Lean Healthcare Deployment and Sustainability Ch 16 Rapid

Lean Healthcare Deployment and Sustainability Ch. 16 - Rapid Improvement Events Alesia Ginn 4/18/2016 ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016

RIE, In a Nutshell… Purpose: Problem identification, root cause analysis, new process design and implementation q Who: cross-functional team q Significant outcomes: 50 -75% implementation of new design by the end of the week, 100% within 30 days q Also known as kaizen events or kaizen blitzes q ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 2

RIE Objectives Continuous flow q Standard work q Error proofing q Quick changeover q Visual management q ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 3

1. Develop Team Charter Make sure all areas (i. e. roles, responsibilities, tasks and notifications to those impacted the process) are established! q Work on quad chart q 1. 2. 3. 4. Project description Key improvements and accomplishments Healing pathway metrics Process tracking metrics ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 4

Sample ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 5

Quad Chart Sample I. Project Description: Expected Outcome: Executive Sponsor: Team Leader: II. Key Improvements and Accomplishments: III. Healing Pathway Metrics/ Benefits IV: Process Tracking Metrics Baseline Future Current ISE 428 ETM 591 KLH Lean Healthcare Overview Metrics Current Future Spring 2014 By When Slide 6

2. Training q q q q Review charter Review quad chart Overview of a healing pathway analysis Current and future state mapping Continuous flow Lean metrics Team dynamics Team decision-making http: //www. timewisems. com/lean_manufacturing_le 201. html ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 7

3. Study and Implementation Help the team identify and understand impediments to healing, wastes and other obstacles that disrupt workflow. q Prioritize what can be accomplished in a short time. q Implement changes required to achieve future state. q ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 8

4. Develop RIE Newspaper ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 9

5. Evaluation and Follow-up Use rapid improvement event newspaper as a tool to check the progress of the actions to be completed q Use the quad chart to update process metrics and determine whether the event is meeting its objectives q Eliminate barriers q Document efforts in a report or “QI story” presentation q ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 10

GLOSSARY Healing Pathway Analysis(HPA) (page 10) A structured and facilitated event during which a crossfunctional team progresses methodically through a series of interactive and evaluative steps aimed at eliminating waste, eliminating impediments to healing and improving the flow of patients through the healing pathway. Quick Changeover (page 182) Method of reducing materials, skilled resources and time needed for equipment setup to implement a one-piece flow in a cost effective manner. Rapid Improvement Event (RIE) (page 210) A facilitated, structured, team-based event aimed at further refining and actually implementing improvements to portions of a value stream. Rapid Improvement Newspaper (page 162 -163) A tracking tool used to ensure completion of actions identified during an RIE that cannot be completed during the actual event. ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 11

References / Contact Information Dean, M. L. (2013). Lean Healthcare Deployment and Sustainability. Pages 155 -164. New York, NY: Mc. Graw Hill. http: //www. leadlimited. co. uk/casestudies/casestudy_GKN. php ISE 428 ETM 528 AKG Lean Healthcare Overview Spring 2016 Slide 12