Cycle Time
days
Avg. time from receipt to payment approval.
Backlog
inv
Invoices currently pending action.
Exceptions
~4/wk
Items requiring manual intervention.
01. Current State Evidence
No flow diagram available.
Clinical Observations
- Intake Chaos. Invoices arrive via email, portal, and mail with no standardized triage.
- Approval Drag. Department heads delay approvals by 3-5 days on average.
- Coding Inconsistency. GL coding relies on tribal knowledge, causing rework.
02. 90-Day Remediation Plan
1
Stabilize
- • Implement AP inbox rules.
- • Weekly backlog review.
2
Standardize
- • Enforce approval deadlines.
- • Designate backup approvers.
3
Optimize
- • Create coding cheat sheet.
- • Train AP & PMs.

