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Welcome Case Study Map
Case Study Sections

Getting Started

Developing a Strategic Plan

Identifying the Problem

Describing the Problem

Analyzing the Problem

Planning the Solution

Implementing the Solution

Monitoring/Evaluating the Solution

Related Topics

Problem Solving Concepts: Describe the Problem

Describe the Problem Tools: Flow Chart

  

Using a Flowchart

The quality improvement team reviews the data they have collected from the users to identify the problem. There are many issues that affect the users, yet through the brainstorming, prioritization matrix, and user survey, one major problem is revealed. Users wait too long when they come to the health center for services. Since they feel that they waste time by waiting too long, most of them decide to use the health center services less regularly, or not at all.

Mrs. Alvarez encourages the team to solve this problem. Thinking back on her training, she remembers that the second step in solving a problem is to fully describe the problem to understand its causes and roots.

Many tools can be used to help the team describe the problem. Tools that the team will use include:

Note: It is important to keep in mind that any direct observation must be thoroughly reviewed with the staff in the clinic beforehand. Inevitably however, people will feel as if they are under a microscope. The results are better received if the clinical personnel feel that they are not being singled out.

The team decides to use a flowchart to analyze the process the users go through in using the health center's services, and to visualize when the waiting time occurs.

The team decides to observe the process of a user who comes to get health care from the health center. They will observe the user from his or her arrival in the center to his or her departure. Through a direct observation technique, they observe all the steps taken by the users in the health center.

The team draws the process that users follow from their arrival at the health center to their departure by putting each activity in a rectangle and each decision point in a diamond, and connecting all these rectangles and diamonds in order. The flow chart allows the team to replicate the steps each patient goes through.

User Flow Chart, Registration Process, Santa Rosa Health Center

The flow chart allows the manager and the team to visualize the process as it actually occurs in their health center and helps them to understand where and when they should make changes to reduce the users' waiting time. Later on, the team will conduct a Client Flow Analysis so they can obtain more detailed information about the amount of time users spend with each provider in the health center.

         
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