Which Continuous Process Improvement Method Should I Choose?

Size: px
Start display at page:

Download "Which Continuous Process Improvement Method Should I Choose?"

Transcription

1 Which Continuous Process Improvement Method Should I Choose? Dr. Reza (Russ) Pirasteh, PMP, MBB, CLM Vice President Operations Excellence Stephen Gould Corporation June 27, 2012 rmpirasteh@stephengould.com ISO All rights reserved 1

2 Objectives Demonstrate the synergetic power of, and when used in logical steps, for continuous process improvement (CPI) Introduce integrated Toc,, (itls) methodology Overview of, Six sigma and Theory Of Constraints () as applied in integrated Toc,, (itls) methodology Overview of comparative analysis of, and itls contributions Overview of the need for itls application, study and history Brief example of typical itls results Overview of itls implementation steps ISO All rights reserved 2

3 Questions Manufacturing companies can produce at least 25% more, why don't they? 25% more projects can be completed in an organization, why aren't they? Despite having 25% more finished goods inventory than needed, why do companies continually lose sales because products are not available to consumers? Bob Fox ISO All rights reserved 3

4 Why? 80% of improvement initiatives fail 70% of company employees do not know the company strategies 73% of strategies are not owned by employees 81% of employees do not feel committed to the organization 92% of employees feel that they are working harder than the year before Over 50% of the work is waste, (Non-Value- Added or Fake Work) Source: Fake Work Gaylan Nielson, 2012 CPI symposium ISO All rights reserved 4

5 Why? Lack of focus on what is the value to end users and consequences Too much Waste and non-value-added activities Too many Errors & lack of consistency in processes, procedures, policies Competing on the edge of chaos Typical rage of waste (COPQ as % of Sales): Manufacturing: 20-30% Services: 30-40% Software: 40-65% ISO All rights reserved 5

6 Alternatives? In past 30 years great management philosophies have been introduced to continuously improve processes and achieve operations excellence by shifting paradigms and challenging the existing assumptions. Over 95% of CPI initiatives are: Theory Of Constraints ISO All rights reserved 6

7 - 7 Muda Toyota Production System (TPS) Focusing on reduction of the seven wastes 1. Overproduction 2. Waiting - People, Parts Overproduction 3. Too Much Inventory 4. Unnecessary Motion Motion Waiting 5. Unnecessary Transporting 6. Over Processing 7. Producing Defects or Rework Rework 6 Intellect Transportation Motion Rework Overproduction Intellect 6 3 Waiting Transportation ISO All rights reserved 7

8 Key lean operation principles include: 1. Value / Hidden Factories / Non-Value Added 2. value-stream (eliminate waste) 3. Flow 4. Pull 5. Perfection Overproduction Motion 1 Waiting 7 2 Intellect Rework 6 3 Transportation 5 4 Source: Thinking Womack and Jones ISO All rights reserved 8

9 TPS - Enormous amount of effective tools: Employee involvement & Respect for people Work life culture change 5-S and Visual Communication Management Value Stream Mapping Process Fail Safe and Error Reduction Pull Systems, Kanban, Buffer Management Kaizen SMED WCE (measurement system for NVA) Takt setting.more Motion Rework 6 7 Overproduction 1 Intellect Waiting Transportation ISO All rights reserved 9

10 Pioneered by Bill Smith at Motorola in 1986 Originally defined as a metric for measuring defects and improving quality Defect levels below 3.4 (DPMO) 7 Sigma , DPMO (Defects Per Million Opportunities) 66, ISO All rights reserved 10

11 Aimed to manage process variations that cause defects Unacceptable deviation from the mean or target To systematically work towards managing variation to eliminate those defects Spec Limit Spec Limit Distribution

12 Theory Of Constraints Originated and authored by Dr. Eliyahu M. Goldratt Also referred to as "Constraint Management Focus on Throughput Throughput is what is being sold Rate of revenue generation (Throughput) is limited by at least one constraint Only by increasing capability at the Constraint overall throughput will be increased Focus when dealing with change: Why Change? What to Change? What to Change To? How to cause the change? ISO All rights reserved 12

13 CPI Contributions These continuous improvement approaches have shown considerable tangible impact. Toyota Boeing GE GM Banking & Financials Etc How good? ISO All rights reserved 13

14 itls Story A Research to Explore How to optimize profits using CPI? There had been little consensus among CPI methodologies Many opinions and guesses Effectiveness: Compare and contrast methodologies Evaluate and statistically quantify the impact Deployment Deploy CPI methodology that yields higher profits Systematic deployment globally ISO All rights reserved 14

15 itls Brief History 1985 Learn and apply TQM Begin to experiment with various combinations of CPI tools Developed TLS CPI model (no consensus) Documented for the first time in the world: Quantified effects of, and TLS 2005 Summarized & documented the designed experiments 2006 Publicized experiment findings APICS 2006 The First CPI Symposium Weber University Introduced itls Scott Jensen 2006 itls-trio model at the Weber University s CPI symposium Decided on writing a book to ensure integrity of itls and possibly bringing the CPI disciplines together for universal betterment Introduced itls-trio model at -ICO (Goldratt - Los Vegas) Others published books based on my research Created the origin of change in models 2010 August Profitability with No Boundaries available Took us 3- years to publish the book we needed to be sure Results of implementations fully supported the model ISO All rights reserved 15

16 itls Story Research Case and had been practiced in for several years Both approaches had shown that they were able to prompt operations personnel to work on a series of projects that resulted in cost savings and process improvements itls: an alternative using synergetic approach ISO All rights reserved 16

17 Experiment Objectives Hypothesized approach to measure and validate effectiveness of: Integrated,, (itls) Analyze results for statistical significance Criteria: Aggregate contribution to verifiable financial savings Validate savings US operations were studied ISO All rights reserved 17

18 Experiment & Approach Methodology was assigned due to the local preference, experience with a particular methodology and expertise Data gathered (Time-years): 2.5 Participating plants: TLS Team leaders trained: 211 Projects completed by all methods: 105 Each site chose their projects and coached with local experts Plant size, population, financial standing were mixed ISO All rights reserved 18

19 Comparing With Individual 95% confidence intervals for Mean Based on Pooled Standard Deviations Ho : 1 2 Level N Mean StDev (Log) ( * ) µ 1 (Log) ( * ) µ P-Value: No Significant difference ISO All rights reserved 19

20 Comparing With & Individual 95% confidence intervals for Mean Based on Pooled Standard Deviations Ho : Individual 95% CIs For Mean Based on Pooled StDev Level N Mean StDev (Log) ( * ) µ 1 (Log) ( * ) µ 2 TLS (Log) (---*---) µ P-Value: 0.000: Highly Significant difference 2011 itlstm-iso All rights reserved 20

21 Experiment Results Plants using itls were able to return 12-24X financial benefits compared with the plants that used only one method Teams using itls were able to complete more projects Return per trained employee was 10-12X higher ISO All rights reserved 21

22 Units Experiment Results itls showed 4 X greater financial benefit (project-toproject comparison) Per Project Financial Return itls Methodology Plants that used itls produced 89% of the savings 28% of the plants produced 89% of the benefits ISO All rights reserved 22

23 Examples of Results Achieved 5% bottom-line profitability improvement Gold mining - BR Improve throughput by 4X (L3) $3.8 mil in cost savings in 18 months - Alcon Labs process ind $18 mil reduction in inventories - Telecom 24 inventory turns from 7 per year Improved supply chain OTD performance from 45% to 99.8% - SGC Reduced DPM to < 393 from 37,000 in 4 months Achieved supply chain performance with Cpk of 1.67 in 6 months from ~0.8 $185 mil in cost reductions in 24 months Telecom Fulfillment cycle time reduction from 11 days to <5 globally 40% increase in revenue transactional & sales 90% reduction in plating process rework - Appliances ISO All rights reserved 23

24 Some itls users Stephen Gould Corporation New Beginning Sanmina-SCI Alcon Brazil in Colombia, that I have advised during the past 3 years: Senco Colombiana: bathroom appliances Eurocerámica: Tiles Salamanca: Catering services Arroz Caribe: Rice mill L3 Communications Sanmina-SCI Northrop-Grumman Huntsman Cancer Institute Dyplast Products NavAir PECO Knight Industries Eli Lilly AzulK, Columbia Votorantim ISO All rights reserved 24

25 itls 7 Step Application ISO All rights reserved 25

26 Step 1 Identify the constraint A: 120/D Takt: 85/D B: 100/D C: 85/D D: 110/D A B C D A: 200/D 40% improvement ISO All rights reserved 26

27 Step 1 What is your operation River ISO All rights reserved 27

28 T River A Multitude of Product Options ISO All rights reserved 28

29 V River Distribution and Semi-Process Industries ISO All rights reserved 29

30 A River Typically Fabrication-Assembly Operations ISO All rights reserved 30

31 I River Assembly & Flow Processes ISO All rights reserved 31

32 itls 7 Step Application ISO All rights reserved 32

33 Step 2 Identify Which Factor To Control Y = ƒ (1x 1, 10x Undesirable Response 10x 2, 2x 3... Which activities (factors) have the most impact on your response? 3... ) Process Outputs = Suppliers Process Inputs Business Process X s are activities or factors within the process ISO All rights reserved 33

34 Step 2 Exploit The Constraint A: 120/D Takt: 85/D B: 100/D C: 85/D D: 110/D A B C D ISO All rights reserved

35 itls 7 Step Application ISO All rights reserved 35

36 Step 3 Eliminate The Sources Of Waste Supplier s Acknowledgement of release to blanket PO. Purchasing Dept Supplier Operator s Order Trigger?Trigger Board Point of use. Material is shipped Information Material Inventory KanBan / Pull System for Raw Materials Receiver closes release Card information: Raw Material Code Card Quantity Batch Size Number of Cards 1. Purchasing issues blanket P.O. (Purchase Order) for material 2. Warehouse Associate will appropriate supplier and Purchsing dept. a release for set quantity of material 3. Supplier s acknowledgement of release back to Purchasing and Warehouse. (Compliance) 4. Supplier ships material within timeframe specified on P.O. 5. Receiving Transaction closes this release upon receipt of material ISO All rights reserved 36

37 itls 7 Step Application ISO All rights reserved 37

38 Step 4 Identify Sources Of Variation and Minimize Listen to the VOC Understand the VOP Shrink error Spec Limit Spec Limit Distribution ISO All rights reserved 38

39 itls 7 Step Application ISO All rights reserved 39

40 Step 5 Control Supporting Activities A: 120/D Takt: 85/D B: 100/D C: 100/D D: 110/D S 1 A B C D S n Identify direct feeders to the constraint Control feeder performance and variability SPC: Control Charts Fail safe ISO All rights reserved

41 itls 7 Step Application ISO All rights reserved 41

42 itls 7 Step Application ISO All rights reserved 42

43 Step 6 Remove The Constraint and Stabilize ISO All rights reserved 43

44 Step 7 Reevaluate system go after the next constraint Safeguard gains and embed control Re-mapped the process and analyzed for constraint shifts detection Go to step 1 of the TLS process and follow the cycle ISO All rights reserved 44

45 The Change Is Up To You Good Luck & Thank You! 2011 itlstm-iso All rights reserved 45

46 About: Reza (Russ) M. Pirasteh Co-Author of Profitability With No Boundaries: Optimizing,, and, Dr. Pirasteh is currently the Vice President of Operations Excellence at Stephen Gould Corp and CEO of the itls- ISO Group. He conducted scientific studies on the efficacy of CPI approaches, which was later published in a groundbreaking article, The Continuous Improvement Trio. He has held executive, staff and line positions with 25 years of solid experience in implementation of continuous improvement systems in manufacturing, services and transactional environments. He has earned Ph.D. in Engineering, MBA in Industrial Management, BS in Industrial Engineering, Project Management Professional (PMP), Certified Master Black Belt, and Certified Master. He has formulated itls CPI methodology to fill the gaps among CPI methodologies he has experienced. Dr. Pirasteh has published numerous publications and provided lectures for Weber University, OSU, UTA, APICS, Industry Week and IIE organizations. He is a member of APICS, ASQ, IIE and PMI. Dr. Pirasteh is the recipient of the Fox Award for outstanding innovation and creation of itls system. To contact Dr. Pirasteh: rmpirasteh@stephengould.com info@itls-iso.com itlstm-iso All rights reserved 46

When going Lean, Waste is the Enemy

When going Lean, Waste is the Enemy When going Lean, Waste is the Enemy Eric S. Kastango, MBA, RPh, FASHP Clinical IQ, LLC March 31, 2009 Objectives Review the definition, elements and wastes of Lean Review the difference between Six Sigma

More information

Applying Critical ED Improvement Principles Jody Crane, MD, MBA Kevin Nolan, MStat, MA

Applying Critical ED Improvement Principles Jody Crane, MD, MBA Kevin Nolan, MStat, MA These presenters have nothing to disclose. Applying Critical ED Improvement Principles Jody Crane, MD, MBA Kevin Nolan, MStat, MA April 28, 2015 Cambridge, MA Session Objectives After this session, participants

More information

Neil Westwood Associate Service Transformation and Hereford Hospitals NHS Trust Tel

Neil Westwood Associate Service Transformation and Hereford Hospitals NHS Trust Tel Lean Thinking Neil Westwood Associate Service Transformation and Hereford Hospitals NHS Trust neil.westwood@institute.nhs.uk Tel 07747794976 NHS Institute for Innovation and Improvement Plan for today

More information

Lean Six Sigma DMAIC Project (Example)

Lean Six Sigma DMAIC Project (Example) Lean Six Sigma DMAIC Project (Example) Green Belt Project Objective: To Reduce Clinic Cycle Time (Intake & Service Delivery) Last Updated: 1 15 14 Team: The Speeders Tom Jones (Team Leader) Steve Martin

More information

Applying Toyota Production System Principles And Tools At The Ghent University Hospital

Applying Toyota Production System Principles And Tools At The Ghent University Hospital Proceedings of the 2012 Industrial and Systems Engineering Research Conference G. Lim and J.W. Herrmann, eds. Applying Toyota Production System Principles And Tools At The Ghent University Hospital Dirk

More information

Lean Six Sigma in Healthcare. 4 Simple BFO s s that Change Everything

Lean Six Sigma in Healthcare. 4 Simple BFO s s that Change Everything Lean Six Sigma in Healthcare 4 Simple BFO s s that Change Everything Presented By: Joseph Duhig Senior Vice President Juran Institute, Inc. February 23, 2008 BFO s = Blinding Flashes of the Obvious 8005

More information

System redesign in Primary Care

System redesign in Primary Care System redesign in Primary Care A focus on Lean Anthony Behm, D.O. Chief of Staff, Erie VAMC Primary care(pc) satisfaction: up and down Satisfaction rates for PC s started dropping in the late 90 s. Physicians

More information

Lean on Me: A case study on using lean principles in an outpatient mental health setting

Lean on Me: A case study on using lean principles in an outpatient mental health setting Lean on Me: A case study on using lean principles in an outpatient mental health setting Joshua Carlson, MSW, LCSW Clinical Supervisor- Family Solutions Lean Collaborative Teaching Lean principles Area

More information

Excellence in Healthcare Delivery

Excellence in Healthcare Delivery The Performance Management Group LLC Excellence in Healthcare Delivery Lean Transformation in Healthcare: Improving patient outcomes while driving down the cost of patient care Helping You Make It Happen!

More information

Creating a Lean Culture in Healthcare

Creating a Lean Culture in Healthcare Creating a Lean Culture in Healthcare 0 Building Leaders Transforming Hospitals Improving Care 45 Years of Delivering Results 1 1 HealthTechS3 is a 45 year old, award-winning healthcare consulting and

More information

Practical Applications on Efficiency

Practical Applications on Efficiency Practical Applications on Efficiency Maryland MGMA September 19, 214 Owen J. Dahl, FACHE, LSSMBB Objectives To offer practical scenarios for the application of Lean Tools in YOUR practice To discuss and

More information

Profit = Price - Cost. TAKT Time Map Capacity Tables. Morale. Total Productive Maintenance. Visual Control. Poka-yoke (mistake proofing) Kanban.

Profit = Price - Cost. TAKT Time Map Capacity Tables. Morale. Total Productive Maintenance. Visual Control. Poka-yoke (mistake proofing) Kanban. GPS Mod 22 7 Flows of Medicine MUDA MUDA Cost Reduction By Eliminating Waste Just-in-Time Profit = Price - Cost GPS Depth Study NVA/VA- Functions/Mgrs R e d e p l o y m e n t Jidoka (human automation)

More information

Patrick J. O Sullivan MS, MT(ASCP)SBB Florida Hospital Orlando Laboratory Operations Director

Patrick J. O Sullivan MS, MT(ASCP)SBB Florida Hospital Orlando Laboratory Operations Director Patrick J. O Sullivan MS, MT(ASCP)SBB Florida Hospital Orlando Laboratory Operations Director List factors that affect the need to change work processes in Microbiology Analyze process review and determine

More information

Using Lean Principles to Decrease Outpatient Registration Wait Times. It s a Journey not a Destination

Using Lean Principles to Decrease Outpatient Registration Wait Times. It s a Journey not a Destination Using Lean Principles to Decrease Wait Times It s a Journey not a Destination 533 Bed Acute Care System 461 Beds at AnMed Health Medical Center 72 Beds at AnMed Health Women s and Children's Hospital 45

More information

REDESIGNING ALLIED HEALTH OUTPATIENTS - Lean Thinking Applications to Allied Health

REDESIGNING ALLIED HEALTH OUTPATIENTS - Lean Thinking Applications to Allied Health REDESIGNING ALLIED HEALTH OUTPATIENTS - Lean Thinking Applications to Allied Health Josephine Kitch, Director, Allied Health Division,Flinders Medical Centre, SA Brenda Crane, RDC Clinical Facilitator,

More information

Improving operating room efficiency through the use of lean six sigma methodologies. Teodora O. Nicolescu

Improving operating room efficiency through the use of lean six sigma methodologies. Teodora O. Nicolescu Improving operating room efficiency through the use of lean six sigma methodologies Teodora O. Nicolescu Author detail: Teodora O. Nicolescu, MD Associate Professor Department of Anesthesiology The University

More information

ATTACKING WASTE AND VARIATION HOSPITAL-WIDE: A COMPREHENSIVE LEAN SIGMA DEPLOYMENT

ATTACKING WASTE AND VARIATION HOSPITAL-WIDE: A COMPREHENSIVE LEAN SIGMA DEPLOYMENT ATTACKING WASTE AND VARIATION HOSPITAL-WIDE: A COMPREHENSIVE LEAN SIGMA DEPLOYMENT Charles Johnson, Ph.D., Richard H. Allen, Dr.P.H., Thomas A. Sonderman, M.D., and Ian D. Wedgwood, Ph.D. Abstract Columbus

More information

Webinar: Practical Approaches to Improving Patient Pre-Op Preparation

Webinar: Practical Approaches to Improving Patient Pre-Op Preparation Webinar: Practical Approaches to Improving Patient Pre-Op Preparation Your Presenters Michael Hicks, MD, MBA, FACHE Chief Executive Officer EmCare Anesthesia Services Lisa Kerich, PA-C Vice President Clinical

More information

Building a Smarter Healthcare System The IE s Role. Kristin H. Goin Service Consultant Children s Healthcare of Atlanta

Building a Smarter Healthcare System The IE s Role. Kristin H. Goin Service Consultant Children s Healthcare of Atlanta Building a Smarter Healthcare System The IE s Role Kristin H. Goin Service Consultant Children s Healthcare of Atlanta 2 1 Background 3 Industrial Engineering The objective of Industrial Engineering is

More information

LEAN Transformation Storyboard 2015 to present

LEAN Transformation Storyboard 2015 to present LEAN Transformation Storyboard 2015 to present Rapid Improvement Event Med-Surg January 2015 Access to Supply Rooms Problem: Many staff do not have access to supply areas needed to complete their work,

More information

The Path to Sustainable Improvements

The Path to Sustainable Improvements What Do You Do When Your Improvement Project FAILS? The Path to Sustainable Improvements Thursday, March 3, 2016 10:00 AM Reza Ziaee, MA, MSE, MBB, PhD, FHIMSS - Antelope Valley Hospital James Bologna

More information

INSERIRE LOGO CLIENTE GRANDE SERVICE FACTORY. A real office where to learn from experience

INSERIRE LOGO CLIENTE GRANDE SERVICE FACTORY. A real office where to learn from experience INSERIRE LOGO CLIENTE GRANDE SERVICE FACTORY A real office where to learn from experience WHAT IS THE SERVICE FACTORY? The Service Factory is a training workshop where you can learn how to improve efficiency

More information

Academy of Architecture for Health On-line Professional Development. Health Care 101 Series

Academy of Architecture for Health On-line Professional Development. Health Care 101 Series Academy of Architecture for Health On-line Professional Development LEAN Concepts Drive Healthcare Architecture Planning and Design Health Care 101 Series 10, October, 2017 2:00 pm 3:00 pm ET 1:00 pm 2:00

More information

WHITE PAPER. Transforming the Healthcare Organization through Process Improvement

WHITE PAPER. Transforming the Healthcare Organization through Process Improvement WHITE PAPER Transforming the Healthcare Organization through Process Improvement The movement towards value-based purchasing models has made the concept of process improvement and its methodologies an

More information

Directing and Controlling

Directing and Controlling NUR 462 Principles of Nursing Administration Directing and Controlling (Leibler: Chapter 7) Dr. Ibtihal Almakhzoomy March 2007 Dr. Ibtihal Almakhzoomy Directing and Controlling Define the management function

More information

(Muda) Objectives. Determine what is Value added vs. Non-Value added. Identify the eight types of waste. Understand the Barriers to.

(Muda) Objectives. Determine what is Value added vs. Non-Value added. Identify the eight types of waste. Understand the Barriers to. Identifying Waste (Muda) Erika Sundrud, MA AVP Quality, Safety & Performance Improvement 1 Objectives Determine what is Value added vs. Non-Value added Identify the eight types of waste Understand the

More information

Continuous Quality Improvement Made Possible

Continuous Quality Improvement Made Possible Continuous Quality Improvement Made Possible 3 methods that can work when you have limited time and resources Sponsored by TABLE OF CONTENTS INTRODUCTION: SMALL CHANGES. BIG EFFECTS. Page 03 METHOD ONE:

More information

Quality Improvement. Goals & Objectives. u What is Quality Health Care. u Where are the gaps in care JOHN W. RAGSDALE, III, MD JULY 2017

Quality Improvement. Goals & Objectives. u What is Quality Health Care. u Where are the gaps in care JOHN W. RAGSDALE, III, MD JULY 2017 Quality Improvement JOHN W. RAGSDALE, III, MD JULY 2017 DEPARTMENT OF COMMUNITY AND FAMILY MEDICINE PRIMARY CARE SEMINAR SEA PINES, SC Goals & Objectives u What is Quality Health Care u Where are the gaps

More information

Hardwiring Processes to Improve Patient Outcomes

Hardwiring Processes to Improve Patient Outcomes Hardwiring Processes to Improve Patient Outcomes Barbara Adcock Mohr, Administrative Director, Rehabilitation Services Mark Prochazka, Assistant Director, Rehabilitation Services UNC Hospitals FIM, UDSMR,

More information

ARS 2004 San Diego, California, USA

ARS 2004 San Diego, California, USA ARS 2004 San Diego, California, USA The Challenge of Supporting Aging Naval Weapon Systems RDML Michael C. Bachman Assistant Commander for Aviation Logistics Naval Air Systems Command PRESENTATION SLIDES

More information

Faculty Session 1 Time Title Objectives Tied to others Brent James, MD. Always together w/pragmatic 1. Always together w/modelling Processes 1

Faculty Session 1 Time Title Objectives Tied to others Brent James, MD. Always together w/pragmatic 1. Always together w/modelling Processes 1 Faculty Session Time Title Objectives Tied to others Managing Clinical Processes: An Definition of processes Always together w/ Methods Introduction to Clinical QI Quality improvement as the science of

More information

Quality Improvement Plan

Quality Improvement Plan Quality Improvement Plan Agency Mission: The mission of MMSC Home Care Plus is to at all times render high quality, comprehensive, safe and cost-effective home health care and public health services to

More information

H ospital Voice. Oregon Community Hospitals. Lean Methods and Mindsets. The CEO Perspective. Taking Aim at Health Care Reform

H ospital Voice. Oregon Community Hospitals. Lean Methods and Mindsets. The CEO Perspective. Taking Aim at Health Care Reform H ospital Voice A magazine for and about Oregon Community Hospitals A magazine for and about Oregon Community Hospitals Taking Aim at Health Care Reform Triple Aim to change health care for good The CEO

More information

Critical Success Factors for Becoming a High Reliability Organization: Lean, Six Sigma, Change Leadership and Value-based Purchasing

Critical Success Factors for Becoming a High Reliability Organization: Lean, Six Sigma, Change Leadership and Value-based Purchasing AHA Leadership Summit Critical Success Factors for Becoming a High Reliability Organization: Lean, Six Sigma, Change Leadership and Value-based Purchasing Presented by: Patty Toney, VP/Chief Nurse Executive,

More information

QC Services Pvt. Ltd.

QC Services Pvt. Ltd. Discover the new world of higher Profits! QC Services Pvt. Ltd. Q C Services Announces A 2-day LEAN Workshop @Pune 16 th And 17 th April 2016 10am 6pm near Deccan Gymkhana, Pune Visit www.qcserv.com Email

More information

Using Lean, Six Sigma to Improve Surgical Services James Pearson J.O.P. Consulting

Using Lean, Six Sigma to Improve Surgical Services James Pearson J.O.P. Consulting Using Lean, Six Sigma to Improve Surgical Services James Pearson J.O.P. Consulting How many times have we heard that it s easy to apply Lean and Six Sigma techniques to hospital processes, and specifically

More information

9/15/2017 THROUGHPUT. IT S NOT JUST AN EMERGENCY DEPARTMENT ISSUE LEARNING OBJECTIVES

9/15/2017 THROUGHPUT. IT S NOT JUST AN EMERGENCY DEPARTMENT ISSUE LEARNING OBJECTIVES THROUGHPUT. IT S NOT JUST AN EMERGENCY DEPARTMENT ISSUE D O N N A C R I M M I N S - B O N N E L L, B S N, M H S M, C P H Q, L S S G B LEARNING OBJECTIVES 1) Define who is affected by inefficiency in throughput

More information

8/10/2015. Module 1. A Fundamental Understanding of Quality. Management and its Application to Health Care

8/10/2015. Module 1. A Fundamental Understanding of Quality. Management and its Application to Health Care Module 1 A Fundamental Understanding of Quality Management and its Application to Health Care Addressing Physician Uncertainty about Payment Reform: Skills for Success in Value-Based Delivery Systems The

More information

University of Michigan Health System

University of Michigan Health System University of Michigan Health System Programs and Operations Analysis Analysis of the Discharge Process at Internal Medicine Unit B Department of Internal Medicine Final Report To: Dr. Christopher Kim,

More information

Improving Clinical Flow ECHO Collaborative Change Package

Improving Clinical Flow ECHO Collaborative Change Package Primary Drivers (driver diagram) Change Concepts Change Ideas Examples, Tips, and Resources Engaged Leadership Develop culture for transformation Use walk-arounds and attendance at team meetings to talk

More information

Analysis of Nursing Workload in Primary Care

Analysis of Nursing Workload in Primary Care Analysis of Nursing Workload in Primary Care University of Michigan Health System Final Report Client: Candia B. Laughlin, MS, RN Director of Nursing Ambulatory Care Coordinator: Laura Mittendorf Management

More information

Viral Load Suppression. Lean Six Sigma Green Belt Project Shawntrell Miles Jordan Health

Viral Load Suppression. Lean Six Sigma Green Belt Project Shawntrell Miles Jordan Health 1 Viral Load Suppression Lean Six Sigma Green Belt Project Shawntrell Miles Jordan Health 2 About Jordan Health Federally Qualified Health Center located in Rochester, New York. Accreditation by the Joint

More information

Building a Lean Team. Using Lean Methodology to Develop a Collaborative Rounding Model. April 28 th, 2010

Building a Lean Team. Using Lean Methodology to Develop a Collaborative Rounding Model. April 28 th, 2010 Building a Lean Team Using Lean Methodology to Develop a Collaborative Rounding Model April 28 th, 2010 Faculty APD, Internal Medicine Residency Program Co-Sponsor, LEAN Improvement Team APD, Internal

More information

Application of Lean Manufacturing to Improve the Performance of Health Care Sector in Libya

Application of Lean Manufacturing to Improve the Performance of Health Care Sector in Libya International Journal of Engineering & Technology IJET-IJENS Vol:10 No:06 110 Application of Lean Manufacturing to Improve the Performance of Health Care Sector in Libya Osama M. Erfan Department of industrial

More information

September 2-3, 2013 Chengdu, China

September 2-3, 2013 Chengdu, China Root Cause Investigations and Corrective Actions for GCP Compliance September 2-3, 2013 Chengdu, China Good Clinical Practice (GCP) is a compilation of best practices and quality standards to be applied

More information

A Framework for Quality Improvement

A Framework for Quality Improvement U019 - Integrating QI into the Derm Practice A Framework for Quality Improvement Margo Reeder, MD Assistant Professor Director of Quality Improvement UWSMPH July 30 2016 Quality is increasingly part of

More information

Spectrum Health Medical Group. Academic General Pediatrics Clinic Grand Rapids, Michigan, US. Case Study

Spectrum Health Medical Group. Academic General Pediatrics Clinic Grand Rapids, Michigan, US. Case Study Academic General Pediatrics Clinic Grand Rapids, Michigan, US We exist to improve people s health, so it s natural for us to continually improve the ways we deliver care. Lean is doing that for us. Dennis

More information

Discharge Before Noon DH32

Discharge Before Noon DH32 Discharge Before Noon DH32 Green Belts: Champion: Susan Christensen, RN Eric Belen Hai Tran Alice Issai Date: March 21, 2012 1 DEFINE Problem Statement 1. Baseline data shows only 18% of patient discharges*

More information

Lab Quality Confab Process Improvement Institute. New Orleans, LA. John Waugh 11/3/2015

Lab Quality Confab Process Improvement Institute. New Orleans, LA. John Waugh 11/3/2015 Implementing a Single Quality Management System Across Multiple Hospitals of the Henry Ford Health System: Combining ISO 15189 with Lean to Deliver More Value Lab Quality Confab Process Improvement Institute

More information

3sHealth Supports the Flow of Services to the Patient

3sHealth Supports the Flow of Services to the Patient report Summer 2013 card The seven flows of medicine centred around the flow of the patient. 3sHealth Supports the Flow of Services to the Patient When most people think of patient care in a medical setting,

More information

Annual Meeting and Trade Show

Annual Meeting and Trade Show Annual Meeting and Trade Show April 16-18, 2014 The Arlington Hotel & Spa Hot Springs, Arkansas www.sahpmm.org Affiliate of the ARKANSAS HOSPITAL ASSOCIATION Affiliate Chapter of the Association of Healthcare

More information

UTILIZING LEAN MANAGEMENT PRINCIPLES DURING A MEDITECH 6.1 IMPLEMENTATION

UTILIZING LEAN MANAGEMENT PRINCIPLES DURING A MEDITECH 6.1 IMPLEMENTATION UTILIZING LEAN MANAGEMENT PRINCIPLES DURING A MEDITECH 6.1 IMPLEMENTATION II UTILIZING LEAN MANAGEMENT PRINCIPLES DURING A MEDITECH 6.1 IMPLEMENTATION EXECUTIVE SUMMARY Healthcare may be the only industry

More information

Abstract # Process Improvement in Health Care: Kaizen Approach to Lean in Outpatient Services at KCH. Matt Simko

Abstract # Process Improvement in Health Care: Kaizen Approach to Lean in Outpatient Services at KCH. Matt Simko Abstract # 025-0266 Process Improvement in Health Care: Kaizen Approach to Lean in Outpatient Services at KCH Matt Simko Department of Operations Management and Information Systems Northern Illinois University

More information

Transformational Patient Care Redesign Project

Transformational Patient Care Redesign Project Transformational Patient Care Redesign Project Kaveh Houshmand Azad 1 Summary In 2008 2009, Providence Holy Cross Medical Center, a 340- bed hospital located in Mission Hills, California embarked upon

More information

LEAN PRACTITIONER CERTIFICATION

LEAN PRACTITIONER CERTIFICATION TECHSOLVE S LEAN PRACTITIONER CERTIFICATION Organizations that wish to begin or continue their Lean journey are often interested in certification of their staff members. TechSolve s approach to certification

More information

WHITEPAPER: PERSPECTIVES ON MILITARY HEALTHCARE QUALITY IMPROVEMENT Strategic Collaboration

WHITEPAPER: PERSPECTIVES ON MILITARY HEALTHCARE QUALITY IMPROVEMENT Strategic Collaboration WHITEPAPER: PERSPECTIVES ON MILITARY HEALTHCARE QUALITY IMPROVEMENT Strategic Collaboration LEVERAGING LEAN SIX SIGMA TO HARNESS THE BEST OF VA & MILITARY HEALTHCARE Introduction Continuous Process Improvement

More information

Clinical Program Cost Leadership Improvement

Clinical Program Cost Leadership Improvement Clinical Program Cost Leadership Improvement December 2017 Presbyterian recently developed a rapid-cycle process for integrating sustainable cost and quality improvements within clinical programs. Population

More information

Public Health Needs: Quality of Care and Sustainability an International Overview. Dr. David Jaimovich President

Public Health Needs: Quality of Care and Sustainability an International Overview. Dr. David Jaimovich President Public Health Needs: Quality of Care and Sustainability an International Overview Dr. David Jaimovich President Presentation Outline Present sustainable targeted projects that led to improvement in hospitals

More information

The Quality Journey of

The Quality Journey of The Quality Journey of New Territories West Cluster, Hong Kong Dr. T W Lee Hospital chief Executive Pok Oi Hospital New Territories West Cluster Hong Kong The Sick Hospital Medical treatment improves with

More information

Laguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017

Laguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017 Laguna Honda Lean Transformation Laguna Honda Strategic Performance Management November 2017 Background MAKE IT BETTER 4. 1. Performance Improvement FIX IT Do the work and make it happen 3. Create best

More information

Improving the Safety, Efficiency & Effectiveness of the Medication Administration Process

Improving the Safety, Efficiency & Effectiveness of the Medication Administration Process Improving the Safety, Efficiency & Effectiveness of the Medication Administration Process Northwest Patient Safety Conference May 19, 2011 Joan Ching RN, MN, CPHQ Administrative Director, Hospital Quality

More information

Building a Lean healthcare machine

Building a Lean healthcare machine Building a Lean healthcare machine PULSE Summer 2016 We re using Lean as a cultural transformation. We want to empower every member of our organization, particularly those at the frontlines and the bedside,

More information

Final Report. Karen Keast Director of Clinical Operations. Jacquelynn Lapinski Senior Management Engineer

Final Report. Karen Keast Director of Clinical Operations. Jacquelynn Lapinski Senior Management Engineer Assessment of Room Utilization of the Interventional Radiology Division at the University of Michigan Hospital Final Report University of Michigan Health Systems Karen Keast Director of Clinical Operations

More information

Continuous Value Improvement in Health Care

Continuous Value Improvement in Health Care webinar summary Continuous Value Improvement in Health Care Featuring Kedar Mate Chief Innovation and Education Officer Institute for Healthcare Improvement October 26, 2017 sponsored by webinar summary

More information

Partnerships- Cooperation with other care providers that is guided by open communication, trust, and shared decision-making.

Partnerships- Cooperation with other care providers that is guided by open communication, trust, and shared decision-making. 1 E P 7: Describe and demonstrate the structure(s) and process(es) used to engage internal experts and external consultants to improve care in the practice setting. When Riverside nurses from any level

More information

When a Midwestern hospital saw its surgical services costs soar in a

When a Midwestern hospital saw its surgical services costs soar in a A strategy for gaining control of soaring spinal costs When a Midwestern hospital saw its surgical services costs soar in a national benchmarking study, it started digging and found the reason escalating

More information

Improve Physician Rounding with Comprehensive Medical Unit at OhioHealth Riverside Methodist Hospital

Improve Physician Rounding with Comprehensive Medical Unit at OhioHealth Riverside Methodist Hospital Improve Physician Rounding with Comprehensive Medical Unit at OhioHealth Riverside Methodist Hospital Academy for Excellence in Healthcare IAP C-09 OHRMH Dec. 28, 2016 fisher.osu.edu 1 Improve Physician

More information

About Advocate Good Samaritan Hospital

About Advocate Good Samaritan Hospital Integrating LEAN and Baldrige Pattie Skriba VP, Business Excellence Vikram Patel Director, Operations Improvement About Advocate Good Samaritan Hospital 2 Moving from Good to Great (G2G) Transformation

More information

Decreasing Environmental Services Response Times

Decreasing Environmental Services Response Times Decreasing Environmental Services Response Times Murray J. Côté, Ph.D., Associate Professor, Department of Health Policy & Management, Texas A&M Health Science Center; Zach Robison, M.B.A., Administrative

More information

Standard Work for the Shopfloor Standard Work for Lean Healthcare

Standard Work for the Shopfloor Standard Work for Lean Healthcare Standard Work for Lean Healthcare Lean Tools for Healthcare Series Series Editor: Thomas L. Jackson PubLiSHed 5S for Healthcare Standard Work for Lean Healthcare forthcoming Just-in-Time for Healthcare

More information

National Rural Health Resource Center. Introduction to Lean Thinking February 27, Presented by: John L. Roberts, MA Lean Healthcare Black Belt

National Rural Health Resource Center. Introduction to Lean Thinking February 27, Presented by: John L. Roberts, MA Lean Healthcare Black Belt National Rural Health Resource Center Introduction to Lean Thinking February 27, 2015 Presented by: John L. Roberts, MA Lean Healthcare Black Belt Today s Agenda Introduction into Lean Thinking The Challenge

More information

Total Quality Management (TQM)

Total Quality Management (TQM) Total Quality Management (TQM) Total Quality Management (TQM) is a philosophy that says that uniform commitment to quality in all areas of an organization promotes an organizational culture that meets

More information

Program Evaluation. Kenneth M. Portier, PhD. Director of Statistics American Cancer Society NHO Statistics & Evaluation Center (SEC)

Program Evaluation. Kenneth M. Portier, PhD. Director of Statistics American Cancer Society NHO Statistics & Evaluation Center (SEC) Program Evaluation A 30,000 View Kenneth M. Portier, PhD. Director of Statistics American Cancer Society NHO Statistics & Evaluation Center (SEC) Who Invited the Statistician? 2 Program Evaluation is.

More information

Engaging Frontline Staff in Real-Time Improvement

Engaging Frontline Staff in Real-Time Improvement Engaging Frontline Staff in Real-Time Improvement Sharon Mann and Jennifer Phillips Session Code C6 These presenters have nothing to disclose Institute for Healthcare Improvement December 2013 2012 2013

More information

Lean Method, a Solution to Problem in Hospital

Lean Method, a Solution to Problem in Hospital Lean Method, a Solution to Problem in Hospital Sfandyarifard, E. The University of Salford, UK (email: e.sfandyarifard@pgr.salford.ac.uk) Abstract It is becoming increasingly difficult to ignore the importance

More information

International Team Excellence Award Process Submission Requirements

International Team Excellence Award Process   Submission Requirements International Team Excellence Award Process http://asq.org/team-excellence/index.aspx Submission Requirements April 2017 International Team Excellence Award Process Recognizing and celebrating high performance

More information

A QUEUING-BASE STATISTICAL APPROXIMATION OF HOSPITAL EMERGENCY DEPARTMENT BOARDING

A QUEUING-BASE STATISTICAL APPROXIMATION OF HOSPITAL EMERGENCY DEPARTMENT BOARDING A QUEUING-ASE STATISTICAL APPROXIMATION OF HOSPITAL EMERGENCY DEPARTMENT OARDING James R. royles a Jeffery K. Cochran b a RAND Corporation, Santa Monica, CA 90401, james_broyles@rand.org b Department of

More information

AMRDEC. Core Technical Competencies (CTC)

AMRDEC. Core Technical Competencies (CTC) AMRDEC Core Technical Competencies (CTC) AMRDEC PAMPHLET 10-01 15 May 2015 The Aviation and Missile Research Development and Engineering Center The U. S. Army Aviation and Missile Research Development

More information

Performance Improvement: Why Physicians Must Lead in a Value-Driven Health Care System

Performance Improvement: Why Physicians Must Lead in a Value-Driven Health Care System Performance Improvement: Why Physicians Must Lead in a Value-Driven Health Care System Byron C. Scott, MD, MBA Deputy Chief Health Officer Simpler Consulting, IBM Watson Health American Hospital Association

More information

Enterprise Continuous Improvement - Lean Improving organizational performance in Minnesota state government

Enterprise Continuous Improvement - Lean Improving organizational performance in Minnesota state government Enterprise Continuous Improvement - Lean Improving organizational performance in Minnesota state government Commission on Service Innovation Sheila Reger, Commissioner of Administration September 16, 2010

More information

Lean Enterprise Transformation: Ogden ALC Case Study

Lean Enterprise Transformation: Ogden ALC Case Study Lean Enterprise Transformation: Ogden ALC Case Study Tim Christopherson Raytheon Missile Systems Alexis Stanke Massachusetts Institute of Technology Overview Developing a strategy for enterprise transformation

More information

ResearcH JournaL 2012 / VOL

ResearcH JournaL 2012 / VOL ResearcH JournaL 2012 / VOL 04.02 www.perkinswill.com The Impact of an Operational Process on Space 05. THE IMPACT OF AN OPERATIONAL PROCESS ON SPACE: Improving the Efficiency of Patient Wait Times Amanda

More information

Let My Patients Flow! Patient Flow Summit 2015

Let My Patients Flow! Patient Flow Summit 2015 Let My Patients Flow! Patient Flow Summit 2015 1 Agenda Background Approach Process Improvement Teams Simulation Model Results Q&A 2 Robert Wood Johnson University Hospital 965-bed Academic Medical Center

More information

University of Michigan Health System. Program and Operations Analysis. CSR Staffing Process. Final Report

University of Michigan Health System. Program and Operations Analysis. CSR Staffing Process. Final Report University of Michigan Health System Program and Operations Analysis CSR Staffing Process Final Report To: Jean Shlafer, Director, Central Staffing Resources, Admissions Bed Coordination Center Amanda

More information

Reshoring Initiative Data Report: Reshoring and FDI Boost US Manufacturing in Introduction. Data Chart Index. Categories.

Reshoring Initiative Data Report: Reshoring and FDI Boost US Manufacturing in Introduction. Data Chart Index. Categories. Blog Post Categories General Reshore Now Comments (0) March 28, 2016 Reshoring Initiative Data Report: Reshoring and FDI Boost US Manufacturing in 2015 Introduction This report contains data on trends

More information

Lean in Healthcare: Applying Value Stream Mapping and Lean in the Accident & Emergency Unit at G.F. Jooste Hospital. A Research Report Presented to

Lean in Healthcare: Applying Value Stream Mapping and Lean in the Accident & Emergency Unit at G.F. Jooste Hospital. A Research Report Presented to Lean in Healthcare: Applying Value Stream Mapping and Lean in the Accident & Emergency Unit at G.F. Jooste Hospital A Research Report Presented to The Graduate School of Business University of Cape Town

More information

Laboratory Turnaround Times in Emergency Departments. Eliminating wasteful steps and bottlenecks with Lean Six Sigma

Laboratory Turnaround Times in Emergency Departments. Eliminating wasteful steps and bottlenecks with Lean Six Sigma Laboratory Turnaround Times in Emergency Departments Eliminating wasteful steps and bottlenecks with Lean Six Sigma Walk into the Emergency Department (ED) of your community or university hospital during

More information

Health Management Information Systems: Computerized Provider Order Entry

Health Management Information Systems: Computerized Provider Order Entry Health Management Information Systems: Computerized Provider Order Entry Lecture 2 Audio Transcript Slide 1 Welcome to Health Management Information Systems: Computerized Provider Order Entry. The component,

More information

University of Michigan Health System. Analysis of the Central Intake Process at University of Michigan Home Care Services

University of Michigan Health System. Analysis of the Central Intake Process at University of Michigan Home Care Services University of Michigan Health System Program and Operations Analysis Analysis of the Central Intake Process at University of Michigan Home Care Services Final Report To: Kenneth Bandy, Director, Home Care

More information

Envisioning Program-Adaptable Care Facilities TM : The CareCyte Endeavor. 5 November 2007

Envisioning Program-Adaptable Care Facilities TM : The CareCyte Endeavor. 5 November 2007 Envisioning Program-Adaptable Care Facilities TM : The CareCyte Endeavor 5 November 2007 Our Mission: SSF Creates & Nurtures Social Networks of Experts to solve major challenges in science and medicine

More information

Eliminating Common PACU Delays

Eliminating Common PACU Delays Eliminating Common PACU Delays Jamie Jenkins, MBA A B S T R A C T This article discusses how one hospital identified patient flow delays in its PACU. By using lean methods focused on eliminating waste,

More information

Surgical Instrumentation: Eliminating Chaos. The Complex Process of Surgical Instrument Maintenance and Improving the Healthcare Environment

Surgical Instrumentation: Eliminating Chaos. The Complex Process of Surgical Instrument Maintenance and Improving the Healthcare Environment Surgical Instrumentation: Eliminating Chaos The Complex Process of Surgical Instrument Maintenance and Improving the Healthcare Environment 1 Knowledge of Surgical Instrument Procedures Individuals considering

More information

Advanced SPC for Healthcare. Introductions

Advanced SPC for Healthcare. Introductions Advanced SPC for Healthcare December 5, 20 Brent James, MD, Intermountain Healthcare James Benneyan, PhD, Northeastern University Victoria Jordan, PhD, UT MD Anderson Cancer Center Introductions Who are

More information

External retrospective Validation of BIG criteria. An example of PDSA for Neurotrauma patients.

External retrospective Validation of BIG criteria. An example of PDSA for Neurotrauma patients. External retrospective Validation of BIG criteria. An example of PDSA for Neurotrauma patients. Ahmed M. Raslan, MD Assistant Professor in Neurological Surgery Neuroscience quality medical director Oregon

More information

Preventing Medical Errors : A Call to Action. Definitions of Quality. Quality of Care. Objectives. Background of the Quality Movement

Preventing Medical Errors : A Call to Action. Definitions of Quality. Quality of Care. Objectives. Background of the Quality Movement Quality Assessment, Quality Assurance and Quality Improvement in Dentistry November 18, 2003 With thanks to Drs. Georgina Zabos and James Crall Objectives Become familiar with the social, economic and

More information

LEAN Community Care Coordination

LEAN Community Care Coordination LEAN Community Care Coordination May 2013 to December 2013 Waterloo Wellington CCAC Lynda van Dreumel, Project Manager Dana Khan, Director Client Services Patricia DiRuzza, Manager Client Services Why

More information

Lean Lives in Adaptive Settings

Lean Lives in Adaptive Settings Key Insights Originally developed for manufacturers, lean methodologies can reduce waste in healthcare. Because change is inherent to continuous improvement, physical environments that are adaptive support

More information

Healthcare Finance Management Association: Continuous Improvement Foundations

Healthcare Finance Management Association: Continuous Improvement Foundations Like us on Facebook and enjoy some helpful downloads and connections Continuous Improvement Solutions, LLC 8801 Bethnal Rd., Bella Vista, AR 72714 479.685.8380 cisolutionsllp@gmail.com Chad Smith: Trainer,

More information

THE CASE FOR WHOLESALE OUTSOURCING

THE CASE FOR WHOLESALE OUTSOURCING WHITE PAPER THE CASE FOR WHOLESALE OUTSOURCING BUSINESS MODEL DETAILS WHY MOST BANKS SHOULD LOOK FOR ALTERNATIVES TO IN-HOUSE LOCKBOX 2014 WAUSAU FINANCIAL SYSTEMS, INC. All Rights Reserved. All other

More information

The Pathway to Professional Engineering Licensure Dispelling the Myths in Becoming a Professional Engineer! A Panel Discussion

The Pathway to Professional Engineering Licensure Dispelling the Myths in Becoming a Professional Engineer! A Panel Discussion The Pathway to Professional Engineering Licensure Dispelling the Myths in Becoming a Professional Engineer! A Panel Discussion Mike Graul, PhD, P.E. Knowledge Based Systems Inc. Joe Michels, PhD, P.E.,

More information