BTOES Insights Official
April 19, 2019

BTOES - POSTER SPOTLIGHT: Memorial Healthcare System - KAIZEN IN THE HOSPITAL SETTING: To Eliminate Wasteful Steps from the Discharge Process

Read this article by Memorial Healthcare System, on their Poster Presentation 'KAIZEN IN THE HOSPITAL SETTING: To Eliminate Wasteful Steps from the Discharge Process' for the 2019 Business Transformation & Operational Excellence Summit.


M n Glove MHS Logo linear 2016




 KAIZEN IN THE HOSPITAL SETTING: To Eliminate Wasteful Steps from the Discharge Process

Memorial Healthcare System (MHS) of South Florida is one of the largest public healthcare systems in the nation, highly regarded for exceptional patient-and family-centered care and as national leader in quality healthcare. Process Improvement (PI) department (of 6 FTE’s) at MHS is responsible for leading Lean/Six Sigma initiatives at member hospitals and throughout the healthcare system.


2019 BTOES Dsch Kaizen - FINAL

Towards the end of 2017, PI at MHS was brought in to lead Kaizen Events at its hospitals in an effort to seek out ways to standardize the discharge process for patients going home without the need for Home Health or Durable Medical Equipment (the simple discharges).  It was identified that this was not simple; that there was variation in process steps at each hospital and that operational inefficiencies indeed lead to delays in enabling patients to go home in a timely manner. There was opportunity for simplification and standardization at each hospital; and eventually these improvements could be implemented system-wide. 

The poster presented at BTOES highlights a Kaizen Event (KE) that took place at Memorial Hospital West; a 478-bed acute care hospital serving west Broward County, Florida.  The KE participants identified wasteful Non-Value Added Steps; defined who should do what/when; and determined how the action/steps need to communicated and executed in order to bring about a safe and timely discharges.


7 Group Picture

Discharging patients sooner resulted in enabling the hospitals to admit patients from the Emergency Department and PACU sooner; lowering costly “Holdover Hours” from the Emergency Department and Operating Room as well as lowering overall hospital “length of stay” (LOS). 

For more information regarding this poster and our Kaizen Events feel free to reach out to Avi Fishman, MBA, SSBB, Director of Process Improvement at Memorial Healthcare System:;

on LinkedIn at


The issues in this article are just one of topic areas that are going to be discussed at the Business Transformation & Operational Excellence World Summit & Industry (BTOES19). March 18-22, 2019, Loews Portofino Bay Hotel at Universal Orlando Resort®

BTOES is the industry’s biggest and best, senior-level, cross-industry gathering of Business Transformation & Operational Excellence industry leaders and senior executives.

It also hosts the Business Transformation & Operational Excellence Awardswhich showcase globally the most outstanding organizational achievements through the application of Operational Excellence programs.

The summits hosts a number of private forums for C-Level & Global corporate-level leaders as well as business unit heads.

With over 150 speakers, over 100 sessions, 12 Keynotes, 9 Track Themes, 5 parallel tracks, 60+ track sessions, 50 roundtable discussions, 20 Interactive Workshops, 6 Thought Leader Panels, 5 Leaders Boardrooms, 5 co-located events, the Industry Awards Program, Site Visits, 20+ hours of social networking including 2 gala cocktail parties, dinners, numerous group activities, this is the ultimate event to benchmark, network and drive Operational Excellence to the next level.


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There is a strong focus on Cultural Transformation, Customer Delight, Sustaining an Operational Excellence program, Need for end-to-end Business Transformation, Keeping up with new technologies/impact of digitalization and Leadership Buy-in & Understanding. We dedicated two tracks to advanced technologies, such as AI, Machine Learning, RPA, Predictive Analytics, Blockchain, Cloud infrastructure etc.


The agenda is designed to encourage active meaningful conversations though all day enhanced networking and interaction opportunities, including

  • All-day Refreshment & Themed Breaks

  • 1¼ Hour Hot Breakfast Networking Sessions

  • 1½ Hour Hot Plated Networking Lunches with Topic & Industry Sector focussed tables

  • 1½ Hour Roundtable Sessions by Topic & Industry Sector.

  • Keynote & Themes Panel Sessions

  • Hosted Welcome Receptions from 5.30pm

  • Expanded more lavish Awards Program

  • Newly launched Night Summit for attendees to meet after dinner

For more information or to discuss the summit in more detail please schedule a call below,

Click here to schedule a call. 

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