Torrance Memorial Operating System Lean Journey TMOS Presented

Torrance Memorial Operating System Lean Journey TMOS Presented by: Organizational Improvement Department 01

WELCOME

Meeting Agenda

Who we are… • • • Established by Jared & Helena Torrance in 1925 475 bed, non-profit health system Magnet hospital 3000 employees 1000 physicians 82 K ER visits annually 18 K surgical procedures annually Recently established an affiliation with Cedars Sinai Serving the South Bay

Organizational Improvement Department Marc Mercado Interim Sr. Process Excellence Specialist Marciano Suarez Manager of Process Excellence Hello! I am Jeremiah Hargrave Director of Quality and Organizational Improvement Yazmyne Melgoza Process Excellence Specialist

2010: Reason for Action Lean Is Taking A Different Approach… Recession in down What economy We Do NO LAYOFFS . Lower census averaging 70 -80% of historical Cost concerns and budget constraints Construction of Lundquist Tower $480 M capital investment Physician Network Outpatient Strategy – ACO.

Torrance Memorial’s Lean Journey A journey of a thousand miles begins with a single step– Lao Tzu • 2010/2011 Local Kaizen Events (Point Projects) 2012 • Value Streams (ED, OR, Pharmacy) 2013 / 2014 • Leadership Training • Site Visits • Certification • • 2015 / 2016 Expanded Certification Performance Boards TMHS Hoshin Deployment • • • 2017 Broader Training Increased Kaizen Activity Physician Training PFA Training 5 S Challenge • • 2018 CHVN Completed Wave 14 Cert Class (196 Certified Employees) 4 Hour TMU Lean Fundamentals Offering

TMOS Lean Foundations Certification Program TMMC Lean Training -12 Weeks • 12 weeks of structured lean training • Started with VPs (Wave 1) • 80% taught by VPs/Directors • Lean Steering Committee Completed 13 Waves ( 28 Participants per cohort) • Over 205 certified employees (13 Waves). • 200 + sucessful department projects completed • 200 + 5 S Projects completed Program Highlights • 4 HR Lean Fundamentals Primer • Project Management Module • Change Management & Dialogue Module • Presentation Skills Module • Mandatory Presentation Rehearsal

A 3/PDCA Successes 1 Emergency value steam • Decreased left-without-being-seen by 6. 1% to 1. 2% • Decreased door-to-doctor-time 129” to 53” • Increased Patient Satisfaction 2 OR decrease late 0730 starts by 40% 3 85% reduction in falls with injury Pharmacy saved $150, 000 dollars by 4 redesigning workflow of IV delivery to floor 5 Lab TAT for code stroke reduced from 54 minutes to 29 minutes: exceeding its goal! 6 Hoshin (strategic alignment) deployment 1000 + Kaizens and JDIs Completed

Daily Management/ Visual Management System Improve Daily… • 50+ Performance boards fully implemented through out the hospital and office sight locations • Daily huddles led by dept. team members (15 Mins) • Currently working to finalize a roll-up board template (Director Tier) • 2019 Rebrand daily management system • Remove the template constraints • Future active daily management 1 HR training mandatory requirement YOUR TEXT HERE Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500 s, when an unknown printer took a galley of type

Organizational Improvement Dept. (OID) Core Strategy Diagram Lean Foundations Certification Program • Refresh 12 -Week training material • Update training exercises for increased participant engagement Lean Foundations Coaching Program • • Develop a selection process Mentoring workshops -TMU workshops -LF Training modules 1 on 1 Certification Continual Training • 8 hour TPS car simulation • 1 QFD & FMEA training • 4 hour CTQ drill down training Gemba Visits Est. . Completion 06/01/2019 Est. . Completion 03/01/2019 Est. . Completion 06/01/2019 Est. . Completion 01/01/2019 • Seattle Children's Hospital • KAAS Tailored • CHVN Gemba visits Offer 8 HR TPS car simulation Daily Performance Management system • Update standard work • Rebrand performance boards • Update / create new templates • Offer workshops - Facilitation - Asking effective questions

Agenda

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