Lean Healthcare by Daniel T Jones

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LEA is helping lean pioneers in many sectors
8 years leading proof of concept experiments in healthcare
In search of a robust do-it-yourself methodology – which we published
Now helping hospitals follow this in the UK, Italy and the USA

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Lean Healthcare by Daniel T Jones

  1. 1. Lean Thinkingand Healthcare Daniel T Jones
  2. 2. Our JourneyLEA is helping lean pioneers in many sectors8 years leading proof of concept experiments in healthcareIn search of a robust do-it-yourself methodology – which we publishedNow helping hospitals follow this in the UK, Italy and the USA www.leanuk.org
  3. 3. Stable Demand – Created Chaos Attendances Admitted Patients Which means Variability is managing thecreated by the system system Calderdale & Huddersfield NHS Foundation Trust www.leanuk.org
  4. 4. Patient Journeys PATHOLOGY THERAPIES EMERGENCY MAU HOME DEPARTMENT MEDICAL HOME SAU WARDSNURSING D HOME I NURSING S HOME IMAGING C H SURGUCAL A OPERATING WARDS R ROOM G GP E REHAB OTHER UNIT WARDS CLINIC CLINIC CLINIC CLINIC PHARMACY SUPPLIES www.leanuk.org
  5. 5. Mapping the Patient Journey 6.5 days waiting for 3 hours of work! www.leanuk.org
  6. 6. Visual Hospital Building Blocks Hospital Level Visual Hospital Ward LevelPlan for Every Patient Plan for Every Support Service www.leanuk.org
  7. 7. The Bermuda Triangle Hospital Management Blizzard of Squeezed Policies and Commissioning Directives 350 Targets Budgets 500 Projects Many Unfunded Meetings Work No time for Safety Valve Improvement Too many Beds & Staff Big B+A spend Replace Top Silo working & Management Poor Operations Management UnsynchronisedWrite-off Deficits support “We never see Management” Delays Poor Patient& Queues Experienceeverywhere Long LOS Broken Patient Journey www.leanuk.org
  8. 8. Focusing on the Vital FewReducing Hospital Acquired InfectionsSeeing emergency patients within 4 hoursSeeing elective patients within 18 weeksReducing length of stayReducing costs www.leanuk.org

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