References: Bushell, S., and B. Shelest. 2002. "Discovering Lean Thinking at Progressive Healthcare." Journal for Quality & Participation 25 (2): 20-25.…
· Identify which elements are required for your selected organization to move towards a lean environment.…
References: Arthur, J. (2011). Lean six sigma for hospitals: Simple steps to fast, affordable, flawless healthcare. New York, NY: McGraw-Hill.…
Womack, J. P., Byrne, A. P., Fiume, O. J., Kaplan, G. S., & Toussaint, J. (2005). Going lean in health care. Retrieved from Institute for Healthcare Improvement:…
In the video “Value Based Health Care Delivery”, spoken by Michael Porter, he begins with a discussion of redefining health care delivery. He stated that unless we want to make pay cuts for health professionals or limit care, there has to be improvement in the value of health care delivered. As defined by Porter, value is patient health outcomes per dollar spent. In order for significant improvement in value, it would require reconstruction of the fundamentals of the health care delivery system.…
Lean production is widely understood to be production based upon a range of waste saving measures inspired by Japanese manufacturing companies, particularly the Kaizen and Just in time techniques. Metov’s plastics have taken the decision upon themselves to incorporate some of the characteristics of lean production namely time management and critical path analysis into their manufacturing process and I will examine these.…
In the healthcare business as in any business decisions will impact how you do business in a significant way. Moreover, one of the more difficult decisions is what I am going to do within the business and more importantly, what am I not going to do. This post will discuss three business principles that I feel create patient-centered care delivered with quality and safety.…
Bay State Medical Center’s mission statement is to improve the health of the people in our communities every day with quality and compassion. This mission statement is very clear and I am sure that every hospital has this very same mission in mind for just being in the system of health care. Bay State Medical Center also has forecasts for the future of Health Care and look at themselves with a vision for the Hospital of the Future. This vision is named “Vision 2025” according to their online website and they look to the future of the hospital with goals of having surgical precision, robotics and patient simulation and how medical students will be trained. Currently every health system is looking at a value system to the consumers of health care and how they can operate with a lean method of performance as well. With health care becoming so costly due to medicine costs and advanced technologies with cutting edge procedures there is no other choice but to adopt lean principles and values. The best doctors need to be compensated accordingly as well.…
Every business, including those in healthcare industry, has goals and objectives. The main objective is to become sustainable by having stable revenue through fulfilling the needs of customer. However, business has limited resource; as a result, it should manage its resource effectively and efficiently to meet its main objective. The management department within the company should manage and handle the data of revenue and cost efficiently that will be useful in the decision-making process. Generally, there are three decision-making within the business, strategic decision-making, tactical decision-making and operational decision-making. All of these types of decision-making are useful for organization depending on their time range, and if any one of them is weakened, it has a negative impact on the other types of decision as well.…
I believe that the eight dimensions of high performance go hand in hand, however, interconnection of the dimensions allows me to make my selection and choice is Investment in improvement and Integration of information and technology into workflows. According to Sollecito & Johnson (2013), “Health professionals have long been proud of their personal commitment of lifelong learning and to their role as leaders in the design and delivery of health care” (p. 377). Educating and training of staff in today world of health care is the way to prevention of medical errors and the goal mine to continuous improvement. When hospital employs the best staff that has the knowledge and technology to integrate into the workflow of the hospital, we understand that the work environment is being developed and design in relation to work according to Sollecito & Johnson that means that the whole person --- head, hand, and heart…
People at all levels must embrace a culture of continuous process improvement. Improving patient outcomes and reducing costs complement each other when staff members have the tools to improve processes. Patient-centric organizations define value in the eyes of their patients and seek to identify and eliminate wasteful work elements from every aspect of their enterprise, both on the clinical and nonclinical side. People who do the work know the work and can usually give you those solutions. People at the staff level complete the process, hospital leaders must be engaged, support the work and provide the resources, or the process…
Health care system all over the world is not very sound and effective both technically and economically (Korenda, Gerhardt and Shukla, 2015). This requires a reduction in the cost of health care, enhancement of patient experience and improvement in clinical quality /population health -generally known as “Triple Aim” is, therefore, recommended by most of the people and Value Based Care (VBC) has gaining momentum (Berwick, 2008).…
I found your post about the lean methodology intriguing and informative. It helped me to have a better understanding of a clinic use for this type of approach to quality improvement in nursing care. Working for the state government means that budgets are tight and there is no room to be wasteful with resources. Richardson et al. (2014) identify certain principles of the Lean process that can be transposed into the healthcare setting. The principles of waste elimination, consistent workflow, staff involvement in process issue identification and customer-defined value could prove useful in the public health care setting. Richardson et al. (2014) used the Lean process in relation to emergency room nurses searching for supplies outside of the patient room, but this is could easily be used in other settings. In the situation you presented, if the nurse was more centrally located to all their assigned patients it would reduce time away from the patients and increase productivity. In our clinic rooms, each nurse is responsible for stocking their own room, but we frequently have nurses float throughout the region to provide coverage. Richardson et al. (2014) in conclusion of their study, showed a significant decrease in time nurses spent outside of the patient room with a standardized stocking system. The use of a similar stocking system would be beneficial for those nurses traveling to different sites to easily identify the location of supplies in each room which in turn increases the nurses work flow process knowing already the location of the supplies needed for the day.…
Value-based health care is directly related to patient’s health outcomes per dollar spent. Professor Michael E. Porter from the Harvard Business School says “value is the only goal that can unite the interests of all system participants” (Porter,2013,p2) value for the patient is at the core of value-based health care. In other words, “achieving the best outcomes at the lowest cost” (Porter and Lee,2013). It is a management strategy that focuses on quality and aims to create a culture of health within the whole organization. This includes the extension of the health care system beyond treating the patient and towards keeping the patient healthy. This effort will increase the value that a patient will receive, having not only the solution to short-term problems but to long-term ones as well. Lastly, “VBHC involves collaboration among plan sponsors, participants and providers to pursue high-quality and…
UNC Health Care initiative included a written care plan and a whiteboard in every room with daily goals to help keep the patient focused on his or her discharge date. So there was a focus on communication with patients. They had also daily care plan meetings and improved communications based on centralized, accessible data. According to Scholl, creating a fast, easy-to-use plan of care was the essence BCG’s work. Within first 24 hours following admission, the doctor now checks off the care and education a patient will need. With that care plan in place, the care manager and nurse know exactly what to do. Another part of lean initiative was a top-down review of day-to-day administrative procedures, and identifying common problems, bottlenecks in another areas.…
