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Surgical Improvement Project Oversight June 29, 2005

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Surgical Improvement Project Roadmap (Last Updated 6/27/05) Project Timeline and Milestones Systemic Improvements Model Value Stream Continued Project Work TBD OctoberSeptemberAugustJulyJuneMay Point Improvements 5S - #1 5S - #1 5S - #2 5S - #2 5S - #3 5S - #3 RPI Quick Turns #1 RPI Quick Turns #1 RPI Quick Turns #2 RPI Quick Turns #2 June 8, 9, & 10 June 21, 22, & 23 July 13, 14 & 15 August 15 - 19 July 19 - 22 Model Value Stream Team 3 Team 5 Team 4 Team 2 Team 1

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5S Update 5S Update

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Charter for 5S #3

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Proposed Overall Metrics for Success Decrease turn-around time (dressing to cut for next patient) Decrease turn-around time (dressing to cut for next patient) Increase on-time starts 1 st case of the day Increase on-time starts 1 st case of the day Improve raw OR utilization Improve raw OR utilization Improve TWRVU/Block minute Improve TWRVU/Block minute

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TRVU per Minute Block Assigned January Data SurgeonABCDEFGHIJKLAverage TRVU's 1,586 1,243 509 361 334 412 195 483 197 318 269 118 6,024 Total Block Assigned 12,195 9,120 8,355 4,680 4,755 4,560 3,675 3,510 1,710 2,760 2,535 1,350 59,205 TRVU per min block assigned0.130.140.060.080.070.090.050.140.12 0.110.090.10

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Block Minutes per TRVU