Transcript Lean Healthcare Deployment and Sustainability

Lean Healthcare Deployment and
Sustainability
Overview
Kristina Hanson
2/19/2014
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
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014
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Visual of 8 Types of Waste
http://www.goleansixsigma.com/8-wastes/
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014
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The Value Stream Analysis Event
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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
http://www.timewisems.com/lean_manufacturing_le201.html
VSA Event
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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

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2. Understand the Current State
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Document SIPOC:
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Identify:
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Suppliers – inputs – process – outputs – customers
Value and how to measure it
Wastes in the process
Impediments to healing in the process
Document a current state map
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3. Envision an Ideal State
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“Ideal” suggests that this is not an achievable
state in the near long term
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Generates creative thinking and ideas among
team
Identify guiding principles that were implicit in
the ideal design
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4. Design an Achievable Future State
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Ideal state serves as a starting point
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Consider constraints to their full implementation
Design an achievable future state
 Prioritize the improvement activities
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5. Develop and Execute a Rapid Improvement Plan
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Document the opportunities identified for
achieving the future state
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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
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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
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References / Contact Information
Dean, M.L. (2013). Lean Healthcare Deployment and
Sustainability. Pages 24-26. New York, NY: McGraw Hill. -
Kristina Hanson
[email protected]
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Spring 2014
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