大锦囊001think.com（品牌营销第一资料库）海量精品策划资料!QQ:1242116556#2EMERGENCYROOMOPERATIONSIMPROVEMENT/REENGINEERINGScenario:Ourclient,alargeacademicmedicalcenterinamajormetropolitanarea,hashiredDeloitte&ToucheConsultingGrouptoreduceexpensesintheirEmergencyRoom.TheyhaveidentifiedtheERasoneoftheirhighestcostsdepartments,andhavesetatargetofreducingoperatingcostsby25%withintwoyears.Theywouldlikeourassistanceinidentifyingtheopportunitiesforcostreduction,redesigningtheoperationstoeliminatethecosts,andimplementingthechanges.Howwouldyoustructureanapproachtothisproject?AdditionalInformationOurclient’sERoperatingcostsareapproximately40%higherthanotherER’sinthelocalcommunityhospitals,butonlyabout10%higherthanotherbenchmarkacademicmedicalcentersManyofthelocalhomelesspeopleutilizetheERasaprimarycareclinic,i.e.,theycomeinwhentheyhavecolds,cutsandbruises,orjustneedamealoraplacetosleepTherearenourgentcarecentersorphysiciansofficesthatareopennightsorweekendswithina10mileradiusTheERisstaffedwithhighlyskilled,licensedpersonnel(e.g.,residents,attendingphysicians,andnurses),thatseeeverypatientthatcomestotheER.TheyhavenotconsideredusingNursePractitionerstoseelesscriticalpatientsorPatientCareTechnicianstoassistnursesandphysicianswithsimpletasksthatdonotrequirelicensedpersonnel(e.g.,assistancewithpersonalhygiene,simplebandagechanges)UseofresidentsintheERleadstoahighleveloftestingformanypatientswithroutinecomplaintsCaseDiscussionThisisafairlystraightforwardcasetoassesshowwellthecandidatecan“peeltheonion”.Thecandidateshouldfirstattempttodeterminewhethertheclient’s25%costreductiongoalappearsreasonable.Theyshouldmentionanalyticapproachessuchasbenchmarkingandahighlevelreviewofworkflowsandpatientflows.Oncetheydeterminethatbasedonbenchmarksitwillbedifficulttoreduceoperatingexpensesbymorethan10%,theyshouldmentionthatamoreradicalapproachwillberequirediftheclientstillwishestoeliminatethefull25%.Areastoexploretoachievethefirst10%include:Potentialtoreducestaffbasedonstafflevelsversusben...
