1. CH 12: Healing Pathway Analysis
Brady Bradshaw
Aaron Odom
4/18/2016

2. Introduce the Event and the Participants
Highlight importance of healing pathway and the benefits of improving it
Review the team charter to get everyone on the same page for team’s objectives and desired outcomes
Maybe even conduct an icebreaker or an opener to help facilitate team introductions

3. Conduct Appropriate Training
Consider introducing some of the following topics:
Value added vs Non-value added definitions
The eight wastes
Eight impediments to healing
“Flow” and “pull” systems
Team roles
Executive sponsor
Facilitator
Timekeeper
Review and commit to team ground rules
Previously set by organization
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

4. Develop the SIPOC Diagram
SIPOC stands for suppliers-inputs-processes-outputs- customers
It helps participants to gain high-level understanding of all relevant elements that are being considered for the improvement process
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

5. Define Value and Expected Outcome
Who is the primary customer?
What is the value added?
What value is the customer willing to pay for?
What are the key outcome measures that the team will use to measure success?
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

6. Set Up the Map
Purpose of this step is to add sufficient clarity to the overall process so that the team can conduct initial process exploration
A simplified version of the high-level process you have identified in the SIPOC Diagram is a good starting point
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

7. Walk the Process and Collect Data
Observe the value stream in action. Communicate with workers as you go through the process. Ask what problems they have. Collect UNBIASED data.
Any process has three parts:
What you think it is
What it actually is
What it should be
Identify activities that have wait times.
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

8. Develop the Current State Value Stream Map
Complete the map in two phases:
First, use adhesive notes that can be rearranged easily. Have employees be involved and separate into groups: value-adding activities, non-value-adding activities, and non-value-adding but required activities.
Then finalize the map.
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

9. Develop Visual Maps
Create illustrations that enable the team to clearly visualize the flow of people or information through the process
This may include spaghetti diagrams, circle diagrams, or inventory control maps.
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

10. Conduct a Waste Walk
Walk through the process again, this time looking for the 8 wastes. Write observations on index cards. Then stick all index cards on the wall for analysis and discussion.
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

11. Conduct a Healing Impediments Walk
Stress and Anxiety
Inactivity and Waiting
Coldness or Apathy
Knowledge Gap
Neglect
Embarrassment
Submission and Helplessness
Statistic
Look for evidence of the 8 impediments to healing.
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

12. Glossary Healing Pathway- a value stream through which patients flow
Circle Diagram- a diagram similar to spaghetti chart for identifying unnecessary processing
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016

13. References
Brady Bradshaw and Aaron Odom: Healing Pathway Analysis ETM 528 Spring 2016