Kristina Hanson2/19/2014

Lean Healthcare Deployment and Lean Healthcare Deployment and Sustainability Sustainability

OverviewOverview

Slide 2

Examples of 8 Types of Waste

Type of Waste Example

Defects Medication error, wrong patient or procedure, missing information

Overproduction Drawing too many samples, extra tests

Waiting Waiting to see a doctor, for a procedure, a bed, testing, etc.

Not Utilizing People’s Abilities

No empowerment, “check your brains at the door” mentality

Transportation Moving samples, specimens, patients for testing or treatment, equipment, etc.

Inventory Pharmacy stock, supplies, samples, paperwork in process

Motion Searching for patients, medications, charts, etc.

Excess Processing Multiple bed moves, testing, excessive paperwork Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

Slide 3

Visual of 8 Types of Waste

http://www.goleansixsigma.com/8-wastes/

Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

Slide 4

The Value Stream Analysis Event

VSA is a powerful tool to analyze clinical and business processes and to identify opportunities for improvement

Analysis usually takes place over a 2-3 day with a cross-functional team

VSA Event

Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

http://www.timewisems.com/lean_manufacturing_le201.html

Slide 5

1. Set it up.

Occurs prior to the event Gets commitment from senior leadership

team and the executive with responsibility of healing pathway

Document a formal charter (identify team members and objectives)

Schedule and prepare for 2-3 day event

Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

Slide 6

2. Understand the Current State

Document SIPOC: Suppliers – inputs – process – outputs – customers

Identify: Value and how to measure it Wastes in the process Impediments to healing in the process

Document a current state map

Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

Slide 7

3. Envision an Ideal State

“Ideal” suggests that this is not an achievable state in the near long term Generates creative thinking and ideas among

team

Identify guiding principles that were implicit in the ideal design

Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

Slide 8

4. Design an Achievable Future State

Ideal state serves as a starting point Consider constraints to their full implementation

Design an achievable future state Prioritize the improvement activities

Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

Slide 9

5. Develop and Execute a Rapid Improvement Plan

Document the opportunities identified for achieving the future state Just Do Its (JDI) Rapid Improvement Events (RIE) Projects

Determine the best approach for achieving all three types

Document them in a rapid improvement plan

Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

Slide 10 Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

GLOSSARY

Value Stream (page 9)A series of one or more processes that result in the delivery of a service or a product

Waste (page 24)Eight types: Defects, Overproduction, Waiting, Not Utilizing People’s Abilities, Transportation, Inventory, Motion, Excess Processing

Value Stream Analysis (page 25) Refers to the process of analyzing a value stream to implement improvements

Ideal (page 26)Suggests that it is not an achievable state, at least in the near long term

Slide 11 Spring 2014ISE 428 ETM 591 KLH Lean Healthcare Overview

References / Contact Information

 Dean, M.L. (2013). Lean Healthcare Deployment and Sustainability. Pages 24-26. New York, NY: McGraw Hill. -

Kristina Hanson Kristina.L.Hanson@live.mercer.edu