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Lean Healthcare -The Values Driven Approach

There's a lot of excitement today in the willing to listen and learn about
health care field about the benefits that something new that could make patient
Lean practice can bring. This is care even better in a world of shrinking
especially critical in an environment resources.The passion we saw in how they
where patient care needs are climbing dealt with patients transferred to the
while the pool of skilled resources and application of Lean in the same way they
reimbursement for services shrink. Lean approached every other aspect of their
Advisors Inc. is working in the jobs. They used what they learned as they
healthcare industry to help them learned it and quickly became totally
implement Lean in order to be able to do committed to Lean. Our challenge was, and
more with less while doing it better. The is, keeping them on Plan and completing
key is to apply Lean methods in an their projects in the correct order so as
environment driven by the unique values not to create 'exciting chaos', all too
that surround patient care.As in other easy under the pressures of day-to-day
industries, the customer should come emergencies and deadlines. 'Exciting
first. In healthcare that customer is the Chaos' happens when you apply tools in
patient and the patient drives the the wrong sequence and fail to improve
definition of value. The product (test the system as a whole. Incremental or
results in the laboratory) or service 'point' improvements are, as we know, a
(patient care) can make the difference recipe for disaster.In healthcare, cost
between life and death. That one element containment can be critical, but patient
takes Lean to another level of importance quality, care, and service have to be a
in this industry.The needs of the patient priority. The industry faces growing
are paramount and give new meaning to financial constraints. The number of
Lean focus on the customer. The working patients is dramatically increasing and
environment is one driven by shared the cost of the improved technology is
values and passion in delivering top rapidly going up. Administrators of
quality products and services to the facilities are being asked to accomplish
patient. Without Lean, healthcare will much more with less and less. Lean
continue to have difficulty meeting the methods are critical in bringing needed
pressure to serve an increasing number of cost savings.What we often see in health
individuals at less cost.As the care are the same short-term, knee-jerk
population ages, healthcare must find new responses to reduce costs that we have
ways to meet the demand for their seen in the traditional industries such
services. Turnaround time becomes a as manufacturing. There is an immediate
primary measurement that must improve impulse to cut assets and labor
whether it is in the hospital facilities resources. While these shortsighted
or their testing laboratories. Further, responses may allow them to meet an
space is at a critical premium in running annual budget, they certainly don't
all the functions within a hospital create better service or long-term
facility. Only Lean can provide a solutions.
solution to space issues without either Lean ResultsLean doesn't focus on
downsizing staff or incurring large scale cutting people or assets; it focuses on
capital building costs.Lean PrinciplesOf improving activities and processes in the
course, all of these improvements can't system as a whole. In order for any
compromise the quality - in fact, the business or organization to get better,
quality must improve while working to they must learn how to remove the 'waste'
serve patients faster. This is the real in their system and create value without
challenge - and, as noted, it can be a adding staff or resorting to large
matter of life and death.The Lean capital outlays.When done properly, Lean
principles of customer focus, speed of removes 'wasteful' activities and allows
delivery, increased quality, and the professionals and staff of hospitals,
flexibility in meeting ever-changing labs, and clinics to focus on more
demands fits 'perfectly'. Hospital and patient value-based activities. The
technical laboratory professionals are result is doing more with less - more
surprised to see similarities with other people can be assisted with the same
industries when they sit down and look at number of people, the same (or less)
the benefits of applying Lean methods in space, and reduced costs of providing
their environment. Once they have the services. Lean methods are indeed the
'right' Lean knowledge, and know how to answer to the challenges facing
apply the tools properly, they are able healthcare organizations and their
to see that Lean implementation is staff.The Clinic we talked about in this
imperative in order to meet the needs of document has proven that it can be done.
patients in coming years.Lean Advisors They are now expanding it to all their
Inc. has recently begun work with the labs. They are engaging their physicians,
laboratory service division of a administrators, scientists, lab
world-renowned Clinic. We have seen the professionals, and technicians. The
power of adapting Lean to the health care people in this Clinic are pioneers and
environment and its values driven have paved the way for others in
processes. The results in only a couple healthcare to follow. They have proven
of months have been phenomenal. They have that with a passion driven by
been able to reduce lead times so Doctors patient-focused values, the 'right'
can receive critical test information knowledge, and a proper plan, the
even more quickly than the organization's tremendous challenge facing them can be
previous world leading delivery pace. more than met today and well into the
These health care professionals future.Larry Coté is well known for his
accomplished this without adding more penetrating analysis and creative energy.
staff and without any large capital He was with the Lean Enterprise Institute
outlay or increase in space. The impact in Boston for almost two years as C.O.O.
has been immediate and patients are being E.V.P. He was the Founder and President
serviced faster and better. And there is of the Lean Enterprise Institute
every indication that the change is Canada.Over the years, Larry has worked
sustainable over the long term.You need with 100's of companies at various stages
passion for improvement to be successful of their Lean journey in many different
when transforming your organization to a business sectors. Larry has expertise in
Lean Enterprise. Dedicated healthcare Toyota Production System concepts,
staff has plenty of that passion and this diagnostics and assessment of Lean
facility was no exception. They are readiness. He works with the corporate
passionate about their work and they, leaders to develop effective plans for
more than anyone, know the importance of transforming organizations using Lean and
speed and quality in meeting patient's adapting it to their particular
needs. The missing ingredient was culture.Larry Cote
learning the 'right' way that Lean could President
be applied to make the transformation in Lean Advisors Inc.Lean Advisors Inc.
a hospital environment. (LEAD) provides Lean Training And Lean
Lean MethodsThe healthcare workers in Implementation support to organizations
this facility are used to change. Their of all sizes and sectors including
profession is constantly adapting to new healthcare, office, service,
technologies, processes, regulations, and manufacturing, mining, aerospace, food
tools - they have learned to expect rapid processing, high tech.
change. These participants were more than




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