Use of Lean Six Sigma in a Primary Stroke Center: Improving the Time to Care

Date of Award


Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Chairperson

Anne M. Barker EdD, RN

Committee Member

Justin Montanye MD

Committee Member

Michelle Godin RN, EdD


The purpose of this study was to identify time wasting work flow processes during the evaluations phase for the suspected stroke patient (SSP) and minimize and/or eliminate them. Lean Six Sigma methodologies were employed and a two day Kaizen Event intervention held to identify and reduce wastes, synchronize work flow processes and manage variability.


A Practice Dissertation Presented to the Faculty of the Department of Nursing, College of Health Professions, Sacred Heart University. In partial fulfillment of the requirements For the degree of Doctor of Nursing Practice By Patricia D. Giannelli, DNP, APRN, FNP-BC, PMHCNS-BC, ACNS-BC, April 26, 2013