Deaconess-

Glover Hospital
Jugal Shah (PGP/22/182)
Akshay Goel (PGP/22/188)
Abhishek Jha (PGP/22/189)
Samyaka Dalvi (PGP/22/226)
Hshubham Raj (PGP/22/259)
 Problem Why do so many health-care systems lack
Statement efficiencies and ultimately profitability?

Glover began to
encounter financial Glover
difficulty - purchase by
Corporation of Harvard affiliate
America hired to Deaconess
manage hospital Hospital

1909 1980 1991 1994

AWESOME
1996

SLIDE
Glover Memorial Management Merged with
Opened decision to Beth Isreal
privatize Hospital to
hospital create
Caregroup
1. What has Carter being doing at
Deaconess-Grover Hospital (DGH)
and why?

• Mr John Carter was a Vasular Surgeon

Doctor at DGH

• He started working with DGH since August

1999.

• He understood the theory of TPS (Toyota

Production System) approaches.

• He did the observation and identification of

problems for 3 departments
(Gastrointestinal unit, Care unit and
Pharmacy) that can solve the TPS.
2. What problems has Carter discovered following the Toyota
Production System (TPS)?

Gastrointestinal Unit
1. Carter made the observation of the patient.
2. Carter also observed the process of recording profile for the real needs of
patients who needs to review the workings of the hospital.

South-Two Medical /Surgical Inpatient Care Unit

1. Non utilization of the resources such as number of doctor and bed facilities.
2. 2/3rd of the time of nurses was spent not doing nursing works.
3. Number of staff have been modified base on the number of patients, days-off, part time work loads, vacations and
sick-days.

Pharmacy
The no of distinct pathway over with prescription request and medications traveled was
large example exhibit 7 before given according to prescription take time for request, step
by step reconciliation for patient medication record.
 TPS (Toyota Production System)
3. What solutions,
according to you,
1 - Reduce Variability
should Carter give to
John Dalton and Julie - Everyone checks for defects
- Not afraid to "stop the line"
Bonenfant, the
President and Vice-
President of DGH? 2 - Waste Reduction
Discuss - Daily arrangement of medication
* Nurse rotation
* Decrease Errors
* Reorganization of pharmacy

3 - Time management
- Direct communication
- All inclusive chart
- Volunteer delivery
- Medicine administration
Thank You