The presentation is about the benefits of applying for the International Organization for Standardization(ISO) for Lean. This standard will help healthcare and allied industries to create Lean capability in their organisations and accelerate process improvements. Ultimately it improves quality of services, improves reputation, reduces costs, avoids future costs and/or improves revenue.

1. kinetik solutions
Webinar on building capability in Lean to the ISO 18404
Standard – 11th February 2021

2. About the speaker Ketan Varia
Ketan Varia has developed a portfolio career over 25 years including roles as board
director, management consultant and mentor. He has worked with large and complex
organisations (FTSE 250/Global 500) in delivering operational excellence and change
management projects.
Prior to founding Kinetik Solutions in 2004, Ketan worked at Ernst & Young/Cap Gemini.
In 18 years as a management consultant he has delivered over 30 change programmes
across 5 continents. Ketan has substantial international experience, including emerging
countries of Mauritius and Sri Lanka. He delivered a talk at an international conference
in Morocco in 2019.
Ketan has been a non-executive board member of an Acute Hospital Trust (equivalent to
FTSE 250 organisation) and also served on their Audit and Strategy Committees. He is a
Chartered Engineer.
He has written a book ‘The Art of Transformational Change’ published
in 2015, which has had positive feedback on the Amazon channel.
@ketanvaria https://www.linkedin.com/in/ketanvaria

3. We will explain the benefits of capability building
in Lean in line with the ISO 18404 standard
• How Lean capability in your
organisation leads to positive
benefits
• The nature of the Lean ISO standard
(18404)
• The requirements for accreditation
towards the standard
3
Today’s talk will be about the benefits of applying for the International
Organization for Standardization(ISO) for Lean.
This standard will help healthcare and allied industries to create Lean
capability in their organisations and accelerate process improvements.
Ultimately it improves quality of services, improves reputation, reduces
costs, avoids future costs and/or improves revenue.
• Case studies of Lean implementation
in healthcare and other settings
• Kinetik’s capability in supporting you
with training and coaching
• The investment and commitment you
will need to make as an organisation

4. Lean simply means..
Creating more value for customers
with fewer resources
Maximising customer value while
minimising waste
The idea that services 'flow' as
smoothly as possible from source to
destination by eliminating waste in
process steps and by managing
bottlenecks
What does Lean Mean

5. Lean has already benefited the pharmaceutical
sector
• >6000 employees trained
in 77 plants
• 25% costs reduced in
some product areas
• Top to Bottom Culture
Change
• Inventory Turns Doubled
• Production and Supply
Chain Costs reduce from
19% to 13%
• Oncology Product - Benefits in Set-Up
Reduction and standardisation
• Operational Excellence Winner 2016,
Society of Pharmaceutical Engineering
“If you apply Lean appropriately you remove non value added activities out of
the process……[and without compromising regulatory requirements]”
John Earley, Global Head of Lean, AstraZeneca 2007-2009.
• Turbuhaler Plant
• Increased its productivity by 150% and
• Decreased quality deviations by 90%

6. Lean is already successful globally in the
health sector
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Length of Stay Reduction
Waiting Time Reduction
Decrease of Patients leaving without Treatment
Results of 40 case studies on Lean in Health Care globally1
Patient Satisfaction
Staff Satisfaction
1. Tiapa D, et. al. “Effects of Lean Healthcare on Patient Flow: A Systematic Review”. Value in Health Journal, Jan 2020.

7. The Principles of Lean

8. Why work with
For Better Health/Kinetik?
Kinetik has extensive experience of helping
organisation with change globally

9. Some of the Projects Kinetik has delivered
Lean Area Key Interventions by Kinetik Benefits
Global 500 Services
Company
• Over 100 People Trained Globally
• 50 projects launched.
• Creation of Change Roadmap
$8.5M Cost Saving
- by Year 2
UK NHS Hospital • Executive Coaching
• Review of Diagnostics Process
• Training of Doctors and Clinicians
2 week reduction in wait.
700 hours saved in first
project (£35K)
UK Manufacturing
Company
• Process mapping of key product lines
• Training and Coaching
• Benefits Measurement Process
20% reduction in cost from
from specific processes
Sri Lankan Bank • Diagnostic
• Launch of company wide lean approach
• Executive and Management Coaching
• 20 Projects Launched
• Future State Process
Mapping/Workshops
120M Rupees identified
and banked within 3 years
kinetik solutions

10. Kinetik developed Green Belt certification for a major Bank
At present the only bank in Sri Lanka that has developed its own certification standard
“Delivery was top-class. We have found in Kinetik, a partner
with whom we feel we can really work with going forward to help
us with our Lean journey and add value to Nations Trust Bank.”
Chief Operating Office, Nations Trust Bank, Sri Lanka

11. • Long term sustainable improvement:
• Not a short term ‘financial fix’
• Improvement of services and bottom line results, often surpass expectations
• Relatively low investment:
• No costly assets/infrastructure/IT overhaul
• Waste elimination drives financial benefits for future investment
• Can be integrated well with digital change projects
• Straightforward principles and concepts:
• Not a complex management fad understood only by a few
• Tried and Tested:
• It works / methodology has been trialled for over 40 years in various sectors
Lean-based change is a good ROI for many
organisations

12. Understanding the
Lean ISO

13. The Independent Assessment Process for
Certification for Lean (ISO 18404)
14
*The International Organization for Standardization (ISO) is the an independent, non-governmental international organization
that sets global standards in products, managing processes, delivering a service or supplying materials.
“Candidates will be expected to demonstrate that they have
an adequate level of competence, an amalgamation of
education, training, skills and experience necessary to fulfil
their roles”

14. The Investment you will require to meet the ISO
Standard (for individuals)

15. A typical 5 Day Course – That is based around
your process challenges

16. More about Kinetik’s Expertise and Experience
to help deliver the Lean ISO 18404
• Kinetik has worked with dozens of organisations in process
improvement interventions – to date we have trained over 500 people in
Lean methodology including the Health Sector
• We will help your organisation to gain Lean process improvement
competencies and prepare you for ISO 18404 certification
• Our support will help you create Lean capability in your organisation and
accelerate process improvements, reducing costs, avoiding costs,
improving revenue or improving reputation/quality
• We will coach and train your team using extensive methods to embed
capability and supplemented with an on-line classroom platform

17. Frequently Asked Questions
What is the ISO 18404?
The ISO have released a framework for Lean and
Six Sigma Capability, the 'ISO 18404(2015) for
individuals'. It is a recognition of competency
(skills and abilities).
What levels of Competence are there?
There are three roles for Lean: Practitioner(13
competencies), Leader(18 competencies) and
Expert. Kinetik provides support for Practitioner
and Leader.
What happens when the individual leaves the
organisation?
The certification is portable; it can be moved from
organisation to organisation, and so a long-term
investment for the individual and for your sector as
a whole.
What is difference about this certificate
compared to other certification bodies?
The ISO is based on competence level, not ‘book
knowledge’ or on passing an exam.
Is there a renewal process?
There is annual renewal: each person will need
to “Prepare a portfolio of evidence of work
experience” which will be required for
confirmation.
What commitment will an organisation need to
make towards gaining this competency?
Your organisation will need to support Lean Project
implementation including providing sponsors and
champions. Staff who meet the competency will need
to keep an ongoing record of their skills and
experience. You will need a process to monitor and
measure improvement from Lean.
Can Kinetik deliver its support service virtually?
Yes we can. We have a virtual learning platform
and make significant use of Zoom/Microsoft
Teams, Miro and other cloud based technologies
to deliver a fully virtual service if required.

18. The Delivery and Assessment Team
19
Kinetik Solutions: Managing Consultant (based in London): Ketan Varia
Kinetik Solutions: Consultant (based in Morocco): Soukaina Aziz
For Better Health: Consultant Team (Morroco) based Led by: Dr. Ahmed Chekairi

19. Estimate of your Investment (we will tailor a unique
proposal for each client)
Element Number of Days Language Comments
Diagnostics 2-5 English* To ensure your
organisation is aligned to
benefit from Lean
Training 5 English* Max of 8 people in
training session
Coaching 5-10 Days* French
Arabic
English
Per person.
Assessment 1 Days English Independent Assessor:
c1000 Euros per person
* With some French/Arabic Support dependent on client
** Dependent on existing knowledge and experience

20. We have successfully delivered change projects
to health and other sectors

21. Dr Ahmed CHEKAIRI
Praticien Hospitalier en Réanimation
Londres
Directeur de For Better Health,
Maroc

23. Avant 5S: armoires de 3 salles opératoires
ont diffèrent médicaments et en désordre
Salle 1
Salle 2
Salle 3

24. Après 5s

25. 0
10
20
30
40
50
60
70
80
90
Seconds
pre lean
post lean
0
20
40
60
80
100
120
140
Seconds
to
find
drug
Anaesthetic staff

28. Desired'PERIOPERATIVE'CARE'PATHWAY'for'majority'of'patients'
!
!
!
!
!
! !
! !
!
!
!
!
!
!
! !
!
!!!!!!!Information!movement!(letters,!phones,!emails,!notes,!test!results)!
!!!!!!Patient!movement!!!!!!!!!!!!!!time!in!days!!!!!!!!!!!!!time!in!weeks!!!!!Green:!new!introduction!!!!!!!!!!Blue:!movement!upward!the!stream!
HOME!
Procedure!date!
GP! Referral! A&B!appointment!
Anaesthetic!clinic!
Blood!tests!
Outpatient!
GP! other!
OK!for!surgery!
A&B!
Surgeon!
CPX!appointment!
ECG!
CPX!@!CCU/UCH!
Cancel/!back!to!GP!
Awaiting!anaesthetic!
review!
Results!
POA!review!
Anaesthetic!
!
OK!for!surgery! Further!investigation!
PAU,!DTC,!ward!
Surgical!Consent! Anaesthetic!consent!
Theatres!
Ward!
CCU!
DTC!
POA!review!
CPX!appointment!
Blood!tests!
ECG!
Questionnaire!
BP,!BM!stick,!
Hemocue,!urine!
dipstick!
Continuity!of!care!at!
community!
One!Stop!Clinic!
Fit'for'surgery'
Fit'for'surgery'
Physiotherapist,!
Occupational,!
outreach,!acute!
pain,!social!
services!
Enhanced!recovery!for!all!

29. Circuit du patient Chirurgical
9000 patients/an
• One Stop Clinique: 1 stop pour plus de 70% des patients, soit 6550 patients/an
• Réduction des salaires de £ 80,000/an pour Praticien Hospitaliers
• Réduction de salaires de £ 50,000/an pour les infirmiers
• Création d’un nouveau clinique des patients haut risque
• Réduction des examens complémentaires par 30%

30. 12/02/2021 www.forbetterhealth.co.uk 31
Entreprises qui ont implémenté Lean dans leurs
organisations Secteur privé: Tesco, Nike, Xerox, Boeing et
Jaguar

32. Sante

33. Independent Assessment for Certification
34
Independent Assessor for
Lean ISO
Dr. Steve Ward

34. kinetik solutions
Questions?