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Lean Methodology in General Practice: Boosting Efficiency and Patient Care

Learn how to implement Lean principles in your general practice to reduce waste, improve efficiency, and enhance patient care. Discover the benefits of Lean, identify wastes, and see real-life examples of successful Lean implementation.

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Lean Methodology in General Practice: Boosting Efficiency and Patient Care

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  1. Productive General Practice First support day: Getting started

  2. Introduction • Description of Lean Methodology • Objectives and structure of Productive General Practice • Communicating PGP with your practice

  3. Lean: Core Principles • Specify what does / does not add value – from the patient’s perspective. • Identify steps necessary to design, order and produce across the whole value stream. • Make those actions flow without interruption, detours, waiting or rework. • Only do what is pulled by the patient. • Strive for perfection by continually improving & removing wastes as they are uncovered.

  4. What is “Lean”? • Lean is a systematic approach to reducing waste through a process of continuous improvement • Waste is defined as nonvalue-adding activities • A Lean ‘Goal’ is to supply a product or service to the patient’s demand with 100% quality

  5. Why use Lean? • To reduce in-process waste thus creating additional capacity • 3 activity types: • Value-Adding • Non Value-Adding • Necessary BUT Non Value-Adding • Examples?

  6. Waste is… • Anything other than the minimum amount of equipment, materials, space and practice time which are essential to add value to the patient or service.

  7. Wastes in General Practice… 7 • Motion • Practice searching for vaccines in various fridges • Overproduction            • Too many practice leaflets printed • Overprocessing            • Defects   • Waiting • Transport  • Inventory                      

  8. Lean in action • Using a spaghetti diagram one practice moved the script printer to the front office • Reduced walking distance for reception staff and GPs by half • No-one had realised the wasted time till spaghetti diagram drawn

  9. Lean in action • Using the 5S tool one practice STANDARDISED the forms and venepuncture in each consulting room • Trainees and other itinerant staff found they wasted much less time looking for forms • Admin staff found re-stocking much quicker • Senior GPs stay in own room so never realised it was a problem!!!!!

  10. Informing your practice • http://www.qihub.scot.nhs.uk/quality-healthcare-resources/continuous-improvement-in-healthcare/productive-general-practice.aspx Resources tab, Download “Programme Guide” 21 pages • Video of PGP in Scotland

  11. Timetable First support day Today Getting Started and Making It Stick Weeks 1-3 Knowing How We are Doing Weeks 4-10 Involving Patients In Improvement Weeks 10-11 Second support day Three months time (to be confirmed)

  12. Support • Modules • Online forum - LinkedIn group • Website • Advisers • Feedback e.g. FAQs, innovations

  13. Celebrating Success in Your Practice • Tell your Staff • Tell your Patients • Tell Yourselves • Tell your Appraiser • Tell the Health Board/CHP • Tell us!

  14. Sharing Your Successes • Electronic Survey • Examples of what worked and what didn’t work • Benefits and core measures • If agree to share will go on website

  15. Networking

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