1. Northern Health Surgical LEAN projects Spring 2012

2. Where is Northern Health?

4. Why LEAN projects?  Analyze existing procedures  Identify opportunities for improvements and where possible, testing and implementing changes  Enhancing quality improvement using the LEAN methodologies and increasing LEAN trained personnel

5. Two phased approach Phase 1  Connected with stakeholders  Identified expectations of the project  Developed project plan  Deliverables  Scope of project Phase 2  All 3 sites had identical processes  Kaizen  Rapid Improvement Events over a 3 -5 day period.

6. Prince Rupert – North West

7. Dawson Creek – North East

8. Prince George – Northern Interior

9. Value Stream Maps

10. Brought Value Stream Map to the OR

12. OR aide assignments changed

13. First Ortho Case Start Time Value Stream Map of First Ortho Case / built with staff

14. Pick lists analyzed and downsized with Orthopedic surgeon

15. 5S Where do we start??

16. Just do it - 5S

17. Dirty Hold Area

18. 5S - Day Care surgery locker room and kitchen area

19. Our Red Tag Cart!

20. Supplies Area What does it look like now?

21. Physician Engagement

22. Supporting Engagement

23. Other Projects  Metric collection for OR Turnaround time  “wheels out wheels in”  Preadmission clinic and Day Care Surgery  Patients were arriving DCS not prepared  Revamped the patient information booklet that is sent prior to surgery

24. LEAN Conference March 2012