1. Value Stream Management for Lean Healthcare: The Value Stream Management (VSM) Process
ISE 468 ETM 568 Spring 2017
Dr. Joan Burtner
Healthcare Process Improvement
Tapping et al: Chapter 1 Lecture 3

2. VSM Advantages
Focus the improvement efforts toward a single customer or patient process
Similar to one-piece flow in Lean Manufacturing theory
Provides a means of moving from the current state to the future state
Uses the common language of Lean icons
Uses common terminology to describe process steps
Suggests consensus on process improvement goals for a specific value stream
Facilitates resource coordination/allocation across the organization
Spring 2017
ISE 468 ETM Dr. Burtner

3. Tapping’s 4-Stage Process - Assess
Assess: Evaluate an area or process and prepare it for detailed analysis
Stakeholder involvement
Flowcharts
Value stream maps
Process Metrics
Takt time
Cycle time
Organization metrics such as
Balanced Scorecard,
Performance measurements, etc.)
Spring 2017
ISE 468 ETM Dr. Burtner

4. Tapping’s 4-Stage Process: Diagnosis
Diagnosis: Tools that provide the transition from assessing an area of process through understanding the process in detail
8 Wastes Waste Walks
Elevator Speech
Data collection
Financial analysis
Quality tools such as
Ishikawa diagram and
Five why analysis
Spring 2017
ISE 468 ETM Dr. Burtner

5. Tapping’s 4-Stage Process: Treat
Treat Actual training and application of Lean tools
Lean Tools such as 5S
Kanban
Standard Work
Visual Production Board etc.
May have some overlap with tools used in the Diagnosis phase
Spring 2017
ISE 468 ETM Dr. Burtner

6. Tapping’s 4-Stage Process: Prevent
Prevent Control and sustain improvement over time
Visual control (general term)
Run chart (displays serial data points over time)
Paynter Chart (Pareto chart comparing multiple time periods)
Yokoten (best practices sharing)
Storyboard (poster-size framework for displaying key information from a Lean Six Sigma project
Spring 2017
ISE 468 ETM Dr. Burtner