1. 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

2. 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

3. 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