Download or read book A Guide to Lean Healthcare Workflows written by Jerry Green and published by IBM Redbooks. This book was released on 2016-10-11 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is Lean a fit for your healthcare organization? Various methodologies can be used to help organizations achieve their objectives depending on their criteria: lowest risk of failure, fast to resolution, or lowest cost for deployment. But what every organization should consider is which methodology will have the greatest impact. Lean, a systematic approach to understanding and optimizing processes, may be the fit for your organization. Learn more in this new IBM® RedpaperTM publication, A Guide to Lean Healthcare Workflows, by Jerry Green and Amy Valentini of Phytel (An IBM Company). The paper delves into the five steps of Lean: Define value from the patient's perspective Map the value stream, and identify issues and constraints Remove waste, and make the value flow without interruption Implement the solution, and allow patients to pull value Maintain the gain, and pursue perfection It describes each step in-depth and includes techniques, example worksheets, and materials that can be used during the overall analysis and implementation process. And it provides insights that are derived from the real-world experience of the authors. This paper is intended to serve as a guide for readers during a process-improvement project and is not necessarily intended to be read end-to-end in one sitting. It is written primarily for clinical practitioners to use as a step-by-step guide to lean out clinical workflows without having to rely on complex statistical hypothesis-testing tools. This guide can also be used by clinical or nonclinical practitioners in non-patient-centered workflows. The steps are based on a universal Lean language that uses industry-standard terms and techniques and, therefore, can be applied to almost any process.

Download or read book The Lean Healthcare Handbook written by Thomas Pyzdek and published by Springer Nature. This book was released on 2021-04-28 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book shows readers exactly how to use Lean tools to design healthcare work that is smooth, efficient, error free and focused on patients and patient outcomes. It includes in-depth discussions of every important Lean tool, including value stream maps, takt time, spaghetti diagrams, workcell design, 5S, SMED, A3, Kanban, Kaizen and many more, all presented in the context of healthcare. For example, the book explains the importance of quick operating room or exam room changeovers and shows the reader specific methods for drastically reducing changeover time. Readers will learn to create healthcare value streams where workflows are based on the pull of customer/patient demand. The book also presents a variety of ways to continue improving after initial Lean successes. Methods for finding the root causes of problems and implementing effective solutions are described and demonstrated. The approach taught here is based on the Toyota Production System, which has been adopted worldwide by healthcare organizations for use in clinical, non-clinical and administrative areas.

Download or read book A Lean Guide to Transforming Healthcare written by Tom Zidel and published by Quality Press. This book was released on 2006-04-14 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an implementation manual for lean tools and principles in a healthcare environment. Lean is a growth strategy, a survival strategy, and an improvement strategy. The goal of lean is, first and foremost, to provide value to the patient/customer, and in so doing eliminate the delays, overcrowding, and frustration associated with the existing care delivery system. Lean creates a better working environment where what is supposed to happen does happen. On time, every time. It allows clinicians to spend more of their time caring for patients and improves the quality of care these patients receive. A lean organization values its employees and encourages their involvement in organizational initiatives which, in turn, sustains hospital-wide quality improvements. The opportunities for lean in healthcare are limitless. This is not a book to be read and forgotten, nor is it meant to sit on a book shelf as another addition to an impressive but underutilized collection of how-to books. As the name implies, it is a guide; a companion to be referenced again and again as the organization moves forward with its lean transformation. "This is a well-researched, well-written work by an individual who understands the current healthcare environment. It provides a practical and sound understanding of the concepts and application for Lean and Six Sigma." James R. Bente Vice President, Quality & Organizational Development Memorial Health System "Healthcare quality professionals in the U.S. and abroad could benefit from the content of this book...Comprehensive discussion of lean and its relevance to healthcare, excellent description of techniques and tools, and excellent examples and figures." Luc R. Pelletier, MSN APRN BC FNAHQ FAAN Editor in Chief Journal for Healthcare Quality COMMENTS FROM OTHER CUSTOMERS Average Customer Rating (4.5 of 5 based on 4 reviews) "This book is easy to read and demystifies the complex world of Lean by clearly explaining what Lean is, what it does, and the tools used; all in the context of healthcare. Because examples illustrate the benefit of Lean not just to the healthcare industry, but to us as patients, the business case is especially compelling. Instructions address technical challenges and draw from best practices in change management. The guide provides a road map for implementation and seasoned insights that leave one trusting that Lean is very doable, and a necessity." A reader in Seattle, Washington "I thoroughly enjoyed this book as it provides concrete and detailed examples of Lean principles applied to a healthcare environment. I myself am new to healthcare and am overwhelmed at the wealth of opportunities for improvement. I plan on using some lean principles to demonstrate that improvements don't have to be complex or costly to achieve results" A reader in Montreal, Quebec "This is an excellent resource. I consider it 'required reading' for all that are new to Lean / Process Improvement. In my role, I facilitate 5-10 concurrent process improvement projects. This book has been invaluable as a teaching tool. I've asked each project leader to buy, read and study this book. All have commented that it has an easy read, helped them to understand the Lean concepts, and quickly implement the tools. As a group, we're better able to speak the same language and have a common understanding of the tools.brI highly recommended this book. I would also recommend the website (www.leanhospitals.org), wh..." A reader in Wausau, Wisconsin

Download or read book The New Lean Healthcare Pocket Guide written by Debra Hadfield and published by . This book was released on 2009-01-01 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Lean Healthcare Pocket Guide - Tools for the Elimination of Waste in Hospitals, Clinics and Other Healthcare Facilities is the collection of input from healthcare professionals and Lean sensei. It provides easy-to-use and easy-to-understand tools, methods, and concepts based on the world-class Toyota Motor Company. These practices are commonly referred to as Lean. The tools of value stream mapping, takt time, pitch, standard work, visual controls, predictable output, Six Sigma, goals and outcomes, etc. are all clearly explained in relationship to the healthcare environment. Numerous tools and concepts contain case studies to further assist staff in their deployment of continuous improvement methodologies. The Lean Healthcare Pocket Guide is a powerful toolkit that was designed for all staff in a facility. This book will assist any healthcare facility in enabling them into a Lean environment where the focus is on both driving strategic change and meeting operational goals.

Download or read book The Lean Healthcare Dictionary written by Rona Consulting Group and published by CRC Press. This book was released on 2017-07-27 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today's healthcare economy, with reduced reimbursement and closer scrutiny of quality patient care, the concepts and terminology of Lean management are becoming invaluable to nurses, clinicians, administrators, and other healthcare staff involved in improvement. Conversely, a basic grasp of common healthcare terms is essential for process improvement specialists who aren't necessary fluent in healthcare terminology. The Lean Healthcare Dictionary: An Illustrated Guide to Using the Language of Lean Management in Healthcare is designed to bridge the gap between Lean practitioners and healthcare professionals. This comprehensive dictionary defines essential Lean and healthcare terms to help create a common language for anyone involved in Lean healthcare improvement activities. Providing quick reference to the language of Lean management in healthcare, the dictionary includes diagrams and charts that illustrate concepts and aid in understanding. Each entry in Part I provides a succinct description of a Lean term as used in a healthcare setting. Healthcare terms and acronyms that commonly arise in the course of Lean transformations are defined in Part II. The content of this dictionary is firmly rooted in the hands-on experience of Rona Consulting Group, whose principals have designed and led ground-breaking applications of Lean management in emergency rooms, operating rooms, labs, hospitals, and major medical centers

Download or read book Lean Doctors written by Aneesh Suneja and published by Quality Press. This book was released on 2010-01-27 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foreword by Michael F. Gutzeit, M.D., Chief Medical Officer and Vice President of Quality, Children's Hospital of Wisconsin This practical, how-to book clearly and succinctly takes the reader through six proven “success steps” for implementing lean in any healthcare environment: 1. Create physician flowbr 2. Support physician value-added timebr 3. Visually communicate patient statusbr 4. Standardize everyone’s workbr 5. Lay out the clinic for minimal motionbr 6. Change the care delivery model Why go through such a transformation? Because it works. Tell a doctor that he can see the same number of patients, offering the same high quality and personal care, and have an extra 90 minutes at the end of his clinic day – and that means something. Tell the staff that they can look forward to actually ending on time, with satisfied patients, no backlog, and having focused their attention completely on quality patient care – and they will listen. These Lean principles and success steps work in clinics ranging from orthopedics to neurology to cardiac care—the specialty doesn’t matter. They work in small practices and large hospital settings. Lean methodology provides the tools to address the frustrations patients and doctors alike experience in the clinic process. Included throughout the book is a case study showing the lean transformation undertaken at the Orthopedic Center at Children’s Hospital of Wisconsin, with numerous quotes and insights from those actually involved. This transformation resulted in patient wait times being reduced by more than 70 percent, the clinic being able to see 25 percent more patients in less space, patient satisfaction scores sometimes reaching 100 percent, and staff satisfaction scores improving by more than 25 percent.

Download or read book The Lean Electronic Health Record written by Ronald G. Bercaw and published by Taylor & Francis. This book was released on 2017-12-15 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Electronic Health Record (EHR) is a reflection of the way your organization conducts business. If you’re looking to make lasting improvements in the delivery of care, you must start with looking at the system from your patient’s perspective to understand what is of value and what is simply waste. When you begin seeing in this way, you’ll begin building in this way. When you begin building in this way, you’ll begin driving improvements in your care delivery. Only then will your EHR be able to support lasting improvements, driving better patient care and outcomes at lower costs. Healthcare organizations are under increasing pressure to improve on all fronts. This can be achieved, but only by changing the very way we look at care. No longer can we look at care just from the organization or provider’s perspective; we must start with the end in mind – the patient. Compelling case studies, discussed throughout this book, demonstrate that modifying processes and workflows using Lean methodologies lead to substantial improvements. These changes must be undertaken in a clear, consistent, and methodical manner. When implementing an EHR based on existing workflows and sometimes antiquated processes, organizations struggle to sustain improvements. Many organizations have deployed an EHR and now face optimization challenges, including the decision to move to a new EHR vendor. The financial implications of upgrading, optimizing or replacing an EHR system are significant and laden with risk. Choose the wrong vendor, the wrong system, or the wrong approach and you may struggle under the weight of that decision for decades. Organizations that successfully leverage the convergence of needs – patients demanding better care, providers needing more efficient workflows and organizations desiring better financials – will survive and thrive. This book ties together current healthcare challenges with proven Lean methodologies to provide a clear, concise roadmap to help organizations drive real improvements in the selection, implementation, and on-going management of their EHR systems. Improving patient care, improving the provider experience and reducing organizational costs are the next frontier in the use of EHRs and this book provides a roadmap to that desired future state.

Download or read book Lean Healthcare written by Dennis R. Delisle and published by Quality Press. This book was released on 2020-12-01 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lean healthcare is not about being better, but rather becoming the best at getting better. Today's challenge in the healthcare environment is your ability to improve at a greater rate than surrounding competitors. This book focuses on the model, strategy, and lessons learned in implementing lean thinking in a practical way. Using real-world case studies, the book provides approaches and tools to facilitate rapid improvements, along with a bonus section on pandemic preparedness. By following this accessible, user-friendly guide, you can achieve meaningful results right away. Dr. Dennis R. Delisle currently serves as the Executive Director for The Ohio State University Wexner Medical Center's flagship University Hospital. Through the Thomas Jefferson University College of Population Health, Dennis founded and oversees the Master of Science degree program in Operational Excellence, one of the first of its kind in the nation. He is the author of two books about streamlining and transforming healthcare.

Download or read book The Lean Healthcare Handbook written by Thomas Pyzdek and published by . This book was released on 2017-11-18 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unlike other books on Lean Healthcare, The Lean Healthcare Handbook goes beyond merely describing tools, it shows you exactly how to USE these tools to design healthcare work that is smooth, efficient, error-free and focused on patients and patient outcomes. It includes in-depth discussions of every important Lean tool, including value stream maps, takt time, spaghetti diagrams, workcell design, 5S, SMED, A3, Kanban, Kaizen and many more, all presented in the context of healthcare. For example, the book explains the importance of quick changeovers (for example, operating room or exam room changeovers) and shows you specific methods for drastically reducing changeover time. You will learn to create healthcare value streams where work flows based on the pull of customer/patient demand. You will also learn a variety of ways to continue improving after your initial Lean successes. Methods for finding the root causes of problems and implementing effective solutions are described and demonstrated.The approach taught here is based on the the Toyota Production System, which has been adopted worldwide by healthcare organizations in clinical, non-clinical and administrative areas. The topics covered in this book are also taught in online training courses at www.pyzdekinstitute.com, where you can earn certification and recognition of your skills from an acclaimed and accredited training organization, The Pyzdek Institute.Thomas Pyzdek worked with Dr. W. Edwards Deming in the 1980s and 1990s to help spread the word about a new and better way to run organizations. This book is the latest contribution to this ongoing mission.

Download or read book Lean Healthcare in Action written by Sarah Cottington and published by Hcpro, a Division of Simplify Compliance. This book was released on 2010-07-22 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lean Healthcare in Action: A Practical Guide to Streamlining Processes Sarah Cottington, BS, RHIT , CPHQ; Shawna Forst, BA Streamline your processes with Lean Implement Lean principles to create better, more streamlined processes, and save money and time at your facility. Two Lean healthcare experts share case studies of how these processes made an impact at their organization. Even the most financially strapped hospitals will discover effective strategies to improve project efficiency, enforce accountability, and maximize the potential of every individual in the organization. This resource will help you: Identify ways to make smaller projects more efficient, allowing more time to address larger issues Streamline processes by training staff on the basic Lean concepts Illustrate to management the usefulness of the Lean framework in a healthcare setting Apply Lean principles to areas that require immediate attention in your facility, such as admissions Take a look at the Table of Contents Introduction: Why Lean Is Something That Any Healthcare Organization Can Utilize Chapter 1: First Step: Building a Quality Foundation Management's Role Engaging Employees in Continuous Improvement Attributes of "Lean" Leadership Prioritization of Lean Projects Chapter 2: Lean Basics History Key Principles What It Is How to Do It Role of Data Collection What It Is How to Do It A3 Sequence and Checklist A3 Symbols 5S Defined How to Propose a 5S Project 5S Project Checklist Sustainment: Auditing a 5S Project Job Instruction Training Job Methods Training Job Relations Training History Key Principles Handoff Communication at Shift Change Medication Overcharge Data Center Overheated Utilization Review Worksheet Completion Laboratory Lean Project Physician Clinic Return One Call Lean Project Drug Screening for Employee Candidates Facility On-Call Schedule Lost Charges A3 Keys to Successfully Creating a Culture of Safety Barriers to Doing So Leadership Support Chapter 3: Value Stream Mapping Chapter 4: A3 Report Chapter 5: 5S Chapter 6: Training Within Industry Chapter 7: Six Sigma Basics Chapter 8: Case Studies of Lean Healthcare in Action Chapter 9: Next Step: Building a Safety Culture

Download or read book Value Stream Mapping for Healthcare Made Easy written by Cindy Jimmerson and published by CRC Press. This book was released on 2017-07-26 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: In no industry is the concept of quality more essential than it is in healthcare, which is why the lean quality principles learned through the example of the Toyota Production System are so applicable. Two fundamental principles of Toyota‘s push for excellence are especially relevant to healthcare: ensuring quality at every step and keeping improve

Download or read book Just in Time for Healthcare written by Thomas L. Jackson and published by CRC Press. This book was released on 2017-03-27 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: The change from traditional ways of producing and managing healthcare services to a just-in-time approach requires a new understanding about what adds value for the patient or customer, and what does not. Just-in-Time for Healthcare is intended to share powerful knowledge that will help you participate effectively in the change to just-in-time. Part of the Lean Tools for Healthcare series, this user-friendly book is designed to improve understanding of the just-in-time (JIT) system that is fundamental to providing lean healthcare services and eliminating waste from healthcare processes. The book covers why JIT is important for healthcare by explaining how it enables a healthcare organization to efficiently and reliably produce the quality services its patients require—when they need them, where they need them, and in the amount they need. This book also - Addresses the basic concepts of just-in-time in healthcare, including flow, pull, and kanban systems Describes the principles and benefits of process flow layouts versus operations-based layouts Reviews the importance of standard work as the foundation for continuous improvement Outlines support techniques for just-in-time such as 5S, visual management techniques, quick setup, mistake proofing, and the essential concepts of lean management Includes real-world healthcare examples. Presented in practical terms, this fundamental book shows how lean principles and tools connect in a just-in-time system. It is ideally suited for both individual and group learning.

Download or read book Lean Healthcare Systems Engineering for Clinical Environments written by Bohdan Oppenheim and published by CRC Press. This book was released on 2021-05-24 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: It has been almost 20 years since the Institute of Medicine released the seminal report titled, Crossing the Quality Chasm. In it, the IoM identified six domains of care quality (safe, timely, effective, efficient, equitable, and patient-centric) and noted a huge gap between the current state and the desired state. Although this report received a great deal of attention, sadly there has been little progress in these areas. In the U.S., healthcare still has huge disparities, is inefficient, and is fragmented with delays in care that are often unsafe. Most U.S. citizens are expected to suffer from a diagnostic error sometime during their lifetime, not receive a large fraction of recommended care, and pay for one of the most expensive systems in the world. Much has been written about quality improvement over the years but many prominent quality and safety experts. Yet progress has been slow. Some have called on the healthcare professions to look outside of healthcare to other industries using examples in nuclear power and airlines for safety, the hotel and entertainment industry for a ‘customer’ focus, and the automotive industry, particularly Toyota for efficiency (Lean). This book by Dr. Oppenheim on lean healthcare systems engineering (LHSE) is a fresh approach that brings forth concepts that systems engineers have used in huge national defense projects. What’s unique in this book is that these powerful system engineering tools are modified to be able to address smaller sized healthcare problems that still involve similar problems in fragmentation and poor communication and coordination. This book is an invaluable reference for a new powerful process named Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in all clinical environments. The book applies to ambulatory clinics and hospitals of all types including operating rooms, emergency departments, and ancillary departments, clinical and imaging laboratories, pharmacies, and population health. The book presents a generic rigorous but not mathematical step-by-step process of integrated healthcare, systems engineering and Lean. The book also contains the first major product created with the LHSE process, namely tabularized summaries of representative projects in healthcare delivery applications, called Lean Enablers for Healthcare Projects. Each full-page enabler table lists the challenges and wastes, powerful improvement goals, risks, and expected benefits, and some useful descriptions of the healthcare system of interest. The book provides user-friendly solutions to major problems in healthcare delivery operations in all clinical environments, addressing fragmentation, wastes, wrong incentives, ad-hoc and stove-piped management, lack of optimized processes, hierarchy gradient, lack of systems thinking, “blaming and shaming culture”, burnout of providers and many others.

Download or read book Executing Lean Improvements written by Dennis R. Delisle and published by Quality Press. This book was released on 2015-04-20 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book you will find the following: A structured approach to executing lean improvements Relevant real-world case studies Examples of tools and templates along with downloadable files Hints, tips, and lessons learned Chapter challenges aimed at giving the reader assignments to apply key concepts and tools in the work setting The primary audience for this book is individuals responsible for improvement in healthcare settings, such as lean practitioners, Six Sigma belts, quality improvement specialists, and project managers. Additional health professionals will benefit from the practical application and guidance. Positions include frontline managers and supervisors, improvement teams, professors teaching quality improvement and/or operations management, healthcare professionals responsible for performance improvement, and students in all related health professions (clinical and administrative). The book promotes practical application. Readers are equipped with the skills to implement lean concepts and tools within their work setting. Additionally, the book provides insight and strategies for avoiding failure and developing buy-in.

Download or read book The Field Guide to Rapid Process Improvement Workshops in Healthcare written by Cameron Stark and published by CRC Press. This book was released on 2023-10-11 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book takes the reader through the process to plan, deliver, and follow-up a weeklong Lean Quality Improvement event, usually termed a ‘Rapid Improvement Event’ or ‘Rapid Process Improvement Workshop (RPIW).’ Drawing on the experience of conducting over 100 of these workshops, the book gives readers the information to plan and run their own event. It describes how RPIWs fit in to wider improvement processes and how the reader can maximize these processes in their own organization. These weeklong improvement events are popular in health and social care, but there are no textbooks available to support them. There are several books that describe the use of shorter Kaizen events in health care, but none that describe the process of delivering weeklong events. The events have a rhythm specific to the one-week format, and the book seeks to help people to make use of best practice and to avoid common problems. Based on the experiences of the authors, this book includes an introduction to Lean concepts linked to the relevant part of the process description; examples and templates of forms that can be used in workshops; and photographs of actual events.

Download or read book Process Redesign for Health Care Using Lean Thinking written by David I. Ben-Tovim and published by CRC Press. This book was released on 2017-03-16 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Process Redesign for Health Care Using Lean Thinking is a response to a simple, but hard to answer, question and is the result of the experiences of a working doctor who was also the chief safety and quality officer of an Australian teaching hospital. At this hospital, he observed that the Emergency Department was staff by talented, well-trained, and respected doctors and nurses. The facilities were modern, and the work load unexceptional, but the department was close to melt down. Bad things were happening to patients, everyone was blaming each other, lots of things had been tried but nothing was getting better and no one could explain why. The problem was not a lack of technical knowledge or expertise, the problem was that no one stood back and said, "what’s the best way to move 200 or 300 patients a day through the complicated and varying, sequence of steps needed to sort out the many different problems that bring patients to our department?" These challenges are faced by hospitals and health services all over the world. There are difficulties with patient flow, congestion, queues, inefficient utilization of resources, problems engaging clinical staff in improvement programs, adverse incidents, and budget constraints. Lean thinking and value stream analysis gives hospitals and health services struggling with these issues the insights they need to help themselves. This book provides a method that systematically turns those insights into working programs of service and system redesign. The book is divided into two sections. The first section gives the background to the approach, and systematically works through the Process Redesign methodology, step-by-step. The second section is a series of case studies that show the methodology in action, what worked and what didn’t work. The goal of any process redesign is simple: the right care, for the right person, at the right time, in the right place, and right the first time. This book helps the people who work in hospitals and health services realize these goals by working together.

Download or read book The Hospital and Clinic Improvement Handbook written by Boaz Ronen and published by Oxford University Press. This book was released on 2018 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential healthcare guide to doing more with existing resources The Hospital and Clinic Improvement Handbook is a practical guide to how operations management -- in particular Lean and the Theory of Constraints (TOC) -- can rapidly advance value and performance in any healthcare organization. Utilizing a systems approach that will be relevant for healthcare managers and executives, it unpacks and demystifies concepts such as performance measures, operations, quality, cost accounting, pricing, and value enhancement, all as they relate to eliminating waste and non-value-adding activities.