Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving...
Transcript of Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving...
![Page 1: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/1.jpg)
Finding Your Lean Passion
Dr. Timothy D. Hill, Ph.D., CLSSMBB, PMP
Lean Improvement Specialist
![Page 2: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/2.jpg)
Performance + Transformation System (P+TS)
Strategic Goal
• Create a Lean culture
• Driving...
• Reliability: Keeping our patients safe doing the
right things at the right times.
• Innovation: Allowing us to see our performance
evolve
• Values: Respect for people through engagement
• Evidence: Informing and guiding our
improvements
DRIVE
![Page 3: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/3.jpg)
P+TS is Built on:
![Page 4: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/4.jpg)
![Page 5: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/5.jpg)
Where can you hear about Lean’s success?
• Virginia Mason Medical Center (VMMC)
• ThedaCare, Wisconsin
• Toyota, Wiremold, Ford
• Patient- Centered Primary Care
Collaborative
• 100k Foundation
• Dennis Quaid Foundation
![Page 6: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/6.jpg)
The Impact of Lean Principles in Industry
![Page 7: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/7.jpg)
What Lean is not
• It’s not “Lean and mean”
• It’s not about cost reductions
• It’s not from the top down
• It does bring in Emily’s experience!
![Page 8: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/8.jpg)
What is Lean’s success? Going from this...
Necessary non value adding
NNVA
Value adding
Employee activities
Non Value
Adding
Value creation Activities that
directly add value for the patient Waste
Work that does not
add value to the patient
Necessary supporting activities.
Non value adding, but unavoidable
activities
![Page 9: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/9.jpg)
To this!
Waste Value
adding
Employee activities
NNVA
![Page 10: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/10.jpg)
Making Lean a Success
• Letting people become the change that
they want to see and not forcing the
change
• It’s about improving the process that
needs improvement the most and not
“tinkering”
• By going slowly to go fast
![Page 11: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/11.jpg)
Or as Fukuda said...
“Change is a voyage, but only about 10 percent
understand the need and want to be rowers. Most people
don’t understand the need for change. They are watchers.
A few, maybe 10 percent, are opposed to change. The
grumblers will resist change.”
![Page 12: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/12.jpg)
Results of 175 Rapid Process Improvement
Events at Virginia Mason Medical Center
![Page 13: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/13.jpg)
Success at ThedaCare in Wisconsin
• Door to needle times for stroke victims
![Page 14: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/14.jpg)
Lean at Bluewater Health
• In our Clinical processes
• Off-loading delays from the ambulance to the
High Acuity Bay
• In our Non-Clinical processes
• Scheduling for our out-patient diabetes clinic
• In our Business processes
• Recruiting and selection process for new staff
![Page 15: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/15.jpg)
Early Lean Successes at BWH
• Increases in patient & staff satisfaction
• Physician involvement
• Greater involvement of our Patient
Experience Partners (PEP)
• Ability to meet healthcare’s ever changing
needs.
• Greater acceptance of change
• Process improvement ideas being generated
from the staff who do the actual work
![Page 16: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/16.jpg)
Process Improvement Work
• Clinical – working on falls, improving
quality of stay and patient safety.
• Non-Clinical – improvements in delivering
materials
• Professional Staff – working on improving
various wait times and processes
![Page 17: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/17.jpg)
Lean Tools
• Daily Status (Stat) Sheets
• Lean Huddle Boards
• Coaching
• 3 Reals – real facts, real place, real problem
• 5 S steps are: Sort, Set, Shine, Standardize and
Sustain
• PDSA – Plan, Do, Study & Act
• Root Cause Analysis
• Rapid Improvement Events
![Page 18: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/18.jpg)
Daily Stat Sheet
![Page 19: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/19.jpg)
Lean Huddle Board
![Page 20: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/20.jpg)
Lean Huddle Board: Surgical Inpatient
![Page 21: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/21.jpg)
Lean Huddle Board: Day Surgery
![Page 22: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/22.jpg)
Lean Huddle Board: Lab
![Page 23: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/23.jpg)
Lean Huddle Board: Med T
![Page 24: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/24.jpg)
Lean Huddle Board: Diagnostic Imaging
![Page 25: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/25.jpg)
At the Lean Huddle Board
![Page 26: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/26.jpg)
A Value Stream Map
![Page 27: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/27.jpg)
Rapid Improvement Event
![Page 28: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/28.jpg)
Find your passion
• By improving Emily’s healthcare journey,
reducing medical errors, reducing
misdiagnoses, medication errors, falls or
hospital acquired infections
• As well, improving the non-clinical side and
the business side.
• You can find your passion in “Lean-iz-ing”
your fridge!
![Page 29: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/29.jpg)
Find your passion
• Start slowly to move quickly
• Get everyone involved
• Allow them some time to get used to
the new way of doing things.
• Bring your passion, your joy and your
energy to this Lean journey!
![Page 30: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication](https://reader035.fdocuments.in/reader035/viewer/2022071108/5fe2c095b0e91366661a146b/html5/thumbnails/30.jpg)
Thank you!