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Kaiser Permanente: Creating a No-Wait Emergency Department

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In 2007, the emergency department at Kaiser Permanente's South Sacramento Medical Center was experiencing extremely long patient wait times, and it became clear that a new and better way of doing business was needed. The chief of the emergency department was inspired to change things and became the leader of the lean program-a system of management methods and tools widely used for over 25 years in the manufacturing sector. Changes were made over a six-year period to significantly improve key performance measures of the department. The goal was to create capacity and continuous flow in a health-care setting without negative implications to the emergency department and patients.
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