Lean healthcare rev01
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Lean healthcare rev01



Presentation in Healthcare Summit 2010 Bangkok Thailand

Presentation in Healthcare Summit 2010 Bangkok Thailand



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    Lean healthcare rev01 Lean healthcare rev01 Presentation Transcript

    • Breakthroughs In Patient Flow: Truly Lean Thinking in Healthcare STRATEGIC HEALTHCARE MANAGEMENT & INFORMATICS 21-23 July 2010, @ Pullman Hotel Bangkok by Anawat Jorapunyanont – B-Excellence Co., Ltd.
      • We don’t know what we don’t know
      • We can’t act what we don’t know
      • We won’t know until we search
      • We won’t search what we don’t question
      • We don’t question what we don’t measure
      • Hence, We just don’t know
      • Vision of Six Sigma - Anonymous
    • Lean vs ???
    • Warren Buffett
    • Andrew Carnegie
    • Carnegie’s Approach to ROIC
    • Carnegie Steel Capital
    • Henry Ford : ROIC Driven by Capital Turnover and Cost
    • Ford’s Approach to ROIC
    • Ford Motor Company Financials
    • Source of Ford’s Success
    • Alfred Sloan : ROIC Driven by EBIT Margin
    • Alfred Sloan, General Motors (1920-1964)
    • Sloan’s Approach to ROIC
    • General Motor Market Share
    • Kiichiro Toyoda : ROIC driven by EBIT Margin and Capital Turnover
    • Kiichiro Toyoda , Shigeo Shingo, Taiichi Ohno (Toyota 1960-1990)
    • Toyota’s Approach to ROIC
    • Toyota Inventory Turns
    • Lean Production Strategy
    • Lean Thinking
      • Specify value
        • can only be defined by the ultimate customer
      • Identify the value stream
        • exposes the enormous amounts of waste
      • Create flow
        • reduce batch size and WIP
      • Let the customer pull product through the value stream
        • make only what the customer has ordered
      • Seek perfection
        • continuously improve quality and eliminate waste
      • From Lean Thinking by Womack and Jones
    • Benefits
      • Lean provides tangible benefits
      • Reduces costs not just selling price
        • Reduces delivery time, cycle time, set-up time
        • Eliminates waste
        • Seeks continuous improvement
      • Improves quality
      • Improves customer ratings and perceptions
      • Increases overall customer satisfaction
      • Improves employee involvement, morale, and company culture
      • Helps “transform” businesses
    • The Power of Lean in HealthCare
      • Virginia Mason Medical Center in Seattle, Washington, has been using lean management principles since 2002.
      • By working to eliminate waste.
      • Created more capacity in existing programs and practices so that planned expansions were scrapped, saving significant capital expenses: $1 million.
    • The Virginia Mason Medical Center Strategic Plan
    • Areas of Focus
      • 1.“ Patient First ” as the driver for all processes
      • 2. The creation of an environment in which people feel safe and free to engage in improvement including the adoption of a “ No-Layoff Policy ”
      • 3. Implementation of a company-wide defect alert system called “ The Patient Safety Alert System ”
    • Areas of Focus
      • 4. Encouragement of innovation and “ trystorming ” (beyond brainstorming, trystorming involves quickly trying new ideas or models of new ideas)
      • 5. Creating a prosperous economic organization primarily by eliminating waste
      • 6.Accountable leadership
    • The Results
    • Patient Flow Improvement Project
    • Value Stream Mapping
    • Business Transformation – Financial Perspective SG&A Market Value Growth G&A Sales/Mktg R&D Material Labor Mix Volume Revenue Profit COGS Price Overhead Economic Profit (EVA)
    • Profitable Analysis
    • Patients Flow Simulation
    • About Instructor
      • Anawat Jorapunyanont
      • Key Professional
      • Achievements
      • Certified Manger of Quality/Organizational Excellence ASQ
      • Certified Six Sigma Master Black belt by BMG USA
      • Lean Master
      • Change Leadership by BMG USA
      • Design for Six Sigma by Motorola University
      • TRIZ Theory of Inventive Problem Solving by Creax-UK
      • Education / Qualification
      • Master degree of Financial and Banking Chulalongkorn University
      • Mini MBA Essec University France
      • Master degree of Industrial Engineering Chulalongkorn University
      • Production Technology King Mongkut ’s Institute of Technology North Bangkok
    • About Us
    • Some of Our Experiences
      • Thank you for your attention.
      • Lean Thinking
      • “ Do More with Less ”
      • Visit us at
      • www.BXLNC.com
      • anawat@BXLNC.com
      • 087 005 0052
    • The Lean Train