1. Lean Thinking At J&J Cordis
(& How It Can Apply to You)
Vic Chance
Vice President, World Wide Operations
Cordis, a Johnson & Johnson Company
Medical Devices &
Diagnostics Group
2. 7/5/2007 2
Medical Devices &
Diagnostics Group
What is Lean Thinking?
- An integrated approach to utilizing capital,
materials and labor to produce just what is
needed only at the time it is needed.
- Eliminates inefficiencies and the underutilization
of people to create a flow of value adding
activities.
3. 7/5/2007 3
Medical Devices &
Diagnostics Group
The New Economics
Why is Lean Thinking Important?
Because of the New Economics:
From: Price = Cost + Profit
To: Profit = Price – Cost
Prices are fixed or falling. Payers have choices,
unprecedented access to information and demand
excellence at a low price.
In this environment the only way to improve Profit is to
Reduce Cost
4. 7/5/2007 4
Medical Devices &
Diagnostics Group
Cordis Lean Journey
• Journey started by adopting the principles of the
Toyota Production System in conjunction with a
pre-existing 6 Sigma implementation.
• Vision: Provide the highest quality at the lowest
cost in the shortest time through the elimination of
Waste.
• Focused on Working “Inside Out”, that is Fix
Yourself First!
A never ending process, but significant results were
achieved in 6 months
5. 7/5/2007 5
Medical Devices &
Diagnostics Group
The Wins – Cordis de Mexico
2003 2006 % Increase
Volume (units) 6MM 15MM 150%
W/O Lean W/ Lean % Imp.
Floor Space (Sq, Ft) 185K * 112K 39%
Inventory $48MM $19MM 60%
Labor 2680 1450 46%
Yield 85% 92% 7%
Total Productivity (2003-06) - $73.4MM
• Recognition
– Industry Week, “2006 Plant of the Year” Award
– Shingo Prize
.
6. 7/5/2007 6
Medical Devices &
Diagnostics Group
Leveraging Lean Skills
Once You Have Acquired a Base of Lean Skills,
there are ample opportunities to use them
throughout your organization, For Example…
• New Facilities Design
• Transactional (non production)
• New Product / New Process Design
7. 7/5/2007 7
Medical Devices &
Diagnostics Group
Cashel Plant Design
Objectives
•Develop a facility layout based on the flow of
Product, People, Material, and Tooling
• Link the entire value stream into a synchronized
production plan
• Design equipment to incorporate Lean principles
• Design a flexible factory to accommodate future
products
• Optimize design with computer simulation models
Current Process Cashel % Improvement
Distance 5500 ft 500 ft 91%
Cycle Time 51 days 52 hours 96%
Labor / Device 65 minutes 7 minutes 89%
8. 7/5/2007 8
Medical Devices &
Diagnostics Group
Lean in a Transactional Setting
Computer Systems Validation Project
Lean Tools Utilized:
• Value Stream Mapping
• Product – Process Flow Analysis
• Group Technology Matrix
• Standardized Work
3% value added processing timeResults
• Consolidated Process Steps
• Streamlined System Classification Process
• Streamlined Document Review & Approval
• Simplified / Combined Deliverables
• Improved Report Generation & Approval Process
$4.7M Annual Save - 6 Weeks Cycle Time Reduction
10. 7/5/2007 10
Medical Devices &
Diagnostics Group
Emergency Room X-Ray
Dispatch
Desk (?)
Examination Rooms
X Ray
X Ray Mach
Desk
Supplies
Nurses
DoctorsDoctors
Me
X4
Intake
Initial
Exam
Move to
X RayI
X Ray Treat Release
I I
I I
Dispatch
Desk
Physical Movement
Information Flow
11. 7/5/2007 11
Medical Devices &
Diagnostics Group
How Many of the 7 Wastes
Are In This Story?
• Overproduction – People / activities were processed with
no acknowledgement of when needed
• Waiting – And How!!
• Transportation – Lots of movement into and out of
“inventory”
• Over / Incorrect Processing – Evidence of unneeded
tests / examinations
• Excess Inventory – And How!!
• Unnecessary Movement – A hallmark of this process
• Defects & Rework – Plenty
13. 7/5/2007 13
Medical Devices &
Diagnostics Group
Lean Tools
The Lean Toolset is Rich & Long…The Ones I
Think are most applicable in any situation:
• Continuous Process Flow
• Standardized Work
• Visual Control
• Material Presentation
• Rapid Set Up
• Mistake Proofing
• Rapid Response Teams
14. 7/5/2007 14
Medical Devices &
Diagnostics Group
Continuous Process Flow
The Linking of Processes & People together so
that there is a Flow of Value Adding Activities
that transform the target of production
• The objective of creating flow in a process is to
eliminate the time any work sits idle
• Sustaining continuous process flow will highlight
any problem that inhibits the flow and will force
correction of the problem(s)
15. 7/5/2007 15
Medical Devices &
Diagnostics Group
Material
Area
Kitting
Area
Molding
MachineII Molding
Assembly
Finished Goods
Holding Area
Assembly 1
Assembly2
Assembly3
II
II
II
IIII
II
Headcount
27 per line
per shift
Space
12000 sq ft
Pieces per Hour
180
3 SubAssemblies
3 Lines
Production Line Base
Condition
WIP 231 hrs
Headcount 279
Output/hr 180
Productivity 4 pcs/hr/op
Yields 57%
16. 7/5/2007 16
Medical Devices &
Diagnostics Group
Production Line Lean
Condition
Molding
& Assembly
Flowing
Staging
Area,
Finished Goods
LinesideWarehouse
3 Assemblies
Into
1 Integrated Line
Headcount
27 per line
per shift
Space
9700 sq ft
Before After Improvements
Thru-put Time 162,000 2,115 99%
WIP (Hrs) 231 1 99.5%
Headcount 279 161 42%
Output/hr 180 211 17%
Productivity
(pcs/hr/op)
4 8 100%
Yield 57% 90% 33%
Space Utilization 12,103 Ft^2 9,709 Ft^2 20%
Storage 94.47% 43.51% 54%
Value Added
2.58% 37.18% 960%
< =Reduction
< = Increase
< = Increase
< =Reduction
< = Increase
< =Reduction
< =Reduction
< = Increase
< =Reduction
17. 7/5/2007 17
Medical Devices &
Diagnostics Group
Standardized Work
Job Standardization: the Keystone of
Effective Lean Production
• Standard Work Defines the One Best Way of Producing
the Product with the Least Waste and Highest Source
Quality
• Standardizing today’s best way sets a foundation for
Continuous Improvement (tomorrow’s best way)
• If you can’t predict the timing and output of your process
(every cycle is different), you have no baseline for
improvement
• You need repeatable work tasks, reliable equipment and
minimal quality issues
18. 7/5/2007 18
Medical Devices &
Diagnostics Group
Standard Work Development
Standard Work Job Guidance Sheet
Job Standardization:
The baseline for continuous improvement
19. 7/5/2007 19
Medical Devices &
Diagnostics Group
Standardized Work Can be
Applied to All Activities
Agenda
Frequency
(per month)
Allotted
time
Quality Issues
- Documentation errors
E DR-
- Acceptance Rates
- Parts Issues
- Troubleshooting
2 5-10 min
Delivery to customers
LFR/Perf to Schedule
- Obstacles
2 5-10 min
Productivity Review 1 10 min
HR Communications 5 min
Mandatory Trainings
- Safety/Ergo
- SOP's
A/R A/R
News
- Guest
- General
2 5 min
Lean/PE 2 5-10 min
MRR’s
- Safety/ Ergonomics
Work Cell MeetingsDaily Walkthroughs
Week # _________, Week of _________
Supervisor Walk-through Checklist
Beginning of Shift Mon Tues Wed Thurs Fri Key Notes, Issues
Staffing levels
Partstatus -bins,criticalissues
WIP levels formodules & machines
Enter required ProductionControlBoard data
Rapid Response Team notes/walk through
Time Sheets
Mid-Shift
Reviewdailywalk-patterntracking sheets
WIP levels formodules & machines
Enter required ProductionControlBoard data
11am:15 MinTeamHuddle:productionstatus,
MRR,staffing issues/assignments,criticalissues,
hotnews.
End of Shift
5S reviewand corrective actionas required
Collect/reviewdailywalk-patterntracking sheets
Enter required ProductionControlBoard data
WIP levels formodules & machines
Dailystatus report(or @end ofshift)
DailyStatus Summary(email)
20. 7/5/2007 20
Medical Devices &
Diagnostics Group
Visual Control
Ability to Completely status
the process through Visual
Examination of the Work Area
Visual information on the status of the line,
real time available for operators and
supervisor
21. 7/5/2007 21
Medical Devices &
Diagnostics Group
Material Presentation
Operator Work Station
• All Items readily at hand
• Ergonomically designed
• No searching time
Line Side WareHouse
• Standard storage bins
• Flow racks, 2 bin system
• Water Spider Replenishment
• 2 Hours on Line, 2 days Stores
22. 7/5/2007 22
Medical Devices &
Diagnostics Group
Rapid Set Up
Before After
Pre Heated
Die’s
Seal Tool
Base: Sealing Die’s are stored at room
temperature, distant from the seal
operation; requires pre-heat to use
Lean: Die’s are pre-heated and co-
located at sealing operation, ready for
use
Total Reduction in Set Up Time from Last Part of
Previous Run to First Part of Next Run: 88%
23. 7/5/2007 23
Medical Devices &
Diagnostics Group
Mistake Proofing
• Mistake Proofing Devices Eliminate
Opportunities for Human Error – People Will Make Mistakes!!
• Objective is to Prevent Defects from Occurring
“Muffs” Cover Knob - Operator Cannot
Adjust Magnification.
Magnification Adjustment Knob Exposed,
Defects Result from Operator Using
Wrong Magnification Setting.
Base Condition Lean Condition
24. 7/5/2007 24
Medical Devices &
Diagnostics Group
Rapid Response Teams
• Formally designated cross
functional teams designated to
address a flow stoppage
• Team must be capable of
reaching the process within
minutes (seconds are better)
• Co-Location adjacent to the process is important
• Visual Control and employee empowerment are
critical to success
26. 7/5/2007 26
Medical Devices &
Diagnostics Group
Emergency Room X-Ray
Dispatch
Desk (?)
Examination Rooms
X Ray
X Ray Mach
Desk
Supplies
Intake
Initial
Exam
Move to
X RayI
X Ray Treat Release
I I
I I
Dispatch
Desk
Doctors
Nurses
Doctors
Me
X4
27. 7/5/2007 27
Medical Devices &
Diagnostics Group
Emergency Room X-Ray –
Redesigned With Lean
Examination Rooms
X Ray
XRayMach
Desk
Supplies
Me
Dr’s / Nurses
React to Patient Visual Control
- “Pulls” Treatment to Patient
“Patient Mover”
X Ray Andon
Down
Idle
Running
Avg CT / Patient
Patient CO Time
Down Time Tracking
Paperwork
Visual Control
Patient Status Light
Paperwork Kept at
Point of Use –
“Patient Mover” moves
With Patient
Waiting Treatment
Waiting Move
Treating
Patient Status Bd
29. 7/5/2007 29
Medical Devices &
Diagnostics Group
The Basics for Success
You Have To:
• Gain an understanding of the primary concepts
• Develop an effective strategy to implement
• Have a method to apply the lean tools
• Deploy effective measures
Do Not Attempt to implement a tool before you
understand how it’s used, when and why
Do Not use “point Kaizens” in the absence of an
overall game plan
30. 7/5/2007 30
Medical Devices &
Diagnostics Group
Innovation – Execution Model
Allows For
InnovationExecutionIntegration
Strategy
Resources
Training
Empowerment
Enables
31. 7/5/2007 31
Medical Devices &
Diagnostics Group
Our Keys to Success
• Leadership Ownership, Involvement and Accountability –
Top Management to Shop Floor
• A Long Term Vision & Stretch Goals that Had to be Met
• Employee Involvement
• Proven process for Implementation
• Quality Outside Help (Used When Needed but Never
Allowed to do the Work for us)
• Relentless Search for Best Practices – Internal and
External
• Investment in Developing our own Lean Subject Matter
Experts
32. Final Thought:
I invite you to join
me on a Quest…
Muda Stamp Out
MUDA Wherever
You Find It!!