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By January 4, 2013 1 Comments Read More →

Podcast #160 – Dr. Joseph Guarisco, Emergency Department Process Improvement

MP3 File (run time 29:48)

My guest for podcast #160 is Joseph S. Guarisco, M.D., FAAEM, FACEP. Dr. Guarisco is currently Chairman of the Department of Emergency Medicine and System Chief of Emergency Services for the Ochsner Health System. Dr. Guarisco is a keynote speaker at the upcoming Society for Health Systems conference (which I’ll be attending) and we are both part of the American Academy of Emergency Physicians annual scientific assembly in February (where I’ll be co-presenting with my Healthcare Kaizen co-author Joe Swartz on E.D. process improvement strategies). Here is a Q&A, hosted by SHS, with Dr. Guarisco.

In this episode, we talk about Dr. Guarisco’s process improvement efforts at Oschner and how that was made necessary by Hurricane Katrina and the aftermath, where demand TRIPLED in their E.D. We also chat about standardized work and variation reduction fit in with the practice of medicine and improving E.D patient flow.

For a link to this episode, refer people to www.leanblog.org/160.

Conference links:

For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple iTunes.

You can use the player (use the VCR-type controls) at the top of the post to listen to a streaming version of the podcast (or click here for the streaming audio and RSS subscription). The streaming link is faster for one-time listening (hardly any delay to start listening). Or you can use the download link to put it on your iPod or other MP3 player.

A new way to listen to free streaming episodes of the podcast: Download the free Stitcher app and use promo code LEANBLOG for a chance to win $100.

If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail by calling the “Lean Line” at (817) 776-LEAN (817-776-5326) or contact me via Skype id “mgraban”. Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

Guest Bio:

Joseph S. Guarisco, M.D., FAAEM, FACEP. Dr. Guarisco is currently Chairman of the Department of Emergency Medicine and System Chief of Emergency Services for the Ochsner Health System. He joined Ochsner as a staff physician in the Department of Emergency Medicine in August, 1980. In July, 1990, he pursued a fellowship in anesthesiology at Ochsner. In July, 1992, he returned to emergency medicine as Chairman and Medical Director of the Emergency Department and is currently serving in that position becoming System Chief Emergency Services in 2007.

Dr. Guarisco has extensive experience in ED informatics automation pertinent to the design, development and implementation of ED information systems. He has published and lectured widely on the use of automation in workflow redesign and ED process improvement and is well known for his work in physician performance profiling and data driven ED management. The 2005 Ochsner Clinic Foundation award for outstanding achievements in patient satisfaction was awarded to the Department of Emergency Medicine. Additionally, Dr. Guarisco has been recently recognized by Press Ganey for innovative use of data and process design in improving patient satisfaction at Ochsner and is the winner of the Press Ganey 2005 National Success Story Award. In 2008, Press Ganey awarded the Ochsner Health System the Compass Award for the largest improvement in patient satisfaction amongst its client base. He has pioneered ED workflow redesign through innovative adaptation of Lean engineering principles to ED patient flow processes. He is also responsible for pioneering web based wait times for emergency departments nationally.

Dr. Guarisco has a bachelor’s degree in engineering and is board certified in emergency medicine. He is a fellow in both the American College of Emergency Physicians and the American Academy of Emergency Medicine.

In 2012, he was named Chair of the American Academy of Emergency Physicians (AAEM) Operations Management Committee.


About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology. Mark is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as the new Executive Guide to Healthcare Kaizen. Mark is also the VP of Customer Success for the technology company KaiNexus.

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