lean healthcare deployment and sustainability

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Lean Healthcare Deployment And Sustainability

Author : Mark L. Dean
ISBN : 9780071817714
Genre : Business & Economics
File Size : 46. 55 MB
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Best Practices for Achieving the Full Benefits of Lean in Healthcare A Doody's Core Title for 2017! Lean Healthcare Deployment and Sustainability reveals how to successfully implement Lean methodologies in a hospital, physician practice, long-termcare facility, or other healthcare setting. This strategic guide provides an organizational infrastructure and systematic approach for transforming a healthcare system into a Lean enterprise and lays out a detailed roadmap that describes the processes and tools required for implementation. The book introduces the concept of Healing Pathways, which are defined as value streams through which patients flow. This innovation enhances Lean implementation in healthcare by providing explicit recognition and improvement of the patient experience. Case studies and examples demonstrate practical applications of the concepts presented. Proven methods for sustaining Lean gains are also included. The prescriptive information in this comprehensive resource will enable you and your team to work together to achieve Lean enterprise goals and improve patient care, patient satisfaction, productivity, operational performance, and physician and team member satisfaction. Learn how to: Make the business case for Lean in healthcare Engage the senior leadership team Prepare for the Lean transformation process Plan and conduct a Lean transformation summit Ensure enterprise transformation results Standardize best practices Ensure Healing Pathway transformation results Implement Just Do It actions, Rapid Improvement Events, and Projects Use Lean to execute strategic and emerging operational objectives

Factors Critical To A Sustainable Deployment Of Lean Six Sigma In Australian Business

Author : Roger John Hilton
ISBN : OCLC:1011133382
Genre : Lean manufacturing
File Size : 26. 21 MB
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Over the last two decades, manufacturers in Australia have implemented process improvement methodologies to assist in driving down the costs of operations brought on by customers wanting better quality and responsiveness. Closely following in the footsteps of the manufacturers, since the early 2000's, are service organizations, including those in Healthcare, Finance/Banking, IT and Government (Public sector).Lean Six Sigma is one such process improvement methodology. It is seen as the latest philosophy of continuous improvement in many companies world-wide. Following an extensive literature review, it is clear that Lean Six Sigma has been based on earlier continuous improvement philosophies like Total Quality Management as well as the combination of Lean and Six Sigma. There are clearly some similarities and differences between Lean Six Sigma and Total Quality Management. It is not clear in the literature whether companies are deploying Lean Six Sigma because the previous initiatives failed and it will result in better outcomes or it is a natural progression to adopt a new innovation and a new technique. It is not clear if the drivers to deploy Lean Six Sigma are different to previous quality improvement initiatives. Total Quality Management was introduced in the 1980's to create a culture of continuous improvement, improve quality and enhance an organization's competitive advantage and it is interesting to establish if Lean Six Sigma has been deployed to deliver something else or the same since Total Quality Management did not deliver the expected benefits. It is clear in the literature that Lean Six Sigma has been successful but success seems to vary according to the performance or success measure used. For example, if success is defined as higher market share then Lean Six Sigma may not be deemed successful but if success is defined as process cost reduction or savings resulting from an improvement project due to better delivery performance and process capability then it may be deemed successful. The literature covers the concept of a "Mature" deployment of Lean Six Sigma which is another way of measuring success apart from success from improvement projects. An organization which has a high level of maturity and where projects are successful is one that is likely to have a culture of sustainable continuous improvement. Little attention has been directed towards how Lean Six Sigma should be deployed. Some companies have deployed Six Sigma first then Lean and other companies have deployed Lean first to identify low hanging fruit and then implemented Six Sigma and others have implemented the combined program from day one. Also, the literature suggests that deployment of Lean Six Sigma needs to be different in small and medium-sized organizations. In the literature, it is clear that the phases of a Six Sigma methodology (Define-Measure-Analyze-Improve-Control) are well-defined but there has been little attention given to the definition of what constitutes a Lean Six Sigma methodology. For example, in many companies Lean Six Sigma deployments use the DMAIC methodology and also use Lean tools at various stages and in others Lean is separately deployed concurrently with DMAIC. Factors critical to success of Lean Six Sigma have been identified in the literature. It is unclear whether these factors are critical to short-term gains or long-term sustainable benefits. This phenomenon also seems to be the case for Total Quality Management (TQM) implemented by many organizations around the world during the 1990's. Included in these critical success factors for Lean Six Sigma is the need for highly-trained Lean Six Sigma experts, known as Master Black Belts and Black Belts (and other levels of "Belts") and the importance of corporate or organizational factors. In the literature the concept of a competency-based perspective of these factors is introduced. In Australia, Lean Six Sigma has been deployed successfully in many companies involved in manufacturing and service, both large and small and medium-sized and in the public sector. However, it has been disbanded in some companies because of an apparent failure of the program, which also appears to be the case for some Total Quality Management deployments. It is unclear as to why this has happened but it is suggested that it is so due to the different measures of success of the program. Also in Australia, some anecdotal evidence suggests that the ongoing deployment of Lean Six Sigma is susceptible to a change of the Chief Executive Officer of the organization. Other evidence suggests that the companies that disbanded the program some years ago are re-deploying it using funding provided by the Australian Federal and State Governments. Further evidence suggests that the Lean Six Sigma programs are now becoming very successful in many other industry sectors like Healthcare and Government in Australia.Thus, in this thesis the researcher considers the following research questions relating to a Lean Six Sigma deployment.1.What are the key drivers and success measures of a Lean Six Sigma deployment? 2.How has Lean Six Sigma been deployed and is it affected by organizational size? 3.What are the competencies of an organization that result in the successful deployment of Lean Six Sigma? 4.What are the personal competencies of the deployment leader and project leaders for the Lean Six Sigma deployment to be successful? 5.What success factors are common between Lean Six Sigma and previous quality improvement initiatives such as Total Quality Management (TQM)? In developing and examining these questions, a comprehensive literature review and four fieldwork phases involving qualitative and quantitative research was completed. There are two fieldwork phases using qualitative research (fieldwork phases 1 and 3) and two fieldwork phases using quantitative research (fieldwork phases 2 and 4). Fieldwork phase 1 (Chapter 4) involves face-to-face interviews using semi-structured questions with senior managers in organizations in Australia that have deployed Lean Six Sigma. Seven case organizations have been selected - four cases in manufacturing and three in service. This has revealed a number of significant issues relating to key drivers, deployment strategies, critical success factors and challenges and benefits of the deployment. Factors critical to success include organizational competencies and competencies of the experts involved in Lean Six Sigma. Fieldwork phase 2 (Chapter 5) considers an in-depth analysis of Lean Six Sigma in one of the seven organizations. The aim of fieldwork phase 2 was to gain insights into the relationship between critical success factors and performance measures for this case. The case was in Healthcare and was chosen as a result of the interest of the interviewee in fieldwork phase 1 to examine their improvement program more fully using input from all senior managers. Fieldwork phase 3 (Chapter 6) involves the use of an open questionnaire with two Lean Six Sigma experts. The aim of fieldwork phase 3 was to gain further insights into the required competencies of the Master Black Belt and Black Belt in Lean Six Sigma. Using the insights from fieldwork phases 1, 2 and 3, a model for the sustainable deployment of Lean Six Sigma program was developed. Sustainability is defined as the combination of successful projects and a level of maturity of the Lean Six Sigma deployment. Fieldwork phase 4 (chapter 7) involves testing the developed model using a National Survey of Operations Excellence Managers in Australian organizations that have deployed Lean Six Sigma. The aim of fieldwork phase 4 is to obtain objective evidence of what factors are critical for a sustainable Lean Six Sigma deployment. A number of key insights are revealed contributing to the theory and practice of Lean Six Sigma. A discussion of the key insights are presented in chapter 8 followed by conclusions and recommendations being presented in chapter 9.

Sustainability For Healthcare Management

Author : Carrie R. Rich
ISBN : 9780415530354
Genre : Business & Economics
File Size : 43. 24 MB
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Sustainability is not unique to health, but is a unique vehicle for promoting healthy values. This book challenges healthcare leaders to think through the implications of our decisions from fiscal, societal and environmental perspectives. It links health values with sustainability drivers in order to enlighten leadership about the value of sustainability as we move toward a new paradigm of health. The authors explore leadership priorities and link them to sustainability, through an imaginary health leader, Fred, the Chief Executive Offi cer (CEO) of Memorial Hospital, a community hospital based in the United States. Each chapter frames a leadership priority and accompanying sustainability driver through a storyline that involves the main character, Fred, and his colleagues. Practical applications featuring evidence-based sustainability accomplishments and the coordinating refl ections of renowned healthcare leaders are woven throughout the book. Every chapter includes leadership tools, illustrations and tables with tips and data to make an evidence-based case in support of health sustainability. Practical applications enhance each chapter by providing real examples of sustainability accomplishments and reflections from healthcare leaders bring such examples to life. The book includes a healthcare sustainability syllabus as well as suggested reading and teaching resources. By bringing together the key concepts of environmentally sustainable healthcare operations, this book is a unique resource to researchers, students and professionals working in health and healthcare management. Readers will also gain an appreciation for translating leadership priorities into sustainability tactics with beneficial operational outcomes.

Sustaining Lean In Healthcare

Author : Michael Nelson
ISBN : 9781439840276
Genre : Medical
File Size : 61. 83 MB
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Among the first books to focus on physician engagement during a Lean effort, Sustaining Lean in Healthcare: Developing and Engaging Physician Leadership explains how to ensure ongoing physician participation long after the consultant leaves. Dr. Michael Nelson, an early adopter of Lean in healthcare, explains how to use these synergic tools to achieve consistently high levels of quality and clinical care outcomes. The book begins with a Lean primer that provides a firm foundation in essential Lean concepts—including value stream maps, 6S, Kanban, Heijunka, and Gemba Walks. Next, it examines how to create a physician engagement plan and covers the specific responsibilities of physician leadership through the Lean transformation. Explaining what to look for when judging success, it provides numerous examples that demonstrate how to sustain success over the long term. Complete with tips for spotting the danger signs that might indicate your plan is off course, this book details time-tested techniques and strategies for reducing waste in healthcare. It supplies a methodology for establishing shared expectations of success with your medical team early on in the process, as well as a proven framework for simultaneous Lean deployment across multiple locations. Praise for the book: In this book , Dr. Nelson draws on his forty years of medical practice and his experience as an early adopter of Lean for healthcare, to identify a crucial piece to aligning healthcare organizations for success; Physician Engagement. ... Healthcare executives and clinicians will appreciate and learn from Dr. Nelson’s insight. —Robert Iversen, Director, Accenture Management Consulting ...Instead of writing another how-to book, Mike has taken the opportunity to provide insights that are sure to help any healthcare organization sustain the impact of its Lean engagement. —Rick Malik, Worldwide Director, ValuMetrix® Services, Ortho Clinical Diagnostics ... provides realistic estimates of timelines for projects, expected satisfaction, quality, and financial paybacks, as well as the time commitments required for Lean healthcare initiatives to become durable successes. —David Mann, PhD, Principal, David Mann Lean Consulting ... simplifies and organizes the steps needed to effectively and successfully take advantage of the significant contributions Lean management can make ... . —Edward D. Martin, MD, Co-Founder and Chairman Emeritus, Martin Blanck & Associates, Inc. Lean has become a critical predictor of successful systems going forward. Sustaining Lean in Healthcare is the book to get this done. —Stephen C. Beeson MD, Author of Engaging Physicians, A Manual to Physician Partnership

Handbook Of Research On Driving Competitive Advantage Through Sustainable Lean And Disruptive Innovation

Author : Al-Hakim, Latif
ISBN : 9781522501367
Genre : Business & Economics
File Size : 41. 35 MB
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The global market is constantly evolving and it has become essential for organizations to employ new methods of appealing to customers in order to stay abreast on current trends within the world economy. The Handbook of Research on Driving Competitive Advantage through Sustainable, Lean, and Disruptive Innovation features theoretical development and empirical research in social media platforms, internet usage, big data analytics, and smart computing, as well as other areas of organizational innovation. Highlighting implementation challenges facing innovative processes, this publication is a critical reference source for researchers, students, professionals, managers, and decision makers interested in novel strategies being employed by organizations in an effort to improve their standings on the global market.

Lean Hospitals

Author : Mark Graban
ISBN : 9781138031586
Genre : Medical
File Size : 20. 37 MB
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Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. Lean Hospitals, Third Edition explains how to use the Lean methodology and mindsets to improve safety, quality, access, and morale while reducing costs, increasing capacity, and strengthening the long-term bottom line. This updated edition of a Shingo Research Award recipient begins with an overview of Lean methods. It explains how Lean practices can help reduce various frustrations for caregivers, prevent delays and harm for patients, and improve the long-term health of your organization. The second edition of this book presented new material on identifying waste, A3 problem solving, engaging employees in continuous improvement, and strategy deployment. This third edition adds new sections on structured Lean problem solving methods (including Toyota Kata), Lean Design, and other topics. Additional examples, case studies, and explanations are also included throughout the book. Mark Graban is also the co-author, with Joe Swartz, of the book Healthcare Kaizen: Engaging Frontline Staff in Sustainable Continuous Improvements, which is also a Shingo Research Award recipient. Mark and Joe also wrote The Executive’s Guide to Healthcare Kaizen.

Lean Leadership For Healthcare

Author : Ronald Bercaw
ISBN : 9781466515550
Genre : Business & Economics
File Size : 43. 94 MB
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Healthcare organizations that have already applied Lean thinking to their processes, with the diligence of effective management and strong leadership support, are now realizing the benefits of their efforts. And, many of those benefits surpass what was thought possible just a few years ago. To be successful, these organizations had to provide the leadership to arrive at their future state. Written by a Shingo Prize-winning author and Lean sensei, Lean Leadership for Healthcare: Approaches to Lean Transformation explains how to apply Lean improvement to both clinical and non-clinical processes. It presents valuable lessons learned by the author over the years of leading improvements in this complex industry and lays out a clear roadmap for initiating your Lean improvements. Illustrating the leadership behaviors required to achieve sustainable success, the book is ideal for leaders in the healthcare industry looking to initiate Lean improvements to clinical and non-clinical processes. It reviews the fundamentals of Lean and explains how to link a strategy of continuous improvement to corporate strategy to achieve operational excellence. It also describes how to mitigate the risk of failure when undergoing large-scale corporate change—including what can go wrong and how to prevent these failures. The book includes case studies that share the time-tested insights of healthcare team members and leaders. It outlines a management system for sustaining your Lean improvements and provides the Lean leadership approaches, thoughts, and visual tools you’ll need to guide your organization along the path toward world-class healthcare performance.

Sustainable Lean

Author : Robert B. Camp
ISBN : 9781482201550
Genre : Business & Economics
File Size : 90. 12 MB
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If you’ve employed consultants and embarked on a Lean transformation only to find your efforts stall after the consultants leave, this book will teach you what you must do to stay the course over the long term. Using a compelling novel format, Sustainable Lean: The Story of a Cultural Transformation illustrates the process of implementing a sustainable Lean transformation. The book follows Jim, the plant manager of an electronics firm that has already seen its first Lean initiative fail. Jim realizes that if he doesn’t act quickly, his job and the jobs of everyone in the factory might be in jeopardy. Jim meets a Lean consultant who agrees to help him implement and sustain a new transformation. Readers follow along as Jim learns invaluable lessons that help him and his plant see costs plummet, on-time delivery reach nearly 100 percent, and defects drop by close to 80 percent. Using simple terms and an ongoing example, the book demonstrates how to use top-down metrics to identify strategic and tactical opportunities for improvement. It describes how to conduct Hoshin Kanri (strategic policy deployment). It also describes the relationship between top-down metrics, organizational accountability, the breaking down of "stovepipes," and the concept of "alignment" that comes about as the result of Hoshin Kanri. Detailing a data-driven methodology to help you set boundaries for effective decision making, this book will inspire manufacturers to achieve world-class production and efficiency standards—one factory, one business at a time.

Implementing A Balanced Lean Operating System Within A Healthcare Organization

Author : Doug Dulin
ISBN : 1439855242
Genre : Business & Economics
File Size : 52. 41 MB
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This book provides a roadmap for implementing a balanced Lean operating system in a healthcare organization. It includes best practices from healthcare and other organizations, and describes how to apply them in the real world. The authors describe balanced Lean operating methodologies and detail how to implement them to ensure success. Lessons learned are provided by hospitals in order to enhance reader understanding. The book also provides examples of specific tools to apply in Lean deployment to help ensure better and sustainable results.

Toward Sustainable Operations Of Supply Chain And Logistics Systems

Author : Voratas Kachitvichynaukul
ISBN : 9783319190068
Genre : Technology & Engineering
File Size : 22. 80 MB
Format : PDF
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This book addresses critical issues in today’s logistics operations and supply chain management, with a special focus on sustainability. In dedicated chapters the authors address aspects concerning multimode logistics operations, reverse network configuration, forward and reverse supply chain integration, improvement of the production operations and management of the recovery activities, as well as carbon footprint reduction in transportation. Selected best practices from different countries and industries are presented to aid in the implementation of sustainable policies in private enterprises and at public-sector institutions. The book offers a valuable resource for both academics and practitioners who wish to deepen their expertise in the field of logistics operations and management with regard to sustainability issues. The book examines both qualitative and qualitative aspects of sustainable supply chain and logistics operations.

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