BA341 11th Edition Lecture 11 Outline of Last Lecture I Emphasize JIT production II One Piece Flow III Kanban Production IV Level Scheduling V JIT Layout VI Other Elements of Lean Production Outline of Current Lecture VII Lean Principles VIII Service Blueprint IX The Case for Lean in Healthcare X Various success stories Current Lecture Lean in Services Lean principles Successfully applied in various service settings such as fast food retail transportation banking insurance legal services etc o Focus on improved process standardization lower inventory better quality shorter turn around times improved scheduling capacity buffering Making inroads in other services such as healthcare and administration Service Blueprint These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute The F is a reminder to not forget something in the system Service is broken into 3 levels Level 1 only has to do with the customer Level 2 Customer and service provider interact Level 3 the service is performed The Case for Lean in Healthcare Healthcare costs in the U S keep rising 18 of GDP in 2011 o Largest expenditure per capita in the world o Yet U S ranks low in health system performance o Canada France Germany the Netherlands have more efficient systems o 31 of all expenditures are administrative costs o Hospital and pharma charges are growing fast Up to 98 000 people die in U S hospitals yearly due to preventable medical errors o Errors are 7th leading cause of death in the U S o Drug misuse frequent with serious effects o Failure to administer tests and treatments to patients on time o Adverse effects occur in 3 of hospitalizations Various tests procedures treatments are overused Confusing non standardized processes Various Success Stories West Penn hospital in Pittsburgh PA o Problem Patients scheduled for OR would not have blood tests performed before surgery o Approach Redesign the process by Appointing a nurse responsible for drawing blood Converting a storage closet to a room for drawing blood Use of visual signals to indicate that i a new patient needs blood tests a card placed on a rack and ii which patients had the tests stickers and signs Named clinical coordinator in charge of process improvement initiatives consistency standardization best practices Element of Lean operations is having a clear understanding of who is responsible for what Pittsburgh Regional Healthcare Initiative o Problem central line associated bloodstream CLAB infections o Approach process redesign focusing on Who was responsible for what procedure Who was responsible with placing and maintaining the lines What signals would be used to trigger work and next steps How each step in the process would be precisely carried out
View Full Document
Unlocking...