How a Doctor Implemented TOC presented by Gustavo Bacelar 

This case study describes a physician lead TOC implementation to improve his ophthalmologic practice in a Brazilian hospital. The work consisted of performing 2 retinal imaging exams: fundus photography and fluorescein angiography. After applying the 5 focusing steps, buffer management, and drum-buffer-rope, the practice improved continuously. In 4 weeks, the practice increased the number of appointment slots by 50% and last- minute appointments by 150%. All stakeholders saw the benefits beginning on the first day. Patients flowed very smoothly through the system. More importantly, the quality of care improved after implementing TOC. Since fighting fires was eliminated, the provider and the assistant could focus on the current patient treatment, dedicate more time for each patient and also attend more patients per session. Become a TOCICO Member today for more content like this www.tocico.org.