RQHR begins Kanban implementation Barry McCraig

This Session is sponsored by:

RQHR Inventory…Kanban Style

Health Quality Summit 2013

Barry McCaig & Glenda Little – RQHR Kaizen Promotion Office

Table of Contents

• What is Kanban and its three types • What RQHR has done so far • What RQHR is doing going forward • Lessons learned

What is Kanban?

• What is it?

– Visual inventory management

• Kanban principles

– Make ordering simpler

– Make materials transportation simpler

– Appropriate inventory levels

– *Make people happy*

Three Types of Kanban

Three Types of Kanban

Three Types of Kanban

What RQHR has done so far

• Kanban preparation and seminar last fall

• Implemented Kanban in four areas:

– Pasqua Hospital Emergency department

– Wascana Rehabilitation Centre

• Unit 2-6

• Unit 3-6

– Pasqua Hospital Central Pharmacy

Pasqua Hospital Emergency

• Emergency department – 1 “set” of 3 supply carts

– Carts contain supplies needed for ½ of the ER

– There are another set of 3 carts that have not been “Kanbaned” yet

• All 3 types of Kanban implemented

– Signal, 2-bin and normal

PH ER - Before Kanban supply carts

PH ER - Over-stocked supplies

PH ER - End of Kanban

Wascana Rehabilitation Centre – Unit 2-6

• Unit 2-6

– Wanted to work on their inventory management

– Needed to work on First in, First Out

• Used 2 Types of Kanban

– 2-bin

– Signal

WRC Unit 2-6 Supply Room

WRC Unit 2-6 Supply Room before Kanban

WRC Unit 2-6 Supply Room after Kanban

Wascana Rehabilitation Centre – Unit 3-6

• Unit 3-6

– Wanted to work on inventory management

– First in, First out

• Used 2 types of Kanban

– 2-bin

– Signal

WRC Unit 3-6 Supply Room before Kanban

WRC Unit 3-6 Supply Room before Kanban

WRC Unit 3-6 Supply Room after Kanban

WRC Unit 3-6 Supply Room after Kanban

WRC Unit 3-6 Supply Room Kanban Post

WRC Unit 3-6 Supply Room after Kanban

WRC Unit 3-6 Patient kits in each room

Pasqua Hospital Pharmacy

• Central pharmacy

– Supplies medications to Pasqua, Regina General, Wascana Rehabilitation Centre

• Two types of Kanban implemented

– Signal in bulk drug area

– 2-bin in unit dose area

Pre Kanban – bulk medications

End of Kanban week – bulk medications

Bulk meds – Kanban post & reorder

Excess Inventory – bulk medications

Current – bulk medications

What’s left to do – bulk medications

Before kanban – unit dose area

End of Kanban week – unit dose area

Unit dose – kanban post

Current – unit dose area

What’s left to do – unit dose area

What’s Left To Be Done

• All four projects require people resources to help them replicate their Kanban implementations completely within their areas.

Lessons Learned

• Plan, plan, plan

• Be flexible

• Make sure area has been 5s’ed first

• Educate process owner

• Value stream map the current processes

• In any one area, try very hard to use a maximum of two types of Kanban

• What happens after the Kanban seminar?

What is RQHR doing going forward?

• Principles for project selection

– Stable usage and high volume

–Pick 1 vendor to work with (internal or external)

– Look at 20 – 30 items to start with

–Need to have a (very) good 5S first

–Need a good and willing manager and front-line staff!

–Plan to finish the job!

• Four teams!

• Areas where we did Kanban

• Facilities & Materials Management