Value stream management for lean healthcare
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Value Stream Management for Lean Healthcare. ISE 491 Fall 2009 Data Collection - Lecture 6. Four steps to accurate data collection. Plan for data collection Process overview Reason for data collection What data will be collected for how long

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Value Stream Management for Lean Healthcare

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Value stream management for lean healthcare

Value Stream Management for Lean Healthcare

ISE 491 Fall 2009

Data Collection - Lecture 6


Four steps to accurate data collection

Four steps to accurate data collection

  • Plan for data collection

    • Process overview

    • Reason for data collection

    • What data will be collected for how long

    • Places in the process where data will be collected

  • Standardize how times are measured

    • Written guidelines using a common form

  • Collect the data

  • Analyze the data

    • Check for accuracy

    • Prepare graphs and tables

    • Conduct statistical tests and draw conclusions

Fall 2009

ISE 491 Dr. Burtner

ISE 491 Dr. Burtner


Observation

Observation

A data collection method for collecting information about a process by watching and documenting

Participant observation – the team member takes part in the situation that is being observed

Non-participant observation – the team member watches, but does not participate

Observation Guide

Printed or web-based form that provides space for recording information about the process being analyzed

The more structured the guide, the easier to collate the results.

A structured guide will help reduce unwanted variation.

See examples on page 135 and page 136.

Fall 2009

ISE 491 Dr. Burtner

ISE 491 Dr. Burtner


Document tagging worksheet

Document Tagging Worksheet

A specialized observation guide that is designed to capture the work elements and steps as a single work product (document, chart, or patient) moves through the system

Creates awareness of how time is being used within a process

Most effective when activity steps are fairly well defined

Often used to provide or validate data for the value stream map which is based on cycle time (the amount of time for an activity or task to be completed)

Fall 2009

ISE 491 Dr. Burtner

ISE 491 Dr. Burtner


Document tagging worksheet method

Document Tagging Worksheet Method

Determine start / stop point for process or value stream

Develop data collection form

Train users

Guidelines such as use noun-verb phrases

Common abbreviations and medical terms

Distribute form at most upstream process in value stream

Collect the data

Sample size

Data collection period

Establish the single-flow cycle times, the value-added (VA) time and the non value-added (NVA) time

Update the current state value stream map if appropriate

See example on page 139 of text

Fall 2009

ISE 491 Dr. Burtner

ISE 491 Dr. Burtner


Historical data existing data

Historical Data – Existing Data

Healthcare facilities maintain a large amount of data in the system

Data may be routinely collected, but not systematically analyzed.

Data collection using historical data/existing data is typically less expensive than data collected through direct observation.

Voice of the Customer (VOC) surveys

Often connected with a touch point (direct and/or critical contact between a service provider and the customer)

The customer voice is diverse and subjective

Typical collection methods include direct discussions, interviews, surveys, focus groups, observations, reports, logs

See example on page 141 of text

Fall 2009

ISE 491 Dr. Burtner

ISE 491 Dr. Burtner


Primary sources

Primary Sources

The Lean Healthcare Pocket Guide XL (2008) Authors: Debra Hadfield, RN MSN and Shelagh Holmes, RN

Value Stream Management for Lean Healthcare (2009) Authors: Don Tapping, Sue Kozlowski (CSSBB), Laura Archbold (RN, BSN,MBA), and Todd Sperl (MBB)

ISE 491 Dr. Burtner


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