A lean guide to transforming healthcare : how to implement lean principles in hospitals, medical offices, clinics, and other healthcare organizations / Thomas G. ZidelLibro / Impreso - Libros
CONTENIDO: LEAN PRINCIPLES
A History of Lean and the Toyota Production System
Categorizing Operations
Working vs. Adding Value
Becoming Lean
Prerequisite to Launching the Lean Initiative
TIME FOR ACTION
The need for change
Preparing for the Lean transformation
Project selection
The Decision to Hire a Consultant
The Transformation Process
A LEAN ROAD MAP
Know your destination
Strategy Deployment
The Value Stream
Develop a work plan
Create flow
Standard work
User-friendliness
Unobstructed throughput
Proceed with caution
Lean organizational roles
CHAPTER 4 VALUE STREAM MAPPING
Value Stream Mapping Defined
Definitions
Takt Time
Cycle Time
Flow
Push
Pull
Changeover Time
VSM Symbols
Drawing a Map of the Current State
Drawing the Future State Map
The Value Stream Work Plan
Conclusion
STANDARD WORK
Definitions
Work Sequence
SWIP
Curtain
Step 1. Evaluating the current situation
Standard Work Sheet
Time Observation Sheet
Combination Sheet
Percent Load Chart
Step 2. Identifying areas of opportunity
Step 3. Modifying the existing process
Brainstorming
Andon
Five Whys
Leveling
Step 4. Substantiating & Enumerating Improvements
Step 5. Standardizing
Conclusion
CHAPTER 6 5S
The First S - Seiri - Organize - Sort
Red Tag Strategy
The Second S - Seiton - Orderliness - Straighten
Kanban
Visual Controls
The Third S - Seiso - Cleanliness - Scrub
The Fourth S - Seiketsu - Standardize - Stabilize
The Fifth S - Shitsuki - Discipline - Sustain
Keys to Success with 5S
CHAPTER 7 MISTAKE PROOFING
Define the Mistake or Defect
Red Flags
Root Cause Analysis
Cause & Effect Diagram
Generating Ideas
Affinity Diagram
Prioritization Matrix
Developing the Device or Method
Mistake Proofing Worksheet
QUICK CHANGEOVER
What is Changeover Time
Process for Changeover Analysis
Preparation Time
Loading and Unloading Time
Alignment and Adjustment Time
Securing time
Conclusion SIX SIGMA
Six Sigma Rationale
Six Sigma Statistical Definition
Six Sigma the Methodology
Define
Measure
Analyze
Improve
Control
CONDUCTING A LEAN EVENT
Event Planning
Scope
Dates
Event Objectives
Selecting a Team Leader
Organizing the Team
Process Information
Current Situation and Problems
Kicking-off the Lean Event
Conducting the Event
The Final Presentation
IV ADMIXTIRE LEAN EVENT
Yale New Haven Hospital
Pharmacy Department - IV Admixture Lean Event
The Team
The Problem Statement
Evaluate the Current Situation
Calculating Takt Time
Identify Areas of Opportunity
Modify the Existing Process
Substantiate and Enumerate Improvements
Implement Standard Work
Summary
BECOMING LEAN
Service and Product Groups
A Lean Mentality
A Never Ending Journey
Impetus to Engage
Glossary of Terms
Bibliography
Appendix: Outpatient Blood Draw Example for
Value Stream Mapping
Index PROYECTO: Logística hospitalaria
