1. Learning to see the Waste – The Key Step towards
Streamlined Processes
Christian Foyer – 28/05/2014
River Rouge Consulting Ltd

2. www.riverrougeconsulting.co.uk
Example: Hospital Ward

3. www.riverrougeconsulting.co.uk
Patient
Care
Order
Consumables
8 hours
Walking
Patient
Care
Meetings
8 hours
Walking
Patient Care
Searching for
files
8 hours
Walking
Treatment
Waiting
2 hours
Check-in/out
Customer
Example: Hospital Ward

4. www.riverrougeconsulting.co.uk
Example: Quality Team of a Service Organisation

5. www.riverrougeconsulting.co.uk
1) Complaint received
plus Cust Response
Incoming:~ 8 Compl / Day
CT: 1 h / claim
Operators: 2
2) Log Financial Claim
CT: 30 min / claim
Operators: 1
1
InventoryCT: ~8 h / claim
Operators: 5
3) Problem Solving
32
Inventory
CT: ~2 h / claim
Operators: 1
4) Cost Calculation /
forwarding to suppliers
37
Inventory
Example: Quality Team of a Service Organisation

6. www.riverrougeconsulting.co.uk
Agenda

7. www.riverrougeconsulting.co.uk
Agenda

8. www.riverrougeconsulting.co.uk
Patient
Care
Order
Consumables
8 hours
Walking
Patient
Care
Meetings
8 hours
Walking
Possible first improvement steps:
 Improving walking distances
 Improving file organisation
 Streamlining consumable order process
 Understand reason for customer waiting time (constraint analysis)
Patient Care
Searching for
files
8 hours
Walking
Treatment
Waiting
2 hours
Check-in/out
Customer
Example: Hospital Ward

9. www.riverrougeconsulting.co.uk
1) Complaint received
plus Cust Response
Incoming:~ 8 Compl / Day
CT: 1 h / claim
Operators: 2
2) Log Financial Claim
CT: 30 min / claim
Operators: 1
1
InventoryCT: ~8 h / claim
Operators: 5
3) Problem Solving
32
Inventory
CT: ~2 h / claim
Operators: 1
4) Cost Calculation /
forwarding to suppliers
37
Inventory
Possible first improvement steps:
 Re-balance team
 Understand Top 10 incoming problems and root causes
 Improve cycle-time of process 4
Example: Quality Team of a Service Organisation

10. www.riverrougeconsulting.co.uk
How do we learn to see the waste ?
How do we start?

11. www.riverrougeconsulting.co.uk
How to start looking for waste?
Management
StrategyProcesses
Focused Studies:
1) Work Sampling Study
2) Walk Way Analysis
3) Value Stream Analysis
4) Work Balancing Analysis
5) …..
Simple Visual Management

12. www.riverrougeconsulting.co.uk
Focussed Analysis: Work Sampling
Activity Categories
Observation Time = 3 hoursSampling Interval = 1 minute Runs = 3 times
Searching for files
Entering Data,
Patient care…
Waiting
Walking
Correcting wrong
invoices
Sampling Form Analysis Result
Target: Identifying main process wastes

13. www.riverrougeconsulting.co.uk
Walk Way Analysis of Sterilisation Unit
 185 m or 45 min per tool trolley
 Interfering paths
 112 m or 32 min per tool trolley
 Separate paths
Value Add
Waste
Not sterilising
but required
Value Add
Waste
Not sterilising
but required
Target: Reduction of Walk Ways

14. Work Place Organisation
Target: Reduction of Search Activities
 No Clear Rules
 Too much Stock
 Clear Rules
 Only what’s needed

15. www.riverrougeconsulting.co.uk
How to start looking for waste?
Management
StrategyProcesses
Focused Studies:
1) Work Sampling Study
2) Value Stream Analysis
3) Walk way Analysis
4) Work Balancing Analysis
5) …..
Simple Visual Management

16. Simple Visual Management – Quality Team Coordination Board
Targets:
1) Understand Work Flow
2) Identify Team Balance and Bottlenecks
 Transparency of Complaint Progress
 Transparent Workload Balance
 Identification Bottlenecks

17. Simple Visual Management – Hospital Ward Coordination Board
Targets:
1) Understand Work Flow
2) Identify Team Balance and Bottlenecks
 Clear Patient Progress
 Transparent Information Flow
 Identification of Bottlenecks

18. ‘You can’t fight what you can’t see!’
J.F. Kennedy

19. Agenda
www.riverrougeconsulting.co.uk