Lean Doctors

Author : Aneesh Suneja
Publisher : Quality Press
Page : 228 pages
File Size : 55,6 Mb
Release : 2010-01-27
Category : Business & Economics
ISBN : 9780873893046

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Lean Doctors by Aneesh Suneja Pdf

Foreword by Michael F. Gutzeit, M.D., Chief Medical Officer and Vice President of Quality, Children's Hospital of Wisconsin 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 flowbr 2. Support physician value-added timebr 3. Visually communicate patient statusbr 4. Standardize everyone’s workbr 5. Lay out the clinic for minimal motionbr 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.

Author : Aneesh Suneja,Carolyn Suneja
Publisher : Quality Press
Page : 105 pages
File Size : 49,9 Mb
Release : 2010-11-19
Category : Medical
ISBN : 9781636940779

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The Lean Doctors Workbook by Aneesh Suneja,Carolyn Suneja Pdf

The content of this workbook is based on the book Lean Doctors: A Bold and Practical Guide to Transforming Healthcare Systems, One Doctor at a Time, and on the authors’ years of transforming care delivery systems with lean. The Six Success Steps discussed in the book are presented here with a focus on implementing them to achieve dramatic and sustainable change. The Success Steps are building blocks; the order in which you apply them matters. They are presented here in an order that has worked in the real world; working through them logically will help you on the path to successful implementation. Each Success Step includes a practical explanation of the theory and maps that illustrate how that particular step impacts the care process in the context of a detailed case study. The authors use several Lean mapping tools, including lean process maps, spaghetti diagrams, and swim lane diagrams. In addition to illustrating lean concepts and their application in the context of a case study discussed throughout the book, these maps provide instructive examples that can help you create similar maps for the processes you operate. With its interactive format and step-by-step design, this workbook is ideal for use in the classroom to teach Lean principles, or with a lean project team to guide a clinical implementation. Together with Lean Doctors, this workbook will help the student of lean or the lean project team learn and apply a complete lean system in a healthcare setting.

Author : Anonim
Publisher : Unknown
Page : 328 pages
File Size : 48,8 Mb
Release : 1877
Category : Electronic
ISBN : HARVARD:HC3127

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Nashville Journal of Medicine and Surgery by Anonim Pdf

Author : Maharshi Samanta
Publisher : CRC Press
Page : 184 pages
File Size : 49,5 Mb
Release : 2019-04-16
Category : Business & Economics
ISBN : 9780429806858

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Lean Problem Solving and QC Tools for Industrial Engineers by Maharshi Samanta Pdf

The manufacturing and service sector needs to resolve a lot of issues relating to products, process and service in everyday operation. Successful resolution depends on the methodology, rigor and systematic implementation techniques. The essential purpose of this book is to impart the necessary knowledge to the reader about concepts in six sigma problem-solving providing sufficient knowledge of problem lifecycle and ways to address the various issues arising therein. The 7 QC tools and A3 strategy are described and analyzed in detail with various examples encompassing a step by step approach a professional must know to address a problem in an industrial engineering set up. Key Features Conceptualizes six sigmas problem-solving providing sufficient knowledge of problem lifecycle and ways to address the various issues for manufacturing industry professionals Enables effective use of 7 QC tools for solving problems Addresses the problem- solving part very specifically in all the contexts of PDCA cycle of improvement, DMAIC methodology of organizational transformation, and TPM & TQM culture of productivity and quality improvement Written with A3 theme throughout enabling each problem-solving tool to follow a structured approach Includes relevant and practical examples and applications

Author : Grace L. Duffy,John W. Moran
Publisher : Quality Press
Page : 225 pages
File Size : 47,5 Mb
Release : 2010-01-27
Category : Medical
ISBN : 9780873891905

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Quality Function Deployment and Lean Six Sigma Applications in Public Health by Grace L. Duffy,John W. Moran Pdf

The public health industry has recognized the value of continuous improvement. Quality Improvement (QI) teams are engaged across the country in identifying root causes of the issues which prevent us from providing the best public health services to communities and individuals. The tools of quality, when used effectively, will truly make a difference in the public’s health. It is time to take a more advanced approach for cross functional and long-term improvements that will achieve the systems level results the public deserves. The purpose of this book is to introduce the concepts embedded in Quality Function Deployment (QFD) and Lean Six Sigma to help Public Health professionals in their implementation of quality improvement within their agencies. The tools and techniques of QFD and Lean Six Sigma can help problem solving teams by providing insight into customer needs and wants, the design and development of customer centric processes, and mapping value streams. Both QFD and Lean Six Sigma focus on doing the most with the resources we have. The methods in this text are the next step to harness the energy, enthusiasm, hard work, and dedication of our public health workforce to make a lasting difference. By effectively expanding the use of QI tools and techniques, we can, and will, improve our nation’s health and the health of the many communities we serve.

Author : Joseph P. Merlino,Joanna Omi,Jill Bowen
Publisher : Oxford University Press
Page : 256 pages
File Size : 51,8 Mb
Release : 2014-01-08
Category : Medical
ISBN : 9780199989539

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Lean Behavioral Health by Joseph P. Merlino,Joanna Omi,Jill Bowen Pdf

Lean Behavioral Health: The Kings County Hospital Story is the first lean book that focuses entirely on behavioral health. Using the principles of the Toyota Production System, or lean, the contributors in this groundbreaking volume share their experience in transforming a major safety net public hospital after a tragic and internationally publicized event. As the largest municipal hospital system in the United States, the New York City Health & Hospitals Corporation adopted lean as the transformational approach for all of its hospitals and clinics. Kings County Hospital Center, one of the largest providers of behavioral health care in the country, continues on its transformational journey utilizing lean's techniques. While not every event was fully successful, most were and every event, including failures, increased the knowledge base about how to continually improve quality and safety. Having made major changes, Kings County Hospital Center is now recognized as a center for transformation and quality receiving high marks from oversight agencies. This volume begins by describing the basic principles of the lean approach-adding value, eliminating waste, and tapping the organization's line staff to create and sustain dramatic change. An overview of the use of lean from a quality improvement perspective follows. Lean tools are applied to many services that comprise the behavioral health value stream and these stories are highlighted. The experts in identifying waste and adding value are the line staff whose voices are captured in the clinical chapters. Insights learned by event participants are emphasized as teaching points to provide context for what has worked or has not worked at Kings County Hospital Center. While the burning platform at Kings County Hospital Center was white hot and while the Department of Justice scrutinized its quality of patient care, the application of lean methods and tools has transformed the hospital into a potential model for behavioral health programs facing the challenges of the present healthcare environment. It is a must-have story for clinicians, administrators and other leaders in the mental health field devoted to improving quality and safety at their hospitals and clinics.

Author : Joseph Merlino,Joanna Omi,Jill Bowen
Publisher : Oxford University Press
Page : 289 pages
File Size : 48,9 Mb
Release : 2014
Category : Medical
ISBN : 9780199989522

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Lean Behavioral Health by Joseph Merlino,Joanna Omi,Jill Bowen Pdf

Includes bibliographical references and index.

Author : Dodd Starbird
Publisher : Quality Press
Page : 103 pages
File Size : 47,9 Mb
Release : 2016-11-18
Category : Business & Economics
ISBN : 9781953079442

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The Joy of Lean by Dodd Starbird Pdf

Has your organization tried Lean already? If so, you surely see and feel the Joy of Lean in your workplace now, right? Don't worry. If you're not quite to joy yet, you're not alone. As it attracts more and more attention as a successful business philosophy that can improve results in any type of organization, lean has still sometimes been misunderstood as a method for just cutting expenses. The useful ideas of eliminating waste and driving greater efficiency can pick up a negative spin, with perceptions of job cuts, employees doing more with less, and managers squeezing more productivity from each person. None of that sounds very joyful. But it doesn't have to be that way. This book will show leaders how to cultivate a positive Lean Culture of Excellence that creates value for customers, profitable growth for businesses, sustainable cost reduction, and fulfilling jobs for employees. Lean Culture means empowerment. Lean Culture means better value for the customer. Lean Culture means better performance for the organization. Lean Culture means a more engaging, rewarding, and yes, even joyful role for each employee. And Lean Culture provides the competitive advantages that a team needs to survive and grow. We call the approach Lean Engaged Team Performance (Lean ETP). It's a purposeful combination of value innovation, process excellence, performance measures, team goals, collaborative norms, organizational structure, enabling technology, and most of all, visionary leadership. And it's hard to achieve and even harder to sustain, but it's worth the journey! Praise for The Joy of Lean "For a young growth company, the self-discipline of Engaged Team Performance and a commitment to process improvement do not initially sound too joyful. But all we needed was one team to try. Our leaders and employees came together… operating at the best service levels we had ever achieved." Jana Schmidt, President and CEO, Ecova, Inc. "Life is supposed to be an adventure, and work is a core part of that journey. The Joy of Lean will help you develop a culture where everyone takes joy in coming to work every day to contribute something that will change the world for the better." Dr. Fred Moll, co-founder and CEO, Auris Surgical Robotics, and co-founder of Intuitive Surgical "The Joy of Lean provides practical advice that every organization should follow when pursuing a Lean transformation. Dodd Starbird delivers the content in an easy to understand, even humorous way that makes this an important and enjoyable read for anyone, not just leaders for whom the book is most intended." Drew Locher, author of Lean Office and Service Simplified "Dodd Starbird fixes the limitations of most Lean implementations by shifting focus from eliminating waste to achieving excellence, and it's spot on!" David Marquet, author of Turn the Ship Around! "At its heart,The Joy of Lean is about leaders building relationships: relationships with your customer and with your employees. Engaged Team Performance is all about empowering your employees to demonstrate care while attracting new customers, strengthening client relationships, or delivering products and services every day. The Joy of Lean provides the key to any successful business." Art Bacci, Head Hong Kong Group, Principal International "Business, especially a growing business, is ultimately about people working with people. The Joy of Lean outlines key principles for driving a culture of business performance. Working with Dodd Starbird's ETP principles, we have been able to deliver sustainable value to our business, and our teams remain engaged." Beth Rothwell, President, VfD Companies

Author : Joseph E. Scherger, M.D.
Publisher : Unknown
Page : 108 pages
File Size : 45,9 Mb
Release : 2015-11-11
Category : Electronic
ISBN : 1518755054

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Elements of Programming by Joseph E. Scherger, M.D. Pdf

Dr. Joseph Scherger's career in family medicine has spanned 40 years. His training also included a Masters in Public Health where he studied nutrition at the University of Washington. He has always included preventive medicine and wellness in his medical practice. He is physically active with running, one of many choices for being in good shape. Until 2013 he followed the nutrition guidelines promoted by leading organizations such as the American Heart Association. In 2013 he expanded his knowledge in nutrition by reading the books of physician leaders such as William Davis and David Perlmutter. One of his partners in practice (and now his personal physician) Hessam Mahdavi introduced him to Functional Medicine, a focus on treating the causes of disease rather than just treating disease with drugs and procedures. Following this new knowledge and approach, Dr. Scherger greatly improved his own health and the health of many of his patients. This book is that story, loaded with information and scientific references that validate this exciting new approach to nutrition and good health. We live in a toxic food environment yet healthy foods are readily available. Dr. Scherger will help you make the choices that will result in your becoming lean and fit.

Author : Dennis Han,Aneesh Suneja
Publisher : Quality Press
Page : 53 pages
File Size : 51,7 Mb
Release : 2016-01-11
Category : Business & Economics
ISBN : 9781953079626

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Make Your Clinics Flow with Synchrony by Dennis Han,Aneesh Suneja Pdf

Synchrony is the ability of a healthcare process to control the pace of the physician process and the pace of the patient process such that the physician and patient are ready for each other at the same time, without waste or delay. When a process achieves synchrony, the patient does not wait for the doctor, nor does the doctor wait for the patient. Dr. Dennis Han is an ophthalmologist specializing in diseases of the retina at the Medical College of Wisconsin and Froedtert Memorial Hospital; Aneesh Suneja is an engineer and lean consultant who worked with Dr. Han to transform his practice. With the help of Suneja, Han’s patients experienced an 85% reduction in non-value added wait times, and a corresponding 97% “top box” rating on patient satisfaction surveys (“strongly agree to recommend this doctor’s office to others”). Financially, his practice saw a 25% year-over-year increase in relative value units (RVU) production and a 41% increase in payments due to increased physician availability. If you are a physician, clinic manager, administrator, technician, or provider of health services in a clinic setting, you can use the guidelines described in this book to effect a transformation as well. "Thank you, doctor Dennis Han, MD, and co-author Aneesh Suneja, MBA, for this marvelous work that applies Lean principles in healthcare settings. The focus on physician medical clinics is a brave venture into this complex, hectic world that has traditionally been dominated by physicians with a predominant emphasis on patient volume, and subsequent billing volume, versus caring for their customers... This important work is essential for just about all existing physician clinics." Dale Farris Healthcare quality improvement specialist with 25 years experience. "Lean principles have opened up more slots for patient care allowing better clinic and staff utilization, and have increased patient throughput while reducing employee overhead and burnout. There is a joy on the faces of the staff when they get to leave the office earlier than expected because lean principles have been deployed." Jose Martinez, MD Practicing physician and beneficiary of the “Synchrony” "Physician office managers and their medical staffs would be the primary targets for this book. However, I also see it being applicable to the higher educational setting...[such as in colleges and institutions teaching healthcare improvement.]" Jim Bente Vice President, Planning and Institutional Effectiveness, College of duPage Adjunct Faculty, Carnegie Mellon University

Author : Travis Stork,Peter Moore
Publisher : Rodale
Page : 290 pages
File Size : 52,5 Mb
Release : 2010-12-07
Category : Health & Fitness
ISBN : 9781609610234

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The Lean Belly Prescription by Travis Stork,Peter Moore Pdf

A co-host of The Doctors and the award-winning editor of Men's Health outline a scientifically based program for reducing abdominal fat, in a reference that shares guidelines for diet, exercise and everyday lifestyle practices.

Author : David I. Ben-Tovim
Publisher : CRC Press
Page : 222 pages
File Size : 43,7 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.

Author : A. Maehle
Publisher : Springer
Page : 198 pages
File Size : 50,7 Mb
Release : 2009-03-26
Category : Science
ISBN : 9780230234390

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Doctors, Honour and the Law by A. Maehle Pdf

Medical ethics in Imperial Germany were entangled with professional, legal and social issues. This book shows how doctors' ethical decision-making was led by their notions of male honour, professional politics and a paternalistic doctor-patient relationship rather than concern for patients' interests or the right of the sick to self-determination.

Author : Judith A. Pauley,Joseph F. Pauley
Publisher : Quality Press
Page : 209 pages
File Size : 40,8 Mb
Release : 2012-01-01
Category : Medical
ISBN : 9780873898195

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Establishing a Culture of Patient Safety by Judith A. Pauley,Joseph F. Pauley Pdf

The purpose of this book is to provide a road map to help healthcare professionals establish a "culture of patient safety" in their facilities and practices, provide high quality healthcare, and increase patient and staff satisfaction by improving communication among staff members and between medical staff and patients. It achieves this by describing what each of six types of people will do in distress, by providing strategies that will allow healthcare professionals to deal more effectively with staff members and patients in distress, and by showing healthcare professionals how to keep themselves out of distress by getting their motivational needs met positively every day. The concepts described in this book are scientifically based and have withstood more than 40 years of scrutiny and scientific inquiry. They were first used as a clinical model to help patients help themselves, and indeed are still used clinically. The originator of the concepts, Dr. Taibi Kahler, is an internationally recognized clinical psychologist who was awarded the 1977 Eric Berne Memorial Scientific Award for the clinical application of a discovery he made in 1971. That discovery enabled clinicians to shorten significantly the treatment time of patients by reducing their resistance as a result of miscommunication between their doctors and themselves.

Author : Arlen Rundvall
Publisher : Trafford Publishing
Page : 250 pages
File Size : 48,8 Mb
Release : 2009-09-11
Category : Self-Help
ISBN : 9781426911064

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The Bipolar Guide to the Gift by Arlen Rundvall Pdf

When you are diagnosed with Bipolar Disorder, you could use a coach and all the advantages that you can find. Bipolar is a serious illness that requires an integrated approach to solving the enigma. This is an informal guide that pulls no punches and talks about everything from sexual promiscuity to manic spending to delusions of grandeur. Over twenty years, I have learned to lessen its power over my existence. It can become less of an illness and, over time, more of an opportunity. We need to look at bipolar in new ways to get different results. Having a reassuring friend who’s been there makes the difference. I teach many basic, easy to learn approaches. A recent test reader, who was in the mire of illness, described the book as a bridge out: she returns to The Bipolar Guide to review the principles that helped her to live. I strive in this book to take alternative approaches to work through the negative illness traits to plug into the gift side. I have been through the highs and the lows of manic-depression and have embraced the advantages, and continue to live an enhanced life. I promote responsibility in this book—there are no excuses, just potential. You can harness bipolar to serve you: it is a tough break-in of the wild horse, but it is possible. We need to look at bipolar in new ways. People need friendly assurance and prodding to surmount the challenges of bipolar. This is a bold responsible approach to living successfully with Bipolar Disorder. Two decades of tough manic-depression lessons are passed to you. This informal guide will be your friend and coach to assist you in finding your own way: we need to learn new approaches to attain different results in our lives.