1. Value Stream Management for Lean Healthcare
ISE 468 ETM 568
Spring 2017
Dr. Burtner
Lean Six Sigma Terminology
SOURCES:
Minitab 15 Help Guide
The Lean Healthcare Pocket Guide XL (2008) Authors: Debra Hadfield, RN MSN and Shelagh Holmes, RN
Value Stream Management for Lean Healthcare (2009) Authors: Don Tapping, Sue Kozlowski , Laura Archbold , and Todd Sperl

2. Lean Six Sigma Terms 1 Voice of the Customer (VOC)
Internal customer, external customer 5S
5 Whys
Cause and Effect Diagram
Histogram
Flowchart
Check sheet
Six Sigma
Spaghetti Diagram
Standard Work
Spring 2017
ISE 468 ETM Dr. Joan Burtner

3. Lean Six Sigma Terms 2 JCAHO JIT FIFO PDCA DMAIC Balanced Scorecard
Continuous flow
Cycle time,
Takt time
Document tagging
Current state map, Future state map
Root cause , RCA
Upstream, downstream
Value stream, value stream map
Spring 2017
ISE 468 ETM Dr. Joan Burtner

4. Lean Six Sigma Terms 3 Kaizen, kaizen blitz Kanban
Leveling, line-balancing
Mistake proofing (poka-yoke)
Observation guide
Pareto chart
Process, Process map
Queue time
Visual control
Waste, waste walk, waste audit
Work load balancing
Spring 2017
ISE 468 ETM Dr. Joan Burtner

5. VSM Text Glossary Definitions 1
Spaghetti diagram – standard symbols used to trace the path of a part, document (electronic), person or service through all its phases ****INCORRECT**** See Text pages 113, 277
Flow chart -- Standard symbols used to visually represent a type of operation, process, and/or a set of tasks to be performed. Synonymous with process map See Text page 109
Process map – Standard symbols used to represent a process in detail. It will provide a detailed visual listing of all the major and sub-steps in a process See Text page 114
Value stream map – A visual representation of the material, work, and information flow, as well as the queue times between processes for a specific customer demand See Text pages 99, 100,102, 103, 106, 107
Spring 2017
ISE 468 ETM Dr. Joan Burtner

6. VSM Text Glossary Definitions 2
Root cause – the origin or source of the problem
Root Cause Analysis (RCA)
Quality tools such as Brainstorming, Cause and Effect Diagram, and 5 Why Analysis can be used to help understand the root cause of the waste (Page 147)
Cause and Effect Diagram – a visual representation of the various factors affecting a process
Fishbone Diagram – Same as Cause and Effect Diagram
Ishikawa Diagram - Cause/Effect Diagram (See Text page 150)
Upstream Downstream
Process flow
Spring 2017
ISE 468 ETM Dr. Joan Burtner