Practicing Lean by Daniel T Jones - Lean Summit France

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Découvrez la présentation de Daniel T. Jones en ouverture du 4e Lean Summit. Retrouvez les témoignages des dirigeants qui ont fait du lean leur stratégie et l'éclairage des experts en vidéo sur notre site www.institut-lean-france.fr et sur notre chaîne : http://www.youtube.com/user/InstitutLeanFrance

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Practicing Lean by Daniel T Jones - Lean Summit France

  1. 1. PRACTICING LEAN Bad News Good News Daniel T Jones
  2. 2. Lean uses the same scientific approach to diagnose and treat organisational problems as doctors use to solve medical problems
  3. 3. Its Product + Service + User Experience Big Data + users Gemba Better + Faster + Simpler
  4. 4. Value Streams = the sum of the capabilities of the line Ability to See & to Act
  5. 5. Supported by Coaches with Experience Google changes the role of Experts Support activities in the line
  6. 6. Learn to Pull before you Automate Simpler Systems & Compressed Supply Chains
  7. 7. Some Decisions are too important to Computerise A M J J A S O N D J F M X X X X X X Visual Hospital X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Integrated 7 day working at back door X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Pathway redesign X X X X X X X X X X X X X X X X X X X X X X X X Theatre utilisation X X X X X X X X X X X X X X X X X X X Endoscopy utilisation X X X X X X X X X X X X X X X X X X X X X X X X X X X X On Target Not on Target or Missed X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 061011 version 9 Release 9438 bed days in surgery Release 24627 bed days in medicine Release of 735 OPD clinics Reduction of 1993 readmissions Integrated Urgent Care Centres to release 2393 bed days Increase of 96 day cases ImplementationofUrgentCareStandards OPD new/ F/U ratio ImplementationofPlannedCareStandards FinancialBalance ImprovedTheatres/EndoscopyUtilisation Redesignoffrontdoor LengthofStayReduction Improvedaccesstoplannedcare-OPD&diagnostics 15%reductioninsurgicallengthofstay Reducebedoccupancyto95% Transformation Deployment Matrix - Work Streams - Trust Level 2011/12 Integrated Urgent Care Centre Plan for Every Patient Senior daily review Increase of 86 lists in endoscopy Potential efficiency equal to 4221 cases in theatres 15%reductioninemergencymedicallengthofstay PlannedCareAccess-HeatherCarter Theatres&Endoscopy-HeatherCarter UrgentCareAccessAnneSymon 50%reductioninonthedaycancellations LengthofStay-DavidFurley Readmissionswithin30days-25%reduction 25%reductiontowards08/09admissionslevelsinED Increasedaycaserateby25%forselectconditions Increasetheatreutilisationto85% Increasedischargeratetomeettakt7days Increaseendoscopyutilisationto92% Achieve25%reductioninOutpatientfollowups 15%reductioninLoSfor5ambulatorypathways TRANSFORMATIONPRIORITIES TIMELINE TTT TARGETSTARGETS PROJECTS TTT PROJECT DELIVERABLES TOPLEVELMETRICS Dialogue to frame questions and agree actions
  8. 8. Engage Users in Designing the Future 3P saves Capital & running Costs
  9. 9. Relentless disruptive technology push Depends on social organisations to make it happen Potential to deskill many types of jobs Rather than creating fulfilling work Big data can spot trends and act Before understanding cause and effect
  10. 10. PRACTICING LEAN @DanielJonesLean www.leanuk.org

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