Lean in Healthcare

Jennifer Nguyen

Learning Objectives

Lean Re-cap Lean Strategies Lean Tools Lean in Healthcare Apply Lean Strategies Homework

What is Lean???

Originated from the Toyota Production System To create more value using less work To reduce waste

Rework Overproduction Conveyance Waiting Inventory Motion Overprocessing

Lean Strategies

Define the problem or current state Create a future state Determine the appropriate lean “tools”

that should be used A smooth transition from the current

state to the future state involves leadership, teamwork, communication, and sponsorship from management.

Continuous improvement

Lean Tools Value Stream Mapping – A mapping process that visual depicts

the flow of materials and information of a product or service Kaizen Events – Small group that involves workers and

managers to come together to make improvements to a process by reducing waste.

Spaghetti Diagrams – Path taken to create a product during the manufacturing process.

5S Sorting Set in Order Shining Standardizing Sustaining

Process Maps – Shows the different processes from beginning to end used when creating a product

Standardized Work Plans

Lean in Healthcare

Admitting/Discharge Internal patient flow within and between departments Operating room turnover Scheduling processes and systems Workplace disorganization Medical Records Inventory (supplies) control Administrative processes and billing Equipment availability Shift change processes Pharmacy and Laboratory work flows and turnaround times Emergency Room work throughput Clinical Processes HR/Hiring Processes Med/Surg floor improvement Discharge

Apply Lean

Problem 1: In an eleven operating room suite of a 250 bed hospital, the staff wants to reduce the changeover and setup between surgical operations.

Future State

1.

2.

3.

Lean Tools?

-Spaghetti Diagrams

-Process Maps

-Kaizen Event

-5S

Results:

Initially,Changeover time was reduced by 46%. With continued improvement, the efficiency went up to 60%.

The Nickel Game

Is it faster to finish the process with 2 hands or 1?

Homework

Given the problem statement below, use the lean strategies to come up with an improvement plan.

Problem: Poor outscheduling procedure results in postponed and cancelled procedures. Paperwork is lost, delayed, or mismatched.

http://en.wikipedia.org/wiki/Lean_manufacturing

http://www.leanhealthcareperformance.com/leanhealthcare/leanhealthcare.php

http://en.wikipedia.org/wiki/SMED

http://www.hartinnovations.com/serv01.htm

http://en.wikipedia.org/wiki/5S_(methodology)

http://www.isixsigma.com/dictionary/Value_Stream_Mapping-413.htm

http://learnsigma.com/lean-games/

http://en.wikipedia.org/wiki/Lean_manufacturing

http://www.leanhealthcareperformance.com/leanhealthcare/leanhealthcare.php

http://en.wikipedia.org/wiki/SMED

http://www.hartinnovations.com/serv01.htm

http://en.wikipedia.org/wiki/5S_(methodology)

http://www.isixsigma.com/dictionary/Value_Stream_Mapping-413.htm

http://learnsigma.com/lean-games/

http://en.wikipedia.org/wiki/Lean_manufacturing

http://www.leanhealthcareperformance.com/leanhealthcare/leanhealthcare.php

http://en.wikipedia.org/wiki/SMED

http://www.hartinnovations.com/serv01.htm

http://en.wikipedia.org/wiki/5S_(methodology)

http://www.isixsigma.com/dictionary/Value_Stream_Mapping-413.htm

http://learnsigma.com/lean-games/

http://en.wikipedia.org/wiki/Lean_manufacturing

http://www.leanhealthcareperformance.com/leanhealthcare/leanhealthcare.php

http://en.wikipedia.org/wiki/SMED

http://www.hartinnovations.com/serv01.htm

http://en.wikipedia.org/wiki/5S_(methodology)

http://www.isixsigma.com/dictionary/Value_Stream_Mapping-413.htm

http://learnsigma.com/lean-games/