Earl's+Inside+Out

Earl's Inside Out Approach

__Brainstorming Approach__
- Advertise in foreign country to let them have an general idea on this hospital doings and create confidence on them towards hospital - Provide necessary languages that they can read || - Having a HIS that center knowledge on foreign needs and requirement - Record foreign patient details via centralized database server - Use availability website on their country to promote regarding KPJ hospital - Add translator tool in the website || - Conduct professionally recruitment talks in foreign country. - Promote the great working life style of Malaysia to the world. || - Provide suitable accommodation for the doctors. - Good benefits and facilities offer to attract foreign professional doctors to work in the hospital. - E-Recruitment System || - Approval of insurance from insurance company should be speed up on their quick access and respond. || - E-Insurance Processing System - E-Patient Tracking System ||
 * Problems or topics || Brain storming || Solutions ||
 * Unsuccessful method to attract foreign patient || - Research method to nurture relationship and understand foreign patient needs
 * Unable to hire professional qualified doctors from foreign countries || - Enlarge and strengthen the brand name of KPJ group in oversea.
 * Long process of dealing payment || - Traditional paper work change into semi automation with computerized system

__The WHY Techniques__
//Beca use there are too many electronic equipments are turning on all the time. //
 * Problem 1: Operation costs are high**
 * 1) Why the operation costs are so high?

2) Why are all the electronic eq uipment are turning on all the time? // Because of the inefficient use of those equipments by the staff. //

3) Why are the electronic eq uipments are being inefficient use by the staff? // Because there is no operation monitoring system to control the daily operation in the hospital. //

4) Why is no system implement to control the daily operation in the hospital? // Because the monitoring system is currently not included in the company plan. //

5) Why is the monitoring system is not included in the company plan? //Beca use of the company business strategy has not been reviewed. //


 * Sol ** **ution:** Implement the operation monitoring system in order to monitor the daily operation and eliminate the unnecessary costs. ||

//Beca use of the traditional ma n ual system being used. //
 * Problem 2: Long d uration waiting time **
 * 1) Why the process takes so long time?

2) Why the traditional manual system is still using by the hospital? // Because of the approval of insurance and credit card payment. //

3) Why the insurance and credit card payment delay the process time? // Because of the lack of integration between bank, in s// //urance company with the hospital//.

4) Why there is lack of integration between all these companies with the hospital? // Because of the inefficiency of the operation among them. //

5) Why it is inefficiency of the operation among them? //Beca use of the problem of communication among these companies. //


 * Sol ution: ** Develop a new system to faster the process time. ||

//Beca use of the system does not respond immediately. //
 * Problem 3: The system constantly causing problem **
 * 1) Why is the system make problems?

2) Why is the system can't respond immediately? // Because of the failure happened on the system. //

3) Why the failure will happened on the system so frequent? // Because of the system has no system maintenance from time to time. //

4) Why is the system never receive any maintenance? // Because of the cost of maintenance is high. //

5) Why is the cost of maintenance is so high? // Because of the lack of research on cheaper maintenance technician. //


 * Sol** **ution:** Improve the management operational ||

__Ishikawa Diagram__



 * People**

Unavailable staff - Stuff may not be available for many reason and wherever there's lack of staff, the individual have to double his/her workload


 * Lack of medical staff in particular department. This is due that KPJ Hospital is a community based and have more than 20 hospital around Malaysia making them split each of their staff till a fewer numbers.
 * Sick. This is inevitable due human may fall sick at times.

Emergency patient - More patient coming to hospital is unpredictable because human body may fall sick anytime, accident may occur.


 * Accident. This is due that whatever human does comes with a risk that harm their life and if accident occurs, they have the priority to get emergency surgery.
 * Doctor Referral.Some patient have been referral by other doctors to visit some particular doctor for their sickness purpose.


 * Equipment**

Shortage of equipment - In hospital, there are times that equipment may not be available due of few reason but because of those reason, patient have to wait for a long duration period to get examine or services.


 * Maintenance. Some heavy support equipment such as x-ray, body check up equipment, MIR all under maintenance to make sure that the machine work well always therefore patient may way few days for their body check up and make queue longer for their turn.
 * Unable to find equipment. Some equipment is hard to be find in the hospital due hospital equipment always move around and sharing with other department. This may cause confusion whereby they may not know where is the equipment is after some time.


 * Environment**

Lack of treatment room - In hospital, treatment room and bedroom may not be enough due sometimes there are too many patient which cant be easily discharge and those treatment room may only available in 1-2 room due machine is expensive and expertise doctor that do the surgery may only happen once or twice a day.


 * Medium Size Hospital. Most of KPJ hospital are medium size hospital. Expanding and making more room may solve the problems.


 * Methods**

Traditional paper work - most KPJ hospital are still working in paper based work and only a few newer KPJ hospital got the privilege to use automation system to aid medical staff.


 * Searching for patient's detail manually. This is due that most of the patient details are written in paper work and there's is tons of file to look for and may use some time before getting the particular patient details.