Describe the Current Process Flow Chart

7/31/2019 Describe the Current Process Flow Chart

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1

Describe The Current

ProcessFlowchart

Fishbone


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2

Which Tool To Use

What tool helps to focus

improvement efforts?

What tool helps to

decide what to improve?

What tools let us know changes

made a difference in the process?

Act Plan

DoStudy/Check

Brainstorm, Pareto,

Mind Map, Flowchart

Fishbone, Pareto,Histogram

Run and control

charts,histogram,

pareto, scatter

diagrams

Tools Whats the question ConsiderationsProcess variation

Special cause

Common cause

Central tendency

VariabilityDistribution

Process behavior


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3

Flow Charts

Terminal Objective:

Demonstrate the use of aFlowchart to define the currentsituation

Construct a flow chart


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4

Flowchart

A picture of the sequence of steps ina process

Different steps or actions are

represented by boxes or othersymbols


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5

Macro Flowchart

S

U

P

P

L

I

E

R

S

O

U

T

P

U

T

S

P

R

O

C

E

S

S

E

S

I

N

PU

T

S

C

U

S

T

OM

E

R

S

O

U

T

C

O

M

E

S

FEEDBACK


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Macro Flowchart

Suppliers

Inputs Action

Outputs

Customers

Needs/Expectations

Physician Need forTest/Pat

Completed

LRS MedicalClinic Clerk

Accurate,Complete

Medical

Clinic Clerk

LRS Number

Label

Attaches

LRS Package Phlebotomist Accurate,

Complete

PhlebotomistLRS PackagePatient Draws Blood

BloodSample

Escort

Accurate,Complete,Timely

Escort

BloodSample

Delivers

DeliveredBloodSample

Lab TechAccurate,Complete,Timely

Lab TechBloodSample

PerformsTest

TestResults

MedicalClinic Clerk

Accurate,Complete,Timely

MedicalClinic Clerk

TestResults

Report

ReportedResults

PhysicianAccurate,Complete,Timely


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7

Deployment Flowchart


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8

Used by teams to:

Track the flow of information, paper, material, or peoplethrough the system of delivering a service.

Identify waste and rework

Direct the team in data collection

ProcessFlowchart


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Flowchart symbols

Connection in

the process

No

Yes

Beginning or ending ofa process

An activity step in

the process

Decision

Point

1

End


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10

Flowchart symbols

Connection inthe process

No

Yes

Beginning or ending of

a process

An activity step inthe process

Decision

Point

1

End

1

Waiting time in

the process

Involved

document(s)

End

Delay


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11

Constructing a Process Flowchart

Step 1 - Define the process

Step 2 - Identify the steps in the

process

Step 3 - Draw the flowchart

Step 4 - Determine the time,distance or cost for each step


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12

Analyze the Flowchart

Can any repeated operations be eliminated?How can each hand-off be qualified as a potentialmeasure of effectiveness (COOPIS)?

Are there ways to shorten or eliminate delays?

Is there a point in the process that slows or restrictsthe flow?

How can we improve the sequence of the operations to

make the process more effective? Can we reduce or eliminate having to correct , change,add, or recycle something in the process?

Is there a better way!


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13

Hand-offs

Purchasing AgentHead Purchasing

DeptEngineer Vendor

Request forProduct

OK?

Discuss Specs and

Possible Vendors

Request forProduct

Analyze

Bid?

OK?

Purchase Order

Discuss Options

1

N

Y

Y

Y

N

N

SUPPLIERS

OUTPUTS

PROCESSES

INPUTS

CUSTOMERS

OUTCOMES

FEEDBACK


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14

Exercise:

Flowchart the processidentified in your selected

problem


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15

Fishbone or Ishikawa

Diagram


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16


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OBJECTIVES

Discuss the rationale for identifying

possible causes and the need to

confirm them with data

Construct a cause and effect diagram

and apply it to a problem


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CAUSE AND EFFECT

DIAGRAM


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PURPOSE

Aids in getting to the Root CauseIdentifies possible causes of variation.

Used to identify the Key ProcessVariables.

Provides guidance for data collection.

Can be used for organizing the findings

of a brainstorming session.


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HISTORY

Developed by Kaoru Ishikawa (1943)

Ishikawa Diagram.

Fishbone Diagram.

Cause-Effect Diagram (C-E)


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ADVANTAGES

Focuses the attention of the team.

Provides a graphic representation. Communicates to others.


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CONSTRUCTING A

C-E DIAGRAM


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STEP 1

Define theeffect.

Add effect tobox

Med Errors


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STEP 2

Add effectto box

Identifymajorpossiblecauses.

Med Errors

METHODS FOR


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METHODS FORIDENTIFYING POSSIBLE

MAJOR CAUSES Brainstorming

Unedited

possibilities. When dealing

with problemsthat may need acreative solution.

Step by StepMethod

Usually takesless time.

Quality of

relationship isusually better.

SCHEMES FOR


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SCHEMES FORIDENTIFYING POSSIBLE

MAJOR CAUSES Manufacturing

(5 Ms)

Manpower Material

Methods

Machines

Measurements

Services(5 Ps)

People (Employees) Provisions (Supplies)

Procedures

Place (Environment)

Patrons (Customers)


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Internalfunctioning or

operation of ateam. (GRRP) Goals

Roles

Relationships Procedures

The 4 Ws What

Why When

Where

IDENTIFYING POSSIBLEMAJOR CAUSES


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STEP 3

Addeffect tobox

Identifypossiblemajorcauses.

Equipment

Med Errors

Method

Staff Material

STEP 4


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STEP 4

Identify thepossible majorcauses.

Add secondarycauses

Equipment

Med Errors

IV Method

Staff Material

Age

Mix

ownRetrieval

Reefer

Fax

MD Change

RX

Poor IV

site

Exp Date


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STEP 5

Addsecondarycauses

Addsubsidiarycauses ifneeded

Equipment

Med Errors

IV Method

Staff Material

Age

Mix

ownRetrieval

Reefer

Fax

MD Change

RX

Poor IV

site

Exp Date


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STEP 6

Addsubsidiarycauses if

needed. Continueuntil exhaustcause inquiry

(+5 why).

Equipment

Med Errors

IV Method

Staff Material

Age

Mix

own

Retrieval

Reefer

Fax

MD Change

RX

Poor IVsite

Exp Date


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STEP 7

Continueuntilexhaust

causeinquiry

(+5 why).

Validatelogicalcauses.

Equipment

Med Errors

IV Method

Staff Material

Age

Mix

own

Retrieval

Reefer

Fax

MD Change

RX

Poor IVsite

Exp Date


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STEP 8

Validate logicalcauses.

Check forCompleteness.

Naval Hospital Anywhere

1 Jan - 30 Apr 96

Equipment

Med Errors

IV Method

Staff Material

Age

Mix

own

Retrieval

Reefer

Fax

MD Change

RX

Poor IVsite

Exp Date

C E DIAGRAM


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C-E DIAGRAMEXERCISE

Each table has 20minutes for completion.

Use wall paper for C-Ediagram.

One member of teamwill present results toclass.

May use Brainstormingor Step by Stepmethod.

KISS

Documents

Describe the Current Process Flow Chart