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Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter. Kanban is a Lean visual management tool that helps manage inventory by signalling when new supplies, parts or services are needed. Better Value Glenda G. Little; Barry A. McCaig
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RQHR begins Kanban implementation Barry McCraig
This Session is sponsored by:
RQHR Inventory…Kanban Style
Health Quality Summit 2013
Barry McCaig & Glenda Little – RQHR Kaizen Promotion Office
Table of Contents
• What is Kanban and its three types • What RQHR has done so far • What RQHR is doing going forward • Lessons learned
What is Kanban?
• What is it?
– Visual inventory management
• Kanban principles
– Make ordering simpler
– Make materials transportation simpler
– Appropriate inventory levels
– *Make people happy*
Three Types of Kanban
Three Types of Kanban
Three Types of Kanban
What RQHR has done so far
• Kanban preparation and seminar last fall
• Implemented Kanban in four areas:
– Pasqua Hospital Emergency department
– Wascana Rehabilitation Centre
• Unit 2-6
• Unit 3-6
– Pasqua Hospital Central Pharmacy
Pasqua Hospital Emergency
• Emergency department – 1 “set” of 3 supply carts
– Carts contain supplies needed for ½ of the ER
– There are another set of 3 carts that have not been “Kanbaned” yet
• All 3 types of Kanban implemented
– Signal, 2-bin and normal
PH ER - Before Kanban supply carts
PH ER - Over-stocked supplies
PH ER - End of Kanban
Wascana Rehabilitation Centre – Unit 2-6
• Unit 2-6
– Wanted to work on their inventory management
– Needed to work on First in, First Out
• Used 2 Types of Kanban
– 2-bin
– Signal
WRC Unit 2-6 Supply Room
WRC Unit 2-6 Supply Room before Kanban
WRC Unit 2-6 Supply Room after Kanban
Wascana Rehabilitation Centre – Unit 3-6
• Unit 3-6
– Wanted to work on inventory management
– First in, First out
• Used 2 types of Kanban
– 2-bin
– Signal
WRC Unit 3-6 Supply Room before Kanban
WRC Unit 3-6 Supply Room before Kanban
WRC Unit 3-6 Supply Room after Kanban
WRC Unit 3-6 Supply Room after Kanban
WRC Unit 3-6 Supply Room Kanban Post
WRC Unit 3-6 Supply Room after Kanban
WRC Unit 3-6 Patient kits in each room
Pasqua Hospital Pharmacy
• Central pharmacy
– Supplies medications to Pasqua, Regina General, Wascana Rehabilitation Centre
• Two types of Kanban implemented
– Signal in bulk drug area
– 2-bin in unit dose area
Pre Kanban – bulk medications
End of Kanban week – bulk medications
Bulk meds – Kanban post & reorder
Excess Inventory – bulk medications
Current – bulk medications
What’s left to do – bulk medications
Before kanban – unit dose area
End of Kanban week – unit dose area
Unit dose – kanban post
Current – unit dose area
What’s left to do – unit dose area
What’s Left To Be Done
• All four projects require people resources to help them replicate their Kanban implementations completely within their areas.
Lessons Learned
• Plan, plan, plan
• Be flexible
• Make sure area has been 5s’ed first
• Educate process owner
• Value stream map the current processes
• In any one area, try very hard to use a maximum of two types of Kanban
• What happens after the Kanban seminar?
What is RQHR doing going forward?
• Principles for project selection
– Stable usage and high volume
–Pick 1 vendor to work with (internal or external)
– Look at 20 – 30 items to start with
–Need to have a (very) good 5S first
–Need a good and willing manager and front-line staff!
–Plan to finish the job!
• Four teams!
• Areas where we did Kanban
• Facilities & Materials Management
