ELEC2017 3.4. r. van der waal - lean learning for medical students and doctors
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Transcript of ELEC2017 3.4. r. van der waal - lean learning for medical students and doctors
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Rutger I.F. van der Waal, dermatologist, MD PhD
Tergooi Medical Centre, Hilversum NL
Learning Lean for healthcare
Wheatfield under ThundercloudsVincent van Gogh, 1890
European Lean Educator Conference 2017
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Programme in short
• Who am I – how did I become a doctor
• How I came across Lean
• Changing healthcare environment
• Lean in my hospital
• Lean in my department
• Future steps
Lean in healthcare
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Lean in healthcare
• Who am I – how did I become a doctor
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BSc Medicine: First 3 yearsTheory & knowledge
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MSc Medicine: +3 years (T=6y)
Practical training
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Next: PhD programme: +4 years (T=10y)
Research & thesis
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Medical specialisation: +5 years (T=15y)Hands on practical training
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The Anatomy Lesson of Dr Nicolaes TulpRembrandt van Rijn, 1632
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• Who am I – how did I become a doctor
• How I came across Lean
• Changing healthcare environment
• Lean in my hospital
• Lean in my department
• Future steps
Lean in healthcare
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Sailing aligned towards True North
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• Who am I – how did I become a doctor
• How I came across Lean
• Changing healthcare environment
• Lean in my hospital
• Lean in my department
• Future steps
Lean in healthcare
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Changing healthcare environment
• Increase in the need of healthcare (‘double aging’)
• Shortage of skilled nursing staff
• Decrease of compensation / price-reduction
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Role of Lean
NOT:because Lean is about firing people or depriving them of acquired
benefits
BUT:to improve activities and processes WITHIN the healthcare system
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How can Lean be helpful• Centralize activities that matter to the patient
• Hunt down and remove wasteful activities
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Benefits of Lean in Healthcare
• Better performance
• Less mistakes and medical errors
• Better information provision for the patient
• Shorter waiting lists for the patient
• Lower hospital- and managementfees
• Greater work satisfaction for nurses and doctors
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How Lean can be helpful
• Activities that matter to the patient:
• Skilled staff (i.e. nurses and doctors)
• No waiting list
• Safe and trustworthy environment
• Provision of good patient information
• Hunt down and remove wasteful activities
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7 types of waste in healthcare
1. Transport moving patients, materials & equipment/machines
2. Waiting patients waiting for consultation or lab results
3. Overproduction excess diagnostics, and limit liability
4. Inventory medication, tools, referral notifications
5. Motion equipment, materials & medication
6. Mistakes & medical errors wrong patient booked, wrong procedure
planned, wrong diagnosis or medicine, an unsuccessful treatment, re-operate
7. Overprocessing perform diagnostic procedures more than once, filling in
too many lab forms, repeatedly explain procedures, test results or treatments
to the same patient.
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• Who am I – how did I become a doctor
• How I came across Lean
• Changing healthcare environment
• Lean in my hospital
• Lean in my department
• Future steps
Lean in healthcare
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Toyota Engineering Corporation, Nagoya
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Kikuya Cleaning Services, Tokyo
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Kanagawa Hospital
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St Luke’s International Hospital, Tokyo
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Nerima General Hospital, Tokyo
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Lean applied in health care
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Tergooi’s Lean House: ‘thoughtful & sustainable’
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• Who am I – how did I become a doctor
• How I came across Lean
• Changing healthcare environment
• Lean in my hospital
• Lean in my department
• Future steps
Lean in healthcare
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Lean for Dermatology: organisation & care
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IdentifyValue
Map the Value
Stream
CreateFlow
EstablishPull
CreatePerfection
# 1
# 2
# 3# 4
# 5
The 5 principles of Lean
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Lean in Health Care
Customer(a.k.a. patient)
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How do we address the activitiesthat matter to the patient
• Activities that matter to the patient:
• Skilled staff
• No or hardly any waiting list, and in case of a
growing waiting list we plan more consultation
hours (in the evening)
• Safe and trustworthy environment (5S)
• Provision of good patient information
• Continuous patient surveys
• Hunt down and remove wasteful activities
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We started with 5S
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Learning experiences with Lean
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Improvement ideas via Kaizen cards
1 2
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Weekstarts & Improvement board
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Patient satisfaction surveys for CI
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improvement kata
coaching kata
Mentee
Mentor
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Leading to better, quicker, safer & sustained processes & healthcare
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Dermatologic patient care
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Medicine: core business = patient care
Customer = patientbut: vulnerable and dependent customer, not (always) by choice
How to adjust patient care through Lean?
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Burning platform
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Burning platform in terms of dermatology
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• Preventive care rather than treatment
• Provision of patient information
• Goal in the healthcare system: to eradicate skin cancer
Skin cancer treatmentthe Lean way
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‘5S’ against skin cancer
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Building new bridges in dermatologic care
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• Who am I – how did I become a doctor
• How I came across Lean
• Changing healthcare environment
• Lean in my hospital
• Lean in my department
• Future steps
Lean in healthcare
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Lean in healthcare
• Lean as part of medical education
• Continued Lean philosophy in healthcare
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European Lean Educator Conference 2017
Learning Lean for Healthcare
Tulip Fields near The HagueClaude Monet, 1886
Rutger I.F. van der Waal, dermatologist MD PhD