Baptist's Bed Management System: A Lean Visual Workplace

Baptist’s Bed Management SystemA Lean Visual Workplace

IntroductionBrad White– Title: Operations Improvement Engineer– Description: Implements Lean Six Sigma at Baptist

Health System

Baptist’s Bed Management System: A Lean Visual Workplace

Who are you?

Visual ControlsWhat are visual controls?– Quick information– Intuitive– Easy to use– Make problems apparent– Real-time


Examples?

Visual Controls ExampleBaptist’s Bed Management System: A Lean Visual Workplace

Visual Workplace– Heavily depends on visual controls– Requires:• Stable, mapped processes• 5-S• Good discipline• What else?

– Benefits:• Better resource use• Less wait• Less inventory• What else?


How are you working towards this?

Visual Controls & Technology– Does Lean and technology mix?– How to automate:• Simplify• Standardize• Automate


When done right, automation is a powerful tool

Case Study: Bed TrackingCurrent State– Database silos– Hidden information– Old information– Poor patient flow– Lots of phone calls


What if a restaurant ran that way?

Case Study: Bed TrackingBaptist’s Bed Management System: A Lean Visual Workplace

Real-

Time

Visual

Display

Clinical

Transport

ADT

EVS

HEV is an integrated real-time visual display that combines clinical, transport, ADT, and EVS information allowing for improved patient flow.


Large monitors will display nursing assignments and their corresponding patient information. The touchscreens in hallways display the unit maps and are used to make patient updates, bed requests, or EVS updates.


Room Fill Color • Type of Patient• Clean/Dirty

Primary Area• Orders / Results• Patient Location

Secondary Area• Safety Attributes

• NPO, Falls, etc.

Three distinct characteristics of each room• Room Fill - Reflects Room State

• Primary Area - Clinical Alerts/Location

• Secondary Area - Patient Identifiers

The map contains information on patient type, room clean status, patient location, and patient attributes.


Floor View


Pending Discharges


Pending Discharge Dashboard


Housekeeping Flow


OR Flow


OR Bed Request


Patient Flow


Occupancy Dashboard


Transports


Dietary


Infection Control


Centralized Bed Placement is enabled to respond to admissions, discharges and transfers without picking up the phone.

Visual Control to a Visual Workplace

Case Study: Bed TrackingImplementation Challenges• Staff buy-in• Keeping it simple• Data collection• Anticipating every possible patient scenario


Have you implemented something similar?What were your “lessons learned”?

Come see John Knotts on Feb. 3rd – “Change Management”

Questions?

Baptist's Bed Management System: A Lean Visual Workplace

Education

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