A3 the late-rooming problem

The first post-lunch dermatology patient is routinely roomed late, but each role explains the delay differently. A3: current condition, goal, root cause, countermeasure, follow-up The common trap is writing the countermeasure first because everyone already has a favorite explanation. Current condition Observe one week of post-lunch starts: scheduled time, arrival time, forms complete time, insurance scan time, MA notification time, room entry time. A3 starts with facts. The team needs the actual flow, not the loudest memory. Goal Set a target: first post-lunch patient roomed within five minutes of appointment time on 80 percent of clinic days within four weeks.…

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