Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation
-
Upload
saskatchewan-health-care-quality-summit -
Category
Health & Medicine
-
view
185 -
download
1
description
Transcript of Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation
![Page 1: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/1.jpg)
RQHR begins Kanban implementation Barry McCraig
This Session is sponsored by:
![Page 2: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/2.jpg)
RQHR Inventory…Kanban Style
Health Quality Summit 2013
Barry McCaig & Glenda Little – RQHR Kaizen Promotion Office
![Page 3: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/3.jpg)
Table of Contents
• What is Kanban and its three types • What RQHR has done so far • What RQHR is doing going forward • Lessons learned
![Page 4: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/4.jpg)
What is Kanban?
• What is it?
– Visual inventory management
• Kanban principles
– Make ordering simpler
– Make materials transportation simpler
– Appropriate inventory levels
– *Make people happy*
![Page 5: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/5.jpg)
Three Types of Kanban
![Page 6: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/6.jpg)
Three Types of Kanban
![Page 7: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/7.jpg)
Three Types of Kanban
![Page 8: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/8.jpg)
What RQHR has done so far
• Kanban preparation and seminar last fall
• Implemented Kanban in four areas:
– Pasqua Hospital Emergency department
– Wascana Rehabilitation Centre
• Unit 2-6
• Unit 3-6
– Pasqua Hospital Central Pharmacy
![Page 9: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/9.jpg)
Pasqua Hospital Emergency
• Emergency department – 1 “set” of 3 supply carts
– Carts contain supplies needed for ½ of the ER
– There are another set of 3 carts that have not been “Kanbaned” yet
• All 3 types of Kanban implemented
– Signal, 2-bin and normal
![Page 10: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/10.jpg)
PH ER - Before Kanban supply carts
![Page 11: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/11.jpg)
PH ER - Over-stocked supplies
![Page 12: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/12.jpg)
PH ER - End of Kanban
![Page 13: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/13.jpg)
Wascana Rehabilitation Centre – Unit 2-6
• Unit 2-6
– Wanted to work on their inventory management
– Needed to work on First in, First Out
• Used 2 Types of Kanban
– 2-bin
– Signal
![Page 14: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/14.jpg)
WRC Unit 2-6 Supply Room
![Page 15: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/15.jpg)
WRC Unit 2-6 Supply Room before Kanban
![Page 16: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/16.jpg)
WRC Unit 2-6 Supply Room after Kanban
![Page 17: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/17.jpg)
Wascana Rehabilitation Centre – Unit 3-6
• Unit 3-6
– Wanted to work on inventory management
– First in, First out
• Used 2 types of Kanban
– 2-bin
– Signal
![Page 18: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/18.jpg)
WRC Unit 3-6 Supply Room before Kanban
![Page 19: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/19.jpg)
WRC Unit 3-6 Supply Room before Kanban
![Page 20: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/20.jpg)
WRC Unit 3-6 Supply Room after Kanban
![Page 21: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/21.jpg)
WRC Unit 3-6 Supply Room after Kanban
![Page 22: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/22.jpg)
WRC Unit 3-6 Supply Room Kanban Post
![Page 23: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/23.jpg)
WRC Unit 3-6 Supply Room after Kanban
![Page 24: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/24.jpg)
WRC Unit 3-6 Patient kits in each room
![Page 25: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/25.jpg)
Pasqua Hospital Pharmacy
• Central pharmacy
– Supplies medications to Pasqua, Regina General, Wascana Rehabilitation Centre
• Two types of Kanban implemented
– Signal in bulk drug area
– 2-bin in unit dose area
![Page 26: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/26.jpg)
Pre Kanban – bulk medications
![Page 27: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/27.jpg)
End of Kanban week – bulk medications
![Page 28: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/28.jpg)
Bulk meds – Kanban post & reorder
![Page 29: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/29.jpg)
Excess Inventory – bulk medications
![Page 30: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/30.jpg)
Current – bulk medications
![Page 31: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/31.jpg)
What’s left to do – bulk medications
![Page 32: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/32.jpg)
Before kanban – unit dose area
![Page 33: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/33.jpg)
End of Kanban week – unit dose area
![Page 34: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/34.jpg)
Unit dose – kanban post
![Page 35: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/35.jpg)
Current – unit dose area
![Page 36: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/36.jpg)
What’s left to do – unit dose area
![Page 37: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/37.jpg)
What’s Left To Be Done
• All four projects require people resources to help them replicate their Kanban implementations completely within their areas.
![Page 38: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/38.jpg)
Lessons Learned
• Plan, plan, plan
• Be flexible
• Make sure area has been 5s’ed first
• Educate process owner
• Value stream map the current processes
• In any one area, try very hard to use a maximum of two types of Kanban
• What happens after the Kanban seminar?
![Page 39: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/39.jpg)
What is RQHR doing going forward?
• Principles for project selection
– Stable usage and high volume
–Pick 1 vendor to work with (internal or external)
– Look at 20 – 30 items to start with
–Need to have a (very) good 5S first
–Need a good and willing manager and front-line staff!
–Plan to finish the job!
![Page 40: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/40.jpg)
• Four teams!
• Areas where we did Kanban
• Facilities & Materials Management
![Page 41: Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation](https://reader034.fdocuments.in/reader034/viewer/2022051412/54bd83cb4a79590a318b456e/html5/thumbnails/41.jpg)