Refer to example completed LEAN SCORE Report S-Select PROBLEM STATEMENT: A problem statement has the form: WHAT is wrong WHERE it happened WHEN it occurred TO WHAT EXTENT I KNOW THAT BECAUSE… EVENT OBJECTIVE: Define what metrics will be used to measure success. Hat specific outcome is desired. TEAM MEMBERSHIP: Select 4-8 frontline/interdisciplinary team members R-Run List of improvements to be trialed. May include pictures of developed schedules, forms, etc to be trialed. Proposed Future State Process Map to be trialed. C-Clarify E-Evaluate Validate the extent of the problem: Interview staff/illicit feedback Watch work (Go & See) Root cause analysis- used to identify and prioritize all possible causes for the problem. Keep asking “why?” Ask the 5 Why’s Gather pertinent data: may include value stream amp, process map, pareto graph, spaghetti diagram, flow chart, layout diagram. Event objectives achieved through: Future work includes: describe how you will sustain the process. i.e. audit schedule, monthly data evaluation, etc. Include data and graphs depicting selected metrics from before and after the process change. O-Organize Refer to example completed LEAN SCORE report Organize/ list activities to be completed before the RUN Pictures of Action Item Lists 5 S Before and After pictures if applicable

GNCH LEAN LAB Project # 3 – “As the Tube Turns” S -Select PROBLEM STATEMENT: Currently there exists a large amount of variation in the time a blood sample is receipted in the lab to when it is resulted after being analyzed. EVENT OBJECTIVE: Improve (R-R) receipt to result time for Lytes/EP, Hgb, PT & Troponin for NU 42,51,54 & ED patients TEAM MEMBERSHIP: Bruce Lyon Brenda Lunty Karin Moses Susanne Hrudey Shannon Austman Ann Arseneau Lissette Guajardo Sherry Ramsaran Charlene Kerr Carol Mikulin R-Run FLOW IMPROVEMENTS Created a ‘SPIN’ bench- improved internal flow Stat spin moved to Chem bench- reduced lead time for (+)Troponins Visual cue- centrifuges visible by MLT’s Developed roles and responsibilities for blood sample handling- decreased motion C-Clarify Currently, lab staff have undefined or undesignated roles and responsibilities for handling & delivering blood samples to the centrifuges and/or testing benches. E-Evaluate Event objectives achieved through: Developed SOP’s. Improved (R-R) time for specific NU. Improved specimen flow to the core lab. Visual cues and organization of cell groups improved lab flow. Future work includes: Monitor process to ensure changes in work flow are built into daily work, maintained and sustained. Evaluate ongoing data. O-Organize Removal of 32 SOP binders Reorganization of special bench & supplies Reorganization of Blood Bank bench Creation of U shaped cell design for data ‘A’ bench 5S

LEAN SCORE Report S-Select R-Run C-Clarify E-Evaluate O-Organize PROBLEM STATEMENT: EVENT OBJECTIVE: TEAM MEMBERSHIP: R-Run C-Clarify E-Evaluate Event objectives achieved through: Future work includes: O-Organize