STEP 1 – PROBLEM IDENTIFICATION AND PRIORITIZATION

STEP 1: PROBLEM IDENTIFICATION AND PRIORITIZATION

1. USING THE BRAINSTORMING TECHNIQUE, NOMINATE PERCEIVED PROBLEMS IN THE WORKPLACE

1 Overcrowding at waiting area per clinic

2 Delayed consultation time due to Departmental Conferences
3 Persistent interruption of workflow
4 Wrong or mistriage of OPD patient
5 Waiting at the wrong clinic
6 Small font or letters of the signages per clinic
7 Long OPD waiting time
8 Pulling out of staff
9 Inadequate space for continuous pilling of old forms and logbooks used in the OPD
10 Lack of space for equipment storage
11 Poor anti-sepsis technique by the medical staff and watchers
12 Poor ventilation at the waiting area per clinic
13 Poorly regulated patient watcher ratio which is 1:1
14 Long OPD admission time

2. TRIM DOWN THE LIST OF PERCEIVED PROBLEMS BY GROUPING TOGETHER SIMILAR IDEAS. ALL
CAUSE MUST BE ELIMINATED BUT NOTE THE CAUSES FOR STEP

List of Problem Problem or Cause

Overcrowding at waiting area per clinic Problem
Delayed consultation time due to Departmental Problem
Conferences
Persistent interruption of workflow Cause
Wrong or mistriage of OPD patient Cause
Waiting at the wrong clinic Cause
Small font or letters of the signages per clinic Cause
Long OPD waiting time Problem
Pulling out of staff Cause
Inadequate space for continuous pilling of old Cause
forms and logbooks used in the OPD
Lack of space for equipment storage Problem
Poor anti-sepsis technique by the medical staff Problem
and watchers
Poor ventilation at the waiting area per clinic Cause
Poorly regulated patient watcher ratio which is Cause
1:1
Long OPD admission time Problem

3. CLASSIFY THE CONTROLLABILITY OF THE PROBLEMS

List of Problem Controllable Uncontrollabl Interface

e
Overcrowding at waiting area per clinic X
Delayed consultation time due to Departmental X
conferences
Long OPD waiting time X
Lack of space for equipment storage X
Poor anti-sepsis technique by the medical staff and X
watchers
Long OPD admission time X
4. VERIFY EXISTENCE OF THE PROBLEM
List of Controllable Problems
Overcrowding at waiting area per clinic
Delayed consultation time due to Departmental
conferences
Long OPD waiting time
Lack of space for equipment storage
Poor anti-sepsis technique by the medical staff
and watchers
Long OPD admission time
Initial Data Collected
From January – February 2020 census, there was
increase of number of patients including watcher
at waiting area per clinic.
From January – February 2020, there was
estimated 1-2 hours of waiting time during OPD
consultation time due to conferences.
From January – February 2020, there was an
estimate of 1-2 hour waiting time.
There is insufficient tangible data to support the
problem. It was nominated solely based on
observation.
There is insufficient tangible data to support the
problem. It was nominated solely based on
observation.
From January – February 2020, there was an
estimate of 50-60 minutes waiting time.

5. CLASSIFY PROBLEMS ACCORDING TO ITS SIGNIFICANCE

List of Controllable Initial Data Collected Significance Action Taken
Problems
Overcrowding at From January – Significant Go
waiting area per clinic February 2020 census,
there was increase of
number of patients
including watcher at
waiting area per clinic.
Delayed consultation From January – Simple concern No Go
time due to February 2020, there
Departmental was estimated 1-2
conferences hours of waiting time
during OPD
consultation time due
to conferences.
Long OPD waiting time From January – Significant Go
February 2020, there
was an estimate of 1-2
hour waiting time.
Lack of space for There is insufficient Simple concern No Go
equipment storage tangible data to
support the problem. It
was nominated solely
based on observation.
Poor anti-sepsis There is insufficient Simple concern No Go
technique by the tangible data to
medical staff and support the problem. It
watchers was nominated solely
based on observation.
Long OPD admission From January – Significant Go
time February 2020, there
was an estimate of 50-
60 minutes waiting
time.

6. PRIORITIZE PROBLEMS THROUGH DATA- BASED CONSENSUS. USE PRIORITIZATION TOOL.

 Significant Criteria Total
Problems Frequency Importance Feasibility
Overcrowding at 3 3 3 9
waiting area per
clinic
Long OPD waiting 1 3 3 7
time
Long OPD 1 3 3 7
admission time

Legend:
Frequency Importance Feasibility
Scoring Descriptive Interpretation
3 More than 20 patients are Can’t be delay for more than Solution is certain
waiting at the OPD area 2 hours
2 10-20 are waiting at the Can’t be delay for more than Solution is possible
OPD area 1 hour
1 5-10 are waiting at the Can be delay for 30 minutes Solution is
OPD area to 1 hour impossible

DISPOSITION:

>4.5 – GO
<4.5 – NO GO

7. PRIORITY PROBLEM

PRIORITY PROBLEM
Overcrowding at waiting are per clinic

TENTATIVE PROBLEM STATEMENT

From January 2020 to February 2020, there was increase of number patients including watcher at
waiting area per clinic which impede the hallway and area is less conducive.
STEP 2 – UNDERSTANDING THE PRESENT SYSTEM

1. REVIEW THE CURRENT SYSTEM AND STANDARD

PERSON RESPONSIBLE FLOWCHART DESCRIPTION

Nurse on Duty
Triage
Nurse

OPD

Information

Security
Guard
2. VALIDATION OF THE EXISTENCE OF THE PROBLEM

DATA COLLECTION PLAN ON VALIDATION OF THE EXISTENCE OF THE PROBLEM

DATA TO BE COLLECTED DATA SOURCE AND HOW WILL DATA BE WHO WILL COLLECT WHEN WILL DATA BE TOOLS FOR DATA
LOCATION COLLECTED DATA COLLECTED PRESENTATION
Overcrowding at waiting OPD census per clinic From the HOMIS OPD Nurses per clinic 2nd quarter of 2020 Simple frequency taking
area per clinic census

3. FINALIZE THE PROBLEM STATEMENT