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CC Yip1, David Loke2, BAK Rostihar1, E Wahyuni2, Kendrick Tan1, Josephine WP Chan3, JH Sun3, Ann Lai3 1Ophthalmology & Visual Sciences Department, 2Ear Nose Throat Department, 3Day Surgery Centre
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Pre-operative
• Eye Referral to ENT
• Syndronise operation & ENT review dates (same day or day of anesthetic clinic review)
Operative
• Train OT staff (instruments, surgical steps)
• Refine EDCR surgical technique & protocol
• Familarise anesthetist with EDCR
Post-operative
• Train PACU staff on EDCR post-op care
• Synchronise Post-op reviews by ENT & Eye
Follow up
• Synchronise & coordinate follow up visits in Eye & ENT clinic
Value Stream Mapping
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3.9 43.6
43.6
4.3
5
0
1
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May 2013 Jul 2013 Nov 2013 Jan 2014 May 2014 Jul 2014 Nov 2014
Mean Satisfaction Score 5-Question Survey on satisfaction level to
various steps in care path (n=32):
Combined care of ENT & Eye Surgeons
Scheduled Eye & ENT pre-op clinic visits
Scheduled Eye & ENT Post-op clinic visits
Care at Day Surgery Centre
Surgical Results
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