1. Plan Do Check Act What to do with patients consistently late for dialysis

2. What Could Contribute to this problem? O Equipment malfunction O Computer O Machine O Lines/Dialyzer O Transportation issues O Tardiness of driver (Medicaid cab or self transport) O Patient issues O Excess bleed O Code

3. Plan O Change time O Talk to patient O Machine Maintenance O Staffing O Communication with front desk O Transportation O Direct line just for patients to call

4. Do O Change appointment time O Different transportation O Social worker checks with transportation O Adequate transportation O Machine upkeep O Staff O Set up phone line

5. Check O Are people really calling? O Transportation on time? O Patient’s spaced apart enough? O Wellness check for machines

6. Act O Machines O Strict Rules O Transportation updates O AA Job description O Hire if needed