1 The Application of Industrial Production Techniques to Health Care Delivery Summary of notes Pittsburgh Regional Healthcare Initiative: Perfecting Patient.

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Presentation transcript:

1 The Application of Industrial Production Techniques to Health Care Delivery Summary of notes Pittsburgh Regional Healthcare Initiative: Perfecting Patient Care November 11-18, 2005 Unless otherwise stated, all slides adapted from course by Pittsburgh Regional Healthcare Initiative: Perfecting Patient Care November 11-18, 2005

2 Overview Application of industrial thinking to the delivery of health care services Not doctoring/nursing Why study Toyota?

3 What TPS is not Simple procedures Quick Fix Pick and choose (dabble)

4 WHAT THE TPS IS A Philosophy of Doing Business Achieving the ideal  On demand  Defect free  Immediately  Safe  No waste

5 The Toyota Way People Process: Lean Production Philosophy Adapted from: Liker, JK. The Toyota Way. New York: McGraw Hill, Page 13 Problem Solving

6 PHILOSOPHY Long term thinking Top down commitment Base management decisions on long-term goals even at the expense of short term goals Customers Profitability Employees

7 PROCESS: OUTCOMES Eliminate waste Build in quality Build in continuous improvement

8 PROCESS Types of Waste Overproduction Excess inventory Unnecessary transport Unnecessary movement Waiting Over processing and Incorrect processing Defects Unused employee creativity Adapted from Liker, JK. The Toyota Way. New York: McGraw Hill, Pages

9 PROCESS Common Reactions to Excesses Increase capacity Increase size of plant Increase warehouse Increase overhead Increase labor force Increase overtime Rather than concentrating on eliminating waste

10 Traditional Process Batch and Queue: Individual Silos Push Orders Finished Products Out to Truck Assembly Line Warehouse raw materials and supplies P I C DEFECTS

11 TPS Process One piece flow: Teams Pull Raw materials and supplies Finished Product Out to Truck PULL Assembly Line HELP! Quick response Stabilize process Countermeasure

12 Andon Board

13 Process: Value Flow Eliminating Waste: How much time do you spend looking for information? Waiting Time CastingTransportStagingSet- up MachiningInspectionAssemblyStaging Raw Materials Finished Product From: Liker, JK. The Toyota Way. New York: McGraw Hill, Page 30.

14 CRAFTING THE PROCESS Specifications Activity: Specific Connection : Binary, direct Pathway: continuous, straight Improvement: Scientific method Then, test each specification to see whether or not they’re meeting expectations

15 PEOPLE AND PARTNERS Developing Trust Highly selective Culture for TPS and quality Grow leaders from within Job safety Technology to support not replace people Align interests of suppliers

16 PROBLEM SOLVING Scientific Method at the Bench Level On site inspection Consider all options Blame free Countermeasures, not solutions Sustain the organization

17 Applications to Health Care Work: cycle, periodic, and fluctuation Takt time Standardization with contingencies Communication Problem solving Continuous improvement as policy NEXT STEP?