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DHA 711: Wk 5 Executive Summary: Gemba Walk As a scholar, practitioner, and leader in a health care setting, you might assess systems that support health care and generate solutions to address health disparities. A gemba walk is an important step in this process. Summarize a real-world opportunity for improvement in a complex health care organization as a result of your gemba walk. Review the Gemba Walk plan you developed in Week 3 Plan: Gemba Walk. Refer to the information you collected during your in-person or virtual gemba walk or your interview to complete the executive summary. Review the Sample Executive Summary found in the University Library Center for Writing Excellence. Write 700-word executive summary as a systems thinker, innovator, and change agent in which you do the following: Describe your gemba walk findings using the 4 Ws framework. Identify a relevant problem or opportunity for innovation in a complex health care organization. Describe potential challenges or barriers you anticipate in addressing the problem or implementing the innovation and explain how you would approach them. Develop a Gemba walk plan retrospective. Consider what worked, potential improvement opportunities, and lessons learned. Adhere to the 4 Ws framework for your retrospective. TO REFRESH WEEK 3 GEMBA WALK PLAN Week 3 Plan: Gemba Walk 4 Ws Framework Who: The Gemba walk will involve key stakeholders at Sunrise Community Health Center to capture a holistic view of the patient intake process. I will lead as the observer, documenting findings through a Lean lens. Participants include front desk staff handling registration and insurance verification, nurses conducting triage, and the quality improvement coordinator, who will facilitate access and provide context. The IT team will ensure a stable, HIPAA-compliant Zoom connection, while the process supervisor will participate in a post-observation interview to clarify challenges and suggest improvements, ensuring both frontline and leadership perspectives are captured. What: The focus is the patient intake process in the outpatient clinic, encompassing registration, insurance verification, and triage. The goal is to identify inefficiencies, such as prolonged wait times or redundant tasks, that affect patient satisfaction and staff productivity. Using Lean principles, I will pinpoint waste (e.g., manual data entry) and opportunities to enhance value, such as streamlining triage workflows, to improve operational efficiency. Where: The virtual Gemba walk will occur at Sunrise Community Health Center’s outpatient clinic, a community-based facility serving diverse patients. Zoom will provide real-time visibility of the intake area, with IT support ensuring a secure connection that protects patient privacy, allowing observation of the front desk, waiting area, and triage stations. Why: The purpose is to identify process improvements that reduce wait times, streamline workflows, and enhance patient experience, aligning with the organization’s mission of equitable, high-quality care. Insights will inform data-driven recommendations for the Week 5 Executive Summary. Methodology for Conducting the Gemba Walk I will schedule the virtual Gemba walk at least one week before the Week 5 deadline, coordinating with the quality improvement coordinator to secure permissions and access. A Lean-based checklist will guide observations, capturing timestamps, staff actions, patient interactions, and bottlenecks like manual data entry. With permission, screenshots will document key moments, such as crowded waiting areas. A 15-20-minute Zoom interview with the process supervisor will include questions like, “What delays occur during peak hours?” and “What resource gaps impact efficiency?” to deepen insights. Data will be organized into a structured template, analyzing patterns to propose evidence-based solutions, such as automated insurance verification or optimized EHR use, ensuring impactful, patient-centered improvements for Sunrise Community Health Center.

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