Lean in Healthcare

1. Lean in Healthcare Jennifer Nguyen

2. Learning Objectives • Lean Re-cap • Lean Strategies • Lean Tools • Lean in Healthcare • Apply Lean Strategies • Homework

3. 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

4. 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

5. 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

6. 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

7. 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.

8. Future State • 1. • 2. • 3.

9. 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%.

10. The Nickel Game • Is it faster to finish the process with 2 hands or 1?

11. 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.

12. 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/