Lean How

As healthcare costs increase at a faster rate than other products or services, healthcare providers, in particular hospitals, are under continuous pressure to dramatically improve service, reduce costs, improve patient safety, reduce waiting times, and reduce errors and associated litigation.

However, hospitals are not making the necessary improvements in cost, quality, and safety. A report by the U.S. HHS Office of the Inspector General finds that 20% of consecutive inpatient stay sequences were associated with poor quality care, unnecessary fragmentation of care, or both. The current organization and management of hospitals is an imperfect system that cannot effectively address these issues. Major projects to restructure hospitals, dramatically reduce cost, and improve customer care have had little impact on quality or cost.

In simplistic terms, current healthcare systems are not designed to make the process or ‘value stream’ of care flow smoothly. Healthcare services are often ‘batch and queue’, with patients spending most of their time waiting until the Healthcare Professional is ready i.e. push versus pull. As the population matures, patient cycle times in the hospitals, post-care facilities, and laboratories become key measurements that need to improve.

Our belief is that Lean Healthcare can provide a solution to successfully address some of these concerns with minimal cost but maximum benefit.

Lean in Healthcare

The essence of Lean Thinking is to eliminate waste through understanding how the patient defines value and how to deliver that value. Lean Thinking focuses on creating an efficient, waste-free continuous flow built on a pull vs. ‘batch and queue’ approach aligned with the continual pursuit of a perfect system.

Examples of Healthcare Waste:

o Redundant capture of information on admission

o Multiple recording of patient information

o Excess supplies stored in multiple locations

o Excess time spent looking for charts

o Patient waiting rooms

o Excess time spent waiting for equipment, lab results, x-rays etc.

o Excess time spent dealing with service complaints

Hospitals are made up of a series of processes with diverse lines of business. As a consequence, they need to build their delivery systems with these lines of business in mind. Hospitals need to know the businesses that drive 80% of their value proposition. They need to streamline their organization systems and processes to fully support the process required to deliver high quality care.

Commitment and support for any lean initiative needs to not only come from top healthcare management but, even more critically, from the ‘bottom up’ for implementation. Decision making and system development need to be pushed down to the lowest levels of any healthcare organization.

Management consultants are normally engaged as Lean change agents rather than as Lean facilitators. Healthcare staff should lead any Lean implementation program. These people are best equipped to understand the work environment, issues, challenges, what will work and what won’t. An empowered and knowledgeable team is therefore essential to achieve sustainable improvements and long-term success in any Lean initiative. Put simply, Lean will not work without an educated workforce.

Examples of Lean Healthcare Performance Metrics

o Improved patient satisfaction

o Increased operating room utilization

o Reduced time between procedures

o Lower tools and supplies inventory

o Reduced laboratory space

o Improved cost effectiveness

Lean Healthcare Accreditation

A new Lean Healthcare Green Belt Certification program (www.leanhealthcareservices.com) was recently developed to enable effective staff empowerment.

The on-line program represents the first International Healthcare Certification of its kind, and provides an essential ‘first step’ to not only understanding the theory but also the application of Lean tools and practices through detailed work assignments, in-line assessments, and final examination.

The program has been designed in association with the Irish Institute of Industrial Engineers, the Canadian Professional Logistics Institute, Lean Experts, and Healthcare Consultants in conjunction with the Leading Edge Group. It is open to personnel involved in any organization within the healthcare field, particularly those associated with hospitals, clinics, nursing homes, blood banks, laboratories, and pharmacies. Once these people have the ‘appropriate’ knowledge, they will be able to envisage and achieve results and, most importantly, meet the needs of patients now and in the future.

Please contact Joe Aherne CPA, Chief Executive Officer, Leading Edge Group, jaherne@leadingedge.ie; www.leanscm.com; www.leanhealthcareservices.com

About the Author:

Joe Aherne is a Certified Public Accountant, with over 25 years experience in the multinational sector. He also has attained qualifications from the Marketing Institute of Ireland and from CITY Bank in the U.S.

Joe established the Leading Edge Group in 1995 a niche boutique consulting company supporting the US multinational and SME sectors. The company is now recognized as one of the largest independent Lean consultancies in Europe with over 600 projects completed successfully since its inception.

Joe launched in April 2005 the new International Standard in Lean comprising 4 levels of certification and leading to a Masters Degree in Quality Management: Lean Master Black Belt. (www.leanscm.com & www.leanhealthcareservices.com ) He is currently leading a major international drive promoting the adoption of Lean healthcare philosophies and practices

Joe Aherne CPA, Charter House, Cobh, County Cork, Ireland +353 21 4855863

Article Source: ArticlesBase.com - Power of Lean Healthcare

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Lean Transformation $7.98 Known in manufacturing among those striving to maximize productivity and create pull-scheduling of production as "the yellow book," Lean Transformation: How to Change Your Business into a Lean Enterprise is used across the globe by companies as they switch to lean production and management by empowered teams. Touted by lean production experts everywhere as practical, down-to-earth, and easy to read, it warns of cultural issues that are almost certain to arise, and gives management step by step instructions as it explains clearly in terms anyone can understand such concepts as continuous flow, value stream mapping, kanban, kaizen, six sigma, just-in-time (JIT), techniques for converting to quick set-ups, and other pillars of the Toyota Production System. Indeed, Toyota may have been the first, but Toyota is not the only company that excels at lean manufacturing. Dell Computers provides another model of a successful lean enterprise as do Harley-Davidson and Pella Windows. Learn why initial improvements of 40 percent in direct labor productivity and a 50 percent reduction in the space required for manufacturing are routine when production and assembly are converted to continuous flow. Lean Transformation is chock full of real life examples of value stream mapping, how kanban can resolve material supply issues, how kaizen brainstorming can result in startling improvements overnight, how just-in-time (JIT) frees mountains of money tied up in work-in-progress, why six sigma quality needs to be built in and not inspected in, how bottlenecks can be eliminated, kanban snafus spotted before they happen, and how instilling a championship mentality in cross-functional teams can lead to increased productivity and continuous improvement that doesn't stop after the initial kaizen event. It doesn't take a genius to know that the low cost producer that meets customers "want" dates 99% of the time yet carries only two days inventory has a tremendous competitive advantage. So put value stream mapping, just-in-time (JIT), six sigma, kanban, kaizen, continuous flow, empowered teams, and all the other techniques you'll learn about in Lean Transformation to work. Order a copy for everyone involved in your transformation into a lean enterprise.

Lean Advertising $8.98 From Toyota automobiles to Dell computers and Harley-Davidson, Lean Production has revolutionized manufacturing. Now two advertising superstars show how adapting the same techniques can also revolutionize marketing communications. With responsibility instead of hierarchy, "Broadband Creativity," relentless pursuit and destruction of waste, and enlisting formerly dreaded clients as key members of empowered teams, Lean Advertising virtually guarantees breakthrough work, in record time—and without bloated mega-agencies' wasted time, money and energy. This is a must-read for anyone who wants to stay current in the constantly-evolving world of marketing.

The Lean Look $10.98 Achieve the lean, fit look of a professional athlete in just twelve weeks with this straightforward fitness plan.New studies are confirming what Paul Goldberg has already observed in his high-profile clients: getting leaner—not just thinner—is the single most important change that we can make to feel and look our best. What many Americans struggle with today is known as normal weight obesity: normal body weight, but high body-fat percentage, which can lead to serious health problems. Now Goldberg has developed an effective plan to lower body fat by eating the right foods and building muscle.The twelve-week Lean Look program requires no fancy equipment, takes thirty minutes a day, six days a week, and can easily be done at home. Goldberg shows how to add foods to your diet that promote muscle development, cut back on foods that encourage fat storage, time your meals for optimal nutrition, and exercise to burn fat. With over 100 photographs, a Lean Look journal, body-fat tables, and a four-week meal plan, The Lean Look is a straightforward guide to getting the sculpted, athletic body you've always wanted.

Real Lean: Understanding the Lean Management System $10.6 In REAL LEAN - Understanding the Lean Management System (Volume One), Bob Emiliani explains the purposes, advantages, myths, and misinformation surrounding Lean management. In a lively and engaging style, he answers the key questions that leaders of organizations have about Lean management. A perfect read for the busy executive. REAL LEAN is a practical guide to Lean management, complete with interesting and informative linkages to historical events and long-forgotten perspectives. Readers will learn how the two principles of Lean management, Continuous Improvement and Respect for People, work in tandem, with emphasis on Respect for People the principle that is often missing from the practice of Lean management. This small book will be a big help to leaders who want to improve their understanding and practice of Lean management.

Going Lean $26.98 In the wake of economic downturn, foreign competition, spiking oil prices, and even war, American business throughout this decade has been thrust into crisis. To improve their performance, corporations everywhere have adopted a wide range of tools and techniques, yet many continue to struggle. Going Lean points to a better way. Drawing from the lessons of a new breed of companies that have stood apart, it sets aside the notion that efficient operations and powerful innovations are possible only when business is steady and demand is growing. By using lean dynamicsâ??based on principles from the now-famous Toyota Production Systemâ??it shows how companies everywhere can thrive across a broad range of changing conditions. In Going Lean, you will learn how to: set a critical foundation for achieving sustained excellence â?¢ identify sources of lag and create robust value streams that thrive in todayâ??s dynamic conditions â?¢ describe the underlying techniques to maintain steady and predictable flow â?¢ create a system driven by customer demand that consistently introduces new innovation even during downturns â?¢ strive for perfection â?¢ deliver industry-leading returns

Lean Connections $49.98 Achieve effective information flow through the extended value stream to the end customer Dependable information flow is a necessary prerequisite to the successful implementation of lean production principles. But while most managers understand how to make materials and manpower flow, the flow of information tends to be much more underdeveloped. Even companies that excel at recognizing waste and are otherwise adept at implementing the principles of lean production are often challenged to provide satisfactory information flow. Lean Connections: Making Information Flow Efficiently and Effectivelyisdesigned to help you rethink the way your organization views information flow. It provides the building blocks of a comprehensive information-flow system, showing you calculations and methods that will allow you to get the necessary information to those individuals who need it, when they need it. Following a logical and detailed progression, thismanual shows how to make information flow in lean production facility— -- From the end customer through materials control to the production floor -- On the production floor at the operator, team, and value stream level -- And then from the production floor to the management of the facility Employing a workbook format, this manual follows RNA Manufacturing, a fictional company, through its implementation of a comprehensive lean production system. As the authors outline RNA’s methods and thought processes, they employ exercises that ask questions about your own production system. Your challenge is to think deeply about the answers, as well as the changes that need to be made to effectively make information flow through your facility. Make certain that everyone gets the information that they need when they need it

Global Passion: Marking George Verwerand#039;s Contribution to World M $0.75 This book is a fitting tribute to George Verweramp;#039;s contribution and commitment to world mission over the last 40 years. Contributors include Viv Thomas, David Greenlee, Joseph Damp;#039;Souza, Patrick Johnstone, Stuart Briscoe, Tony Campolo, and Tony Sargent.

Lean and Lovin' It $3.48 How did Don Mauer, who had been heavy all of his life, finally manage to lose weight and keep it off? Mauer-whose nickname was "Big Guy"-dieted for over thirty years. He tried every diet that came along. They all worked, but he would inevitably gain back what he lost, plus ten pounds more. Then Mauer discovered two words: low fat. An avid cook, he decided to revamp his own recipes, blasting away the fat and permanently losing 100 pounds in the bargain. The happy results of his success is Lean and Lovin' It: Exceptionally Delicious Recipes for Low-Fat Living and Permanent Weight Loss, which has over 200 low-fat recipes, ranging from 'Good Morning' Griddlecakes to Southern-Style Oven-Fried Chicken. Mauer goes to extraordinary lengths to replace fat with flavor in breakfasts like Buttermilk French Toast with Blueberry Honey (6.2g fat) and Lean Breakfast Sausage (1.8g fat). He transforms lean cuts of meat into rich-tasting dishes like Spicy Chinese Beef Sauté (7.5g fat) and Pork Tenderloin

Lean & Meaningful $3.98 Does your company provide meaningful work for its employees? Here's a blueprint to help you attract, optimize, and retain top talent. Corporate culture makes a difference, and cultures are changing. The next generation of corporate culture will be dramatically different from the past. Learn why-and how-employers must shift to a more lean operation with a culture that's filled with meaning for everyone. Over 200 organizations are cited, with stimulating examples of how leading edge employers are providing meaning for their workers. Read commentaries from successful CEOs who share their "meaningful" secrets.

The Economicsof Financial Markets $29.61 Buy and sell [The Economicsof Financial Markets] at great prices.

Henrietta's Wish; Or, Domineering $17.26 Buy and sell [Henrietta's Wish; Or, Domineering] at great prices.

The Hitchhiker's Guide to Lean $30.98 Hitchhikers do not travel a fixed path. They intentionally wander so they can learn and grow along the way. Embarking on the lean journey is similar, there are many roads on which to wander and no single one is right for all. "The Hitchhiker's Guide to Lean: Lessons from the Road" reveals the most critical lessons learned over the authors' combined 30-plus years of exploring the lean highways. One of the book's lessons from the road is you need to pay attention to where you are and where you are going, just as you do when driving a car. Lean leaders add value by changing things, moving them forward, and producing different results than the day before. To lead, you must go beyond creating a vision. You must develop the vehicle that will deliver it. "The Hitchhiker's Guide to Lean" is the vehicle that will help you move beyond the tools and take lean to a self-sustaining and continuously improving level. The book's 10 chapters cover lean principles and thinking, lean leadership moves, the roadmap for lean transformation, common pitfalls of lean journeys, building an operating system, lean accounting, lean material management, lean in service organizations, and how individuals can apply lean to improve themselves. The book concludes with interviews of lean practitioners on the front lines of change at Chrysler, Ross Controls, DTE Energy, RSR Corporation, and Nemak.

Lean on Me $3.98 At the young age of thirty-three, Nancy Davis was diagnosed with multiple sclerosis. The finality of the neurologist's prognosis was devastating: within a year she would be confined to her bed and, at best, able to push the buttons on her television's remote control. Rather than accept a hopeless prognosis, Nancy learned about her illness and, in turn, created a new life for herself with a new health regimen and an expanded range of therapeutic options. In Lean on Me, Nancy shares her deeply personal story and provides a step-by-step guide for taking charge of your own health care in the face of life-threatening disease. Each step offers readers the strategies and strength to carry on when they are feeling overwhelmed and the concrete tools for actively seeking and receiving the best treatment. In the face of a medical crisis, Lean on Me shows how to navigate the health care waters, find hope, take positive action, and celebrate progress -- and supplies authoritative information that can save your life or the life of a loved one.

The Lean Enterprise $8.48 What is a "lean" enterprise? According to the authors of this breakthrough book, it's a company that has organized and focused itself around only a few key processes rather than spread itself over a complex hierarchy. In a "fat" company, the focus is on departments (such as sales, quality control, or research). In a lean organization, the focus is on a few big-picture processes, such as developing new business. This change in emphasis is the critical difference between innovative firms and the lethargic pack of also-rans. This eye-opening book: ** explores "process management" as a corporate strategy -- and how to implement it ** presents insightful case studies of several companies and their journeys toward process-driven competitive strategies ** explains the four primary processes vital to all companies

Lean Production Simplified $39.48 2006 SHINGO PRIZE WINNER for EXCELLENCE in MANUFACTURING RESEARCH Lean Production Simplified, 2nd Edition is a plain language guide to the lean production system written for the practitioner by a practitioner. It delivers a comprehensive insider's view of lean manufacturing. The author helps the reader to grasp the system as a whole and the factors that animate it by organizing the book around an image of a house of lean production. Highlights include: A comprehensive view of Toyota¹s lean manufacturing system A look at the origins and underlying principles of lean Identifying the goals of lean production Practical problem solving for lean production Activities that support involvement - Kaizen circles, suggestion systems, and problem solving This 2nd Edition has been updated with expanded information on the Lean Improvement Process; Production Physics and Little's Law - the fundamental equation for both manufacturing and service industries (cycle time = work in process/throughput); Value Stream Thinking - combining processes required to bring the product or service to the customer; Hoshin Planning -- using the Planning and Execution Tree diagram and Problem Solving -- including the "Five Why" method and how to use it. Lean Production Simplified, 2nd Edition covers each of the components of lean within the context of the entire lean production system. The author's straightforward common sense approach makes this book an easily accessible on-the-floor resource for every operator.

Vision Of Don Roderick, The Field Of Waterloo $21.32 Buy and sell [Vision Of Don Roderick, The Field Of Waterloo] at great prices.

Thinking Beyond Lean $15.48 Thinking Beyond Lean : How Multi Project Management is Transforming Produ by Michael A. Cusumano, and Nobeoka Kentaro Published in 2008 by Free Press

Leading Lean Software Development $40.75 Building on their breakthrough bestseller Implementing Lean Software Development, the authors show software leaders how to quickly identify the biggest opportunities for improvement in their development organizations.

Liberty And Democracy $15.85 Buy and sell [Liberty And Democracy] at great prices.

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