Maartje Zonderland, Jos Bekkers, Jasper van Bommel, Maarten Ter Horst, Wouter van Leeuwen, Femke van den Wall Bake, Willem Wiegersma, Ad Bogers
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Increasing cardio-thoracic productivity at Erasmus MC.
The Thoraxcenter of Erasmus MC started an improvement project in 2015 in order to increase the number of open-heart surgeries by 150 for three consecutive years (450 in total, +46%), and to decrease the access time from 12-14 to 2-3 weeks by the end of 2016. This was required to attain economy of scale in a highly competitive market. In this paper we describe the first year of the project, focusing on its structure and interventions taken, resulting in 165 additional open-heart surgeries carried out in 2016 and a significantly shorter access time of 2-3 weeks.
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