1. Lean Healthcare Deployment and Sustainability Overview
Kristina Hanson
2/19/2014

2. Examples of 8 Types of Waste
Type of Waste
Example
Defects
Medication error, wrong patient or procedure, missing information
Overproduction
Drawing too many samples, extra tests
Waiting
Waiting to see a doctor, for a procedure, a bed, testing, etc.
Not Utilizing People’s Abilities
No empowerment, “check your brains at the door” mentality
Transportation
Moving samples, specimens, patients for testing or treatment, equipment, etc.
Inventory
Pharmacy stock, supplies, samples, paperwork in process
Motion
Searching for patients, medications, charts, etc.
Excess Processing
Multiple bed moves, testing, excessive paperwork
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

3. Visual of 8 Types of Waste
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

4. The Value Stream Analysis Event
VSA is a powerful tool to analyze clinical and business processes and to identify opportunities for improvement
Analysis usually takes place over a 2-3 day with a cross-functional team
VSA Event
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

5. ISE 428 ETM 591 KLH Lean Healthcare Overview
1. Set it up.
Occurs prior to the event
Gets commitment from senior leadership team and the executive with responsibility of healing pathway
Document a formal charter (identify team members and objectives)
Schedule and prepare for 2-3 day event
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

6. 2. Understand the Current State
Document SIPOC:
Suppliers – inputs – process – outputs – customers
Identify:
Value and how to measure it
Wastes in the process
Impediments to healing in the process
Document a current state map
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

7. 3. Envision an Ideal State
“Ideal” suggests that this is not an achievable state in the near long term
Generates creative thinking and ideas among team
Identify guiding principles that were implicit in the ideal design
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

8. 4. Design an Achievable Future State
Ideal state serves as a starting point
Consider constraints to their full implementation
Design an achievable future state
Prioritize the improvement activities
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

9. 5. Develop and Execute a Rapid Improvement Plan
Document the opportunities identified for achieving the future state
Just Do Its (JDI)
Rapid Improvement Events (RIE)
Projects
Determine the best approach for achieving all three types
Document them in a rapid improvement plan
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

10. ISE 428 ETM 591 KLH Lean Healthcare Overview
GLOSSARY
Value Stream (page 9)
A series of one or more processes that result in the delivery of a service or a product
Waste (page 24)
Eight types: Defects, Overproduction, Waiting, Not Utilizing People’s Abilities, Transportation, Inventory,
Motion, Excess Processing
Value Stream Analysis (page 25)
Refers to the process of analyzing a value stream to implement improvements
Ideal (page 26)
Suggests that it is not an achievable state, at least in the near long term
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014

11. ISE 428 ETM 591 KLH Lean Healthcare Overview
References / Contact Information
Dean, M.L. (2013). Lean Healthcare Deployment and Sustainability. Pages New York, NY: McGraw Hill. -
Kristina Hanson
ISE 428 ETM 591 KLH Lean Healthcare Overview
Spring 2014