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Lean in Healthcare. Jennifer Nguyen. Learning Objectives. Lean Re-cap Lean Strategies Lean Tools Lean in Healthcare Apply Lean Strategies Homework. What is Lean???. Originated from the Toyota Production System To create more value using less work To reduce waste Rework Overproduction

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Lean in healthcare

Lean in Healthcare

Jennifer Nguyen


Learning objectives
Learning Objectives

  • Lean Re-cap

  • Lean Strategies

  • Lean Tools

  • Lean in Healthcare

  • Apply Lean Strategies

  • Homework


What is lean
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


Lean strategies
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


Lean tools
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


Lean in healthcare1
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


Apply lean
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.


Future state
Future State

  • 1.

  • 2.

  • 3.


  • 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%.


The nickel game
The Nickel Game

  • Is it faster to finish the process with 2 hands or 1?


Homework
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.


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/


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