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Simulation: Taking 
“Lean Thinking” 
to the Next Level 
Brittany Hagedorn, Healthcare Lead for North America
My Evolving View of 
Simulation & Lean 
Management 
Consulting. 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
Advocate for 
Integration. 
TODAY 
Pure Lean and 
Six Sigma. 
Simulation as a 
risk reduction tool. 
Simulation as an 
engagement tool.
SIMUL8 Corporation 
• Established 1994 
• Suite of Simulation Products 
– SIMUL8 Professional – Core Product 
– LeanHDX – Architectural Layout Design 
– LeanSim Toolkit – Teach Lean Concepts 
– Scenario Generator – Strategic Planning 
– SIMUL8 Web – Collaborate on Models Online 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
Easy to 
Use 
Quick to 
Learn 
Visual & 
Interactive
“Thinking Lean” 
What does it mean to “Think Lean”? 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888
Continuous Improvement 
QUALTIY 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
ADD VALUE 
ELIMINATE 
WATE 
CREATE FLOW 
MEASUREMENT
Challenges for Improvement 
As improvement practitioners, we face challenges when it 
comes to implementing a culture of continuous improvement. 
• Sustainment of change. 
• Lots of high priorities. 
• Adoption/stakeholder engagement. 
• Complex process interactions. 
• Interdependent changes/projects. 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888
Mounting Pressures 
• Need to get more done, faster. 
• More improvement opportunities than you can 
handle with existing staff. 
• Mandate to quantify results. 
• Requirement to reduce risk and ensure the 
success of every implementation. 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888
Lean & Simulation’s 
Shared Philosophy 
 Variability impacts outcomes. 
 Measure performance. 
 Value everyone’s ideas. 
 Pilot before you implement. 
10/20/2014 ALL RIGHTS RESERVED. BONSAI RESOURCE GROUP, INC. 4 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888
Models of Integration 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
Independent 
Simulation 
Small Model 
built during a 
Lean Project 
Simulation 
Integrated into 
the Standard 
Lean Process
Value Stream Mapping 
Even Value Stream Mapping can benefit from simulation. 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
10/20/2014
Value Stream Mapping 
Use simulation to get even more from a VSM. 
1. Validate the VSM by examining inventory levels. 
2. Prioritize potential projects based on projected 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
10/20/2014 
impact on key metrics. 
3. Identify interactions between projects. 
4. Set evidence-based improvement targets.
Compare Scenarios 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888
Risk-Free Pilots 
Visualize everyone’s suggestions and their impact on key 
outcome measures – for minimal time or cost. 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888
Post-Kaizen Implementation 
After a Kaizen event, there is always some uncertainty about how 
the new process will work after “go live”. For critical business 
processes, simulation can help mitigate implementation risk. 
Answer questions such as: 
• Do I have enough resources to handle the increased throughput? 
• Is the new process robust enough to handle unusual or unexpected 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
situations? 
• What downstream effects have we forgotten to plan for?
Simulation in Lean & Six Sigma 
Simulation is a powerful tool, but it is most effective when integrated with the Lean Six Sigma 
approach. By doing so, we can maximize the impact of our improvement efforts. 
Understand 
dependencies. 
Validate your 
current state. 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
Value Stream 
Mapping 
Identify 
Improvement 
Opportunities 
Prioritize 
Projects 
Develop 
Charters 
Map Current 
State 
Design Future 
State 
Pilot 
Future State 
Implement Sustain 
• Conduct 
observations. 
• Collect data. 
• Document 
value stream 
statistics. 
• Document all 
barriers, 
rework, and 
wait times. 
• Estimate the 
impact and 
effort for each 
improvement. 
• Combine for 
prioritization. 
• Define 
process and 
outcome 
metrics. 
• Establish 
target (%) for 
improvement. 
• Create a 
detailed 
process map. 
• Identify 
potential 
interventions. 
• Develop and 
document a 
future state 
process map. 
• Implement 
the proposed 
future state 
on a small 
scale. 
• Identify issues 
& unexpected 
effects. 
• Modify the 
future state as 
needed. 
• Conduct 
training. 
• Go live. 
• Document 
standard work 
and policies & 
procedures. 
• Monitor and 
sustain 
improvements 
Incorporate . 
variability 
Set evidence-based 
into VSM. 
targets. 
Reduce risk. 
Gain buy-in. 
Visualize 
improvement 
results. 
TEACH LEAN 
CONCEPTS
Situations For Simulation 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888 
• Average is not enough 
• Complex process 
• Many possible input variables 
• Dependent relationships between variables 
• Need a “Sand Box” test environment 
• Risky (potential danger) 
• Expensive (moving equipment, building walls) 
• Time & Resource (running many tests to find the optimum) 
• Rare occurrence (extremely high demand, disaster response) 
• Data constraints (estimational, not available, or “dirty”) 
• Stakeholder engagement (visualize the future in order to gain buy-in) 
10/20/2014 ALL RIGHTS RESERVED. BONSAI RESOURCE GROUP, INC. 9
Key Takeaways 
1. Lean and Simulation share a common philosophy. 
2. There are many opportunities to incorporate Simulation 
into standard Lean practice. 
3. Lean ROI can be enhanced by integrating Simulation. 
4. Careful deployment and strong advocacy will be 
required in order to fully integrate Lean and Simulation. 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888
Additional Resources 
Visit SIMUL8.com for case studies that 
demonstrate how Lean and Six Sigma 
benefit from simulation. 
For free downloadable booklet and models 
from Warwick University, visit SimLean.org. 
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 
1 800 547 6024 | +44 141 552 6888

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Bringing Data to Life with Simulation
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Simulation modeling of pre/post bed needs for an Interventional Platform
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SIMTEGR8: Simulation To Evaluate Great Care
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CMS Measures Forum - Chronic Disease
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Population Health Planning for Chronic Disease
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Simulation: Taking “Lean Thinking” to the Next Level

  • 1. Simulation: Taking “Lean Thinking” to the Next Level Brittany Hagedorn, Healthcare Lead for North America
  • 2. My Evolving View of Simulation & Lean Management Consulting. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 Advocate for Integration. TODAY Pure Lean and Six Sigma. Simulation as a risk reduction tool. Simulation as an engagement tool.
  • 3. SIMUL8 Corporation • Established 1994 • Suite of Simulation Products – SIMUL8 Professional – Core Product – LeanHDX – Architectural Layout Design – LeanSim Toolkit – Teach Lean Concepts – Scenario Generator – Strategic Planning – SIMUL8 Web – Collaborate on Models Online SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 Easy to Use Quick to Learn Visual & Interactive
  • 4. “Thinking Lean” What does it mean to “Think Lean”? SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888
  • 5. Continuous Improvement QUALTIY SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 ADD VALUE ELIMINATE WATE CREATE FLOW MEASUREMENT
  • 6. Challenges for Improvement As improvement practitioners, we face challenges when it comes to implementing a culture of continuous improvement. • Sustainment of change. • Lots of high priorities. • Adoption/stakeholder engagement. • Complex process interactions. • Interdependent changes/projects. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888
  • 7. Mounting Pressures • Need to get more done, faster. • More improvement opportunities than you can handle with existing staff. • Mandate to quantify results. • Requirement to reduce risk and ensure the success of every implementation. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888
  • 8. Lean & Simulation’s Shared Philosophy  Variability impacts outcomes.  Measure performance.  Value everyone’s ideas.  Pilot before you implement. 10/20/2014 ALL RIGHTS RESERVED. BONSAI RESOURCE GROUP, INC. 4 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888
  • 9. Models of Integration SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 Independent Simulation Small Model built during a Lean Project Simulation Integrated into the Standard Lean Process
  • 10. Value Stream Mapping Even Value Stream Mapping can benefit from simulation. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 10/20/2014
  • 11. Value Stream Mapping Use simulation to get even more from a VSM. 1. Validate the VSM by examining inventory levels. 2. Prioritize potential projects based on projected SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 10/20/2014 impact on key metrics. 3. Identify interactions between projects. 4. Set evidence-based improvement targets.
  • 12. Compare Scenarios SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888
  • 13. Risk-Free Pilots Visualize everyone’s suggestions and their impact on key outcome measures – for minimal time or cost. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888
  • 14. Post-Kaizen Implementation After a Kaizen event, there is always some uncertainty about how the new process will work after “go live”. For critical business processes, simulation can help mitigate implementation risk. Answer questions such as: • Do I have enough resources to handle the increased throughput? • Is the new process robust enough to handle unusual or unexpected SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 situations? • What downstream effects have we forgotten to plan for?
  • 15. Simulation in Lean & Six Sigma Simulation is a powerful tool, but it is most effective when integrated with the Lean Six Sigma approach. By doing so, we can maximize the impact of our improvement efforts. Understand dependencies. Validate your current state. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 Value Stream Mapping Identify Improvement Opportunities Prioritize Projects Develop Charters Map Current State Design Future State Pilot Future State Implement Sustain • Conduct observations. • Collect data. • Document value stream statistics. • Document all barriers, rework, and wait times. • Estimate the impact and effort for each improvement. • Combine for prioritization. • Define process and outcome metrics. • Establish target (%) for improvement. • Create a detailed process map. • Identify potential interventions. • Develop and document a future state process map. • Implement the proposed future state on a small scale. • Identify issues & unexpected effects. • Modify the future state as needed. • Conduct training. • Go live. • Document standard work and policies & procedures. • Monitor and sustain improvements Incorporate . variability Set evidence-based into VSM. targets. Reduce risk. Gain buy-in. Visualize improvement results. TEACH LEAN CONCEPTS
  • 16. Situations For Simulation SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888 • Average is not enough • Complex process • Many possible input variables • Dependent relationships between variables • Need a “Sand Box” test environment • Risky (potential danger) • Expensive (moving equipment, building walls) • Time & Resource (running many tests to find the optimum) • Rare occurrence (extremely high demand, disaster response) • Data constraints (estimational, not available, or “dirty”) • Stakeholder engagement (visualize the future in order to gain buy-in) 10/20/2014 ALL RIGHTS RESERVED. BONSAI RESOURCE GROUP, INC. 9
  • 17. Key Takeaways 1. Lean and Simulation share a common philosophy. 2. There are many opportunities to incorporate Simulation into standard Lean practice. 3. Lean ROI can be enhanced by integrating Simulation. 4. Careful deployment and strong advocacy will be required in order to fully integrate Lean and Simulation. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888
  • 18. Additional Resources Visit SIMUL8.com for case studies that demonstrate how Lean and Six Sigma benefit from simulation. For free downloadable booklet and models from Warwick University, visit SimLean.org. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 1 800 547 6024 | +44 141 552 6888

Editor's Notes

  1. Might call these the PDCA cycle. Try something, doesn’t work, learn and adjust.
  2. Pause for discussion.