Lean and TOC in Healthcare. Learning Objectives. Explain the Lean and JIT philosophy Define waste in a Lean environment Understand push versus pull production Explain JIT manufacturing and Services Understanding Six Sigma Understanding TOC in the context of healthcare. Just-In-Time.
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Typically, a schedule is driving the suppliers or providers.
No clearly-identifiable customer is in sight
Production is its own end objective
In Pure Pull, Nothing is done unless there is a signal from the customer--that is, the next process.
When the signal does come, responsiveness better be there!Push vs. Pull Operations
Pull-mode operations are more likely when:
“have all critical processes at a six-sigma level of capability”
– near zero defects!
Both, however, aim to eliminate waste