Lean Process Improvement Project

Lean Process Improvement Project

Pictured l-r: Front row:  Jessica Tottenham, practice operations manager; Kimberly Charles, MA; Mitali Gupta, PSA; Cambria Sammartano, practice optimization specialist; Krista Giacopassi, practice optimization manager. Second row: David Scagliarini, practice supervisor; Adrian Dafcik, MD; Deanna Mucherino, MA; and Michaela Lewis, PSA. Last row: Esther Melendez, PSA; Michelle Butler, LPN; Slava Kulakov, MD. Missing from photo: Mireilys Diaz, PSA.


Internal Medicine of Southport is the latest practice to complete the Lean Process Improvement initiative, in which multiple tools are used to identify areas of improvement for each practice. Some of these tools include Quality Metric Scores, Press-Ganey scores, Epic pain Scores, as well as Epic workflow questionnaires and input from providers and staff.

As a result, the practice was able to identify a resource at the front desk to help close gaps in care. This enabled them to follow up on outstanding test results via the Quality Dashboards in Epic, which was implemented in conjunction with the pre-visit planning and clinical huddles. The goal is to see the Clinical Quality metric scores (Colon Cancer Screening, Breast Cancer Screening and Diabetic Eye Exam) increase for this office.

Another achievement focused on the clinical care team design. Shifting some job responsibilities helped address provider work overload, improve quality of care and reduce waste within the system. It is designed to be patient-centered, standardized and sustainable, so that each team member has a defined role.

Staff felt that going through this project helped improve the camaraderie among the different disciplines in the office, and that the office staff learned a lot about different optimization items. “The Lean Process Improvement is the right way to go for any NEMG practice looking for a workflow and process improvement plan,” said practice supervisor David Scagliarini.