The findings indicate that patients were equally satisfied with their provider and adherent to CPAP treatment whether they were seen in person or via video. Videoconferencing may improve access to patient care without reducing patient satisfaction or treatment adherence.

Objectives: To study the role of time study in the emergency department (ED) of an Indian hospital for quality health care. For that, an observational cross-sectional time study was conducted at the casualty department of largest hospitals situated at central India.Methods: Systemic random sampling method is used to select the patients attending the ED. Following parameters and procedure were observed during time study in the casualty department. Patient shifting on bed in ED, patient attending by nursing staff, patient attending and treatment by casualty medical officer (CMO), waiting time for intensivist, diagnostic procedure, waiting time for bed and after the availability of bed, patient was shifted to Intensive Coronary Care Unit (ICCU)/Intensive Care Unit (ICU)/ward. Results:Waiting times are observed which are of five types such as waiting for ward boy, CMO, intensivist, diagnostic procedure, and for bed in ICCU or ICU or ward. Conclusion:Result of this time and motion study shows that after the entry of the patient in the ED, he or she is subjected to different kinds of waits like for ward boy, intensivist, diagnostic tests, bed in ICCU or ICU or ward. Out of this, wait for intensivist and for bed are very important for the overall treatment of the patient. The hospital should aim at reducing these waits by proper management. This study focuses scope for the improvements in patient waiting time which is the important contributor of the patient satisfaction.

Today’s market is getting progressively doused step by step, customer ending up progressively self important and hard to persuade that one will offer same value they are searching for, Lean Manufacturing has a route in front of rivalry by envisioning and upgrading the value stream. Value stream mapping (VSM) is a tool in lean execution. It is a strategy to investigate the present condition of procedure and assessing a future condition of the procedure. It takes an item or administration from its start through to end client by lessening waste contrasted with current mapping. In this paper, the first Value stream mapping of the current condition of the procedure is dissected for a situation organization and consequently, the future Value stream map was proposed base on lean standards. In light of the last outcomes, it tends to be the reason that value stream mapping is a helpful apparatus for decreasing waste and non-value included activities