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FIFO sum, look out Pharmacy Lean we come PowerPoint PPT Presentation


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FIFO sum, look out Pharmacy Lean we come. Jane Maloy Chief Technician Northampton General Hospital. Workshop/ Presentation. What is Lean Game 1– be careful you don’t get wet!! Lean Principles WORMPIT Game 2 5S Lean at NGH. “A place for everything and everything in it’s place.

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FIFO sum, look out Pharmacy Lean we come

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Fifo sum look out pharmacy lean we come l.jpg

FIFO sum, look out Pharmacy Lean we come

Jane Maloy

Chief Technician

Northampton General Hospital


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Workshop/ Presentation

  • What is Lean

  • Game 1– be careful you don’t get wet!!

  • Lean Principles

  • WORMPIT

  • Game 2

  • 5S

  • Lean at NGH


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“A place for everything and everything in it’s place


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WHAT IS LEAN

  • Lean is simply a philosophy designed to help organisations systematically identify and eliminate activities and processes that are preventing them from being effective.

  • ‘Structured common sense’


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History of Lean

  • Lean started over 200 years ago

  • Toyota Production System (TPS) - Toyota’s Chief Production Engineer, Taiichi Ohno.

  • Reviewed what the company was doing and found that much of it was not adding value to the customer.


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Using a mechanical example


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‘Built ins’


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Game 1/ Simulation

  • Customer asks for three full cups of water

  • Cups 1 – 3 added every 15 seconds.

  • Time how long it takes

    • Was the order fulfilled? Any spillage?

    • How long did it take?

    • Where are the bottle necks?

  • How can you improve the process?


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The 5 Lean Principles

  • Value – understand what your customer ‘values’

  • Value stream - understand how you currently deliver value to your customer

  • Flow – eliminate bottle necks and constraints so that the value can ‘flow’

  • Pull – keep the process flowing by triggering activity only on demand

  • Perfection – drive for continuous improvement


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The Hierarchy of Improvement

  • Eliminate the Non Value Adding activity by getting rid of it completely.

  • If you can’t eliminate it Reduce the size or impact of the Non Value Adding activity.

  • If you can’t reduce it, can you Combine it with another activity.


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WORMPIT/ WASTE

  • Waiting – waiting for things to start or arrive

  • Over-Processing (or overproduction) – this is doing more activity than is required or making more items than can be sold.

  • Rework – also known as correction, this is about repeating activities because of a problem.

  • Motion (& transport) – motion is the movement of humans and transport the movement of things

  • Processing waste –this is about doing things that do not need to be done.

  • Inventory – stacking information, materials or patients.

  • Talent –misusing the skills of individuals or teams.


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Key Lean Tools & Concepts

  • 5S is a tool designed to create a ‘Visual Workplace’.

  • A place where things are organised logically.

  • 5S originally came from 5 Japanese words that began with a sound similar to S in English.


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Game 2 /Simulation

  • 5S Game

  • Follow the instructions given.

  • You must not look at the sheets until instructed and must finish when time is up.


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5S

  • Sort – remove unwanted items from the area to reduce clutter.

  • Set – set what remains in order and give each item a marked ‘home location’

  • Shine – keep the area clean and return items to their ‘home location’ at the end of shifts etc.


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  • Standardise – define the responsibilities of Teams and Managers in maintaining standards.

  • Sustain – audit and improve the area

  • +1 Safety !!!!!!!!!!


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Lean at NGH

  • Staff attended simulation

  • Worked with Service Improvement Team

  • Identified area that needed improving.

    • Dispensing turnaround times from receipt of prescription to completing of checking.

  • Gathered and recorded data before making any changes.

  • Quick fixes


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  • Current process mapping

  • Identified key dispensary staff to work with SI team.

  • Planning and Ideal process mapping

  • FIFO

  • Rapid Improvement Event (RIE)

  • Continue data recording – one week every six months and one day every month.


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This area was 5S’d on 17th December 2008

Please keep it clean and tidy so that everyone can enjoy it.

After

Before


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Ideal Process Mapping


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Layout of Ideal Process


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Dispensary Before


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Achievements

  • Two Pharmacy staff completed the Improvement Practitioners Programme

  • Two Pharmacy staff took part in the Lean Associates programme.

  • Further Lean improvement in Stores and ASU.


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What now??

  • Lean simulation sessions still being held in the Trust and staff encouraged to attend.

  • Lean in Stores

  • ‘Milk run’

  • Enlarging ASU chemo support room – lean principles being applied to ensure efficient flow of work.

  • Installation of Pharmacy Tracker – ensure it adds value to the customer.

  • Ongoing Action Plan……………..


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Acknowledgements

  • NGH Service Improvement Team

  • Chris Albone Service Improvement Manager (for keeping us all focused).

  • All Pharmacy staff.


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