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Process for Scoliosis Screening in SHC Prepared by: Suraiya Begam PI Number: B1870214 Date: 14 September 2021

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Company background

HPB is a Statutory Board /Ministry of Health and was formed in April 2001 The company serves the whole nation for all the above categories company core business is Preventive Health services

Health Promotion Board

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Current process

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Scoliosis

Scoliosis Spine

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Project charter

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Sipoc analysis

SIPOC Analysis Suppliers Doctors • • Counter staff • NUH Radiologist Patients and • Parents Vendors supplying masks and Hand rubs Inputs Referral to NUHH Patient information Patient and Radiologist availability Availability of system X-ray machine Scoliosis ruler X-ray printouts Appointment cards Process After Height and Weight Measurement Information entered and routed to Doctor> After doing the test, referred to NUH level 4 for X-ray> After X-ray performed, printout given to patient to bring back to clinic> Doctor review result > Make appointment at the counter Outputs Update patient new information in system Advise patient on the new care plan Make next appointment for follow up Healthy children Preventive and corrective measures Customers • • Patients Doctors Nurses Counter Staff Admin Staff

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Define Phase tollgate

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"As-ls" Process Map Start At Entrance Patient walks in to SHC Case isroute s room from Measurement mm gister an pay at Self-Kiosk Entrance Heig ta Weig t Measurement taken and datak dins tem screen for scoliosis No Screening successful? Yes Procee or Heig t Measurement Room Proceed to DMs room for consultation Consultation Room Radiologist perform X-ray NUH X-ray clinic rocee to cunter End to make next intme Consultation and Counter and Weight Measuremen Is the spine measurement curve? Yes Referred for X-ray Proceed to Dr's room for consultation after X-ray No Change outfit for X-ray Receive care plan advise

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Fishbone Diagram to Understand Reasons for patient long waiting time for Scoliosis Screening MOTHERNATURE chool Holiday Weathe Referral to N X-ray machine Lift Scoliomete Patient MATERIALS ferral letter X-ray Printo Appointment Car FORSCOUOSIS Update Case Note Scoliosis Screening Doctor Nurse fter Care Plan Advis METHOD Admin adiologl (External Backbo Vendor) Heig Weight

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Process for Scoliosis Screening in SHC Improve Process for Scoliosis Screening in SHC No of Activities 3 4 6 7 reen at Ent nce Screening successful? Yes eg r a Self-Kvosk and Weight Measurement room for consultation Referred for X•rav to room for consultation after X-ray to make next t ment GO Home End Total Time taken in minutes (70 5 10 mins 10 mins 20 mins 15 mins No of Activities 2 4 reene at Entr nee Screening successful? eg er an pay Self-Kiosk and Weight Measurement room for consultation o oun er to make next intment GO Home End Total Time taken in minutes (35 5 10 mins 10 S mins

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"To-Be" Process Map Start At Entrance Measurement Rcx»rn Consultation NUH X-ray dinic End Consultation and Counter Patient wa SHC ase IS rou in to o octo s Screene at Entrance Register an pay at Self-Kiosk room from Measurement room Proceed to Dr's rcom for consultation Radiologist perform X-ray Procee to Counter to make next intment eig t an eig Measurement taken and data ke ed in s m Doctor screen for scoliosis Change outfit for X-ray Receive care plan advise Yes rocee or evg and Weight Measurement Is urement curve? Yes Referred for X-ray Proceed to DKs room for consultation after X-ray e No Screening successful? No

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