LEAN SCORE Report SSelect PROBLEM STATEMENT A problem
LEAN SCORE Report S-Select PROBLEM STATEMENT: A problem statement has the form: WHAT is wrong WHERE it happened WHEN it occurred TO WHAT EXTENT I KNOW THAT BECAUSE… R-Run List of improvements to be trialed. May include pictures of developed schedules, forms, etc to be trialed. Proposed Future State Process Map to be trialed. EVENT OBJECTIVE: Define what metrics will be used to measure success. Hat specific outcome is desired. TEAM MEMBERSHIP: Select 4 -8 frontline/interdisciplinary team members C-Clarify Validate the extent of the problem: • Interview staff/illicit feedback • Watch work (Go & See) • Root cause analysis- used to identify and prioritize all possible causes for the problem. Keep asking “why? ” • Ask the 5 Why’s • Gather pertinent data: may include value stream amp, process map, pareto graph, spaghetti diagram, flow chart, layout diagram. E-Evaluate Event objectives achieved through: Future work includes: describe how you will sustain the process. i. e. audit schedule, monthly data evaluation, etc. Include data and graphs depicting selected metrics from before and after the process change. O-Organize/ list activities to be completed before the RUN Pictures of Action Item Lists 5 S Before and After pictures if applicable Refer to example completed LEAN SCORE report
GNCH LEAN LAB Project # 3 – “As the Tube Turns” S -Select R-Run PROBLEM STATEMENT: Currently there exists a large amount of variation in the time a blood sample is receipted in the lab to when it is resulted after being analyzed. EVENT OBJECTIVE: Improve (R-R) receipt to result time for Lytes/EP, Hgb, PT & Troponin for NU 42, 51, 54 & ED patients TEAM MEMBERSHIP: Bruce Lyon Karin Moses Shannon Austman Lissette Guajardo Charlene Kerr Brenda Lunty Susanne Hrudey Ann Arseneau Sherry Ramsaran Carol Mikulin C-Clarify Currently, lab staff have undefined or undesignated roles and responsibilities for handling & delivering blood samples to the centrifuges and/or testing benches. O-Organize 5 S §Removal of 32 SOP binders §Reorganization of special bench & supplies § Reorganization of Blood Bank bench §Creation of U shaped cell design for data ‘A’ bench FLOW IMPROVEMENTS §Created a ‘SPIN’ bench- improved internal flow §Stat spin moved to Chem bench- reduced lead time for (+)Troponins §Visual cue- centrifuges visible by MLT’s §Developed roles and responsibilities for blood sample handling- decreased motion E-Evaluate Event objectives achieved through: Developed SOP’s. Improved (RR) time for specific NU. Improved specimen flow to the core lab. Visual cues and organization of cell groups improved lab flow. Future work includes: Monitor process to ensure changes in work flow are built into daily work, maintained and sustained. Evaluate ongoing data.
LEAN SCORE Report S-Select R-Run PROBLEM STATEMENT: EVENT OBJECTIVE: TEAM MEMBERSHIP: C-Clarify E-Evaluate Event objectives achieved through: Future work includes: O-Organize
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