Northern Health Surgical LEAN projects Spring 2012

Where is Northern Health?

Why LEAN projects?  Analyze existing procedures  Identify opportunities for improvements and where possible, testing and implementing changes  Enhancing quality improvement using the LEAN methodologies and increasing LEAN trained personnel

Two phased approach Phase 1  Connected with stakeholders  Identified expectations of the project  Developed project plan  Deliverables  Scope of project Phase 2  All 3 sites had identical processes  Kaizen  Rapid Improvement Events over a 3 -5 day period.

Prince Rupert – North West

Dawson Creek – North East

Prince George – Northern Interior

Value Stream Maps

Brought Value Stream Map to the OR

OR aide assignments changed

First Ortho Case Start Time Value Stream Map of First Ortho Case / built with staff

Pick lists analyzed and downsized with Orthopedic surgeon

5S Where do we start??

Just do it - 5S

Dirty Hold Area

5S - Day Care surgery locker room and kitchen area

Our Red Tag Cart!

Supplies Area What does it look like now?

Physician Engagement

Supporting Engagement

Other Projects  Metric collection for OR Turnaround time  “wheels out wheels in”  Preadmission clinic and Day Care Surgery  Patients were arriving DCS not prepared  Revamped the patient information booklet that is sent prior to surgery

LEAN Conference March 2012