1. The Glenday Sieve

2. “Few procedures make up for high volume activities” Total % of activity Total % of procedure types Colour code 50%6%Green Breaking Through to Flow: Banish Fire Fighting and produce to Customer Demand, Lean Enterprise Academy

3. The Glenday Sieve Total % of activityTotal % of procedure typesGreen50%6% Only 6% of procedure range accounts for 50% of procedures Value Stream Map the “Greens” and make them flow Create more time for the difficult cases

4. MRI Team, NHS Tayside Graeme Houston, Radiologist, NHS Tayside 220 codes for appointments MRI RIE - 63% of MRI throughput from 2.7% of - 63% of MRI throughput from 2.7% of procedure codes procedure codes (i.e. 6 codes) Group patients by the process they go through (rather than clinical condition)