Value Stream Mapping

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Value Stream Mapping
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Aims for session

• Introduce the concept of Value Stream Mapping
• Consider identification of value and waste

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Patient Flow Process
1. Understand the total process of care delivery
patient pathway
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What is Value?
Hairdresser activity
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What is value?
The activity is done right first time The
activity transforms the patient and moves them
towards the next defined outcome The activity is
something that the patient cares about
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Define Value in Your Service
Who are your patients? What is the value your
patient wants? How is the value added? When you
describe value use the customers' words
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Stage 2 Waste
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Opportunities to Remove Waste
Waiting delays for things to happen Mistakes
things going wrong Uncoordinated activity
things out of sequence Stock too much or too
little Transportation moving info /
things Motion unnecessary human
movement Inappropriate processing unnecessary
work
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Activity
Watch the video, identify and discuss the
different sorts of waste shown
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Value Stream Mapping the patient journey Define
start and end points

• Supporting Organisational Structure
• Sponsor
• Team Lead and Clinical Lead, Team Members

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Who to Involve
Small team 8-12 people, mixed disciplines Represen
t people at all the steps you will look at Fresh
eyes Patients/ carers Nominate a team and
clinical lead
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What to Measure
Agree beforehand improvements in - Journey
time for patients - Time spent on non value
adding work - Throughput (productivity)
- Morale / staff satisfaction
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Observe and Gather Data
Walk the patient journey - see the actual work
place Follow and make notes about each component
What happens to the patient What staff are
doing What the information / communication flow
is Take photos of wastes
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Measure the distance patients / staff have to
travel
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Track both the patient and information flows
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Take the cameras on the walkabout, youll never
convey this verbally!
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What do patients actually experience and say
about the process?
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Ask staff at each step for their views on show
stoppers, frustrations and positives
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Build up the Value Stream Map
Walk the Area
Collect real time data
Have plenty of space
Dont rely on hearsay
Take photos
Dont skip process steps
Dont assume
Define the Boundaries of the VSA
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Understanding your Current State Map
Add value Remove waste
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Quantifying Value Added Activity and Time

Value Adding
Non Value Adding
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Highlight opportunities to reduce waste on the
map Waiting Mistakes Uncoordinated
activity Stock Transportation Motion Inappropriate
processing
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Ideal State
What process would the team design to align the
value adding steps in the right sequence,
complete the process as fast as possible, right
first time, and reduce or eliminate waste? What
would the patient, staff and information steps
look like?