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Lean in Healthcare

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Originated from the Toyota Production System ... Kaizen Events Small group that involves workers and managers to come together ... Kaizen Event. 5S. Results: ... – PowerPoint PPT presentation

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Title: Lean in Healthcare


1
Lean in Healthcare
  • Jennifer Nguyen

2
Learning Objectives
  • Lean Re-cap
  • Lean Strategies
  • Lean Tools
  • Lean in Healthcare
  • Apply Lean Strategies
  • Homework

3
What is Lean???
  • Originated from the Toyota Production System
  • To create more value using less work
  • To reduce waste
  • Rework
  • Overproduction
  • Conveyance
  • Waiting
  • Inventory
  • Motion
  • Overprocessing

4
Lean Strategies
  • Define the problem or current state
  • Create a future state
  • Determine the appropriate lean tools that
    should be used
  • A smooth transition from the current state to the
    future state involves leadership, teamwork,
    communication, and sponsorship from management.
  • Continuous improvement

5
Lean Tools
  • Value Stream Mapping A mapping process that
    visual depicts the flow of materials and
    information of a product or service
  • Kaizen Events Small group that involves workers
    and managers to come together to make
    improvements to a process by reducing waste.
  • Spaghetti Diagrams Path taken to create a
    product during the manufacturing process.
  • 5S
  • Sorting
  • Set in Order
  • Shining
  • Standardizing
  • Sustaining
  • Process Maps Shows the different processes from
    beginning to end used when creating a product
  • Standardized Work Plans

6
Lean in Healthcare
  • Admitting/Discharge
  • Internal patient flow within and between
    departments
  • Operating room turnover
  • Scheduling processes and systems
  • Workplace disorganization
  • Medical Records
  • Inventory (supplies) control
  • Administrative processes and billing
  • Equipment availability
  • Shift change processes
  • Pharmacy and Laboratory work flows and turnaround
    times
  • Emergency Room work throughput
  • Clinical Processes
  • HR/Hiring Processes
  • Med/Surg floor improvement
  • Discharge

7
Apply Lean
  • Problem 1 In an eleven operating room suite of
    a 250 bed hospital, the staff wants to reduce the
    changeover and setup between surgical operations.

8
Future State
  • 1.
  • 2.
  • 3.

9
  • Lean Tools?
  • Spaghetti Diagrams
  • Process Maps
  • Kaizen Event
  • 5S
  • Results
  • Initially,Changeover time was reduced by 46.
    With continued improvement, the efficiency went
    up to 60.

10
The Nickel Game
  • Is it faster to finish the process with 2 hands
    or 1?

11
Homework
  • Given the problem statement below, use the lean
    strategies to come up with an improvement plan.
  • Problem Poor outscheduling procedure results in
    postponed and cancelled procedures. Paperwork is
    lost, delayed, or mismatched.

12
http//en.wikipedia.org/wiki/Lean_manufacturing ht
tp//www.leanhealthcareperformance.com/leanhealthc
are/leanhealthcare.php http//en.wikipedia.org/wik
i/SMED http//www.hartinnovations.com/serv01.htm h
ttp//en.wikipedia.org/wiki/5S_(methodology) http
//www.isixsigma.com/dictionary/Value_Stream_Mappin
g-413.htm http//learnsigma.com/lean-games/
http//en.wikipedia.org/wiki/Lean_manufacturing ht
tp//www.leanhealthcareperformance.com/leanhealthc
are/leanhealthcare.php http//en.wikipedia.org/wik
i/SMED http//www.hartinnovations.com/serv01.htm h
ttp//en.wikipedia.org/wiki/5S_(methodology) http
//www.isixsigma.com/dictionary/Value_Stream_Mappin
g-413.htm http//learnsigma.com/lean-games/
http//en.wikipedia.org/wiki/Lean_manufacturing ht
tp//www.leanhealthcareperformance.com/leanhealthc
are/leanhealthcare.php http//en.wikipedia.org/wik
i/SMED http//www.hartinnovations.com/serv01.htm h
ttp//en.wikipedia.org/wiki/5S_(methodology) http
//www.isixsigma.com/dictionary/Value_Stream_Mappin
g-413.htm http//learnsigma.com/lean-games/
http//en.wikipedia.org/wiki/Lean_manufacturing ht
tp//www.leanhealthcareperformance.com/leanhealthc
are/leanhealthcare.php http//en.wikipedia.org/wik
i/SMED http//www.hartinnovations.com/serv01.htm h
ttp//en.wikipedia.org/wiki/5S_(methodology) http
//www.isixsigma.com/dictionary/Value_Stream_Mappin
g-413.htm http//learnsigma.com/lean-games/
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