Surgical Improvement Project Oversight June 29, 2005

Surgical Improvement Project – Roadmap (Last Updated 6/27/05) Project Timeline and Milestones Systemic Improvements Model Value Stream Continued Project Work TBD OctoberSeptemberAugustJulyJuneMay Point Improvements 5S - #1 5S - #1 5S - #2 5S - #2 5S - #3 5S - #3 RPI – Quick Turns #1 RPI – Quick Turns #1 RPI – Quick Turns #2 RPI – Quick Turns #2 June 8, 9, & 10 June 21, 22, & 23 July 13, 14 & 15 August July Model Value Stream Team 3 Team 5 Team 4 Team 2 Team 1

5S Update 5S Update

Charter for 5S #3

Proposed Overall Metrics for Success Decrease turn-around time (dressing to cut for next patient) Decrease turn-around time (dressing to cut for next patient) Increase on-time starts – 1 st case of the day Increase on-time starts – 1 st case of the day Improve raw OR utilization Improve raw OR utilization Improve TWRVU/Block minute Improve TWRVU/Block minute

TRVU per Minute Block Assigned January Data SurgeonABCDEFGHIJKLAverage TRVU's 1,586 1, ,024 Total Block Assigned 12,195 9,120 8,355 4,680 4,755 4,560 3,675 3,510 1,710 2,760 2,535 1,350 59,205 TRVU per min block assigned

Block Minutes per TRVU