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Hospital Assessment
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The first step in any journey is to acquire a map. This data gathering and mapping activity provides the basis for a plan to guide and track the progress of your Lean Hospital implementation.
What You Will Learn
This Kaizen event has the objective of gathering the necessary information to develop a thorough plan for the adoption of the Lean Hospital at the client site. Through a combination of training, interviews, and data gathering and processing, a team composed of two Leonardo Coaches and several members of the hospital staff, a picture of the Current State is developed. After a brainstorming session a new Future State will emerge and its benefits accounted for.
Why Take This Course?
- Current and Future State Value Stream Maps
- Registry of Improvement Projects
- Time-phased implementation plan
- Estimated Financial Benefits
- Estimated Qualitative Benefits
- Report-out Presentation
Agenda
Day 1
- Meeting with Executive Team.
- Meeting with Lean Champion(s). Review and adjust submitted agenda.
- Meet the activity participants. Conduct brief interviews.
Day 2
- Brief introduction to the Lean Hospital.
- Brief training session on Value Stream Mapping.
- Develop Current State Value Stream Map.
Day 3
- Brainstorm opportunities for improvement; document and prioritize.
- Develop Future State Value Stream Map.
- Estimate Financial benefits.
Day 4
- Estimate Qualitative benefits.
- Identify All Value Streams, Processes, Champions, and Process Owners.
- Identify implementation resources.
Day 5
- Estimate implementation timelines.
- Report-out presentation.
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Kaizen Mentor Program for Hospitals
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“A Kaizen Mentor is one of the Lean Leaders, and is instrumental in managing a culture of Continuous Improvement. Having a team of Kaizen Mentors will take you down the road to Lean self-sufficiency.”
— Gerard Leone, Co-Author of The Roadmap for the Lean Hospital
What is a Kaizen Mentor?
A proven way to sustaining Lean gains is to implement improvement ideas from within, using internal resources. This program is designed using tried-and-true Lean methods applied all over the world with great success. The participants of this hands-on learning journey will commit to the program in its entirety and receive a certification as Kaizen Mentors.
To be a Kaizen Mentor, you must know the theory and tools of Lean Healthcare, but as importantly, you must gain practical experience. The participants in this workshop spend classroom time learning specific tools, as well as a substantial amount of time implementing improvement opportunities. The program begins with Kaizen Mentor candidates working in a safe “simulation” environment, and gradually maturing to form their own improvement teams.
You Will:
Commit to an in-depth program of Lean training and application, with the goal of becoming certified as a Kaizen Mentor.
Study all of the core tools of the Lean Hospital, including Value Stream Mapping, Quick Changeover, Standardization, 7S, and Lean Supplies Management.
Participate in, and then lead, actual Kaizen improvement projects, under the guidance of a Leonardo Coach.
Successfully complete a Final Exam, and gain formal recognition as a Kaizen Mentor within your hospital.
Who Should Participate?
This workshop’s target audience is hands-on leaders: RN’s,Techs, Clinical and Clinical Support Services Managers are perfect candidates. The recommended class size is a minimum of 12-16 people. Teams will be split depending on individual team progress.
Schedule
A successful Kaizen Mentor Workshop follows a structured schedule to ensure that all of the elements will be completed by the end of the time allowed. This program is designed to take 28 days, within a 21 week period. The workshop can be customized to meet any specific needs in your hospital.
Module 1: Lean Training and VSM
- Basic Lean Training, Value Stream Mapping, and Quantitative Analysis.
- Assemble VSM teams; Identify target Value Streams/Processes.
- Develop VSM/Flowcharts; Identify opportunities for improvement.
- Develop deployment plan. Each team will complete one additional VSM/Analysis tool before next Module.
- Deliverable: 6 mapped Value Streams.
Module 2: Kaizen Mentor and 7S
- Review VSM from prior Module.
- Kaizen Mentor and 7S training.
- Select target areas; Complete business case (Benefits).
- Conduct 7S project; Develop a sustainability plan.
- Each team will conduct one more 7S project prior to next Module.
- Deliverable: 6 areas with full 7S implemented.
Module 3: Standard Work
- Review and Audit 7S areas from prior Module.
- Standard Work training.
- Select target areas/processes; Complete business case (Benefits).
- Conduct Standard Work project. Train and bring live; Develop training and sustainability plan.
- Each team will conduct one more Standard Work project prior to next Module.
- Deliverable: 6 areas/processes with Standard Work documentation implemented.
Module 4: Employee Engagement
- Review and Audit Standard Work projects from prior Module.
- Quick and Easy Kaizen and Engagement training.
- Select target areas; Complete business case (Benefits).
- Conduct project - Acquire/Document/Prioritize; Develop one-page lessons.
- Develop Registry and Assignment method.
- Each team will conduct one more project prior to next Module.
- Deliverable: A minimum of 24 implemented and documented ideas
Module 5: Changeover (Setup) Reduction
- Review and Audit Engagement projects from prior Module.
- Setup Reduction training.
- Select target areas/processes/resources; Complete business case (Benefits).
- Conduct project: Train and bring live; Develop one-page lessons.
- Each team will conduct one more project prior to next Module.
- Deliverable: A minimum of 6 implemented processes.
Module 6: Confirmation of Results
- Final pre-certification Audit - A minimum of one project per leader per topic.
- Written Test.
- Open forum; Certification maintenance; Master certification; Hospital-wide deployment.
- Final presentation and certification ceremony.
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Lean Supplies Management
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The management of supplies and materials in many hospitals represents a multi-million dollar opportunity for improvement in patient flow and care, working capital, reduction in excessive handling costs and prudent use of valuable space. This 2 days program kick-starts the achievement of these large benefits, by introducing world-class supplies management methods that are sorely lacking in most hospitals.
Who Should Participate?
Participants should include representatives from the hospital material organization, purchasing, Information Technology, production planning and management. We recommend:
- Purchasing
- Information Technology
- Hospital Planning
- Pharmacy
- Charge Nurses and RNs
- Technologists
Why Launch This Program?
Most hospitals today manage supplies using the “Par Level” system, unaware that this method is a direct contributor to rampant shortages, inefficient handling, high inventory costs, and ultimately degraded patient and staff satisfaction. There are alternatives, used by leading companies around the world: Lean methods including Kanban replenishment. The goal is to achieve zero shortages, optimum supply levels, and an efficient delivery system.
What You Will Learn
The Hospital Supplies Management Program is a 2 days initiative spread over a three-month period, that will get any hospital on the road to creating and sustaining a world-class Lean Hospital supplies management system. We train participants in the application of world-class supply and Material Management methods as they apply to a hospital environment, and then help them implement it in a series of Kaizen events. The program results in a high performing and sustainable Supplies Management System.
Agenda
Day 1?
- Apply Lean supplies management methods to hospital supplies and materials.
- Calculate target material quantities.
- Manage high inventory turnover.
Day 2?
- Implement a material pull systemin a target department.
- Set up a material supermarket.
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Value Stream Mapping Kaizen
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The flow-charting technique of Value Stream Mapping (VSM) has become a widely-accepted and widely-used method for documenting a Current State process, identifying waste and process improvement opportunities, and creating a vision of the future called the Future State Value Stream Map. In this course participants will learn the VSM method, and then apply it directly to one or more critical hospital Value Streams.Who Should Participate?
This workshop should be attended by staff members who are able to contribute to a discussion about the Current and Future State Value Streams within the hospital. This will normally include managers, supervisors and nursing staff. It is also advisable to have some participants from outside of the target area, to provide outside input.
Why Take This Course?
Value Stream Mapping is a skill that a process improvement team needs to know. The best way to learn it is to understand the concepts first, and then apply them immediately to an actual project, all under the tutelage of an experienced instructor. The improvement team will develop a deep understanding of the performance of the Value Stream, and deliver a database of improvement opportunities that will be both exciting and motivating. Expect to be surprised at the number of improvement suggestions that emerge from a Value Stream Mapping event!
What You Will Learn
This Kaizen event has three main objectives: to train your team in the use of the Value Stream Mapping method, to create Current and Future State Value Stream Maps for your key Value Streams, and to uncover improvement opportunities. Through the process of developing the Future State, participants will identify waste in the current Value Streams, and be guided through the Lean methods to improve a process.
Agenda
Day 1Training in the Value Stream Mapping method.
- Exposure to Value Stream Mapping software.
Day 2Creation of the Current State Value Stream Map.
- Identification of waste and brainstorming session to improve the value stream.
Day 3Creation of the Future State Value Stream Map.
- Documentation and inventory of process improvement suggestions, to be incorporated into a Master Plan.
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Standard Work for Healthcare
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One of the best ways to ensure quality outcomes is to standardize process steps. Some professions could not be carried out well without clearly defined standard work, and Healthcare is one of them. In this course you will learn how to document standard work, how to train staff, and how to sustain a culture of standardization.
Who Should Participate?
Every member of the hospital staff should attend this workshop. The highest priority must be given to the members of the implementation teams. We recommend:
- Charge Nurses and RNs
- Technologists
- Environmental Services
- Guest Services
- Infection Control
- Performance Excellence
- JCAHO compliance
- Security
Why Take this Course?
Standard Work is one of the pillars of Lean, and is particularly important for Hospitals. Lean leaders must define clearly how work should be done, train people to do it that way, and follow up routinely to ensure that they are doing it that way. Without this very basic but critical discipline, sustainability of any change will be low. This workshop trains the Standard Work leaders how to accomplish these goals of Definition, Training and Sustaining of Standard Work.
What You Will Learn
Participants in this 3-day Lean Hospital event will graduate with practical skills in three main areas. First, they will learn how to document Standard Work correctly, and do so on actual hospital work-flows. Second, they will know to train hospital staff in Standard Work, and track training status. Lastly, they will leave will a toolkit of methods and forms to build a culture of Standard Work, through routine audits and Continuous Improvement, so that these disciplines are sustained throughout the hospital.
Agenda
Day 1
Lean quick refresher
What is a standard. Different types of standards and their application.
Standardization and Standard Work, definitions and uses.
Day 2
Documenting Standard Work Tools.
Scouring the work steps; Value-adding work; Non-value-adding work.
Graphic Work Instructions; Creation and maintenance.
Day 3
Training staff in Standard Work.
Sustaining a culture of standard work in the hospital.
The Standard Work Auditing Process.
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Quick Changeover Kaizen
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From a Lean perspective, all changeover activity is muda, or waste. While it often cannot be eliminated completely, your goal should be to reduce changeover to a minimum, and various methods have been developed to achieve this. Quick Changeover in a hospital is be applicable to operating rooms and patient rooms, as well as any other environment where preparation for the next patient causes delays.
Who Should Participate?
Participants in the Quick Changeover Kaizen should include members of the target area department that know the current process, a certified Kaizen leader and co-leader, and several team members from outside of the target area department.
Why Take This Course?
Reducing changeover times in patient rooms and treatment rooms is a very high priority for hospitals, since long changeovers bring a host of negative consequences, including a negative impact on patient care, consuming high-value resources and space, and adding to staff stress. Staff productivity and patient care suffer, since room and OR suite changeover does notcontribute to value-adding work time.
What You Will Learn
The Lean toolkit includes a set of techniques and methods that can be applied to hospitals, to achieve sometimes radical reductions in changeover times in patient and treatment rooms. This Quick Changeover Kaizen combines training and a concrete improvement opportunity into a four-day rapid improvement event. Participants will not only achieve real-time benefits, but also gain hands-on experience that can be applied to other areas of opportunity.
Agenda
Pre-Event
- Assessment and creation of the Activity Master Plan.
- Video the current changeover process.
- Formal changeover training and discussion.
Day 1
- Applying the Quick Changeover method.
- Data collection and analysis.
- Complete process documentation.
Day 2
- Apply Quick Changeover techniques to data.
- Brainstorm process improvement suggestions.
- Create implementation plan and new changeover process.
Day 3
- Test proposed new changeover procedure, and video new process.
- Document new procedure and create training materials
Day 4
- Fine-tune new procedure and continue to test.
- Create management presentation on goals and results.
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7S and Visual Workplace for Hospitals
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The concept of elimination of waste by improving housekeeping via the 5S set of tools, has been applied successfully many times over. This workshop addresses the implementation of 5S, plus two key elements in Hospitals settings, Safety and Security.
Who Should Participate?
Every member of the hospital staff should attend this workshop. Highest priority must be given to the members of the implementation teams.
- Charge Nurses and RNs
- Technologists
- Environmental Services
- Guest Services
- Infection Control
- Performance Excellence
- JCAHO compliance
- Security
Why Take This Course?
A disorganized workplace is a major source of frustration and waste for all staff. The time spent looking for essential items is a major time-waster and drain on productivity. The answer is to apply a formal method for fixing this: 7S.
The tools of 7S are something that every hospital staff member needs to know and practice. Organizing the workplace using the 7S process is often the first step on the Lean journey, and is something that everyone can understand and apply. The results of a 7S initiative are highly visible and easy to see, for both staff and patients, and a great way to build buy-in and enthusiasm for the effort of Continuous Improvement.
What You Will Learn
This 3-day Kaizen Event starts with the basics of organization as it applies to hospital settings and their specific requirements. This workshop uses the time-tested method of hands-on learning. The time is organized in short lecture segments followed by actual 7S projects carried out by the students. The instructor roams the teams as they complete their projects and prepare a succinct presentation to share the results of their work.
Agenda
Day 1
- Introduction to Lean: What is Lean? How does it apply to Healthcare and Hospitals?
- Quick and Easy 5S: The garage story.
- Sort: Why Sort? Where to sort; 5 things to remove; Red-tagging.
- Straighten: Some simple rules; A place for everything; Visual Management.
Day 2
- Shine: Remember your mother; 5 simple steps; Cleaning means Inspection.
- Standardize: What is it? What if we do not; How to do it; Prevention.
- Sustain: How to sustain; Tools to sustain.
- The Five Levels of Excellence.
Day 3
- Safety: Ergonomic considerations and rules; Infection control; Safety checklists.
- Security: Impact of changes on hospital alerts; Security checklist.
- JCAHO checklist.
