A Guide To Lean Healthcare Workflows

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A Guide to Lean Healthcare Workflows

Jerry Green,Amy Valentini,IBM Redbooks
A Guide to Lean Healthcare Workflows Book PDF

Author : Jerry Green,Amy Valentini,IBM Redbooks
Publisher : IBM Redbooks
Page : 88 pages
File Size : 48,6 Mb
Release : 2016-10-11
Category : Computers
ISBN : 9780738454405

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A Guide to Lean Healthcare Workflows by Jerry Green,Amy Valentini,IBM Redbooks Pdf

Is Lean a fit for your healthcare organization? Various methodologies can be used to help organizations achieve their objectives depending on their criteria: lowest risk of failure, fast to resolution, or lowest cost for deployment. But what every organization should consider is which methodology will have the greatest impact. Lean, a systematic approach to understanding and optimizing processes, may be the fit for your organization. Learn more in this new IBM® RedpaperTM publication, A Guide to Lean Healthcare Workflows, by Jerry Green and Amy Valentini of Phytel (An IBM Company). The paper delves into the five steps of Lean: Define value from the patient's perspective Map the value stream, and identify issues and constraints Remove waste, and make the value flow without interruption Implement the solution, and allow patients to pull value Maintain the gain, and pursue perfection It describes each step in-depth and includes techniques, example worksheets, and materials that can be used during the overall analysis and implementation process. And it provides insights that are derived from the real-world experience of the authors. This paper is intended to serve as a guide for readers during a process-improvement project and is not necessarily intended to be read end-to-end in one sitting. It is written primarily for clinical practitioners to use as a step-by-step guide to lean out clinical workflows without having to rely on complex statistical hypothesis-testing tools. This guide can also be used by clinical or nonclinical practitioners in non-patient-centered workflows. The steps are based on a universal Lean language that uses industry-standard terms and techniques and, therefore, can be applied to almost any process.

The Lean Healthcare Handbook

Thomas Pyzdek
The Lean Healthcare Handbook Book PDF

Author : Thomas Pyzdek
Publisher : Springer Nature
Page : 252 pages
File Size : 45,9 Mb
Release : 2021-04-28
Category : Medical
ISBN : 9783030699017

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The Lean Healthcare Handbook by Thomas Pyzdek Pdf

The book shows readers exactly how to use Lean tools to design healthcare work that is smooth, efficient, error free and focused on patients and patient outcomes. It includes in-depth discussions of every important Lean tool, including value stream maps, takt time, spaghetti diagrams, workcell design, 5S, SMED, A3, Kanban, Kaizen and many more, all presented in the context of healthcare. For example, the book explains the importance of quick operating room or exam room changeovers and shows the reader specific methods for drastically reducing changeover time. Readers will learn to create healthcare value streams where workflows are based on the pull of customer/patient demand. The book also presents a variety of ways to continue improving after initial Lean successes. Methods for finding the root causes of problems and implementing effective solutions are described and demonstrated. The approach taught here is based on the Toyota Production System, which has been adopted worldwide by healthcare organizations for use in clinical, non-clinical and administrative areas.

Lean Healthcare Systems Engineering for Clinical Environments

Bohdan Oppenheim
Lean Healthcare Systems Engineering for Clinical Environments Book PDF

Author : Bohdan Oppenheim
Publisher : CRC Press
Page : 129 pages
File Size : 48,7 Mb
Release : 2021-05-24
Category : Business & Economics
ISBN : 9781000385700

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Lean Healthcare Systems Engineering for Clinical Environments by Bohdan Oppenheim Pdf

It has been almost 20 years since the Institute of Medicine released the seminal report titled, Crossing the Quality Chasm. In it, the IoM identified six domains of care quality (safe, timely, effective, efficient, equitable, and patient-centric) and noted a huge gap between the current state and the desired state. Although this report received a great deal of attention, sadly there has been little progress in these areas. In the U.S., healthcare still has huge disparities, is inefficient, and is fragmented with delays in care that are often unsafe. Most U.S. citizens are expected to suffer from a diagnostic error sometime during their lifetime, not receive a large fraction of recommended care, and pay for one of the most expensive systems in the world. Much has been written about quality improvement over the years but many prominent quality and safety experts. Yet progress has been slow. Some have called on the healthcare professions to look outside of healthcare to other industries using examples in nuclear power and airlines for safety, the hotel and entertainment industry for a ‘customer’ focus, and the automotive industry, particularly Toyota for efficiency (Lean). This book by Dr. Oppenheim on lean healthcare systems engineering (LHSE) is a fresh approach that brings forth concepts that systems engineers have used in huge national defense projects. What’s unique in this book is that these powerful system engineering tools are modified to be able to address smaller sized healthcare problems that still involve similar problems in fragmentation and poor communication and coordination. This book is an invaluable reference for a new powerful process named Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in all clinical environments. The book applies to ambulatory clinics and hospitals of all types including operating rooms, emergency departments, and ancillary departments, clinical and imaging laboratories, pharmacies, and population health. The book presents a generic rigorous but not mathematical step-by-step process of integrated healthcare, systems engineering and Lean. The book also contains the first major product created with the LHSE process, namely tabularized summaries of representative projects in healthcare delivery applications, called Lean Enablers for Healthcare Projects. Each full-page enabler table lists the challenges and wastes, powerful improvement goals, risks, and expected benefits, and some useful descriptions of the healthcare system of interest. The book provides user-friendly solutions to major problems in healthcare delivery operations in all clinical environments, addressing fragmentation, wastes, wrong incentives, ad-hoc and stove-piped management, lack of optimized processes, hierarchy gradient, lack of systems thinking, “blaming and shaming culture”, burnout of providers and many others.

A Lean Guide to Transforming Healthcare

Tom Zidel
A Lean Guide to Transforming Healthcare Book PDF

Author : Tom Zidel
Publisher : Quality Press
Page : 194 pages
File Size : 54,7 Mb
Release : 2006-04-14
Category : Medical
ISBN : 9780873893169

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A Lean Guide to Transforming Healthcare by Tom Zidel Pdf

This book is an implementation manual for lean tools and principles in a healthcare environment. Lean is a growth strategy, a survival strategy, and an improvement strategy. The goal of lean is, first and foremost, to provide value to the patient/customer, and in so doing eliminate the delays, overcrowding, and frustration associated with the existing care delivery system. Lean creates a better working environment where what is supposed to happen does happen. On time, every time. It allows clinicians to spend more of their time caring for patients and improves the quality of care these patients receive. A lean organization values its employees and encourages their involvement in organizational initiatives which, in turn, sustains hospital-wide quality improvements. The opportunities for lean in healthcare are limitless. This is not a book to be read and forgotten, nor is it meant to sit on a book shelf as another addition to an impressive but underutilized collection of how-to books. As the name implies, it is a guide; a companion to be referenced again and again as the organization moves forward with its lean transformation. "This is a well-researched, well-written work by an individual who understands the current healthcare environment. It provides a practical and sound understanding of the concepts and application for Lean and Six Sigma." James R. Bente Vice President, Quality & Organizational Development Memorial Health System "Healthcare quality professionals in the U.S. and abroad could benefit from the content of this book...Comprehensive discussion of lean and its relevance to healthcare, excellent description of techniques and tools, and excellent examples and figures." Luc R. Pelletier, MSN APRN BC FNAHQ FAAN Editor in Chief Journal for Healthcare Quality COMMENTS FROM OTHER CUSTOMERS Average Customer Rating (4.5 of 5 based on 4 reviews) "This book is easy to read and demystifies the complex world of Lean by clearly explaining what Lean is, what it does, and the tools used; all in the context of healthcare. Because examples illustrate the benefit of Lean not just to the healthcare industry, but to us as patients, the business case is especially compelling. Instructions address technical challenges and draw from best practices in change management. The guide provides a road map for implementation and seasoned insights that leave one trusting that Lean is very doable, and a necessity." A reader in Seattle, Washington "I thoroughly enjoyed this book as it provides concrete and detailed examples of Lean principles applied to a healthcare environment. I myself am new to healthcare and am overwhelmed at the wealth of opportunities for improvement. I plan on using some lean principles to demonstrate that improvements don't have to be complex or costly to achieve results" A reader in Montreal, Quebec "This is an excellent resource. I consider it 'required reading' for all that are new to Lean / Process Improvement. In my role, I facilitate 5-10 concurrent process improvement projects. This book has been invaluable as a teaching tool. I've asked each project leader to buy, read and study this book. All have commented that it has an easy read, helped them to understand the Lean concepts, and quickly implement the tools. As a group, we're better able to speak the same language and have a common understanding of the tools.brI highly recommended this book. I would also recommend the website (www.leanhospitals.org), wh..." A reader in Wausau, Wisconsin

Provider-Led Population Health Management

Richard Hodach,Paul Grundy,Anil Jain,Michael Weiner
Provider Led Population Health Management Book PDF

Author : Richard Hodach,Paul Grundy,Anil Jain,Michael Weiner
Publisher : John Wiley & Sons
Page : 264 pages
File Size : 51,7 Mb
Release : 2016-09-15
Category : Health & Fitness
ISBN : 9781119277255

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Provider-Led Population Health Management by Richard Hodach,Paul Grundy,Anil Jain,Michael Weiner Pdf

Provider-Led Population Health Management: Key Healthcare Strategies in the Cognitive Era, Second Edition draws connections among the new care-delivery models, the components of population health management, and the types of health IT that are required to support those components. The key concept that ties all of this together is that PHM requires a high degree of automation to reach everyone in a population, engage those patients in self-care, and maximize the chance that they will receive the proper preventive, chronic, and acute care. While this book is intended for healthcare executives and policy experts, anyone who is interested in health care can learn something from its exploration of the major issues that are stirring health care today. In the end, the momentous changes going on in health care will affect us all.

The Lean Healthcare Handbook

Thomas Pyzdek
The Lean Healthcare Handbook Book PDF

Author : Thomas Pyzdek
Publisher : Unknown
Page : 291 pages
File Size : 47,6 Mb
Release : 2017-11-18
Category : Electronic
ISBN : 1973311208

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The Lean Healthcare Handbook by Thomas Pyzdek Pdf

Unlike other books on Lean Healthcare, The Lean Healthcare Handbook goes beyond merely describing tools, it shows you exactly how to USE these tools to design healthcare work that is smooth, efficient, error-free and focused on patients and patient outcomes. It includes in-depth discussions of every important Lean tool, including value stream maps, takt time, spaghetti diagrams, workcell design, 5S, SMED, A3, Kanban, Kaizen and many more, all presented in the context of healthcare. For example, the book explains the importance of quick changeovers (for example, operating room or exam room changeovers) and shows you specific methods for drastically reducing changeover time. You will learn to create healthcare value streams where work flows based on the pull of customer/patient demand. You will also learn a variety of ways to continue improving after your initial Lean successes. Methods for finding the root causes of problems and implementing effective solutions are described and demonstrated.The approach taught here is based on the the Toyota Production System, which has been adopted worldwide by healthcare organizations in clinical, non-clinical and administrative areas. The topics covered in this book are also taught in online training courses at www.pyzdekinstitute.com, where you can earn certification and recognition of your skills from an acclaimed and accredited training organization, The Pyzdek Institute.Thomas Pyzdek worked with Dr. W. Edwards Deming in the 1980s and 1990s to help spread the word about a new and better way to run organizations. This book is the latest contribution to this ongoing mission.

Process Redesign for Health Care Using Lean Thinking

David I. Ben-Tovim
Process Redesign for Health Care Using Lean Thinking Book PDF

Author : David I. Ben-Tovim
Publisher : CRC Press
Page : 222 pages
File Size : 40,6 Mb
Release : 2017-03-16
Category : Business & Economics
ISBN : 9781315303949

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Process Redesign for Health Care Using Lean Thinking by David I. Ben-Tovim Pdf

Process Redesign for Health Care Using Lean Thinking is a response to a simple, but hard to answer, question and is the result of the experiences of a working doctor who was also the chief safety and quality officer of an Australian teaching hospital. At this hospital, he observed that the Emergency Department was staff by talented, well-trained, and respected doctors and nurses. The facilities were modern, and the work load unexceptional, but the department was close to melt down. Bad things were happening to patients, everyone was blaming each other, lots of things had been tried but nothing was getting better and no one could explain why. The problem was not a lack of technical knowledge or expertise, the problem was that no one stood back and said, "what’s the best way to move 200 or 300 patients a day through the complicated and varying, sequence of steps needed to sort out the many different problems that bring patients to our department?" These challenges are faced by hospitals and health services all over the world. There are difficulties with patient flow, congestion, queues, inefficient utilization of resources, problems engaging clinical staff in improvement programs, adverse incidents, and budget constraints. Lean thinking and value stream analysis gives hospitals and health services struggling with these issues the insights they need to help themselves. This book provides a method that systematically turns those insights into working programs of service and system redesign. The book is divided into two sections. The first section gives the background to the approach, and systematically works through the Process Redesign methodology, step-by-step. The second section is a series of case studies that show the methodology in action, what worked and what didn’t work. The goal of any process redesign is simple: the right care, for the right person, at the right time, in the right place, and right the first time. This book helps the people who work in hospitals and health services realize these goals by working together.

The Lean Electronic Health Record

Ronald G. Bercaw,Kurt A. Knoth,Susan T. Snedaker, MBA, CISM, CPHIMS, C
The Lean Electronic Health Record Book PDF

Author : Ronald G. Bercaw,Kurt A. Knoth,Susan T. Snedaker, MBA, CISM, CPHIMS, C
Publisher : Taylor & Francis
Page : 282 pages
File Size : 52,7 Mb
Release : 2017-12-15
Category : Business & Economics
ISBN : 9781351850957

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The Lean Electronic Health Record by Ronald G. Bercaw,Kurt A. Knoth,Susan T. Snedaker, MBA, CISM, CPHIMS, C Pdf

The Electronic Health Record (EHR) is a reflection of the way your organization conducts business. If you’re looking to make lasting improvements in the delivery of care, you must start with looking at the system from your patient’s perspective to understand what is of value and what is simply waste. When you begin seeing in this way, you’ll begin building in this way. When you begin building in this way, you’ll begin driving improvements in your care delivery. Only then will your EHR be able to support lasting improvements, driving better patient care and outcomes at lower costs. Healthcare organizations are under increasing pressure to improve on all fronts. This can be achieved, but only by changing the very way we look at care. No longer can we look at care just from the organization or provider’s perspective; we must start with the end in mind – the patient. Compelling case studies, discussed throughout this book, demonstrate that modifying processes and workflows using Lean methodologies lead to substantial improvements. These changes must be undertaken in a clear, consistent, and methodical manner. When implementing an EHR based on existing workflows and sometimes antiquated processes, organizations struggle to sustain improvements. Many organizations have deployed an EHR and now face optimization challenges, including the decision to move to a new EHR vendor. The financial implications of upgrading, optimizing or replacing an EHR system are significant and laden with risk. Choose the wrong vendor, the wrong system, or the wrong approach and you may struggle under the weight of that decision for decades. Organizations that successfully leverage the convergence of needs – patients demanding better care, providers needing more efficient workflows and organizations desiring better financials – will survive and thrive. This book ties together current healthcare challenges with proven Lean methodologies to provide a clear, concise roadmap to help organizations drive real improvements in the selection, implementation, and on-going management of their EHR systems. Improving patient care, improving the provider experience and reducing organizational costs are the next frontier in the use of EHRs and this book provides a roadmap to that desired future state.

The New Lean Healthcare Pocket Guide

Debra Hadfield,Shelagh Holmes,Susan F.. Kozlowski
The New Lean Healthcare Pocket Guide Book PDF

Author : Debra Hadfield,Shelagh Holmes,Susan F.. Kozlowski
Publisher : Unknown
Page : 226 pages
File Size : 50,8 Mb
Release : 2009-01-01
Category : Health facilties
ISBN : 0977072029

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The New Lean Healthcare Pocket Guide by Debra Hadfield,Shelagh Holmes,Susan F.. Kozlowski Pdf

The Lean Healthcare Pocket Guide - Tools for the Elimination of Waste in Hospitals, Clinics and Other Healthcare Facilities is the collection of input from healthcare professionals and Lean sensei. It provides easy-to-use and easy-to-understand tools, methods, and concepts based on the world-class Toyota Motor Company. These practices are commonly referred to as Lean. The tools of value stream mapping, takt time, pitch, standard work, visual controls, predictable output, Six Sigma, goals and outcomes, etc. are all clearly explained in relationship to the healthcare environment. Numerous tools and concepts contain case studies to further assist staff in their deployment of continuous improvement methodologies. The Lean Healthcare Pocket Guide is a powerful toolkit that was designed for all staff in a facility. This book will assist any healthcare facility in enabling them into a Lean environment where the focus is on both driving strategic change and meeting operational goals.

Lean Healthcare

Dennis R. Delisle
Lean Healthcare Book PDF

Author : Dennis R. Delisle
Publisher : Quality Press
Page : 275 pages
File Size : 50,6 Mb
Release : 2020-12-01
Category : Business & Economics
ISBN : 9781951058456

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Lean Healthcare by Dennis R. Delisle Pdf

Lean healthcare is not about being better, but rather becoming the best at getting better. Today's challenge in the healthcare environment is your ability to improve at a greater rate than surrounding competitors. This book focuses on the model, strategy, and lessons learned in implementing lean thinking in a practical way. Using real-world case studies, the book provides approaches and tools to facilitate rapid improvements, along with a bonus section on pandemic preparedness. By following this accessible, user-friendly guide, you can achieve meaningful results right away. Dr. Dennis R. Delisle currently serves as the Executive Director for The Ohio State University Wexner Medical Center's flagship University Hospital. Through the Thomas Jefferson University College of Population Health, Dennis founded and oversees the Master of Science degree program in Operational Excellence, one of the first of its kind in the nation. He is the author of two books about streamlining and transforming healthcare.

Lean Implementation in Hospital Departments

A. Heri Iswanto
Lean Implementation in Hospital Departments Book PDF

Author : A. Heri Iswanto
Publisher : CRC Press
Page : 146 pages
File Size : 45,7 Mb
Release : 2019-02-26
Category : Medical
ISBN : 9780429627644

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Lean Implementation in Hospital Departments by A. Heri Iswanto Pdf

Lean healthcare is waste elimination in every service area with the goal of reducing inventory, cycle time of service, and cost, so that high-quality patient care can be provided in a way that is as efficient, as effective, and as responsive as possible while retaining the financial integrity of a hospital. The Lean philosophy in healthcare demands a person’s attitude, in all aspects of care, understand the process which happens, observe it, and gather information in order to identify the root of an inefficiency of the process. In short, Lean and its emphasis on efficiency can be a critical tool in the management of health services in hospitals around the world. This book provides guidance and examples on how Lean principles can be implemented into the infrastructure and every day operations of a hospital from the emergency room to hospital facilities and maintenance. The book also demonstrates how Lean is the cultural commitment of organizations to implement the scientific method in designing, conducting, and improving work sustainably through teamwork, bringing in better value and satisfaction to the patient. It shortens the time between ordering and service delivery by eliminating waste from the service flow value. The author uses numerous examples of Lean thinking in various hospital departments with the overall of goal of taking that department from good to great.

Lean Doctors

Aneesh Suneja,Carolyn Suneja
Lean Doctors Book PDF

Author : Aneesh Suneja,Carolyn Suneja
Publisher : Quality Press
Page : 247 pages
File Size : 40,9 Mb
Release : 2010-01-01
Category : Medical
ISBN : 9780873897853

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Lean Doctors by Aneesh Suneja,Carolyn Suneja Pdf

This practical, how-to book clearly and succinctly takes the reader through six proven "success steps" for implementing lean in any healthcare environment: 1. Create physician flow 2. Support physician value-added time 3. Visually communicate patient status 4. Standardize everyone's work 5. Lay out the clinic for minimal motion 6. Change the care delivery model Why go through such a transformation? Because it works. Tell a doctor that he can see the same number of patients, offering the same high quality and personal care, and have an extra 90 minutes at the end of his clinic day -- and that means something. Tell the staff that they can look forward to actually ending on time, with satisfied patients, no backlog, and having focused their attention completely on quality patient care -- and they will listen. These Lean principles and success steps work in clinics ranging from orthopedics to neurology to cardiac care -- the specialty doesn't matter. They work in small practices and large hospital settings. Lean methodology provides the tools to address the frustrations patients and doctors alike experience in the clinic process. Included throughout the book is a case study showing the lean transformation undertaken at the Orthopedic Center at Children's Hospital of Wisconsin, with numerous quotes and insights from those actually involved. This transformation resulted in patient wait times being reduced by more than 70 percent, the clinic being able to see 25 percent more patients in less space, patient satisfaction scores sometimes reaching 100 percent, and staff satisfaction scores improving by more than 25 percent.

Lean Daily Management for Healthcare

Brad White
Lean Daily Management for Healthcare Book PDF

Author : Brad White
Publisher : CRC Press
Page : 216 pages
File Size : 49,5 Mb
Release : 2016-08-03
Category : Business & Economics
ISBN : 9781498758994

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Lean Daily Management for Healthcare by Brad White Pdf

You likely don’t need any more tools, programs, or workshops to improve your hospital. What you need is a simple and consistent approach to manage problem-solving. Filling this need, this book presents a Lean management system that can help break down barriers between staff, directors, and administration and empower front-line staff to resolve their own problems. Lean Daily Management for Healthcare: A Strategic Guide to Implementing Lean for Hospital Leaders provides practical, step-by-step guidance on how to roll out Lean daily management in a hospital setting. Ideal for leaders that may feel lost in the transition process, the book supplies a roadmap to help you identify where your hospital currently is in its Lean process, where it’s headed, and how your role will change as you evolve into a Lean leader. Illustrating the entire process of implementing Lean daily management, the book breaks down the cultural progression of units into discreet, objectively measurable phases. It identifies what leaders at all levels of the organization must do to progress units into the next phase of development. Complete with case studies from different service areas in the hospital, the book explains how to link problem-solving boards together to achieve meaningful and measurable improvements in: the emergency department, the operating room, discharge times, clinics, quality, and patient satisfaction. After reading this book you will understand how consistent rounding, a few whiteboards, pen-and-paper data, and a focused effort on working the Plan-Do-Study-Act cycle can help you build a common problem-solving bench strength throughout your organization—establishing the framework upon which future improvement can be built.

The Lean Healthcare Dictionary

Rona Consulting Group
The Lean Healthcare Dictionary Book PDF

Author : Rona Consulting Group
Publisher : CRC Press
Page : 216 pages
File Size : 50,8 Mb
Release : 2017-07-27
Category : Business & Economics
ISBN : 9781040083277

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The Lean Healthcare Dictionary by Rona Consulting Group Pdf

In today's healthcare economy, with reduced reimbursement and closer scrutiny of quality patient care, the concepts and terminology of Lean management are becoming invaluable to nurses, clinicians, administrators, and other healthcare staff involved in improvement. Conversely, a basic grasp of common healthcare terms is essential for process improvement specialists who aren't necessary fluent in healthcare terminology. The Lean Healthcare Dictionary: An Illustrated Guide to Using the Language of Lean Management in Healthcare is designed to bridge the gap between Lean practitioners and healthcare professionals. This comprehensive dictionary defines essential Lean and healthcare terms to help create a common language for anyone involved in Lean healthcare improvement activities. Providing quick reference to the language of Lean management in healthcare, the dictionary includes diagrams and charts that illustrate concepts and aid in understanding. Each entry in Part I provides a succinct description of a Lean term as used in a healthcare setting. Healthcare terms and acronyms that commonly arise in the course of Lean transformations are defined in Part II. The content of this dictionary is firmly rooted in the hands-on experience of Rona Consulting Group, whose principals have designed and led ground-breaking applications of Lean management in emergency rooms, operating rooms, labs, hospitals, and major medical centers

The Field Guide to Rapid Process Improvement Workshops in Healthcare

Cameron Stark,Gavin Hookway,Gill McVicar,Hugo Van Woerden
The Field Guide to Rapid Process Improvement Workshops in Healthcare Book PDF

Author : Cameron Stark,Gavin Hookway,Gill McVicar,Hugo Van Woerden
Publisher : CRC Press
Page : 162 pages
File Size : 53,8 Mb
Release : 2023-10-11
Category : Medical
ISBN : 9780429665257

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The Field Guide to Rapid Process Improvement Workshops in Healthcare by Cameron Stark,Gavin Hookway,Gill McVicar,Hugo Van Woerden Pdf

This book takes the reader through the process to plan, deliver, and follow-up a weeklong Lean Quality Improvement event, usually termed a ‘Rapid Improvement Event’ or ‘Rapid Process Improvement Workshop (RPIW).’ Drawing on the experience of conducting over 100 of these workshops, the book gives readers the information to plan and run their own event. It describes how RPIWs fit in to wider improvement processes and how the reader can maximize these processes in their own organization. These weeklong improvement events are popular in health and social care, but there are no textbooks available to support them. There are several books that describe the use of shorter Kaizen events in health care, but none that describe the process of delivering weeklong events. The events have a rhythm specific to the one-week format, and the book seeks to help people to make use of best practice and to avoid common problems. Based on the experiences of the authors, this book includes an introduction to Lean concepts linked to the relevant part of the process description; examples and templates of forms that can be used in workshops; and photographs of actual events.