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Applying Lean in Healthcare An Irish & International Perspective Thursday June 2nd 2011. Process Improvement across an NHS Acute Care Trust. Simon Dodds Consultant Surgeon Clinical Director for Outpatients Clinical Lead for the Lean Academy [email protected]

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process improvement across an nhs acute care trust
Applying Lean in Healthcare

An Irish & International Perspective

Thursday June 2nd 2011

Process Improvement across an NHS Acute Care Trust

Simon Dodds

Consultant Surgeon

Clinical Director for Outpatients

Clinical Lead for the Lean Academy

[email protected]

personal journey
Personal Journey

2000 Started improving my outpatient clinic

2004 NHS Service Improvement Award

2005 Wrote the story ...

2006 Heard about "Lean Thinking"

2007 Lean Academy born at HEFT

does lean deliver
Does Lean Deliver?

1. Safety and Quality

2. On Time Delivery3. Financial Viability

what the docs said
What the Docs said ...

Mr H: “You’ve performed a miracle. With this number of patients we’d normally be seeing patients until 2pm”

Ms S: “Today has been so much more bearable, I’ve had time dictate letters and do the admin work which I would normally have to do after clinic.”

Registrar: “I’ve actually enjoyed clinic today. I haven’t felt as if I need to rush”

what finance asked
What Finance asked ...

Have you saved more than you have cost us?

what are the traps
What are the traps?

Biting off too much.

Transformation teams.

Do once then roll out.

Under estimate the learning time.

what are the traps1
What are the traps?

Discounting the relationship stuff.

Assume the cash will just follow.

Impatience.

Operations Management blindness.

what are the gaps
What are the gaps?

Tools for Finance.

Tools topredict the QTC benefits.

Blue Sky goals are Aspirations.

Management of Variation.

what are the gaps1
What are the gaps?

"Catch-22" effect.

Limited strategic capability.

Peer reviewed publications.

Operations Management blindness.

slide18
partly

Lean Worked for Us

and next time i would also
andnext time I would also ...

Adopt a more Systemic approach.

Actively develop Trust Relationships.

Get Operations Management skills.

Use all of Improvement Science.

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