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Lean Healthcare

Lean Healthcare Workshops

LH1 Introduction to Healthcare Lean Workshop
LH2 Healthcare Value Stream Management Workshop
LH3 Healthcare 5S Visual Workplace Workshop (1-day)
LH4 Pharmacy Inventory Pull Systems Workshop (1-day)
LH5 Healthcare Problem Solving Workshop (1-day)
LH6 Healthcare Productivity Workshop (1-day)
LH7 Healthcare Systems Workshop  (1-day)
LH8 Integrated Healthcare Quality Management Workshop (1-day)

 

LH1 - Introduction to Healthcare Lean Workshop (1 day)

Outline:

This one-day introductory workshop applies systems and tools of Lean Thinking to hospitals, clinics, and office practice. The course teaches how to get rid of activities that add cost, but not value, such as waiting for appointments, lab results, roentograms, and elective surgery. The Lean Healthcare Enterprise provides services with the highest quality and lowest cost such as Same Day Office Visit, Next Day Outpatient Surgery, Next Day Mammogram, No Wait Emergency Room, Next Day Pathology Report and Quick Errorless Billing. We'll discuss metrics to evaluate effectiveness of the Lean Implementation such as: 

  1. Process Flow
  2. Employee environment and involvement
  3. Workplace organization
  4. Operational availability
  5. Lead time reduction
  6. Built in Quality (Error Proofing)

The Lean Metrics will be easy to use and understand, tracked at the workplace, used to identify and solve problems, have goals linked to Healthcare strategy by providing a Balanced Scorecard to Management.

Dates: By arrangement 

Location: On-site or PMC Offices, Dearborn, Michigan

Cost*: $500/person or $3,000/workshop


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 LH2 - Healthcare Value Stream Management Workshop (1 day)  

 

Outline:

This Workshop introduces Lean Thinking to Healthcare workers. During this workshop participants will learn theory and practice of Value Stream Management of clinical, administrative and laboratory work. Concepts and techniques of Lean Thinking are applied to activities such as purchasing, accounting, human resources, admissions, pharmacy delivery and inventory control, clinical laboratory procedures, and procedure scheduling. Administrative, nursing, and laboratory personnel will learn how to reduce lead-time by decreasing paperwork inventory and document rework and improve process flow by load leveling. The Value Stream Management Workshop is one-half classroom and one-half office or laboratory work place, with 8-12 personnel from designated departments. During this workshop participants will learn theory and practice of Value Stream Management of administrative and laboratory work. 

Participants will:

  1. Learn theory and practice of Value Stream Management
  2. Study pertinent examples of current and future state value stream maps
  3. Map the current state of a process
  4. Develop a future state map
  5. Create an action plan to put this future state to work
Dates: By arrangement 

Location: On-site or PMC Offices, Dearborn, Michigan

Cost*: $500/person or $3,000/workshop


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LH3 - Healthcare 5S Visual Workplace Workshop (1 day)

Outline:

The Visual Workplace or 5S Workshop teaches a process and method for creating and maintaining an organized, clean, high-performance workplace where abnormalities are obvious. The 5S workshop is designed to identify and eliminate waste in the healthcare workplace, and will be the basis for continuing discipline and process improvement. The objective is to train people in your organization to do your own 5S Workshops, with limited guidance from us, as needed. The 5S Workshop is 1/3 classroom and 2/3 healthcare workplace. 

 

Dates: By arrangement 

Location: On-site or PMC Offices, Dearborn, Michigan 

Cost*: $500/person or $3,000/workshop


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LH4 - Pharmacy Inventory Pull Systems Workshop (1 day)

Outline:

The Pull System Workshop teaches and demonstrates how products such as pharmaceuticals are pulled in response to patient demand. We shall use load-leveling tools (Heijunka Box) to reduce inventory and smooth flow through the process to pace delivery of goods patient demand at Takt time. During this workshop we shall:

  1. Identify sites for kanban
  2. Set-up Supermarkets and FIFO Lanes 
  3. Using the Value Stream Map, decide what types of kanbans are needed, and plan how each will circulate 
  4. Design kanban cards
  5. Calculate how many kanbans are needed
  6. Decide quantity and location of buffer and safety stock
  7. Write kanban procedures and train users
  8. Test the new pull system by monitoring flow and checking for lost, delayed and mishandled supplies.
Dates: By arrangement 

Location: On-site or PMC Offices, Dearborn, Michigan


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LH5 - Healthcare Problem Solving Workshop (1 day)

Outline:

This event introduces concepts and methods to solve on-going administrative healthcare problems. The Workshop shows how pathways, drawing on reason, logic, common sense and imagination are used to systematically solve specific problems in the processes in purchasing, accounting, human resources, admissions, pharmacy delivery and inventory control, clinical laboratory procedures, and operating room scheduling. Participants will be taught that problems are solved by a synergistic result of a diverse team using a structured approach to describe and define problems, hypothesize and test possible root causes, put solutions to work, and document corrective actions.

Participants will learn: 

  1. How to methodically approach different types of problems
  2. Problem solving traps 
  3. A step-by-step approach to find and analyze root cause(s) and discover solutions
  4. How to complete the PDCA (plan, do, check, act) cycle using tools such as Pareto charts, 5-why's analysis, cause and effect (Ishikawa) diagrams, problem analysis flow charts and Hoshin benchmarking methods.

Dates: By arrangement 

Location: On-site or PMC Offices, Dearborn, Michigan

Cost*: $500/person or $3,000/workshop 


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 LH6 - Healthcare Productivity Workshop (1 day)  

Outline:

The Productivity Workshop, based on, and derived from concepts learned in Value Stream Management and Lean Simulation Workshops, is rigorous and quantitative. The Productivity Event takes fundamentals learned in these workshops and applies those basics to the healthcare workplace. During the workshop participants first document the current state, calculating lead time of the diagnostic and therapeutic service through the area, taking time observations, calculating Takt time, creating an operator cycle time vs. Takt time bar chart, and using the time observation to identify waste of the current system and evaluate staffing requirements. Next we create the Future State, create an improvement plan, design new layout and calculate standard work. Finally, we'll put the changes to use by moving equipment, organizing tools and equipment at the point of use, time observe new operations, write standard work for new jobs, apply 5S principles as we make better the workplace to meet goals and objectives of the workshop.

 

Dates: By arrangement 

Location: On-site or PMC Offices, Dearborn, Michigan

Cost*: $500/person or $3,000/workshop 


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LH7 - Healthcare Systems Workshop (1 day)

Outline:

The Workshop takes a lean approach to a new product or service, and combines elements of the Productivity and Built-in Quality Workshops done on existing products and services. We scrutinize customer demand, workplace layout and capacity, and work balance. We work with employees involved in planning and launching the new product or service to find the best (most efficient and least expensive) process. During this Workshop we shall:

  1. Document present state by calculating lead time, linking capacity and work balance to Takt time
  2. Design the layout, calculate standard work in process, put equipment at point of use, write standardized work for new jobs, and define Error Proofing (Built-in-Quality) goals and methods.

Dates: By arrangement 

Location: On-site or PMC Offices, Dearborn, Michigan 

Cost*: $500/person or $3,000/workshop


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 LH8 - Integrated Healthcare Quality Management Workshop (1 day)  

 

Outline:

This workshop will assist and direct hospital employees to put to effective use an integrated Quality Management System to measure and improve quality. We begin with an introduction to Built in Quality using theories and tools of Lean Thinking based on the Toyota Production System. Based in this foundation we will delve into two quality management tools, Statistical Process Control and Process Failure Effect Mode Analysis.

  1. Built-in-Quality (Error Proofing)

We teach how to select and use error-proofing (Poka-Yoke) tools to ensure built-in-quality. Once root cause is determined for a particular quality defect, the team will error-proof the process to prevent recurrence. Participants will learn how to:

  • Calculate and understand First Time Quality (FTQ)
  • Use multiple, redundant, simple, and cheap error-proofing techniques
  • Implement inexpensive, simple error-proofing devices 
  • Use Standardized Work to support the operator without increasing work burden
  • Avoid complex, expensive Quality Control Methods
  • Build JIDOKA (quality in station)
  • Develop quality problem solving circles

   2. Process Failure Effect Mode Analysis and Statistical Process Control

We will define and review Process Failure Effect Mode Analysis (PFEMA). The recent emphasis on using PFEMA to fulfill quality requirement by external regulatory agencies will be discussed and examples presented. We will then review and discuss SPC tools. Specific examples and their application to Healthcare performance improvement issues and regulatory requirements will be addressed. 

Participants will:

  • Review the external issues and requirements that promote the use of PFEMA and SPC tools. Examples of this would be specific performance improvement measurements, patient safety standards, and the steps in performing a root cause analysis.
  • Review and discuss PFEMA and use this approach to evaluate a healthcare quality issue. 
  • Review and discuss the use of SPC tools to measure and improve specific healthcare quality issues.
Dates: By arrangement 

Location: On-site or PMC Offices, Dearborn, Michigan 

Cost*: $500/person or $3,000/workshop

 


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