Intro to Lean Management
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A short overview of Lean Management principles and philosophy as applied to a hospital setting. This presentation was prepared for an interview with the Five Hills Health Region.
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Intro to Lean Management
- 1. Introduction to Lean Dan Kreuger Quality Improvement Consultant Five Hills Health Region
- 2. What is Lean? The Lean Hospital, The Hospitalist, June 2008 , by Carol Berczuk
- 3. Lean Thinking โข Doing more with less โข Belief in a better way โข Eliminate waste โข Empower employees โข Create culture Continuous Improvement
- 4. Lean Objectives โข Streamline processes โข Employee satisfaction โข Improve finances โข Enhance patient care Value Time Costs
- 5. Applied Lean Solutions โข OR inventory system โ Savings $243,828 โข Standardized lab procedures โ Reduced back-ups in emergency โข Treatment for brain/bone metastases โ Three-visit procedure reduced to a single visit โข Streamlined patient discharge process โ Decreased average wait time from 195 to 89 min. (54%)
- 6. Lean 101 Three Categories of Waste Muda: Poor Process Muda Muri Muri: Unreasonable / burden Mura: Inconsistency / uneven Mura
- 7. Lean 101 Types of Waste in Healthcare โข Defects (Rework) โ medication error; incorrect billing โข Over-Production โ duplicate charting; same info on multiple forms โข Waiting โ patient wait-times; waiting for reports, tests โข Not Clear (Confusion) โ overlap in responsibility โข Transporting โ moving charts from place to place โข Inventory โ overstocked supplies and medicine โข Motion โ looking for people, materials, information โข Excess Processing โ signing off, redundant charting
- 8. Lean Principles โข Specify value from the perspective of the patient and the organization โข Identify the value stream needed to provide patient care and remove wasted steps โข Enable patients to flow smoothly and quickly through the process โข Match capacity with demand so work is done in line with the pull of the patient โข Continuously improve the value stream and work towards perfection
- 9. Lean Resources The Lean Enterprise Academy http://www.leanuk.org Lean Healthcare Exchange http://www.leanhealthcareexchange.com
- 10. Thank-you
Editor's Notes
- The โLeanโ methodwas pioneered by Toyota beginning in the mid-1950s โ they were improving upon the โassembly lineโ concept made popular by Henry Ford. It is focused on process and people. By the 1980s, these ideas started to filter into the US and North America, and have since been applied to many different industries beyond manufacturing โ including healthcare.The idea behind lean in a nutshell is to improve โefficiency by consistently and thoroughly eliminating wasteโโฆ
- A passionate belief that there is always a simpler, better way.A continuous drive to identify and eliminate waste.A way of thinking that causes everyone to use their talent to improve the business everyday.A culture that extends the ideas and concepts of Lean across all business processes using a common toolset.
- Maximize QualityContinuous improvement using all available knowledge and capabilitiesMinimize CostConventional: Price = Cost + ProfitLean: Profit = Price โ CostMinimize TimeReduce lead timesMeet delivery commitments
- Muda โ Waste From Process MethodsSome waste may be unavoidable, a necessary byproduct of operating your business. But when you prevent unnecessary waste, you tackle the inefficiency, and therefore cost.Muri โ Overburden - unreasonableOccurs when people or equipment are pushed beyond their natural limits or capacity.Mura โ Unevenness -inconsistencyFluctuations in work schedules and workload.