Lean Training

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Lean Training

• Standard Work

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Agenda

• What is it?
• Whats it for?
• How does it work?
• When do you use it?
• Whats an example?

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What is it?

• Standard work represents the best, safest, and
  easiest way to do a job

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Whats it for?

• Standard work allows an organization to
• Create consistency and predictability
• Preserve know-how and expertise
• Prevent recurrence of errors
• Improve staff satisfaction and productivity
• Improve patient and physician satisfaction

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How does it work?

• Standard work is a documented record of how to do
  a job
• It must be followed by all those performing that
  particular task
• All associates
• All shifts
• Creating standard work involves several steps

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Steps to Create Standard Work

• Evaluate the current situation
• Identify areas of opportunity
• Modify the existing process
• Quantify improvements
• Implement new standard work

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Evaluate Current Situation

• To implement standard work, the current process
  needs to be understood
• Direct observation is the best way to know the
  current process
• Dont rely on procedures
• Dont rely on memory or brainstorming
• This process frequently follows a mapping exercise

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Evaluation (cont.)

• There are several tools to assist in the
  observation of the current process
• Standard work sheets
• Time observation sheets
• Combination sheets
• Loading diagrams
• Many are best used for routine, repetitive tasks

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Evaluation tools

• Standard Work Sheet
• Visually shows layout and work sequence

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Evaluation tools

• Time Observation Sheet
• Used to gather data on time duration of operation
  elements
• Three key steps
• Identify work elements
• Determine observation points
• Time

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Evaluation tools

• Combination Sheet
• Helps make obvious the relationship between
  workers and machines - - the timing of operations
  performed in one cycle by one team member

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Evaluation tools

• Loading Diagram
• Visual display of cycle time observations

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Evaluations

• For duties that are less frequent, evaluations
  can be done more informally
• You can create your own tool for evaluating the
  current process as needed
• Time, motion, frequency, and interruptions are
  the most commonly-used evaluation criteria

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Identify areas of opportunity

• There are many ways to identify areas for
  opportunity
• 7 forms of waste
• Spaghetti diagrams
• Value added vs. non-value added activities
• These methods highlight steps in the process that
  can be modified or eliminated

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Quantify Improvements

• Once opportunities are identified, changes to the
  work processes can be tested, evaluated, and
  selected
• Improvements should be measured in a live
  environment to ensure that they work and that
  they are an improvement
• The new standard work can now be documented and
  implemented

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Implement

• To implement new standard work, it must first be
  documented
• Write it down
• Next, the best way to hand out or display the new
  process should be determined
• Checklist?
• Photos?
• Posted in work area?
• Index cards?

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Implement

• Next, the best communication and training methods
  should be selected
• Who?
• How?
• When?
• Measurements should be in place
• A method for ensuring that the new standard work
  is being used should be developed

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When do you use it?

• Standard work should be used for any task that is
  part of a process
• In other words, all the time
• When people depend on each other, standard work
  can make any work process easier, more
  predictable, and less prone to error

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Standard Work in Practice
From Dr. Richard Kunkle in Toyota Talent, Jeffrey
Liker and David Meier, McGraw-Hill, 2007, pg. 187.
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Lets Try It
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Whats an example?

• How to write your name on a flip chart
• 1. Stand up
• 2. Go to the flip chart
• 3. Pick up the marker
• 4. Write your name
• 5. Put down the marker
• 6. Return to chair
• 7. Sit down

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Whats an example?
STANDARD WORK SHEET STANDARD WORK SHEET STANDARD WORK SHEET STANDARD WORK SHEET STANDARD WORK SHEET STANDARD WORK SHEET  
PROCESS Secretary workflow prior to start of new facilitators To be accomplished as soon as possible but no less than 1 week prior to arrival of new facilitator PROCESS Secretary workflow prior to start of new facilitators To be accomplished as soon as possible but no less than 1 week prior to arrival of new facilitator PROCESS Secretary workflow prior to start of new facilitators To be accomplished as soon as possible but no less than 1 week prior to arrival of new facilitator PROCESS Secretary workflow prior to start of new facilitators To be accomplished as soon as possible but no less than 1 week prior to arrival of new facilitator  
  Trigger Receive an email with notification of new facilitator from Lead Facilitator
  Work with lead facilitator to assign workspace/cube
  Contact New Facilitator to complete an equipment/supply/access needs assessment
  Assess PC needs and log a help desk call if necessary
  Obtain home phone and extension number for secretaries and modify the facilitator phone listing
  Setup a meeting with new facilitator on the first day from 8-10am with the department secretary Etc. Etc.
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Whats an example?
Admission packet instructions
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Whats an example?
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Report Form For ED Admissions
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Questions?