1. Lean in Healthcare Jennifer Nguyen

2. Learning Objectives  Lean Re-cap  Lean Strategies  Lean Tools  Lean in Healthcare  Apply Lean Strategies  Homework

3. What is Lean???  Originated from the Toyota Production System  To create more value using less work  To reduce waste Rework Overproduction Conveyance Waiting Inventory Motion Overprocessing

4. Lean Strategies  Define the problem or current state  Create a future state  Determine the appropriate lean “tools” that should be used  A smooth transition from the current state to the future state involves leadership, teamwork, communication, and sponsorship from management.  Continuous improvement

5. Lean Tools  Value Stream Mapping – A mapping process that visual depicts the flow of materials and information of a product or service  Kaizen Events – Small group that involves workers and managers to come together to make improvements to a process by reducing waste.  Spaghetti Diagrams – Path taken to create a product during the manufacturing process.  5S Sorting Set in Order Shining Standardizing Sustaining  Process Maps – Shows the different processes from beginning to end used when creating a product  Standardized Work Plans

6. Lean in Healthcare  Admitting/Discharge  Internal patient flow within and between departments  Operating room turnover  Scheduling processes and systems  Workplace disorganization  Medical Records  Inventory (supplies) control  Administrative processes and billing  Equipment availability  Shift change processes  Pharmacy and Laboratory work flows and turnaround times  Emergency Room work throughput  Clinical Processes  HR/Hiring Processes  Med/Surg floor improvement  Discharge

7. Apply Lean  Problem 1: In an eleven operating room suite of a 250 bed hospital, the staff wants to reduce the changeover and setup between surgical operations.

8. Future State  1.  2.  3.

9. Lean Tools? -Spaghetti Diagrams -Process Maps -Kaizen Event -5S Results: Initially,Changeover time was reduced by 46%. With continued improvement, the efficiency went up to 60%.

10. The Nickel Game  Is it faster to finish the process with 2 hands or 1?

11. Homework  Given the problem statement below, use the lean strategies to come up with an improvement plan. Problem: Poor outscheduling procedure results in postponed and cancelled procedures. Paperwork is lost, delayed, or mismatched.

12. http://en.wikipedia.org/wiki/Lean_manufacturing http://www.leanhealthcareperformance.com/leanhealthcare/leanhealthcare.php http://en.wikipedia.org/wiki/SMED http://www.hartinnovations.com/serv01.htm http://en.wikipedia.org/wiki/5S_(methodology) http://www.isixsigma.com/dictionary/Value_Stream_Mapping-413.htm http://learnsigma.com/lean-games/ http://en.wikipedia.org/wiki/Lean_manufacturing http://www.leanhealthcareperformance.com/leanhealthcare/leanhealthcare.php http://en.wikipedia.org/wiki/SMED http://www.hartinnovations.com/serv01.htm http://en.wikipedia.org/wiki/5S_(methodology) http://www.isixsigma.com/dictionary/Value_Stream_Mapping-413.htm http://learnsigma.com/lean-games/ http://en.wikipedia.org/wiki/Lean_manufacturing http://www.leanhealthcareperformance.com/leanhealthcare/leanhealthcare.php http://en.wikipedia.org/wiki/SMED http://www.hartinnovations.com/serv01.htm http://en.wikipedia.org/wiki/5S_(methodology) http://www.isixsigma.com/dictionary/Value_Stream_Mapping-413.htm http://learnsigma.com/lean-games/ http://en.wikipedia.org/wiki/Lean_manufacturing http://www.leanhealthcareperformance.com/leanhealthcare/leanhealthcare.php http://en.wikipedia.org/wiki/SMED http://www.hartinnovations.com/serv01.htm http://en.wikipedia.org/wiki/5S_(methodology) http://www.isixsigma.com/dictionary/Value_Stream_Mapping-413.htm http://learnsigma.com/lean-games/