2 HCA Information Technology & Services - Copyright © 2010 Today’s Agenda I.Why We’re Here II.A Brief History of IT&S LEAN III.Success Stories to Date IV.Question & Answer Session V.“Improving LEAN for You” Survey VI.“Way Forward” Discussion

3 HCA Information Technology & Services - Copyright © 2010 A Brief History of IT&S Lean Why Lean? Why Now? The Purpose:  Lean is a proven technique of business process improvement  Lean is a major engine that is driving current IT&S strategic objectives  Building a high-performance organization  Enhancing trust with business partners  Lowering TCO of IT  Shortening Time-to-Market

4 HCA Information Technology & Services - Copyright © 2010 The Big Picture: Lean empowers Manager’s to:  Have more of a voice in the department’s direction  Example #1  Have the opportunity to identify and develop future IT&S Leaders (fulfilling an IT&S Goal)  Early Adopters of Lean Within Dept.  Have a vehicle to develop staff’s skills  Problem Solving  Team building A Brief History of IT&S Lean

5 HCA Information Technology & Services - Copyright © 2010 The Plan: A Department is introduced to Lean once an initiative has been identified and all stakeholders give the “green light.” Choosing an initiative is done by:  Yomi or Eric assigning a Green Belt or Green Belt candidate an initiative from submissions  Initiatives originate organically within a department by a Manager and move forward without a Green Belt A Brief History of IT&S Lean

6 HCA Information Technology & Services - Copyright © 2010 Your Part: Lean success depends on Manager’s becoming: Change Advocates within their departments A Communications Channel to staff for communications coming out of LCoE A Brief History of IT&S Lean

7 HCA Information Technology & Services - Copyright © Benefit Derived YTD Customer Impact IT&S Process Impact Reduce Total Cost of OwnershipHigh Performing Culture IT&S Greenbelt Population Reduced user warning system (Critical communication) cycle time by 78% Improved Nashville CSC Non PO processing productivity by 75% Quicker facility device integration. Reduced from 215 days to 103 days Focused on reducing physician credentialing support issues by 30% Reduced Business Object release process from 12 to 3 months Applied automation tool to repetitive tasks Shorten Contract (SoW & Amendment) Approval Process from 30 to 8 days Reduced BA CoE hiring process time by 55%

8 HCA Information Technology & Services - Copyright © 2010 Question & Answer What has been the biggest obstacle in the LEAN Improved Process initiative that you have been a part of? What are the biggest “Lessons Learned” in the LEAN initiative? Are there any areas of the LEAN initiative that are unclear to you such as timelines, methods, roles & responsibilities? If you have worked with a Green Belt on an initiative, what was your experience and what is your understanding of the roles each of you play in improving your department’s processes? How has your staff received Lean and/or can you assess their overall knowledge and acceptance of LEAN?

9 HCA Information Technology & Services - Copyright © 2010 Lean “Way-Forward” Planned Activities Include:  A targeted soft-rollout of a Cultural Change Communications Campaign  Select Podcasts  Select Videocasts  “The Lean Roadshow” (Groups new to Lean)  Lean Town Hall (Groups who’ve been through an initiative)

10 HCA Information Technology & Services - Copyright © 2010 Soft Roll-Out Communications Event: “The Lean Road Show” High-level topics to include:  The Purpose: Why are we doing this?  The Big Picture: When will it affect me?  The Plan: How and when it will affect me.  The Part: The part each staff member plays  Staff feedback mechanisms introduction  Success stories

11 HCA Information Technology & Services - Copyright © 2010 Soft Roll-Out Communications Event: “The Lean Town Hall” Town Hall for departments who have been through a Lean initiative to give every audience group a chance to be heard before going forward with a new initiative. Conversation starters might be:  Lessons Learned  Issues escalation  Roles & Responsibilities clarifications  Feedback mechanisms available to be heard

12 HCA Information Technology & Services - Copyright © 2010 Campaign Poster The Enterprise Lean Campaign Roll-Out Campaign Banners Infotainment Podcasts Infotainment Video (serious but fun)

13 HCA Information Technology & Services - Copyright © 2010 Empowering Manager’s - Campaign Tool-Kit  “Canned” PPT Presentations by topic  Message scripts for face-to-face meetings  Artwork for Department Newsletters  Staff “disposition” assessment templates  Success Stories One-Sheeter  Reward & Recognition Ideas  Staff survey templates

14 HCA Information Technology & Services - Copyright © 2010 Questions or Concerns on Road Show, Town Hall Meetings or Manager’s Communications Kit?

15 HCA Information Technology & Services - Copyright © 2010 WE’RE JUST GETTING STARTED  18,024 hours saved  6,038 hours consumed  80 Green Belts in Pipeline

16 HCA Information Technology & Services - Copyright © 2010 Feedback is Welcomed! And We Need You !