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A Guide to Lean Healthcare Workflows

A Guide to Lean Healthcare Workflows
Author: Jerry Green
Publisher: IBM Redbooks
Total Pages: 86
Release: 2016-10-11
Genre: Computers
ISBN: 0738454400

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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.


The Lean Healthcare Handbook

The Lean Healthcare Handbook
Author: Thomas Pyzdek
Publisher: Springer Nature
Total Pages: 252
Release: 2021-04-28
Genre: Medical
ISBN: 3030699013

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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.


A Lean Guide to Transforming Healthcare

A Lean Guide to Transforming Healthcare
Author: Tom Zidel
Publisher: Quality Press
Total Pages: 194
Release: 2006-04-14
Genre: Medical
ISBN: 0873893166

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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


The New Lean Healthcare Pocket Guide

The New Lean Healthcare Pocket Guide
Author: Debra Hadfield
Publisher:
Total Pages: 226
Release: 2009-01-01
Genre: Health facilties
ISBN: 9780977072026

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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.


The Lean Healthcare Dictionary

The Lean Healthcare Dictionary
Author: Rona Consulting Group
Publisher: CRC Press
Total Pages: 216
Release: 2017-07-27
Genre: Business & Economics
ISBN: 148223291X

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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


Lean Doctors

Lean Doctors
Author: Aneesh Suneja
Publisher: Quality Press
Total Pages: 228
Release: 2010-01-27
Genre: Business & Economics
ISBN: 0873893042

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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.


The Lean Electronic Health Record

The Lean Electronic Health Record
Author: Ronald G. Bercaw
Publisher: Taylor & Francis
Total Pages: 282
Release: 2017-12-15
Genre: Business & Economics
ISBN: 1351850954

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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.


Lean Healthcare

Lean Healthcare
Author: Dennis R. Delisle
Publisher: Quality Press
Total Pages: 275
Release: 2020-12-01
Genre: Business & Economics
ISBN: 1951058453

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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.


The Lean Healthcare Handbook

The Lean Healthcare Handbook
Author: Thomas Pyzdek
Publisher:
Total Pages: 291
Release: 2017-11-18
Genre:
ISBN: 9781973311201

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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.


Lean Healthcare in Action

Lean Healthcare in Action
Author: Sarah Cottington
Publisher: Hcpro, a Division of Simplify Compliance
Total Pages: 0
Release: 2010-07-22
Genre: Health facilities
ISBN: 9781601467553

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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