Abstract

Reducing crowd volumes at Emergency Department (ED) of healthcare delivery system is a major concern to healthcare provider.   for doing so is to offer at-home healthcare delivery system, which we referred here as Urgent Care at Home (UCH).  It can reduce the ED visits by patients with non-critical condition. In this research, we have considered an integrated lean concept to make UCH effective, efficient and reduce operating cost. To achieve this objective, first, we have designed a simulation model using ARENA 14.7 for UCH by considering it’s mechanism to assess its current performance. To study the feasibility of considering lean concept for UCH, we have incorporated the idea of value stream mapping (VSM) using electronic value stream mapping (eVSM). We compared the outcome of eVSM with the current system performance obtained from ARENA, and used Lean Six Sigma DMAIC to determine opportunities for improvement.