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When Post-Its Didn't Cut it Anymore: How a Hospital Adopted KaiNexus

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Hosted by Mark Graban of KaiNexus and presented by Tania Lyon

November 30 from 1:00 - 2:00 pm EDT


In this webinar, you will learn:

The preconditions for a successful rollout
The levers for driving KaiNexus adoption
How to develop and rely on the organizational helpchain to manage training

Tania Lyon

Dr. Lyon has spent the last 7 years leading St. Clair Hospital, a large award-winning community hospital in Pittsburgh, PA, through a “lean” transformation as their first Director of Organizational Performance Improvement. She has trained over 1600 hospital employees in Toyota principles and methods. Her own background in Lean healthcare comes from 5 years with the nonprofit Pittsburgh Regional Health Initiative (PRHI) where she helped to develop their nationally acclaimed curriculum for health care professionals and coached lean improvement efforts in a variety of healthcare settings. Dr. Lyon is also interested in Lean Healthcare applications for low resource settings like hospitals in Malawi and Haiti. She earned her PhD in Sociology from Princeton University and her BA in Peace and Conflict Studies from U.C. Berkeley and has two charming daughters who have thus far resisted all efforts to apply the Toyota Way to their rooms.

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When Post-Its Didn't Cut it Anymore: How a Hospital Adopted KaiNexus

  1. 1. Presenter: Tania Lyon St. Clair Hospital Tania.Lyon@stclair.org @StClairHospital When Post-Its Didn’t Cut it Anymore: How a Hospital Adopted KaiNexus Host: Mark Graban KaiNexus Mark@KaiNexus.com @MarkGraban
  2. 2. Agenda & Logistics • Presentation (~45 minutes) • Your Questions (~10 minutes) – Use the GoToWebinar Meeting Panel to submit a question at any time • Recording link and slides will be sent via email
  3. 3. About Tania Lyon Dr. Lyon has spent the last 8+ years leading St. Clair Hospital, a large award-winning community hospital in Pittsburgh, PA, through a “lean” transformation as their first Director of Organizational Performance Improvement. She has trained over 2000 hospital employees in Toyota principles and methods. Her own background in Lean healthcare comes from 5 years with the nonprofit Pittsburgh Regional Health Initiative (PRHI) where she helped to develop their nationally acclaimed curriculum for health care professionals and coached lean improvement efforts in a variety of healthcare settings. Dr. Lyon is also interested in Lean Healthcare applications for low resource settings like hospitals in Malawi and Haiti. She earned her PhD in Sociology from Princeton University and her BA in Peace and Conflict Studies from U.C. Berkeley and has two charming daughters who have thus far resisted all efforts to apply the Toyota Way to their rooms.
  4. 4. When Post-Its Didn't Cut it Anymore Tania Lyon, PhD Director of Organizational Performance Improvement St. Clair Hospital Pittsburgh, PA
  5. 5. • Serves ~500,000 residents • Over 550 physicians and 2,400 employees • Member of the Mayo Clinic Care Network • Independent, not-for-profit • 328-bed, full service hospital • Multiple outpatient centers • Integrated physician network
  6. 6. 7 2006 2008 New CEO Lean journey begins
  7. 7. • 3 pillars of Lean Transformation: • Training • Operations • Engagement
  8. 8. 8 Types of Waste • Waiting • Defects • Unnecessary Motion • Unnecessary Transport • Overproduction • Extra Processing • Excess Inventory • Unused Employee Creativity 9
  9. 9. 10 2006 2008 2010 New CEO Lean journey begins Employee Idea Boards Hospital-wide
  10. 10. 11 2006 2008 2010 New CEO Lean journey begins Employee Idea Boards Hospital-wide 2015 KaiNexus is launched
  11. 11. KaiNexus > Post-its • Transparency – Staff – Coaches 12
  12. 12. KaiNexus > Post-its • Transparency – Staff – Coaches • Collaboration 13
  13. 13. KaiNexus > Post-its • Transparency – Staff – Coaches • Collaboration • Data – Metrics for improvement culture – Captures value of small changes (kaizen) 14
  14. 14. Roll-out Strategies • No “Big Bang”; take the tortoise approach
  15. 15. Roll-out Strategies • No “Big Bang”; take the tortoise approach • Pilot first 16
  16. 16. Roll-out Strategies • No “Big Bang”; take the tortoise approach • Pilot first • Engage Chain of Command 17
  17. 17. Roll-out Strategies • No “Big Bang”; take the tortoise approach • Pilot first • Engage Chain of Command • Standardized Checklist 18
  18. 18. Roll-out Wins • Used KaiNexus for existing work: Required Performance Improvement (PI) Plans 19
  19. 19. Roll-out Wins • Integrated existing templates into KN 20
  20. 20. Roll-out Wins • Integrated KaiNexus into organizational goals 21
  21. 21. Approach to Training • Frontline staff – barebones • Managers – more one- on-one support 22
  22. 22. Approach to Training • Directors – engage through bottleneck boards 23
  23. 23. Approach to Training 24 Directors: Hold Managers accountable Managers: Intensive support from Lean coaching team Frontline: As-needed support from Managers and Lean coaches Lean Coach
  24. 24. Results • KaiNexus culture is maturing year to year 25
  25. 25. 26 Year 1 Results
  26. 26. 27 Year 2 Results to Date
  27. 27. 28 Year 1 Results
  28. 28. 29 Year 2 Results to Date
  29. 29. Results • KaiNexus is the Lean team’s “status board” 30
  30. 30. Thank You! Tania Lyon tania.lyon@stclair.org 31
  31. 31. Webinars On Demand
  32. 32. 2017 Webinars • Presenters and topics to include: – Lean Construction – Managing Data & Metrics – Change Management – Developing a Standard for Improvement – Culture Change – KaiNexus Customer Stories http://www.kainexus.com/webinars
  33. 33. Contact Info: Q&A • Web: – www.kainexus.com • Past Webinars: – www.kainexus.com/webinars • Social media: – www.twitter.com/kainexus – www.linkedin.com/company/kainexus – www.facebook.com/kainexus Tania Lyon Tania.Lyon@stclair.org Mark Graban KaiNexus Mark@KaiNexus.com @MarkGraban

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