Customer: Tennessee Valley Pain Consultants Problem / Challenge: Long patient wait times are resulting in patient dissatisfaction and overall flow issues. Proposed Solution: Establish a lean improvement team to determine causes of patient waiting and implement improvements to reduce wait time. Methodology and Outcomes: Team & Training: Team members attended 4-Day UAH Lean Healthcare Academy training developed a project plan to reduce wait time. Mapping: The team created a high-level process map of four major areas: Waiting Room, Pre-Op, Procedure and Recovery. They then constructed cause and effect diagram to identify potential causes and identified communication and scheduling as key improvement areas. Simulation: UAH Lean Healthcare practitioners developed a simulation model to illustrate impact of scheduling changes on patient wait time and to study capacity due to changes in physician and patient routing. Countermeasures:The team implemented the following improvements:• Improve communication between clinic, procedure staff and physicians.• Develop standard schedule for each physician.• Change appointment schedule to 15 minute increments (in line with procedure process time)ResultsAs a result of the activities, patient wait time decreased 34%.