1. Lean Healthcare Deployment and Sustainability Ch
Lean Healthcare Deployment and Sustainability Ch.16- Rapid Improvement Events
Alesia Ginn
4/18/2016
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

2. ISE 428 ETM 528 AKG Lean Healthcare Overview
RIE, In a Nutshell…
Purpose: Problem identification, root cause analysis, new process design and implementation
Who: cross-functional team
Significant outcomes: 50-75% implementation of new design by the end of the week, 100% within 30 days
Also known as kaizen events or kaizen blitzes
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

3. ISE 428 ETM 528 AKG Lean Healthcare Overview
RIE Objectives
Continuous flow
Standard work
Error proofing
Quick changeover
Visual management
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

4. ISE 428 ETM 528 AKG Lean Healthcare Overview
1. Develop Team Charter
Make sure all areas (i.e. roles, responsibilities, tasks and notifications to those impacted the process) are established!
Work on quad chart
Project description
Key improvements and accomplishments
Healing pathway metrics
Process tracking metrics
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

5. ISE 428 ETM 528 AKG Lean Healthcare Overview
Sample
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

6. ISE 428 ETM 591 KLH Lean Healthcare Overview
Quad Chart Sample
I. Project Description:
Expected Outcome:
Executive Sponsor:
Team Leader:
II. Key Improvements and Accomplishments:
III. Healing Pathway Metrics/ Benefits
IV: Process Tracking Metrics
Metrics
Current
Future
By When
Metrics
Baseline
Future
Current
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

7. ISE 428 ETM 528 AKG Lean Healthcare Overview
2. Training
Review charter
Review quad chart
Overview of a healing pathway analysis
Current and future state mapping
Continuous flow
Lean metrics
Team dynamics
Team decision-making
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

8. 3.Study and Implementation
Help the team identify and understand impediments to healing, wastes and other obstacles that disrupt workflow.
Prioritize what can be accomplished in a short time.
Implement changes required to achieve future state.
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

9. ISE 428 ETM 528 AKG Lean Healthcare Overview
4. Develop RIE Newspaper
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

10. 5. Evaluation and Follow-up
Use rapid improvement event newspaper as a tool to check the progress of the actions to be completed
Use the quad chart to update process metrics and determine whether the event is meeting its objectives
Eliminate barriers
Document efforts in a report or “QI story” presentation
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

11. ISE 428 ETM 528 AKG Lean Healthcare Overview
GLOSSARY
Healing Pathway Analysis(HPA) (page 10)
A structured and facilitated event during which a cross-functional team progresses methodically through a series of interactive and evaluative steps aimed at eliminating waste, eliminating impediments to healing and improving the flow of patients through the healing pathway.
Quick Changeover (page 182)
Method of reducing materials, skilled resources and time needed for equipment setup to implement a one-piece flow in a cost effective manner.
Rapid Improvement Event (RIE) (page 210)
A facilitated, structured, team-based event aimed at further refining and actually implementing improvements to portions of a value stream.
Rapid Improvement Newspaper (page )
A tracking tool used to ensure completion of actions identified during an RIE that cannot be completed during the actual event.
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016

12. ISE 428 ETM 528 AKG Lean Healthcare Overview
References / Contact Information
Dean, M.L. (2013). Lean Healthcare Deployment and Sustainability. Pages New York, NY: McGraw Hill. -
ISE 428 ETM 528 AKG Lean Healthcare Overview
Spring 2016