morale (in development)
Customer service (per Press Ganey)    
Number of primary care users    
Time to third appointment    

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Page last reviewed September 2007
Internet Citation: Managing and Evaluating Rapid-Cycle Process Improvements as Vehicles for Hospital System Redesign: Table 3. Value stream metrics (as revised October 2006). September 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/rapidcycle/rapidcycletab3.html