Lean Healthcare - The Use of Value Stream Maps in Healthcare

1
Lean Healthcare - The Use of Value Stream Maps in
Healthcare

• ISE 468 ETM 568
• Spring 2013
• Dr. Joan Burtner

2
What is a Value Stream?

• Value stream A sequence of processes that are
  connected by a common customer, product, or
  service request.
• Value stream map (VSM) The visual representation
  of the processes (work units and information
  required) to meet a customer demand
• Value-added (VA) time The time element that the
  customer is willing to pay for
• Non value-added (NVA) The part of the process
  that the customer will not pay for
• Total cycle time The time for completion of a
  process or group of tasks that have a common
  element. It is calculated by adding up the
  individual cycle times for the value stream.
  This includes VA and NVA elements.
• Source The Lean Healthcare Pocket Guide XL
  (2008) Authors Debra Hadfield, RN MSN and
  Shelagh Holmes, RN

3
Value Stream Map Examples - Basic

• Source http//blog.minitab.com/blog/real-world-qu
  ality-improvement/how-to-use-value-stream-maps-in-
  healthcare Accessed March 20, 2013

4
Value Stream Map Examples - Complex

• Source dagazinc.com Accessed March 20, 2013

5
Value Stream Map Examples - Mixed

• Source http//www.ahrq.gov/professionals/quality-
  patient-safety/patient-safety-resources/resources/
  toolkit/tkfig6.html Accessed March 20, 2013

6
Healthcare VSM - Basic Method

• Draw process flow map
• Collect data through observation or examination
  of historical records
• Draw current state value stream map, including
  identification of value added and non value added
  processes
• Evaluate current state value stream map
• Reduce time spent on value added steps if
  possible
• Eliminate or minimize time spent on value added
  steps
• Revise process as needed
• Develop future state VSM for planning purposes