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RQHR begins Kanban implementationBarry McCraigThis Session is sponsored by:
RQHR Inventory…Kanban StyleHealth Quality Summit 2013Barry 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• Lesson...
What is Kanban?• What is it?– Visual inventory management• Kanban principles– Make ordering simpler– Make materials transp...
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 Em...
Pasqua Hospital Emergency• Emergency department – 1 “set” of 3 supplycarts– Carts contain supplies needed for ½ of the ER–...
PH ER - Before Kanban supply carts
PH ER - Over-stocked supplies
PH ER - End of Kanban
Wascana Rehabilitation Centre – Unit2-6• Unit 2-6– Wanted to work on their inventory management– Needed to work on First i...
WRC Unit 2-6 Supply Room
WRC Unit 2-6 Supply Room beforeKanban
WRC Unit 2-6 Supply Room afterKanban
Wascana Rehabilitation Centre – Unit3-6• Unit 3-6– Wanted to work on inventory management– First in, First out• Used 2 typ...
WRC Unit 3-6 Supply Room beforeKanban
WRC Unit 3-6 Supply Room beforeKanban
WRC Unit 3-6 Supply Room afterKanban
WRC Unit 3-6 Supply Room afterKanban
WRC Unit 3-6 Supply Room KanbanPost
WRC Unit 3-6 Supply Room afterKanban
WRC Unit 3-6 Patient kits in eachroom
Pasqua Hospital Pharmacy• Central pharmacy– Supplies medications to Pasqua, Regina General,Wascana Rehabilitation Centre• ...
Pre Kanban – bulk medications
End of Kanban week – bulkmedications
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 tohelp them replicate their Kanbanimplementations compl...
Lessons Learned• Plan, plan, plan• Be flexible• Make sure area has been 5s’ed first• Educate process owner• Value stream m...
What is RQHR doing going forward?• Principles for project selection–Stable usage and high volume–Pick 1 vendor to work wit...
• Four teams!• Areas where we did Kanban• Facilities & Materials Management
Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation
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Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation

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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

Published in: Health & Medicine, Business
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Transcript of "Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation"

  1. 1. RQHR begins Kanban implementationBarry McCraigThis Session is sponsored by:
  2. 2. RQHR Inventory…Kanban StyleHealth Quality Summit 2013Barry McCaig & Glenda Little –RQHR Kaizen Promotion Office
  3. 3. Table of Contents• What is Kanban and its three types• What RQHR has done so far• What RQHR is doing going forward• Lessons learned
  4. 4. What is Kanban?• What is it?– Visual inventory management• Kanban principles– Make ordering simpler– Make materials transportation simpler– Appropriate inventory levels– *Make people happy*
  5. 5. Three Types of Kanban
  6. 6. Three Types of Kanban
  7. 7. Three Types of Kanban
  8. 8. 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
  9. 9. Pasqua Hospital Emergency• Emergency department – 1 “set” of 3 supplycarts– Carts contain supplies needed for ½ of the ER– There are another set of 3 carts that have notbeen “Kanbaned” yet• All 3 types of Kanban implemented– Signal, 2-bin and normal
  10. 10. PH ER - Before Kanban supply carts
  11. 11. PH ER - Over-stocked supplies
  12. 12. PH ER - End of Kanban
  13. 13. Wascana Rehabilitation Centre – Unit2-6• 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
  14. 14. WRC Unit 2-6 Supply Room
  15. 15. WRC Unit 2-6 Supply Room beforeKanban
  16. 16. WRC Unit 2-6 Supply Room afterKanban
  17. 17. Wascana Rehabilitation Centre – Unit3-6• Unit 3-6– Wanted to work on inventory management– First in, First out• Used 2 types of Kanban– 2-bin– Signal
  18. 18. WRC Unit 3-6 Supply Room beforeKanban
  19. 19. WRC Unit 3-6 Supply Room beforeKanban
  20. 20. WRC Unit 3-6 Supply Room afterKanban
  21. 21. WRC Unit 3-6 Supply Room afterKanban
  22. 22. WRC Unit 3-6 Supply Room KanbanPost
  23. 23. WRC Unit 3-6 Supply Room afterKanban
  24. 24. WRC Unit 3-6 Patient kits in eachroom
  25. 25. 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
  26. 26. Pre Kanban – bulk medications
  27. 27. End of Kanban week – bulkmedications
  28. 28. Bulk meds –Kanban post & reorder
  29. 29. Excess Inventory – bulk medications
  30. 30. Current – bulk medications
  31. 31. What’s left to do – bulk medications
  32. 32. Before kanban – unit dose area
  33. 33. End of Kanban week – unit dose area
  34. 34. Unit dose – kanban post
  35. 35. Current – unit dose area
  36. 36. What’s left to do – unit dose area
  37. 37. What’s Left To Be Done• All four projects require people resources tohelp them replicate their Kanbanimplementations completely within their areas.
  38. 38. 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 amaximum of two types of Kanban• What happens after the Kanban seminar?
  39. 39. What is RQHR doing going forward?• Principles for project selection–Stable usage and high volume–Pick 1 vendor to work with (internal orexternal)–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!
  40. 40. • Four teams!• Areas where we did Kanban• Facilities & Materials Management
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