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/
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