GO HOME!! Measurement Environment quantity of appts per day varying eval times rooms available People late or early arrival staffing inadequacies Dr evaluation times Materials Paper Forms exam room equipment/supplies Room Availability seasonal impact (flu) intake process innefficient computers triage process lab/radiology over scheduling Implement Impact High Low Easy 1 2 3 4 Hard Methods Machines Instructions: STEP 1: Define the problem. What is the product, process or service that has failed. STEP 2: Starting with 'Materials' or any other label, ask: is there anything about materials that might contribute to the problem. Record it next to one of the arrows under Materials. STEP 3: Repeat asking "is there anything about materials that might contribute to the problem" Record each result next to an arrow. STEP 4: Repeat Step 2 & 3 for each successive category. STEP 5: Identify the candidates that are the most likely Root Cause Intake proccess STEP 6: If further "screening" is necessary, assess the likely Root Causes using the "Impact" and "Implement" matrix, selecting items marked 1, then 2... 4 as priorities. Root Causes Matrix