Where To Begin Lean Implementation | How to Start Your Lean Journey

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The Lean Journey

All organizations face the same challenge when beginning a Lean implementation: where do you start?  Some have done a great job of getting their Lean implementation rolling while others have done it through a lot of trial and error.  There isn’t one “right” way to begin Lean. Each implementation should be tailored to the organization’s unique needs, but the following guidelines will help get you started.

Lesson # 1   Start with creating a daily problem solving culture!

The most common mistake organizations make when starting Lean is to start with a tool, usually 5S.  5S is easy to train and can make a quick visual improvement in an area, so it’s a place many organizations choose to start.  Don’t do it!  5S is an outstanding Lean tool but that is all it is, a tool.  It does not fix any problems; it creates a visual workplace so problems become more visible.  But unless you have created a problem solving culture in your organization, often the problems shown through 5S go unaddressed and the areas slip back to the condition they were in before the 5S implementation5S won’t work until daily problem solving is taking place!

Another common error in both Lean manufacturing and Lean health care implementations is in equating Lean implementations with discrete projects.   The projects will provide “a win”.  However the gains will be short lived and will not change the way people think, lead or work.  A Lean implementation that is sustainable requires a problem solving culture and projects such as kaizen events are just one part of that culture.

Lesson #2    Pick a model area [Read more...]

Lean Principles: Managing Variation to Eliminate Waste

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Lean Management

Lean Principles: Managing Variation

Managing Variation by standardizing activities and processes has proven to eliminate wasted time and motion in hospitals. By eliminating waste, hospitals and their staff significantly improve the patient experience because staff is less stressed, staff is able to provide better service, and staff is able to provide more bed side time and support. Furthermore, eliminating wasted time and motion decreases patient wait time.

Lean Management Eliminates Waste!

A central Patient Medical Record department in a three hospital, for profit health system was overwhelmed with back logged paperwork and regularly received complaints from patients, physicians and other customer who were dissatisfied with their services. By eliminating variation in activities and processes and standardizing work, the department has decreased lead time by 50%, an average of sixty-seven minutes per patient. Furthermore, the department has nearly doubled the number of charts it can process. Lastly, the department decreased its delinquency rate by 10%.

An operating room staff at a 230 bed, for profit hospital had a twenty to twenty-five minute operating room turnover time due to significant variations in the turnover process. [Read more...]

Best Practice Example of Flow Increasing Patient Satisfaction

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One piece Flow

Creating Flow in a health care institution can be perceived as an overwhelming task. However, Lean specialists have successfully supervised the creation of Flows in hospital settings. A well-known example is the one piece Flow at Seattle Children’s Hospital’s Bellevue ambulatory care center.

Seattle Children’s Hospital has been dedicated to implementing Lean in their hospitals for the past five years. Seattle Children’s Hospital’s Bellevue ambulatory care center has received rave reviews from patients and other health care providers for its creatively designed one piece Flow built around the needs of the customer and employee efficiency. [Read more...]