Lean in Healthcare

1
Lean in Healthcare

• Jennifer Nguyen

2
Learning Objectives

• Lean Re-cap
• Lean Strategies
• Lean Tools
• Lean in Healthcare
• Apply Lean Strategies
• Homework

3
What is Lean???

• Originated from the Toyota Production System
• To create more value using less work
• To reduce waste
• Rework
• Overproduction
• Conveyance
• Waiting
• Inventory
• Motion
• Overprocessing

4
Lean Strategies

• Define the problem or current state
• Create a future state
• Determine the appropriate lean tools that
  should be used
• A smooth transition from the current state to the
  future state involves leadership, teamwork,
  communication, and sponsorship from management.
• Continuous improvement

5
Lean Tools

• Value Stream Mapping A mapping process that
  visual depicts the flow of materials and
  information of a product or service
• Kaizen Events Small group that involves workers
  and managers to come together to make
  improvements to a process by reducing waste.
• Spaghetti Diagrams Path taken to create a
  product during the manufacturing process.
• 5S
• Sorting
• Set in Order
• Shining
• Standardizing
• Sustaining
• Process Maps Shows the different processes from
  beginning to end used when creating a product
• Standardized Work Plans

6
Lean in Healthcare

• Admitting/Discharge
• Internal patient flow within and between
  departments
• Operating room turnover
• Scheduling processes and systems
• Workplace disorganization
• Medical Records
• Inventory (supplies) control
• Administrative processes and billing
• Equipment availability
• Shift change processes
• Pharmacy and Laboratory work flows and turnaround
  times
• Emergency Room work throughput
• Clinical Processes
• HR/Hiring Processes
• Med/Surg floor improvement
• Discharge

7
Apply Lean

• Problem 1 In an eleven operating room suite of
  a 250 bed hospital, the staff wants to reduce the
  changeover and setup between surgical operations.

8
Future State

• 1.
• 2.
• 3.

9

• Lean Tools?
• Spaghetti Diagrams
• Process Maps
• Kaizen Event
• 5S
• Results
• Initially,Changeover time was reduced by 46.
  With continued improvement, the efficiency went
  up to 60.

10
The Nickel Game

• Is it faster to finish the process with 2 hands
  or 1?

11
Homework

• Given the problem statement below, use the lean
  strategies to come up with an improvement plan.
• Problem Poor outscheduling procedure results in
  postponed and cancelled procedures. Paperwork is
  lost, delayed, or mismatched.

12
http//en.wikipedia.org/wiki/Lean_manufacturing ht
tp//www.leanhealthcareperformance.com/leanhealthc
are/leanhealthcare.php http//en.wikipedia.org/wik
i/SMED http//www.hartinnovations.com/serv01.htm h
ttp//en.wikipedia.org/wiki/5S_(methodology) http
//www.isixsigma.com/dictionary/Value_Stream_Mappin
g-413.htm http//learnsigma.com/lean-games/
http//en.wikipedia.org/wiki/Lean_manufacturing ht
tp//www.leanhealthcareperformance.com/leanhealthc
are/leanhealthcare.php http//en.wikipedia.org/wik
i/SMED http//www.hartinnovations.com/serv01.htm h
ttp//en.wikipedia.org/wiki/5S_(methodology) http
//www.isixsigma.com/dictionary/Value_Stream_Mappin
g-413.htm http//learnsigma.com/lean-games/
http//en.wikipedia.org/wiki/Lean_manufacturing ht
tp//www.leanhealthcareperformance.com/leanhealthc
are/leanhealthcare.php http//en.wikipedia.org/wik
i/SMED http//www.hartinnovations.com/serv01.htm h
ttp//en.wikipedia.org/wiki/5S_(methodology) http
//www.isixsigma.com/dictionary/Value_Stream_Mappin
g-413.htm http//learnsigma.com/lean-games/
http//en.wikipedia.org/wiki/Lean_manufacturing ht
tp//www.leanhealthcareperformance.com/leanhealthc
are/leanhealthcare.php http//en.wikipedia.org/wik
i/SMED http//www.hartinnovations.com/serv01.htm h
ttp//en.wikipedia.org/wiki/5S_(methodology) http
//www.isixsigma.com/dictionary/Value_Stream_Mappin
g-413.htm http//learnsigma.com/lean-games/