Lean healthcare Archives

23Feb 2020 by Steve Musica No Comments

The Difference Between Push and Pull

[caption id="attachment_3027" align="alignright" width="150"] Lean "pull" in a process is denoted by this symbol[/caption] This post focuses on the difference between push and pull in Lean. The goal of Lean is for every process to “flow value at the pull of the customer.” The key terms in this statement are defined below: The ultimate customer is the end-user – who the product or service is providing value for. Flow refers to how value is created in a process. In a “perfect process,” value is created during every step, without any waste (or delay) in the process. Value is defined by the customer. Every step should create value in the eyes of the customer. Pull refers to letting the customer have the product or service when they want it. The…

25Dec 2019 by Steve Musica No Comments

Develop Scientific Thinking with Lean Kata

Lesson

This month we are happy to share a simple yet powerful tool that will benefit any organization. It is the Lean Kata approach for developing a culture of scientific thinking at all levels of any organization. What does the word “kata” mean? Kata is the Japanese word for “form” and refers to a detailed, choreographed pattern of movements practiced alone or in groups. Anyone who has ever practiced the martial arts has performed katas in front of a sensei to advance and earn additional belts. The kata allows the trainee to memorize and perfect the movements being executed so they can easily make the movements later using muscle memory. The Lean Kata was developed by Toyota and has been well described in the Mike Rother book, Toyota Kata:…

16Sep 2019 by Steve Musica No Comments

The Checklist Manifesto

Summary

This post summarizes a wonderful book that is celebrating its ten-year anniversary. Atul Gawande wrote the best-seller The Checklist Manifesto: How to Get Things Right in 2009. It was the third book by the author and has become influential in healthcare and beyond. Gawande is a general surgeon at the Brigham and Women's Hospital in Boston, a staff writer for The New Yorker, and an assistant professor at Harvard Medical School and the Harvard School of Public Health. In June of 2018 he was named CEO of the recently formed healthcare venture Haven, owned by Amazon, Berkshire Hathaway, and JP Morgan Chase. I’ll let Gawande summarize the core idea from his book: “Avoidable failures are common and persistent, not to mention demoralizing and frustrating, across many fields –…

19Aug 2019 by Steve Musica 1 Comment

Allowing For Trial & Error

Lesson

We are pleased to offer our monthly lesson as a video post! You can read the lesson below, which is a formatted transcript of the presentation, or watch the 5-minute video embedded at the end. Allowing For Trial & Error: A Better Way To Grow & Compete Have you ever worked in a place where the goal is to be unnoticed and the boss visits your area only if you are about to hear bad news? I have seen too many organizations where employees just go through the motions, doing what they are told. Raises and advancements at these workplaces are based primarily on not making mistakes. Employees are told what to do and managers make the decisions. There is no incentive to take on a challenge, learn new…

10Apr 2019 by Steve Musica 1 Comment

Are you a “Super Nurse” on your Team?

Lesson

Does your organization have a person on staff who everyone can go to in order to get a problem solved? For example, someone who knows how to obtain guest Wi-Fi access for a visiting contractor? Who is the same person who can always find that hidden file on the network, and knows how to correct the mistake in your EMR or MRP system? Perhaps your organization is a customer-facing business and this person also goes above and beyond to follow up with a customer who has a special request and double-checks every item before your product goes out the door. Picture a person on your team who matches this description. Or, are you that person on your team? People who save the day and rescue a team from disaster…

30Jan 2019 by Steve Musica No Comments

8 Lean Wastes: Transportation vs Motion

Lesson

We enjoy teaching the 8 Wastes of Lean Thinking to our clients and the participants in our training workshops. As instructors, we share examples of wastes from our professional experience in both manufacturing and service-related organizations. Together, we brainstorm ways in which the wastes reveal themselves in our attendees' organizations. One question that gives us pause in every Introduction to Lean Thinking workshop is the request to explain the nuance of two 'movement' wastes - motion and transportation. Motion The motion waste focuses on the movement of people or equipment that is unnecessary. It is any movement beyond the minimum required for completing the process step. The motion waste is typically found within a workspace or process step rather than between steps. Walking to a community printer or searching for information or a tool are…

14Sep 2018 by Steve Musica No Comments

Developing High-Performing Organizations

Summary

Lean East was founded in 2010 with a mission to bring out the best in organizations by bringing out the best in people. We focus on introducing proven Lean Six Sigma improvement methods to service organizations in Maine and New England – in industries including healthcare, government, insurance, construction, and finance. Many of the clients we have partnered with have had a common goal – to improve their culture and performance and provide better customer service. Some client organizations want to improve their processes and provide more customer value with less waste. Others focus more on changing work culture, training their leaders and staff, and improving teamwork. One client wanted to improve in multiple dimensions and move the company from good to great. A common theme with all our clients is…

20Aug 2018 by Steve Musica No Comments

The Toyota Way

Lesson

Lean principles are based largely on studies of the Toyota Production System (TPS) from the early 1980s and influence manufacturing and service organizations across the world today. In 2001 the Toyota Motor Corporation summed up their philosophy, principles, and values in an internal document they referred to as, “the Toyota Way 2001.” The document expanded upon TPS with additional leadership and management practices that have made Toyota one of the most respected companies in the world. Author Jeff Liker visited Toyota and summarized these principles in his 2004 book, The Toyota Way: 14 Management Principles from the World’s Greatest Manufacturer. The book covers Toyota’s history, successes, and ideas with many great Toyota case studies; this post will focus on summarizing Toyota's 14 Principles. How many of these principles are followed…

29Jul 2018 by Steve Musica No Comments

Selecting a Lean Project

Summary

The Lean East team has had several meetings in the past month with organizations new to Lean thinking. The leaders of these organizations want to improve processes and have learned that Lean principles work. But with all the problems and improvement needs in a typical organization, where do you begin? When leaders ask us for input and support for selecting a Lean project, we share our simple project selection matrix. Here are the eight items we review and rate – each either passes or fails. We recommend prioritizing the projects that pass all, or nearly all, of the following criteria: Important to the team and organization: Ensure the project you are considering is related to a critical organizational need. A successful project result needs to matter to…

11May 2018 by Steve Musica No Comments

Understanding Key Performance Indicators

Summary

Key performance indicators (KPIs) are the vital few metrics that define success or failure for a process. KPIs vary based upon the process being studied and the definitions of success for the process. Good organizations understand their KPIs. Better organizations measure them. The best organizations seek to improve them every day. Read on to learn about Key Performance Indicators and how a team or department can use a balanced scorecard of KPIs to support improvement. The initial challenge with KPIs is selecting them properly from the many possible performance indicators available. The second challenge is determining how to measure and share them throughout the organization. Our team has helped numerous organizations establish and measure KPIs. Here are some highlights from the Lean East training module covering the selection…