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Finding Your Lean Passion Dr. Timothy D. Hill, Ph.D., CLSSMBB, PMP Lean Improvement Specialist

Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

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Page 1: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Finding Your Lean Passion

Dr. Timothy D. Hill, Ph.D., CLSSMBB, PMP

Lean Improvement Specialist

Page 2: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Performance + Transformation System (P+TS)

Strategic Goal

• Create a Lean culture

• Driving...

• Reliability: Keeping our patients safe doing the

right things at the right times.

• Innovation: Allowing us to see our performance

evolve

• Values: Respect for people through engagement

• Evidence: Informing and guiding our

improvements

DRIVE

Page 3: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

P+TS is Built on:

Page 4: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication
Page 5: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Where can you hear about Lean’s success?

• Virginia Mason Medical Center (VMMC)

• ThedaCare, Wisconsin

• Toyota, Wiremold, Ford

• Patient- Centered Primary Care

Collaborative

• 100k Foundation

• Dennis Quaid Foundation

Page 6: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

The Impact of Lean Principles in Industry

Page 7: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

What Lean is not

• It’s not “Lean and mean”

• It’s not about cost reductions

• It’s not from the top down

• It does bring in Emily’s experience!

Page 8: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

What is Lean’s success? Going from this...

Necessary non value adding

NNVA

Value adding

Employee activities

Non Value

Adding

Value creation Activities that

directly add value for the patient Waste

Work that does not

add value to the patient

Necessary supporting activities.

Non value adding, but unavoidable

activities

Page 9: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

To this!

Waste Value

adding

Employee activities

NNVA

Page 10: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Making Lean a Success

• Letting people become the change that

they want to see and not forcing the

change

• It’s about improving the process that

needs improvement the most and not

“tinkering”

• By going slowly to go fast

Page 11: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Or as Fukuda said...

“Change is a voyage, but only about 10 percent

understand the need and want to be rowers. Most people

don’t understand the need for change. They are watchers.

A few, maybe 10 percent, are opposed to change. The

grumblers will resist change.”

Page 12: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Results of 175 Rapid Process Improvement

Events at Virginia Mason Medical Center

Page 13: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Success at ThedaCare in Wisconsin

• Door to needle times for stroke victims

Page 14: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Lean at Bluewater Health

• In our Clinical processes

• Off-loading delays from the ambulance to the

High Acuity Bay

• In our Non-Clinical processes

• Scheduling for our out-patient diabetes clinic

• In our Business processes

• Recruiting and selection process for new staff

Page 15: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Early Lean Successes at BWH

• Increases in patient & staff satisfaction

• Physician involvement

• Greater involvement of our Patient

Experience Partners (PEP)

• Ability to meet healthcare’s ever changing

needs.

• Greater acceptance of change

• Process improvement ideas being generated

from the staff who do the actual work

Page 16: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Process Improvement Work

• Clinical – working on falls, improving

quality of stay and patient safety.

• Non-Clinical – improvements in delivering

materials

• Professional Staff – working on improving

various wait times and processes

Page 17: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Lean Tools

• Daily Status (Stat) Sheets

• Lean Huddle Boards

• Coaching

• 3 Reals – real facts, real place, real problem

• 5 S steps are: Sort, Set, Shine, Standardize and

Sustain

• PDSA – Plan, Do, Study & Act

• Root Cause Analysis

• Rapid Improvement Events

Page 18: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Daily Stat Sheet

Page 19: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Lean Huddle Board

Page 20: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Lean Huddle Board: Surgical Inpatient

Page 21: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Lean Huddle Board: Day Surgery

Page 22: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Lean Huddle Board: Lab

Page 23: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Lean Huddle Board: Med T

Page 24: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Lean Huddle Board: Diagnostic Imaging

Page 25: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

At the Lean Huddle Board

Page 26: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

A Value Stream Map

Page 27: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Rapid Improvement Event

Page 28: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Find your passion

• By improving Emily’s healthcare journey,

reducing medical errors, reducing

misdiagnoses, medication errors, falls or

hospital acquired infections

• As well, improving the non-clinical side and

the business side.

• You can find your passion in “Lean-iz-ing”

your fridge!

Page 29: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Find your passion

• Start slowly to move quickly

• Get everyone involved

• Allow them some time to get used to

the new way of doing things.

• Bring your passion, your joy and your

energy to this Lean journey!

Page 30: Finding Your Lean Passion - Bluewater Health · 2019. 12. 16. · Find your passion •By improving Emily’s healthcare journey, reducing medical errors, reducing misdiagnoses, medication

Thank you!