Real Change Starts with me

5S – ICU

Final Report Out – July 14, 2016

Real Change Starts with me

Team Executive Sponsor: Carol Smith Romeril

Champion: Christine Wilkinson

Process Owners: Sarah Corkey and Colleen Love

Mary Ellen Sewell

Verna Walker

Beth McBeath

Mandy Phieffer

Michael Jordan

Jon Foster

Shawn Pipe

Diane Boivert

Vanessa Cornish Cleona Bartlett

Dorianne Chesterton

Cheryl Hawley

Heather Sharpe

Skylar Long

Fahad Abdul Mujeeb

Kim Quinn

Carlee Collins

Hannah Feagan

Erin McKinnon

Carol

Real Change Starts with me

Reason For Action

Priority out of the Value Stream Analysis held in April with 55 Staff and physicians.

Lean requires stability in supplies and equipment prior to process optimization

Issues and motion associated with equipment & supply storage and patient rooms workflow

Sarah

Real Change Starts with me

Current State

Too much time spend searching and gathering of equipment & supplies

Supplies and equipment are not readily available for staff

Lack of standards for equipment management and storage

Physical limitation of storage conflicts with workflow of clinicians

Mandy/Carlee

Real Change Starts with me

Target State

You have what you need

when you need it in the

amount you need no

more no less with minimal

motion where you need

it

Kim

Real Change Starts with me

Measures – Kaizen Outcome

Measures

Pre Post Delta

Expired Material $100 TBD TBD

% Compliance with standard work

0% TBD TBD

Kaizen Process Measures Pre Post Delta

% of total times out to retrieve supplies and equipment

80-90%

Hannah

Real Change Starts with me

Solutions

Teams brainstormed multiple

designs to solve the problems with

motion, supplies, equipment and

cost.

Rated the designs against

standard criteria to select the

most appropriate

Developed Kanban systems to

simplify restocking and reordering

of supplies

Vanessa

Before Colleen

Real Change Starts with me

Patient Room Redesign Problem to Solve Decrease motion

Visual

Standardize rooms

Process to restock

Solutions Add bins at head of bed for Oxygen

supplies Add bins at foot of bed for blood work

and IV start Move thermometer underneath monitor Moved & replaced sharps smaller

container to beside the sink Supply carts smaller to allow in or out of

room placement Repurposed old supply cart to a linen cart

to be shared between 3 rooms Utilized drawers in rooms to store small

amount of linen & incontinence product Code stroke room has specific bin for

code stroke supplies All bins and supply carts labelled with

contents Linen cart and linen drawer labelled with

par levels and contents All supply carts, bins, drawer, linen cart

contents are identical Location of sharps, thermometer, smaller

recycling bin are identical All bins, and supply carts are using 2 bin

kanban system

Mary Ellen

Real Change Starts with me

Equipment Rooms Redesign Problem to Solve Clutter / Fire hazard

Accessibility

Clean stock in soiled

holding

Accessing soiled holding

through clean holding

More/appropriate

storage

Solutions Take over the anesthesia room for IV poles,

special order, commodes, walkers & slings,

restraints, clean linen, warmer

Designated Lumex room

Removed the door on IV pole room

Central ECG machine, glidescope

Cleaned out dirty holding so only dirty

Equipment room as overflow

Kanban system for special order supplies

Hannah

Real Change Starts with me

RT Room Redesign Problem to Solve Ease of reordering

Ease of more space for

equipment

Improve flow

Decrease waste / work

Fewer steps for RT’s

Avoid duplication /

expired

Label all bins

Solutions Duplicate daily use items in clean

holding

Cleaned out unused equipment and

supplies

Removed expired supplies

Kanban system for ease of re ordering

Color coding of the supplies based on

use

Dedicated area for Vents and Bipap

equipment

Fahad

Real Change Starts with me

Next Steps - What Who When

Implement standard work for auditing and

rounding

Complete Kanban system for all bins and

supplies

Complete signage for equipment, RT rooms

Visual management system to facilitate

quality improvement huddles

Plan to convert all other patient rooms

Complete assessment, acquire supply carts

and convert to kanban

Sarah

Real Change Starts with me

Reflections -

What went well?

Teamwork awesome

Accomplished a lot

Breaking down barriers

Exposing future participants in this event

Building leadership

True empowerment

Rapid change addressing long standing issues

Event better if?

Engaged additional

stakeholders

Better job scoping

Engaged physicians

Longer breaks

More time

Detailed task

oriented work

Interdependencies between decision

caused delays

Colleen