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Learn about Value Stream Management (VSM) in Lean Healthcare, focusing on improving patient processes, transitioning to future states, and resource coordination. Explore a 4-stage process by Dr. Burtner Tapping for assessment, diagnosis, treatment, and prevention.
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Value Stream Management for Lean Healthcare: The Value Stream Management (VSM) Process ISE 468 ETM 568 Spring 2017 Dr. Joan Burtner Healthcare Process Improvement Tapping et al: Chapter 1 Lecture 3
VSM Advantages • Focus the improvement efforts toward a single customer or patient process • Similar to one-piece flow in Lean Manufacturing theory • Provides a means of moving from the current state to the future state • Uses the common language of Lean icons • Uses common terminology to describe process steps • Suggests consensus on process improvement goals for a specific value stream • Facilitates resource coordination/allocation across the organization ISE 468 ETM 568 Dr. Burtner
Tapping’s 4-Stage Process - Assess • Assess: Evaluate an area or process and prepare it for detailed analysis • Stakeholder involvement • Flowcharts • Value stream maps • Process Metrics • Takt time • Cycle time • Organization metrics such as • Balanced Scorecard, • Performance measurements, etc.) ISE 468 ETM 568 Dr. Burtner
Tapping’s 4-Stage Process: Diagnosis • Diagnosis: Tools that provide the transition from assessing an area of process through understanding the process in detail • 8 Wastes Waste Walks • Elevator Speech • Data collection • Financial analysis • Quality tools such as • Ishikawa diagram and • Five why analysis ISE 468 ETM 568 Dr. Burtner
Tapping’s 4-Stage Process: Treat • Treat Actual training and application of Lean tools • Lean Tools such as • 5S • Kanban • Standard Work • Visual Production Board etc. • May have some overlap with tools used in the Diagnosis phase ISE 468 ETM 568 Dr. Burtner
Tapping’s 4-Stage Process: Prevent • Prevent Control and sustain improvement over time • Visual control (general term) • Run chart (displays serial data points over time) • Paynter Chart (Pareto chart comparing multiple time periods) • Yokoten (best practices sharing) • Storyboard (poster-size framework for displaying key information from a Lean Six Sigma project ISE 468 ETM 568 Dr. Burtner