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Productive General Practice

Productive General Practice. First support day: Getting started. Introduction. Description of Lean Methodology Objectives and structure of Productive General Practice Communicating PGP with your practice. Lean: Core Principles.

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Productive General Practice

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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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