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Charles Sharkey M.S., M.B.A., PharmD
Pharmacy Site Manager/Residency PGY 1 Coordinator
New York Harbor Healthcare System
Brooklyn, New York 11209
1

 Zero Defect
 Customer Needs are First Concern
 Value Stream
What is Lean
Philosophy?
2

 Henry Ford – Designed Mass Production System by
Beginning with What Customer Would Pay For
(Value)
 Worked Backward to Design Product and
Production Line
 Least Time, Least Waste
Lean Thinking
(Opposite)
3

 Alfred Sloan President GM
 Decentralized Organization
 Central Coordinated Control
 Scientific Management
 Inventory, Costs, Not People
Lean Thinking
(Opposite)
4

 Henry Ford “You can Have Any Color Car as Long
as Its Black”
Lean Thinking
(Opposite)
5

Value (v) = Quality (q)/Costs (c)
 True North Involves Focus on Key Matters
 What Really Matters, We Measure
Lean Thinking
6

 Walter Shewart Bells Labs
 Also Called Deming Wheel
 Scientific Method Applied to Daily Work
Plan, Do, Study, Act
(PDSA) Cycle
7

Act
Plan
Do
Study
PDSA Cycle
8

 Standard Work is “the Best Known Steps Required to
Perform a Job”
 Lean Thinking Edits Standard Work
 “Andon” Allows Workers To Call Timeout to Fix a
Process
Lean Thinking
9

 ANDON
 GEMBA Walk
 Top Leadership Buyin
Lean thinking
10

 Problem
 Business Case
 Opportunity
 Goals
Lean Thinking
11

 Brainstorm
 Flow Chart
 SIPOC
 Fishbone
Lean Thinking
12

 Set a Timeline
 Frequent Short Meeting
 Define Team Roles
Lean Thinking
13

 Not a Program
 Not Quality Improvement
 Not a Quick Fix
 Not a Destination
Lean Thinking
14

 Cultural Transformation That Changes How an
Organization Works
 A Journey with No Finish Line
Lean thinking
15

 1. Attitude of Continuous Improvement
 2. Value Creating
 3. Unity of Purpose
Lean Thinking –
Major Principles
16

 4. Respect for People Who do the Work
 5. Visual Process
 6. Flexible Regimentation
Lean Thinking –
Major Principles
17

 So Dr Sharkey How Does This Relate to Pharmacy?
Lean Thinking
18

 Zero Patient Complaints
 Zero Medication Errors
 Zero Waiting Time
 Highly Trained Staff
Lean thinking -
Pharmacy
19

 New Pharmacy Roles
 New Clinics for Pharmacist
 Cost Savings
Lean thinking -
Pharmacy
20

 Innovative Management Approach Transforming
Organizational Culture Form Inside Out
Lean thinking
21

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Lean Philosophy 2014

  • 1. Charles Sharkey M.S., M.B.A., PharmD Pharmacy Site Manager/Residency PGY 1 Coordinator New York Harbor Healthcare System Brooklyn, New York 11209 1
  • 2.   Zero Defect  Customer Needs are First Concern  Value Stream What is Lean Philosophy? 2
  • 3.   Henry Ford – Designed Mass Production System by Beginning with What Customer Would Pay For (Value)  Worked Backward to Design Product and Production Line  Least Time, Least Waste Lean Thinking (Opposite) 3
  • 4.   Alfred Sloan President GM  Decentralized Organization  Central Coordinated Control  Scientific Management  Inventory, Costs, Not People Lean Thinking (Opposite) 4
  • 5.   Henry Ford “You can Have Any Color Car as Long as Its Black” Lean Thinking (Opposite) 5
  • 6.  Value (v) = Quality (q)/Costs (c)  True North Involves Focus on Key Matters  What Really Matters, We Measure Lean Thinking 6
  • 7.   Walter Shewart Bells Labs  Also Called Deming Wheel  Scientific Method Applied to Daily Work Plan, Do, Study, Act (PDSA) Cycle 7
  • 9.   Standard Work is “the Best Known Steps Required to Perform a Job”  Lean Thinking Edits Standard Work  “Andon” Allows Workers To Call Timeout to Fix a Process Lean Thinking 9
  • 10.   ANDON  GEMBA Walk  Top Leadership Buyin Lean thinking 10
  • 11.   Problem  Business Case  Opportunity  Goals Lean Thinking 11
  • 12.   Brainstorm  Flow Chart  SIPOC  Fishbone Lean Thinking 12
  • 13.   Set a Timeline  Frequent Short Meeting  Define Team Roles Lean Thinking 13
  • 14.   Not a Program  Not Quality Improvement  Not a Quick Fix  Not a Destination Lean Thinking 14
  • 15.   Cultural Transformation That Changes How an Organization Works  A Journey with No Finish Line Lean thinking 15
  • 16.   1. Attitude of Continuous Improvement  2. Value Creating  3. Unity of Purpose Lean Thinking – Major Principles 16
  • 17.   4. Respect for People Who do the Work  5. Visual Process  6. Flexible Regimentation Lean Thinking – Major Principles 17
  • 18.   So Dr Sharkey How Does This Relate to Pharmacy? Lean Thinking 18
  • 19.   Zero Patient Complaints  Zero Medication Errors  Zero Waiting Time  Highly Trained Staff Lean thinking - Pharmacy 19
  • 20.   New Pharmacy Roles  New Clinics for Pharmacist  Cost Savings Lean thinking - Pharmacy 20
  • 21.   Innovative Management Approach Transforming Organizational Culture Form Inside Out Lean thinking 21