Value is defined as the capability to deliver exactly the customized product or service a customer wants with minimal time between the moment the customer asks for that product or service and the actual delivery at an appropriate price. Learning how to standardize a process using this tool is one of those things that is easy to do at a basic level. The text includes case studies of current twi usage in health care that demonstrate how to successfully roll out a sustainable job instruction initiative. Applying lean in healthcare a collection of studies. Most leaders see standard work as applicable to production jobs only.
Supplying the foundation for successful lean practice in health care, it clearly defines the role of standard work and training in relation to lean health care. Revolutionizing healthcare to save lives and transform the industry 1. Standard work documents standard work combination sheet the standardised work combination table is a simple graphical based picture showing the work sequence for a worker and the times to complete each process the purpose of the chart is to. This piece by our polish team explains why standard work is not to be neglected. Extract from applying lean in healthcare collection of international case studies crc press takt time calculations for medical appointment based on 1st shift demand. Oregon healthcare lean community of practice september 12, 2014.
Some of the lean daily management elements which are commonly used. Aug 19, 2009 lean can improve safety and quality, improve staff morale and reduce costsall at the same time. Standardized work combination sheet the main data relevant for the combination sheet is the way different parts of the working process interact with each other, and the timing needed between the various steps involved. Healthcare is transitioning to valuebased reimbursement, so organizations have a pressing need to finetune processes and work waste out of the system.
Such an overly positive conclusion fails to take into account the variety of issues surrounding the application of lean thinking to health care. Improving patient satisfaction, scheduling appointments, decreasing overtime work, processing paperwork, and increasing clinic revenues are just a few of the areas where hospitals and other healthcare facilities are implementing lean principles. The purpose is to look at different aspects of standardized work. Aug 20, 2015 healthcare is transitioning to valuebased reimbursement, so organizations have a pressing need to finetune processes and work waste out of the system. Standardized work is a core foundation for almost all other principles of lean six sigma. The promise of lean in health care mayo clinic proceedings. As the name of the sheet implies, it shows how the different timing values combine, including the manual work time. Why understanding standard work is critical to lean success article standardization is often ignored and misunderstood, but is as critical to a lean transformation as continuous improvement. Lean leadership for healthcare ron bercaw president and sensei october 10, 2014 1. Standard work for lean healthcare lean tools for healthcare. There will be four posts throughout the week from different bloggers. Nor is it a work standard a guideline for quality andor safety, developed by quality, safety or design engineers, and extremely inflexible due to industry quality or safety standards. Standard work role of lean leader reinforce company values and.
Standardized work consists of the following three elements. Standard operating procedures are used for production staff, to describe was needs to be done and how to do it. Hold the gains on improvement, ensure monitoring of results, and report. The only 6 lean healthcare articles you need to read.
This pdf was created by mayo clinicand while its a little longer than the last few articles, its chockfull of helpful, thorough examples. It is some of the proven leader best practices to drive lean thinking and behaving throughout an organization. In lean, standard work is the cornerstone of any continuous improvement effort. It helps companies reach their improvement targets, but also provides a stable, reasonable working environment for frontline employees. Instructional objectives upon completion, participants will be apply key lean concepts to an area of their work 5s, standard work, flow, mistake proofing at a minimum and also bring lean management concepts to their areas of responsibility. Developing standard work is one of the more difficult lean six sigma disciplines. The promise of lean in health care medline industries. Lee or keith, there seems to be many versions for documention standard work, especially in healthcare. Proven to increase efficiencies in the manufacturing sector, standard work has become a key element in reducing process waste, ensuring patient safety, and improving healthcare services. Why understanding standard work is critical to lean success. The idea is to define and standardize a current one best way of doing an activity safely, in a way that ensures quality for the customer one way i like to define it. Lean forums standard work templates for healthcare. Standard work for lean healthcare 1st edition thomas l. Some leaders have heard of the idea of leaders standard work.
In this course we cover, in great detail, the 4 types of standard work that apply to any type of work or industry. Pdf purpose lean healthcare is highlighted in the literature as an approach. Twi training within industry overview ji standard work. A lean management system for healthcare kim barnas. Recorded at the peterbilt manufacturing plant in denton, texas, author and lean sensei mike wroblewski explains what leader standard work is, how to implement it successfully, and how to maintain it with the powerful kamishibai auditing system. This work presents the application of lean six sigma in a case.
Going lean in health care executive summary lean management principles have been used effectively in manufacturing companies for decades, particularly in japan. Standard work for lean healthcare lean tools for healthcare series thomas l. Standard work for lean healthcare books pics download. Lean healthcare student handbook national rural health. Three necessary components in standard work are 1 takt time, 2 cycle time and 3 swip standard workinprogress. Opportunity to develop a long term system for quality and safety improvement in the healthcare environment lean as an integral part of an effective strategy deployment process. A manager making a work instruction document and telling his subordinates here, this is the process we will follow does not make work standardized. Download lean standard work and enjoy it on your iphone, ipad, and ipod touch. Identify the value stream providing this value to identify where. Audit standard work and improvement systems support changes with leader standard work 23. From lean, most of us already know that standard work is the documented and current best way to do a certain task, procedure or process. What can be captured in the leader standard work or standard work for supporting functions are. It is a key component of continuous improvement since it supports the reduction of variation in how a process or process is performed.
Jan 14, 2011 learn what leader standard work is within a lean enterprise system duration. Identify the work sequence for the worker identify the time for each element that they are doing. Jackson productivity press, 2011, builds on the success of the bestselling book, standard work for the shop floor which was created by the. Standard work for lean healthcare lean tools for healthcare series pdf,, download ebookee alternative successful tips for a improve ebook reading experience. Three necessary components in standard work are 1 takt time, 2 cycle time and 3 swip standard work inprogress. Instructional objectives upon completion, participants will be apply key lean concepts to an area of their work 5s, standard work, flow, mistake proofing at a minimum. Part of the lean tools for healthcare series, this readerfriendly book builds on the success of the bestselling, standard work for the shopfloor. Some health systems adopt bits and pieces of lean valuestream maps, one. Standard work is a precise explanation of the current best practices for carrying out the steps of a process. As lean increases in popularity, the agency for healthcare research and quality ahrq wanted to better understand if and how lean works in health care, and, if it does work, what specific mechanisms make the redesign technique successful.
Jul 17, 2017 standardized work combination sheet the main data relevant for the combination sheet is the way different parts of the working process interact with each other, and the timing needed between the various steps involved. Jun 08, 2015 why understanding standard work is critical to lean success article standardization is often ignored and misunderstood, but is as critical to a lean transformation as continuous improvement. Learn the importance of standard work as being one of the most powerful tools within the lean six sigma toolbox. Standard work for lean healthcare lean tools for healthcare series 9781439837412. Standard work for lean healthcare pdf with images health care. You see, contrary to what some think standard work applies to any type of activity no matter if you produce widgets in a factory or do socalled creative work in an office environment. In order for lean principles to take root, leaders must first work to create an. Focus on the patient in order to determine the real value desired. It illustrates how standardization can help you establish best practices for performing daily work and why it should be the cornerstone for all of your continuous improvement efforts. I also start off any continuous improvement scenario with the foundational tools of lean.
Using lean principles, standardized work was created for every step in the process of patient care for pneumonia. When well executed, lean transforms how an organization works and creates. Getting to standard work in healthcare crc press, october 2012 patrick graupp and martha purrier. Save up to 80% by choosing the etextbook option for isbn. This week beyond lean is focusing the discussion on standardized work. Massive waste in healthcare rock solid common sense easy to learnteach to frontline workers easy to apply at the frontline where the work is really happening improvement occurs with the first application. Learn what leader standard work is within a lean enterprise system duration. Dedicated to the teaching and practice of lean principles in healthcare. Some of the lean daily management elements which are commonly used are leader standard work lsw, visual control. Lean, touted for its ability to remove waste from processes, has obviously caught the interest of these organizations. Part of the lean tools for healthcare series, this readerfriendly book builds on the success of the bestselling, standard work for the shopfloor standard work for lean healthcare explains how to apply this.
Lean methodology in healthcare cut out the eight wastes taiichi ohno of toyota, the originator of lean principles, described seven areas of waste that occur in every industry. I tend to lump 5s and layout together because setting up a plant layout is a place for everything and everything in its place but on a much larger scale. It locks in gains and provides a foundation for future advances. Joe and i will post a blog as well as tim mcmahon from a lean journey and christian paulsen from lean leadership. Standardized work is more than a work instruction document its created by the process users, based on customer requirements provided by management and supervisors and users too.
Standardized work is a core foundation for almost all other principles of leansix sigma. It represents the what will be done, how it will be done, and who will be responsible for making. By defining what customers want, processsteps can be divided in value. Standard work for lean healthcare 1st edition by thomas l. The institute for healthcare improvement believes that lean principles can be indeed, already are being successfully applied to the delivery of health care.
As this house of lean diagram shows, the foundation is built on 5s, visual controls, and plant or facility layout. Standard work can be embedded in the companys operation through the use of standard operating procedures sops. I noticed there werent any controls on the document to ensure your team has the latest revisions, as there are living documents and change as your teams make improvements. Twi training within industry overview ji standard work lean.
Standardized work is a core concept and a foundation of the toyota production system scroll down and lean manufacturing. One difficulty regards the sociotechnical dynamics that occur when implementing lean thinking. An sop is a document that describes the best way to execute a process and its activities to maintain consistent working practices. We highly suggest reading all six of these use cases for lean in healthcare and hospitals, as you can learn something from each of them. However, lean implementation in healthcare could be much more difficult than in standard industrial. It is the basis for kaizen and continuous improvement and will start to create a new discipline within the organization. Lean technology as a tool to create better value lean is a set of concepts, principles and tools used to create and deliver the most value from the customers perspective while consuming the fewest resources and fully utilizing the skills and knowledge of those who do the work. Standard work for lean healthcare pdf free pdf epub. The daily status sheet and lean practices to proactively plan the day to learn and understand the business gain insights for future problem solving to better understand coaching needs for staff around problem solving to develop our leaders objectives of status sheet use of standard work respect for people develop. Some interesting lean healthcare examples are highlighted here. Standard work for lean healthcare books pics download new. The fivestep method for implementing standard work.