1) The document discusses streamlining patient journeys through hospitals using lean principles. It highlights that current processes have high amounts of non-value adding activities.
2) Tania's question asks how hospitals can continue reducing patients waiting for home care packages given cuts to social services budgets and quality issues outsourced home care providers, leading to longer wait times.
3) Nicki's question asks how hospitals can design a daily management system to support continuous improvement at the unit/ward level and beyond, as current improvements are not always sustained without such a system.
This document discusses key learnings about Lean and its evolution. It covers:
- Lean principles like eliminating waste, creating flow, pulling work, and standardizing processes.
- How Agile software development paralleled Lean's path by moving from batched to continuous work and emphasizing frequent feedback.
- The importance of management involvement and showing leaders how better processes lead to better business results.
- Sustaining improvements requires frontline workers to learn and practice Lean daily with coaching and problem-solving skills.
- Lean aims to continuously improve processes through incremental changes to reduce costs and waste while increasing quality, throughput, and customer responsiveness over time.
NHS Improving Quality held a webinar about basic service improvement tools and techniques for strategic clinical network and mental health teams with little or no service improvement experience. The aim was to raise awareness and gauge future training needs.
This document provides an overview of a seminar on introducing measurement for improvement. The seminar agenda includes a welcome, introduction to the topic, and contact details. The presentation discusses using measurement to demonstrate whether improvement interventions are effective, provides examples of run charts to track data over time, and addresses challenges in measuring complex topics. Key points are that measurement for improvement can be kept simple, understanding baseline data is important, and capturing data over time can show whether unusual variation indicates an intervention worked. Resources for further information are also listed.
Gemba walk: the start of your lean journeyboscollkid
This document provides an introduction to Lean management principles and techniques for healthcare professionals. It discusses how Lean originated at Toyota and has been successfully applied in healthcare. The objectives are to understand Lean thinking, value stream mapping, and identifying waste. Examples of waste in healthcare are presented, as well as everyday Lean tools like daily huddles, visual management boards, standard work, Pareto analysis, and 5 Whys that can be started immediately. An example success story from an ambulatory endoscopy suite is also provided.
Kate Hobson introduces how implementing some Lean principles in a small radiology department led to significant improvements. By process mapping and using the Glenday sieve to identify high-volume ("green") procedures, the department was able to streamline workflows to reduce wait times. Simple changes like standardizing dating scans to 5-minute slots and having sonographers see clinic appointments freed up capacity. Clearings the backlog and actively managing schedules further reduced waits. While change management was difficult, Lean principles can cure inefficiencies in radiology and beyond.
The document summarizes the outcomes of a Lean Green Stream workshop held at Clatterbridge Hospital to improve efficiency in surgery. Key findings included:
1) Identifying "green stream" procedures like cystoscopy and hernia repairs that account for 52% of workload and standardizing rules to improve their flow, like fixed scheduling and no cancellations.
2) Reducing patient "touches" or handoffs for green stream cases from 26 to 13 through steps like combining pre-op assessments and tests.
3) Cutting time patients spend in the day case unit for green stream cases by 66-75% by reducing handoffs from 34 to 8-11 through measures like staggered ward rounds.
4
1) The document discusses streamlining patient journeys through hospitals using lean principles. It highlights that current processes have high amounts of non-value adding activities.
2) Tania's question asks how hospitals can continue reducing patients waiting for home care packages given cuts to social services budgets and quality issues outsourced home care providers, leading to longer wait times.
3) Nicki's question asks how hospitals can design a daily management system to support continuous improvement at the unit/ward level and beyond, as current improvements are not always sustained without such a system.
This document discusses key learnings about Lean and its evolution. It covers:
- Lean principles like eliminating waste, creating flow, pulling work, and standardizing processes.
- How Agile software development paralleled Lean's path by moving from batched to continuous work and emphasizing frequent feedback.
- The importance of management involvement and showing leaders how better processes lead to better business results.
- Sustaining improvements requires frontline workers to learn and practice Lean daily with coaching and problem-solving skills.
- Lean aims to continuously improve processes through incremental changes to reduce costs and waste while increasing quality, throughput, and customer responsiveness over time.
NHS Improving Quality held a webinar about basic service improvement tools and techniques for strategic clinical network and mental health teams with little or no service improvement experience. The aim was to raise awareness and gauge future training needs.
This document provides an overview of a seminar on introducing measurement for improvement. The seminar agenda includes a welcome, introduction to the topic, and contact details. The presentation discusses using measurement to demonstrate whether improvement interventions are effective, provides examples of run charts to track data over time, and addresses challenges in measuring complex topics. Key points are that measurement for improvement can be kept simple, understanding baseline data is important, and capturing data over time can show whether unusual variation indicates an intervention worked. Resources for further information are also listed.
Gemba walk: the start of your lean journeyboscollkid
This document provides an introduction to Lean management principles and techniques for healthcare professionals. It discusses how Lean originated at Toyota and has been successfully applied in healthcare. The objectives are to understand Lean thinking, value stream mapping, and identifying waste. Examples of waste in healthcare are presented, as well as everyday Lean tools like daily huddles, visual management boards, standard work, Pareto analysis, and 5 Whys that can be started immediately. An example success story from an ambulatory endoscopy suite is also provided.
Kate Hobson introduces how implementing some Lean principles in a small radiology department led to significant improvements. By process mapping and using the Glenday sieve to identify high-volume ("green") procedures, the department was able to streamline workflows to reduce wait times. Simple changes like standardizing dating scans to 5-minute slots and having sonographers see clinic appointments freed up capacity. Clearings the backlog and actively managing schedules further reduced waits. While change management was difficult, Lean principles can cure inefficiencies in radiology and beyond.
The document summarizes the outcomes of a Lean Green Stream workshop held at Clatterbridge Hospital to improve efficiency in surgery. Key findings included:
1) Identifying "green stream" procedures like cystoscopy and hernia repairs that account for 52% of workload and standardizing rules to improve their flow, like fixed scheduling and no cancellations.
2) Reducing patient "touches" or handoffs for green stream cases from 26 to 13 through steps like combining pre-op assessments and tests.
3) Cutting time patients spend in the day case unit for green stream cases by 66-75% by reducing handoffs from 34 to 8-11 through measures like staggered ward rounds.
4
How to Leverage Lean for Long-Term Success (Under Short-Term Pressures)KaiNexus
A webinar presented by Warren Stokes for the KaiNexus webinar series on August 10, 2017.
In this webinar, you'll learn:
- How to leverage the intellectual capital and experience of your frontline employees first
- To not overcomplicate your Lean improvement with too much of the scientific and not enough of the practical
- Why it’s important to build trust and support for continuous improvement
- How Lean best fits into a larger, long-term continuous improvement strategy in a way that avoids succumbing to short-term pressures
- How leadership and a Lean team can create and empower laser-focused energy
How to Achieve Superior Performance Improvement by Integrating Constraints Ma...commonsenseLT
Dr. Bahadir Inozu, CEO, NOVACES, LLC (USA) @ TOCICO International Public Sector Effectiveness Conference 2013 Vilnius
- Focusing on everything is synonymous with not focusing on anything.
- Flow concept in public sector.
- Complementary features of Integration of best practices.
- Purpose, focus and application guidelines of Constraints Management, Lean and Six Sigma.
- Reaching operational excellence: systematic tools that turn any organisation into Best-In-Class one.
More information - http://pse.lt
2016 Shingo Research Award recipient - a 'how to' outline for executives trying to do an effective Gemba Walk. The related book is available on Amazon. Add more info in Version 2 of the book on 'doing a walk in an office' environment and for 'coaching' gemba walkers.
Visual Management is a lean communication tool to help keep focus on priority initiatives in the workplace as well as keeping your thumb on the pulse of daily operations. I will take you through the evolution of one areas visibility management system and how this has now spread through all divisions of our Pathology and Laboratory Medicine Department to become standard work. You will take away ideas and inspiration to incorporate this communication system in your workplace. Success comes from ensuring the loop of communication goes full circle from leadership to front line and back to leadership for full understanding.
The document provides details about La-Z-Boy's manufacturing plant in Dayton, TN and its journey implementing Toyota Kata. It describes the plant's production statistics, workforce size, and incentive pay system. It then outlines La-Z-Boy's steps to implement Kata, including initial training, sending employees to further training, establishing a vision of changing the company culture, and tracking learner proficiency over time. Metrics such as productivity, quality, and the percentage of daily coaching cycles are used to monitor progress toward targets.
Discovery Kanban is a synthesis of a number of distinct threads of entrepreneurial thinking --Lean Startup, Kanban, OODA, PCDA, and Optionality--into an approach that helps firms address the challenge of executing and refining proven business models in parallel with exploring options for novel business opportunities. It fosters a management discipline of dual strategies of both exploitation and exploration, delivery and discovery that is applicable at different levels of scale in the organization.
In this presentation we will elaborate on the core principles of Discovery Kanban and some practical examples. We will show how (traditional) Delivery and Discovery Kanban are similar but different. We will discuss several examples of Discovery Kanban systems based on dual strategies and how they catalyze a different change in the organization. We will demonstrate how Discovery Kanban assists the discovery process and the integration of discovery and delivery at the different levels of scale.
The document describes the concept of Lean and improvement idea boards, noting that Lean focuses on eliminating waste to increase value for customers. It explains that an improvement idea board is a transparent system for collecting, prioritizing, and implementing employee ideas to solve problems and continuously improve processes. Key aspects like leadership engagement, metrics, and culture change are needed to fully realize the benefits of idea boards in driving daily improvements.
This document discusses Lean and Six Sigma quality improvement methodologies used in healthcare. It explains that Lean focuses on eliminating waste using tools like 5S and value stream mapping. Six Sigma aims for near-perfect processes by reducing defects to 3.4 per million opportunities through the DMAIC methodology of define, measure, analyze, improve, and control. The document provides examples of different types of waste in healthcare like unnecessary motion, waiting, and overproduction. It emphasizes that adopting Lean thinking can help improve patient safety, satisfaction, productivity and other goals by standardizing processes and eliminating waste.
Mastering the Huddle Office of Lean TransformationAmanda Gilmore
This document provides guidance on conducting effective huddles using visual management tools. It discusses:
1) The purpose of huddles is to allow effective communication throughout a department and engage staff while reducing lengthy meetings. Huddles should occur weekly for 30 minutes in the same place where work takes place.
2) A standard huddle agenda includes sharing good news, reviewing metrics and goals with a data leader, discussing roadblocks, and brief housekeeping. The facilitator ensures participation and accountability.
3) Visual boards are used to depict goals, metrics, projects and ideas to show if progress is being made. They provide transparency and direct leaders to areas needing support.
4) Preparation, celebration
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
In business, 'Gemba' refers to the place where value is created and improved. The 'Gemba Walk' is an activity that takes management to the front lines to look for waste (non-value added activities) and opportunities.
The objective of Gemba Walk is to grasp the situation by involving everyone touching the process to understand the Purpose, Process, and People. It is only when the situation is understood that improvement is possible and more likely to succeed.
By teaching this presentation to management teams, they will have a better understanding of the correct approach to implementing Gemba Walk and sustaining a Lean culture.
This document provides an overview of key Lean concepts as they apply to office environments. It defines Lean as a systematic approach to identifying and eliminating waste or non-value added activities. The five principles of Lean are described, which include defining value from the customer's perspective, improving activities that deliver value, creating flow and pull in the value stream, and developing a culture of continuous improvement. Common Lean tools for the office like 5S, Kaizen, mapping, and visual controls are also summarized. The document aims to introduce readers to applying Lean thinking and methods to optimize office work and processes.
This document provides an overview of core lean principles and tools for continuous improvement. It covers topics such as identifying value streams, eliminating waste, applying visual management, and using pull systems. The document emphasizes that lean is about optimizing processes to maximize value for customers. It also stresses that lean requires developing a new mindset and is not just about using new tools or technology. Effective lean deployment involves understanding customer needs, standardizing processes, focusing on flow, and continuously identifying and implementing improvements.
This document provides an overview of root cause analysis and problem solving techniques. It discusses key Lean concepts like understanding customers, eliminating waste, and value stream mapping. Various problem solving tools are also explained, including the 5 whys technique for identifying root causes, metrics for problem definition, fishbone diagrams, and gemba walks. The 4 steps of problem solving - describing the problem, analyzing root causes, proposing solutions, and implementing changes - are outlined. The goal is to teach organizations how to systematically analyze and address problems to prevent recurrence.
Big Biller Audiobook - how some recruiters bill one million dollars per yearVick & Associates
The document discusses the key attributes of successful recruiters known as "Big Billers" based on over 100 interviews. It identifies having an unshakeable winning attitude, clear focus and strategy, disciplined daily planning and routine, control over the hiring process and expectations, and prioritizing relationships as essential characteristics. It also recommends recruiters spend more time making phone calls to candidates rather than on administrative tasks and data entry.
"Disruptive" Technology in Healthcare Implications for the Workforce & HR Pro...Cornerstone OnDemand
Electronic Medical Records, Meaningful Use, remote patient monitoring, and healthcare apps galore, just to name a few. The industry has recently seen a tremendous rise in new technologies that are changing the way healthcare is delivered today. These advancements have led to new standards of care but have also had a significant impact to the knowledge and skill-sets needed for healthcare staff to remain successful and deliver quality care.
However, rolling out new technology initiatives across organizations often come with their own set of challenges – possibly leading to a totally different type of “disruption”. Learn strategies for how your organization can minimize “growing pains” and realize the benefits of these new healthcare technologies sooner.
Join Elizabeth Robledo, Talent Management System Program Manager at Legacy Health and Rehan Mirza, Product & Verticals Marketing Manager at Cornerstone OnDemand as they discuss:
-Big health tech trends of 2016
-Impacts of new technology on the modern healthcare workforce
-Strategies for implementing new technology at your organization
A3 Management: Effective Problem Solving via PDSATKMG, Inc.
Recorded webinar: http://slidesha.re/1kwmhx4
Subscribe: http://ksmartin.com/subscribe
For more information, see Chapter 4 of the Shingo Research Award winning The Outstanding Organization: http://bit.ly/TOObk
A3 management is a fundamental Lean management practice for making effective improvement, solving problems, developing people, and building a learning organization.
While this disciplined approach generates more effective and sustainable results than traditional problem solving, it’s arguably the process of developing skilled coaches that carries the greatest organizational benefits -- including the cultural shifts needed to accelerate transformation.
With practice, the organization becomes more responsive, focused, and effective in delivering value to its customers and attracting and retaining talent.
In this webinar, you will learn:
• The mechanics of using PDSA (plan-do-study-adjust) for solving problems.
• The vital role coaching plays in building organization-wide problem solving capabilities.
• How to break the “telling” habit that disrespects a worker’s creative potential.
• How to systematically build coaching capabilities to accelerate learning.
This document introduces Lean thinking and the PDSA (Plan-Do-Study-Act) method. Lean focuses on maximizing value for the customer while minimizing waste. The benefits of Lean include stability, organizational vitality, and respect for people. PDSA is Lean's version of the scientific method for testing changes by planning a change, doing it, studying the results, and acting on what is learned. The document provides details on how to structure each component of a PDSA cycle, including defining the problem, setting goals, analyzing root causes, developing countermeasures, experimenting, studying outcomes, and adjusting for continuous improvement.
How to Leverage Lean for Long-Term Success (Under Short-Term Pressures)KaiNexus
A webinar presented by Warren Stokes for the KaiNexus webinar series on August 10, 2017.
In this webinar, you'll learn:
- How to leverage the intellectual capital and experience of your frontline employees first
- To not overcomplicate your Lean improvement with too much of the scientific and not enough of the practical
- Why it’s important to build trust and support for continuous improvement
- How Lean best fits into a larger, long-term continuous improvement strategy in a way that avoids succumbing to short-term pressures
- How leadership and a Lean team can create and empower laser-focused energy
How to Achieve Superior Performance Improvement by Integrating Constraints Ma...commonsenseLT
Dr. Bahadir Inozu, CEO, NOVACES, LLC (USA) @ TOCICO International Public Sector Effectiveness Conference 2013 Vilnius
- Focusing on everything is synonymous with not focusing on anything.
- Flow concept in public sector.
- Complementary features of Integration of best practices.
- Purpose, focus and application guidelines of Constraints Management, Lean and Six Sigma.
- Reaching operational excellence: systematic tools that turn any organisation into Best-In-Class one.
More information - http://pse.lt
2016 Shingo Research Award recipient - a 'how to' outline for executives trying to do an effective Gemba Walk. The related book is available on Amazon. Add more info in Version 2 of the book on 'doing a walk in an office' environment and for 'coaching' gemba walkers.
Visual Management is a lean communication tool to help keep focus on priority initiatives in the workplace as well as keeping your thumb on the pulse of daily operations. I will take you through the evolution of one areas visibility management system and how this has now spread through all divisions of our Pathology and Laboratory Medicine Department to become standard work. You will take away ideas and inspiration to incorporate this communication system in your workplace. Success comes from ensuring the loop of communication goes full circle from leadership to front line and back to leadership for full understanding.
The document provides details about La-Z-Boy's manufacturing plant in Dayton, TN and its journey implementing Toyota Kata. It describes the plant's production statistics, workforce size, and incentive pay system. It then outlines La-Z-Boy's steps to implement Kata, including initial training, sending employees to further training, establishing a vision of changing the company culture, and tracking learner proficiency over time. Metrics such as productivity, quality, and the percentage of daily coaching cycles are used to monitor progress toward targets.
Discovery Kanban is a synthesis of a number of distinct threads of entrepreneurial thinking --Lean Startup, Kanban, OODA, PCDA, and Optionality--into an approach that helps firms address the challenge of executing and refining proven business models in parallel with exploring options for novel business opportunities. It fosters a management discipline of dual strategies of both exploitation and exploration, delivery and discovery that is applicable at different levels of scale in the organization.
In this presentation we will elaborate on the core principles of Discovery Kanban and some practical examples. We will show how (traditional) Delivery and Discovery Kanban are similar but different. We will discuss several examples of Discovery Kanban systems based on dual strategies and how they catalyze a different change in the organization. We will demonstrate how Discovery Kanban assists the discovery process and the integration of discovery and delivery at the different levels of scale.
The document describes the concept of Lean and improvement idea boards, noting that Lean focuses on eliminating waste to increase value for customers. It explains that an improvement idea board is a transparent system for collecting, prioritizing, and implementing employee ideas to solve problems and continuously improve processes. Key aspects like leadership engagement, metrics, and culture change are needed to fully realize the benefits of idea boards in driving daily improvements.
This document discusses Lean and Six Sigma quality improvement methodologies used in healthcare. It explains that Lean focuses on eliminating waste using tools like 5S and value stream mapping. Six Sigma aims for near-perfect processes by reducing defects to 3.4 per million opportunities through the DMAIC methodology of define, measure, analyze, improve, and control. The document provides examples of different types of waste in healthcare like unnecessary motion, waiting, and overproduction. It emphasizes that adopting Lean thinking can help improve patient safety, satisfaction, productivity and other goals by standardizing processes and eliminating waste.
Mastering the Huddle Office of Lean TransformationAmanda Gilmore
This document provides guidance on conducting effective huddles using visual management tools. It discusses:
1) The purpose of huddles is to allow effective communication throughout a department and engage staff while reducing lengthy meetings. Huddles should occur weekly for 30 minutes in the same place where work takes place.
2) A standard huddle agenda includes sharing good news, reviewing metrics and goals with a data leader, discussing roadblocks, and brief housekeeping. The facilitator ensures participation and accountability.
3) Visual boards are used to depict goals, metrics, projects and ideas to show if progress is being made. They provide transparency and direct leaders to areas needing support.
4) Preparation, celebration
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
In business, 'Gemba' refers to the place where value is created and improved. The 'Gemba Walk' is an activity that takes management to the front lines to look for waste (non-value added activities) and opportunities.
The objective of Gemba Walk is to grasp the situation by involving everyone touching the process to understand the Purpose, Process, and People. It is only when the situation is understood that improvement is possible and more likely to succeed.
By teaching this presentation to management teams, they will have a better understanding of the correct approach to implementing Gemba Walk and sustaining a Lean culture.
This document provides an overview of key Lean concepts as they apply to office environments. It defines Lean as a systematic approach to identifying and eliminating waste or non-value added activities. The five principles of Lean are described, which include defining value from the customer's perspective, improving activities that deliver value, creating flow and pull in the value stream, and developing a culture of continuous improvement. Common Lean tools for the office like 5S, Kaizen, mapping, and visual controls are also summarized. The document aims to introduce readers to applying Lean thinking and methods to optimize office work and processes.
This document provides an overview of core lean principles and tools for continuous improvement. It covers topics such as identifying value streams, eliminating waste, applying visual management, and using pull systems. The document emphasizes that lean is about optimizing processes to maximize value for customers. It also stresses that lean requires developing a new mindset and is not just about using new tools or technology. Effective lean deployment involves understanding customer needs, standardizing processes, focusing on flow, and continuously identifying and implementing improvements.
This document provides an overview of root cause analysis and problem solving techniques. It discusses key Lean concepts like understanding customers, eliminating waste, and value stream mapping. Various problem solving tools are also explained, including the 5 whys technique for identifying root causes, metrics for problem definition, fishbone diagrams, and gemba walks. The 4 steps of problem solving - describing the problem, analyzing root causes, proposing solutions, and implementing changes - are outlined. The goal is to teach organizations how to systematically analyze and address problems to prevent recurrence.
Big Biller Audiobook - how some recruiters bill one million dollars per yearVick & Associates
The document discusses the key attributes of successful recruiters known as "Big Billers" based on over 100 interviews. It identifies having an unshakeable winning attitude, clear focus and strategy, disciplined daily planning and routine, control over the hiring process and expectations, and prioritizing relationships as essential characteristics. It also recommends recruiters spend more time making phone calls to candidates rather than on administrative tasks and data entry.
"Disruptive" Technology in Healthcare Implications for the Workforce & HR Pro...Cornerstone OnDemand
Electronic Medical Records, Meaningful Use, remote patient monitoring, and healthcare apps galore, just to name a few. The industry has recently seen a tremendous rise in new technologies that are changing the way healthcare is delivered today. These advancements have led to new standards of care but have also had a significant impact to the knowledge and skill-sets needed for healthcare staff to remain successful and deliver quality care.
However, rolling out new technology initiatives across organizations often come with their own set of challenges – possibly leading to a totally different type of “disruption”. Learn strategies for how your organization can minimize “growing pains” and realize the benefits of these new healthcare technologies sooner.
Join Elizabeth Robledo, Talent Management System Program Manager at Legacy Health and Rehan Mirza, Product & Verticals Marketing Manager at Cornerstone OnDemand as they discuss:
-Big health tech trends of 2016
-Impacts of new technology on the modern healthcare workforce
-Strategies for implementing new technology at your organization
A3 Management: Effective Problem Solving via PDSATKMG, Inc.
Recorded webinar: http://slidesha.re/1kwmhx4
Subscribe: http://ksmartin.com/subscribe
For more information, see Chapter 4 of the Shingo Research Award winning The Outstanding Organization: http://bit.ly/TOObk
A3 management is a fundamental Lean management practice for making effective improvement, solving problems, developing people, and building a learning organization.
While this disciplined approach generates more effective and sustainable results than traditional problem solving, it’s arguably the process of developing skilled coaches that carries the greatest organizational benefits -- including the cultural shifts needed to accelerate transformation.
With practice, the organization becomes more responsive, focused, and effective in delivering value to its customers and attracting and retaining talent.
In this webinar, you will learn:
• The mechanics of using PDSA (plan-do-study-adjust) for solving problems.
• The vital role coaching plays in building organization-wide problem solving capabilities.
• How to break the “telling” habit that disrespects a worker’s creative potential.
• How to systematically build coaching capabilities to accelerate learning.
This document introduces Lean thinking and the PDSA (Plan-Do-Study-Act) method. Lean focuses on maximizing value for the customer while minimizing waste. The benefits of Lean include stability, organizational vitality, and respect for people. PDSA is Lean's version of the scientific method for testing changes by planning a change, doing it, studying the results, and acting on what is learned. The document provides details on how to structure each component of a PDSA cycle, including defining the problem, setting goals, analyzing root causes, developing countermeasures, experimenting, studying outcomes, and adjusting for continuous improvement.
Daniel Jones outlines how lean thinking can help healthcare based on his experience helping other industries. He conducted experiments in healthcare to develop lean methods, focusing on eliminating waste and delays for patients. Key aspects include mapping patient flows, synchronizing activities between departments, and establishing stability through visual management boards. This requires an "end-to-end perspective" and appointing a value stream manager to resolve conflicts and ensure continuous process improvement. With the right lean management system in place, healthcare can realize significant benefits like reduced lengths of stay and costs.
Check out this introduction to Lean processes in a health care setting—touching on 5 keys to Lean success. This presentation is from a recent AORN webinar, which is available for replay at http://bit.ly/188O2uQ. Get complete Lean instruction and tools for implementation during a workshop in Denver, CO; more information on these August and September events available at http://bit.ly/14B9gLu.
The document discusses how lessons from Lean Thinking and Toyota's production system can be applied in healthcare to improve quality, efficiency and productivity. It outlines three levels of Lean transformation: improving individual processes (Point Kaizen), redesigning patient pathways (Value Stream Kaizen), and aligning support processes across organizations (System Kaizen). Early results in Bolton Hospitals NHS Trust show improvements like reduced mortality and length of stay through Rapid Improvement Events. The document advocates adopting a Lean approach to operations and strategy to manage processes and redesign services using Lean principles. Some challenges to Lean adoption in healthcare are also acknowledged.
This document discusses lessons learned from applying lean principles in three healthcare systems. It emphasizes using a scientific approach to diagnose and solve organizational problems, developing capabilities through hands-on problem solving rather than just training, making work visible through value stream mapping and management, focusing efforts on key priorities and experiments, and continually learning from experiments and customer feedback.
Recorded webinar: http://slidesha.re/1tGIZaH
Subscribe: http://www.ksmartin.com/subscribe
Purchase the book: http://bit.ly/TOObk
Effective problem solving is not an innate skill that most people are born with.
Even for those few few lucky ones who are born with natural problem-solving talent, it is often drummed out of them by parents, teachers, and bosses. And those whose academic preparation would lead you to believe that they're highly skilled in this area (such as engineers and physicians) regularly fall prey to sloppy problem solving.
The good news is that effective problem solving is a skill that can be developed. Everyone can learn to solve problems effectively given the will and ample practice with a skilled coach/teacher.
This webinar focuses on the P (plan) phase of the PDSA/PDCA cycle (plan-do-study-adjust), which is the most difficult phase of scientific problem solving for people to master. Topics include:
• Setting a target condition
• Problem clarification
• Scoping and qualifying the problem
• Root cause analysis
Watch this lively discussion and learn the important first steps for closing the gap between where you are and where you'd like or need to be.
As preparation for the webinar, you may want to read the Discipline chapter in Karen's Shingo Award-winning book, The Outstanding Organization. www.ksmartin.com/TOO
The document discusses best practices for visualizing analytics results. It emphasizes that visualization is critical for effectively communicating insights from data analysis. Good visualizations exploit the human visual system by presenting information simply and clearly. Practitioners should understand their data and audience to develop visualizations that tell the right story. Iterative experimentation is important to arrive at visualizations that provide global understanding from the data. Overall the document stresses that visualization is a key part of deriving meaningful insights from analytics work.
This document summarizes a webinar on applying lean principles to improve hospital operations and patient care. It discusses key lean concepts like identifying value streams, removing waste and unnecessary waiting, and establishing a single pacemaker process to synchronize workflow. The webinar advocates using value stream mapping to analyze current processes, identify problems like misaligned departmental schedules, and design a future state with standardized workflows, buffers to absorb variability, and a pacemaker department to set the schedule that all other areas follow. Implementing this future state requires creating an action plan and appointing a value stream manager to ensure needs are met on time for all medical patients.
Human Resource Planning And Management Powerpoint Presentation SlidesSlideTeam
Identify current and future HR needs to achieve business goals with our attention-grabbing Human Resource Planning And Management PowerPoint Presentation Slides. This human capital strategy PowerPoint slide deck consists of a varied range of PowerPoint templates such as strategic human resource plan framework, forecasting HR requirements, assessing the current HR capacity, skill gap analysis plan, organizational skills program matrix, company’s recruitment strategies, evaluating recruitment strategies, recruitment budget to name a few. Showcase the pathways to implement HR strategy using the manpower planning process PPT visuals. Discuss the tools and techniques that are used by human resources for strategic planning such as social media, management information systems, policy, etc. HR departments can use this readily available strategic human resource management PPT visuals to assess the current capacity and forecast future needs. They can also use it to set goals and objectives for the company. Thus, download our professionally designed human asset management PowerPoint slideshow and forecast the future human resource requirements of the organization. https://bit.ly/2PxyIVn
The document provides an agenda and overview for an e-seminar on process mapping. It discusses what process mapping is, how to create current and future state maps, common tools and techniques used in mapping, and how to analyze and improve maps. The goal of process mapping is to identify opportunities to streamline workflows and eliminate waste and inefficiencies in order to improve processes and services.
Lean, Six Sigma and Innovation: Natural CompanionsIan R. Lazarus
This document discusses Lean, Six Sigma, and innovation in healthcare. It provides an overview of a program introducing Lean and Six Sigma concepts and tools. It then describes Loma Linda University Medical Center's initial journey in deploying Lean, including conducting a proof of concept project in the emergency room to reduce patients leaving without being seen. This led to improved outcomes and financial benefits. The presentation concludes by discussing the need for Lean, Six Sigma, and innovation given changes in the healthcare industry around reimbursement, quality, and integrated care delivery.
Managing pharmaceutical waste can be a tall task for any hospital, large or small. Without a comprehensive program in place, mistakes can be made which result in untimely and costly compliance violations. View this presentation to learn about the major pitfalls that can hinder your program’s success.
For more information, please visit: https://www.triumvirate.com/healthcare/pharmaceutical-waste-management.
The high-level findings from the data analysis were:
- Turnover was comparable to industry trends both in the US and internationally.
- Better job opportunities was the main reason employees left.
- A significant number of employees who left had less than 3 years of tenure.
- Employees under 30 and specific job families, business units, and locations had higher turnover rates.
- Sunnyvale, India, and certain field operation sites had the highest attrition.
The document discusses Pekka Silvén's background and work in evaluation, quality and feedback processes. It notes some common problems with traditional evaluation methods and introduces the "Zef-method" as an alternative that provides clearer results and facilitates improvements. The Zef-method is used in various feedback questionnaires and evaluation engines to analyze responses and compare views of different stakeholders.
Improvement training - Presentation from the Winterbourne Medicines Programme Launch held in London on 10 September 2014
Ensuring safe, appropriate and optimised use of medication for people with learning disabilities who demonstrate behaviour that can challenge
Welcome Take a method and try it. If it fails, ad.docxalanfhall8953
Welcome
"Take a method and try it.
If it fails, admit it frankly, and try another.
But by all means, try something.“
-Franklin D. Roosevelt
1 - 2
IS 628 Total Quality Management
Welcome
Hey Prof,
I completed a major graduate internship at Montefiore Medical Center 3
weeks ago and just received a full time offer as a supervisor at the CMO
division at Montefiore. During my internship I did a lot of performance
improvement work as well as Excel analysis. I must say your class really
helped out because I was able to apply methodologies as well as
systematic tools/flow maps to help my department be more efficient to
improve patient experience.
… 2011-2012 MBA IS628 Student
1 - 3
Grades
A
“Calculation”
(for a society that insists on the chaotic measurement of the unknowable)
Class Participation 40%
Midterm 15%
Final 15%
Homework 15%
Project 15%
100%
1 - 4
What do I want from you?
Get it… and Live it
Knowing about something vs Knowing it
Move from education to application
Information to Transformation
Who are you…
Newbies… Introduce yourself
• Name
• Where are you coming from before class?
• Work Experience
• Hobby or Interest
• What do you want from your education?
• Expectations that the MBA will provide to you
• What specifically do you want from me?
1 - 6
DRAFT
Schedule
12
Classes
You only have me
for 36 hours.
Use me to get what
you need.
Iona IS628 TQM Winter Trimester 2015-2016
Date Class Location Subject / Guest Speaker / Comments
11/18/15 1 Iona
Getting to Know Each Other
Chapter 1. Differing Perspectives on Quality
11/25/15 No Class
12/2/15 2 Iona
Chapter 2. Quality Theory
Chapter 3. Global Quality & Int'l Quality Standards
Chapter 4. Strategic Quality Planning
12/9/15 3 Iona
Chapter 5. The Voice of the Customer
Chapter 6. The Voice of the Market
Chapter 7. Quality & Innovation in Process Design
12/16/15 4 Iona Joel Seligman, CEO of Northern Westchester Hospital
12/23/15 No Class
12/30/15 No Class
1/6/16 5 NWH Maria Hale, VP Patient & Family Advocacy
1/13/16 6 NWH Kate O’keefe, VP Quality Management
1/20/16 7 Iona
Chapter 8. Designing Quality Services
Chapter 10. The Tools of Quality
1/27/16 8 Iona
Chapter 12. Statistically Quality Improvement for Attributes
Chapter 13. Six-Sigma Management and Lean Tools
2/3/16 9 Iona
Chapter 14. Managing Teams and Projects
Chapter 15. Implementing and Validating
2/10/16 10 Iona Presentations (2 groups)
2/17/16 11 Iona Presentations (2 groups)
2/24/16 12 Iona Wrap-up & Final
Project
Board of Trustees
Presentations During the
Last 2 Classes
1 - 8
The Board’s
Overall Strategic Initiatives
To be the leader in patient centered care
Top 10% in nationally accepted clinical and service
quality indicators
Employer of choice
Reduce the cost of care by 20% over 5 years
1 - 9
The Board has Strategi.
Spring singapore service from the heart - back to basic (24 jun '10)Owen Tan
This document discusses service excellence at Alexandra Hospital from 2000 to 2010. It outlines the hospital's history and poor reputation in the 1990s. After restructuring in 2000, the new leadership implemented initiatives like benchmarking best practices, emphasizing patient-centered care, quality improvement programs, and talent development to transform the hospital culture and improve service quality. Their goal was to provide a level of care and service good enough for their own families. Through continuous improvements, Alexandra Hospital became a high-performing institution focused on patient experience, clinical outcomes, and staff excellence.
Uk lean summit 2015 lean transformation developing the capability to improv...Lean Enterprise Academy
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
This document provides an overview of the Oobeya technique used in Lean management. Oobeya, which means "big conference room" in Japanese, is used to make knowledge work visible so waste can be eliminated. It involves defining clear and measurable targets, decomposing those targets to individual team members, and using an "issue board" to identify and resolve problems in a constructive manner. The leader's role is to define targets, manage the process, and ensure work is balanced, while members work to deliver solutions and report on progress toward targets using a Plan-Do-Check-Act framework.
The document discusses building a lean management system. It provides examples from Toyota of integrating process thinking, learning, and quality approaches. Key aspects of developing a lean system include having a shared language, understanding organizational dynamics and performance gaps, agreeing on important problems to address, developing visual tools to monitor plans and identify variations, and building knowledge through experimentation and communities of practice. The overall goal is to create stability and address issues systematically using a plan-do-check-act approach to continuously improve the organization.
This document provides an overview of the Toyota Management System (TMS). It discusses the origins and history of Toyota's lean manufacturing approach. The core aspects of the TMS are described, including the Toyota Production System (TPS), Toyota Development System (TDS), and Toyota Marketing and Sales System (TMSS). Visual tools used in the TMS like the Oobeya room and issue boards are explained. Challenges in implementing the TMS approach in Western companies are also covered.
How to develop managers able to lean and sustain end to-end value streamsLean Enterprise Academy
The document discusses how to develop managers to lead and sustain end-to-end value streams using lean thinking. It recommends teaching managers to see work as a process, identify value and waste, grasp problems visually, define gaps, and develop plans with alternative experiments. Managers should learn to use PDCA, make performance visible, and review progress regularly to close gaps through consensus building and a structured "learn by doing" approach including gemba walks, problem solving, coaching, and managing visually. The goal is to compress the time from identifying problems to implementing countermeasures for a competitive advantage.
by Wolfgang Krips, Senior Vice President of Global Infrastructure Operations of SAP at the Lean Summit 2010, New Horizons for Lean Thinking on 2/3 November 2010
This document outlines steps for leading a lean turnaround, including establishing lean fundamentals like one-piece flow and standard work. It emphasizes setting up reduction activities through techniques like SMED which can yield setup time reductions of over 90%. The main thrust is to transition from batch to continuous flow while implementing pull systems. It stresses the importance of transforming company culture, reorganizing around value streams, and establishing daily management and problem solving to drive out waste.
This document outlines an introduction to lean leadership workshop hosted by Lean Enterprise Academy. The purpose is to help leaders develop organizational and individual capabilities to sustain and expand lean transformation. The workshop aims to engage leaders in understanding lean thinking fundamentals and lean transformation processes. It also encourages reflection on organizational and individual lean efforts and identifies gaps to close between the current and desired states. The workshop covers lean principles, defining a lean vision and strategy, the roles of leaders and employees, and lean tools like A3 problem solving and PDCA.
This document outlines an agenda for a workshop on A3 thinking and problem solving. The workshop objectives are to explore lessons from Managing to Learn using A3s. The agenda covers defining an A3, working through examples, applying A3 thinking to problems, and discussing uses of A3s for proposals and reports. Time is allotted to introduce A3 concepts, examine example A3s, have participants apply the process to their own work, and reflect on learning. The workshop aims to help participants recognize effective A3 stories and create different sections of an A3 through practice and discussion.
The document discusses policy deployment as a process for aligning strategy execution across an organization. It begins by explaining the importance of strategy and outlines the policy deployment process. This includes developing objectives at each level of the organization from corporate down to individual employee objectives. Projects are then selected and prioritized to achieve the objectives. Progress is monitored using metrics in a policy deployment matrix to ensure the strategy is executed successfully.
Lean Leadership for Executives: Initial findings from LGN Research by David Brunt shown at the Lean Summit 2012 - Learning - Educating - Sharing on 27/28 November
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Training: ISO/IEC 27001 Information Security Management System - EN | PECB
ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
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How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.