Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Lean Principles in Healthcare: 2 Important Tools Organizations Must Have

13,070 views

Published on

The transition from fee-for-service to value-based reimbursement is driving many healthcare systems to fine-tune processes and work waste out of the system. In the search for quality improvement tools there has been much buzz surrounding lean, touted for its ability to remove waste from processes. Many have tried lean and, failing to achieve any sustainable benefit, are learning that applying lean principles to healthcare can be quite difficult. The lean approach isn’t a magic potion. Sustainable change will never become real without a committed organization dedicated to making it a reality. Lean, or any quality improvement tool, works in healthcare only when it is part of a larger initiative driving real cultural change.

Published in: Healthcare
  • DOWNLOAD FULL. BOOKS INTO AVAILABLE FORMAT, ......................................................................................................................... ......................................................................................................................... 1.DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD FULL BOOKS INTO AVAILABLE FORMAT ......................................................................................................................... ......................................................................................................................... 1.DOWNLOAD FULL PDF EBOOK here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL EPUB Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL doc Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL PDF EBOOK here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL EPUB Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL doc Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Lean Principles in Healthcare: 2 Important Tools Organizations Must Have

  1. 1. Lean Principles in Healthcare: Two Important Tools Organizations Must Have
  2. 2. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean Principles Manufacturing organizations like automaker Toyota, from whom a lean approach called “The Toyota Way” originated, have developed amazing sophistication by allowing frontline employees to participate in building and honing processes.
  3. 3. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean Principles Lean is a proven, practical approach to process improvement in industries such as manufacturing and industrial engineering. Applying it to healthcare, however, can be much more difficult. Many healthcare systems have tried and failed to implement lean processes.
  4. 4. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean Principles Based on our experience working with scores of healthcare organizations to improve processes and eliminate waste, we’ll outline what worked best and share some of the most successful applications of lean tools and principles.
  5. 5. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Intelligence on the Frontlines Lean is a counteraction to the common top-down, command-and- control approach to management. In a lean organization, manage- ment empowers employees to define and then continuously refine processes. Lean organizations develop highly specified and exact processes. Employees own the process and are encouraged to review and continuously improve it.
  6. 6. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The State of Lean in Healthcare Healthcare is transitioning to a value-based reimbursement, so organizations have a pressing need to fine-tune processes and work waste out of the system. Lean, touted for its ability to remove waste from processes, has obviously caught the interest of these organizations.
  7. 7. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The State of Lean in Healthcare Some health systems adopt bits and pieces of lean or invite a lean expert to train their staff. Either approach temporarily translate to results or yield no results at all; hence, the skepticism about lean’s effectiveness in healthcare. The truth is, lean isn’t a magic sauce. Lean works in healthcare when it is part of a larger initiative driving real cultural change.
  8. 8. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The State of Lean in Healthcare Some health systems adopt bits and pieces of lean or invite a lean expert to train their staff. Either approach temporarily translate to results or yield no results at all; hence, the skepticism about lean’s effectiveness in healthcare. The truth is, lean isn’t a magic sauce. Lean works in healthcare when it is part of a larger initiative driving real cultural change.
  9. 9. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean Principles in Cultural Change Healthcare organizations shouldn’t try to be lean organizations. Instead, health systems should approach lean in a practical way, taking the pieces that work well and applying those pieces in a systematic way to help drive cultural change throughout the enterprise.
  10. 10. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean Principles in Cultural Change Lean’s focus on workflow efficiency applies very well to some aspects of healthcare improvement, but not to others. This diagram categorizes all work performed in a healthcare system. Dr. David Burton Dr. Burton is the Senior Vice President, future product strategy at Health Catalyst) Dr. Brent James Intermountain Healthcare Pioneered this healthcare- improvement process.
  11. 11. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean Principles in Cultural Change Healthcare was divided into vertical processes (the ordering of care) and horizontal processes (the delivery of care). The vertical categories encompass the full spectrum of care that clinicians order for patients. The horizontal categories represent the work required to deliver the care ordered by clinicians.
  12. 12. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean Principles in Cultural Change Improving the vertical processes requires clinicians to order the proper care for patients. Improvement initiatives in these areas don’t always lend themselves as readily to the lean approach. Lean may not offer the level of precision needed to identify and develop superior treatment guidelines and protocols.
  13. 13. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean in Healthcare: Two Tools To be successful within this healthcare context, lean is applied to improve the horizontal services. Lean is pared down to bare minimum concepts so people within the organization completely understand what to do and what goals can be expected. This approach borrows extensively from Cindy Jimmerson, founder of Lean Healthcare West, who has helped pioneer the pragmatic simplification of lean in healthcare.
  14. 14. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean in Healthcare: Two Tools Value-stream maps – process maps (for example surgery workflow) reviewed at a high level to identify the best opportunities for workflow improvement.
  15. 15. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Lean in Healthcare: Two Tools A3 diagrams – Once an improvement opportunity is identified, the team creates an A3 diagram. A3 diagrams (named for the paper size used by Toyota to create them) are a simple problem-solving tool designed for all to use—experts in process improvement and non- experts. Example: Toyota A3 Diagrams
  16. 16. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Successful Approach to Cultural Change Although lean is a sound approach to management, a broader healthcare- improvement methodology is necessary for organizations. This approach can share many key philosophical elements with lean: • Highly specified processes • A bottom-up approach to drive change • Continuous process improvement • Everyone works to update processes • Servant leadership
  17. 17. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Successful Approach to Cultural Change Lean is usually implemented as a set of tools and techniques, but the tools and techniques have only local, short-term success without the foundational principles that produced them. Without organizational and cultural adoption of these principles lean is no more effective or enduring than any temporary initiative.
  18. 18. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Successful Approach to Cultural Change Permanent teams organized around a particular clinical or non- clinical domain—rather than around a project—can truly improve care and sustain improvements over the long term. These teams create a continuous- learning environment for each clinical domain. As new knowledge is acquired, it can be integrated into care delivery.
  19. 19. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Successful Approach to Cultural Change The flatbed of the truck in this example represents the five process-improvement implementation teams in the Clinic Care support service. A guidance team with clinical and operational leads drives the truck and guides the process-improvement teams. The guidance team is ultimately accountable for the success of the initiative and has the authority to prioritize resources for each of the five process- improvement teams.
  20. 20. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Successful Approach to Cultural Change Principal resources allocated by the guidance team is represented by the truck wheels – The technical support staff. These are the knowledge managers, data architects and application administrators who work with the teams to identify opportunities for improvement. The technical staff is usually comprised of data stewards, data quality experts and IT personnel proficient in data capture.
  21. 21. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Successful Approach to Cultural Change The knowledge manager is generally a clinician with a significant technical background. The data architect knows SQL, translates the aim statements into metrics, and builds the reports and dashboards used by the team to report results to leadership. These three technical roles support the physician, nurse, and operational leaders of each team as they redesign care delivery and eliminate waste. *For a more in-depth explanation of this approach, we recommend this webinar by Dr. Burton
  22. 22. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Sustainable Healthcare Improvement As the industry transitions from fee-for-service to value-based reimbursement, many healthcare organizations are attempting to leverage lean principles as part of their improvement initiatives. Most importantly they are beginning to understand that true, sustainable change will never become a reality without a committed organization dedicated to making it a reality. Commitment and Dedication
  23. 23. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic How Texas Children’s Hospital Reduced Their Healthcare Labor Costs Bobbi Brown – Vice President of Financial Engagement Driving Out Waste: A Framework to Enhance Value in Clinical Care (HFMA) Dr. David Burton – Vice President of Future Product Strategy Quality Improvement in Healthcare: Where is the Best Place to Start? Eric Just – Vice President, Engagement and Product Development Reducing Waste in Asthma Healthcare: The Impact of Data Anne Marie Bickmore – Vice President, Engagement The Best Clinical Data Management Strategy To Reduce Waste, Clutter, and Inefficiency Jane Felmlee – Director, Financial Engagement Link to original article for a more in-depth discussion. Lean Principles in Healthcare: 2 Important Tools Organizations Must Have
  24. 24. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. For more information: Download Healthcare: A Better Way. The New Era of Opportunity “This is a knowledge source for clinical and operational leaders, as well as front-line caregivers, who are involved in improving processes, reducing harm, designing and implementing new care delivery models, and undertaking the difficult task of leading meaningful change on behalf of the patients they serve.” – John Haughom, MD, Senior Advisor, Health Catalyst
  25. 25. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Stephen Hess joined Health Catalyst as a Data Architect in January 2012. Prior to Health Catalyst, he was a project manager and a certified Lean Six Sigma black belt at Xerox Corporation where he worked for thirteen years in the business-services division. He holds a Bachelor of Arts degree in English from the University of Utah. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Jason Burke brings over eight years of health care experience at University of Utah Healthcare to Health Catalyst. At the University of Utah, he spent over four years as a data architect on the Enterprise Data Warehouse and over four years as the business system administrator of the Enterprise Performance Management tool used to annually budget over $1.2 billion. He has also worked with a multitude of business intelligence tools and was responsible for executive level reports and dashboards. Mr. Burke holds a MBA with a Management of Technology certificate and a BS from the University of Utah.

×