Value Stream Management (VSM) is a proven and effective step-by-step methodology for understanding and applying the principles and practices of the Toyota Production System (i.e., Lean) within an healthcare organization. The Toyota Production System is known for its world-class practices of having efficient processes with standards that are being adhered to, while empowering employees to find and eliminate waste. These types of efforts are also referred to as Lean. As authors, we have found continued success in applying the Value Stream Management methodology in the hospitals, clinics, and labs. You will be introduced to many of these successes throughout the book as topical anecdotes. The specific tools and practices of Lean and the implementation plan via the Value Stream Management process will be thoroughly explained. VSM or Lean Healthcare will improve overall facility efficiencies while improving patient care and safety. It should also be noted that the content in this book will support any and all Six Sigma projects. The VSM process is similar to treating a patient. It requires people (i.e., healthcare providers, aides, technicians, administrative support, etc.) and vendors (suppliers for medical equipment, pharmaceutical companies, etc.) working together to effectively yield the benefits of Lean throughout the entire supply chain. As the treatment of a patient is individually tailored, Lean must also be tailored to the facility, department, and/or process in which it will be used. In this book you will learn how to: 1) Apply the Value Stream Management methodology to specific projects within your facility 2) Educate staff on the fundamentals of Lean so that Lean can be part of everyone s job each and every day 3) Create a business case to inform the staff on the need for Lean or continuous improvement 4) Determine where waste lies in processes and facilitate ideas on how to eliminate waste through Total Employee Involvement (TEI) 5) Create current and future state maps, as well as a plan for implementation 6) Accelerate improvements activities 7) Select projects and apply the Lean tools 8) Improve patient (direct), as well as non-patient (non-direct), care processes 9) Document improvement activities to convey to management the success Lean can have on improving the bottom-line and 10) Allow Lean to become a way of life in an ever-changing and demanding environment. Value Stream Management for Lean Healthcare will provide you with the fundamental process (and steps) to implement Lean. Value Stream Management for Lean Healthcare has been segmented into the four main chapters of Assess, Diagnosis, Treat, and Prevent. These chapters will provide the skeletal framework on how the Lean tools and practices can be effectively applied in your Lean journey. Just as patients care requires a thorough history and physical exam to assist in determining a plan of cure for a patient; likewise, this book will provide a similar approach for the treatment and cure of your facilities process ailments.

Value Stream Management for Lean Healthcare

Todd Sperl

Don Tapping

Sue Kozlowski

Laura Archbold

MCS Media, Inc.

The New and Improved Lean Office Pocket Guide (2017) is designed to be a convenient, quick reference that provides a valuable insight into the ways that Lean can be applied in the office - for both your paper-based and electronic work. You can put your finger on any entry within a matter of seconds! Create your entire Lean Office transformation with The New and Improved Lean Office Pocket Guide. It is developed for managers, supervisors, and people working at all levels of the organization. Now with this newer version you can begin to leverage those same Lean concepts and tools to move all information faster and more accurately, as well as better organize your Desktop (electronic) files and folders. Allow this insightful and ready-to-use guide to be your path to increased efficiency and reduced stress in the office! Each chapter provides a detailed explanation of that tool, implementation steps, case studies and/or photos, and desktop examples for electronic files and folders. The topics are 5S, A3 Project Reports and Lean Thinking, Cycle Time, Engaging Today's Workforce, Error Proofing and Visual Controls, Flow, Gemba Walks, Goals and Outcomes, Implementation Tools and Strategies, Interruptions and Random Arrivals, Just-In-Time, Kaizen Events, Managing Change, Measurement Techniques (Charting),Physical or Process Layout, Pitch, Predictable Output, Problem Solving, Reporting and Communications, Runners, Six Sigma, Standard Work, Standard Work for Leaders, Takt Time and Demand Analysis, Value Stream Mapping, Visual Management, Waste Walk, Work Load Balancing, and details about LeanFITT as well as available apps for Lean.

The New and Improved Lean Office Pocket Guide (2017) - Tools for the Elimination of Waste in ALL Types of Office Workflow Environments!

Rob Ptacek

Michael Gilreath

The New Lean Healthcare Pocket Guide XL is a collection of Lean tool examples and definitions from healthcare professionals and Lean sensei. This newer version includes more case studies (includes a physician's group continuous improvement project), actual Lean healthcare photos, and an index for quick reference. 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 New Lean Healthcare Pocket Guide XL is designed for use as a convenient and quick reference as you learn and implement the Lean tools as they apply to those challenging situations in healthcare. You can put your finger on any tool within a matter of seconds! Find the right tool for the right Lean initiative by using either the Table of Contents or the Lean Healthcare Tool Usage Matrix. A Table of Contents offers an alphabetical list of tools, techniques, and supporting information. The Lean Healthcare Tool Usage Matrix organizes the Lean tools and concepts relative to three important broad Lean philosophies. The philosophies are: Stabilize - It is critical that excess movement of work and variation of process be removed first. It is difficult to apply Lean when variation exists. Standardize - Once an area or a process has been stabilized, formal standards via work rules, charts, and visual controls must be used to further eliminate variation. Simplify - As an organization stabilizes and standardizes processes, it must level the work loads among staff to ensure effective and efficient service is provided to the patient or other healthcare provider. As you continue with the implementation of Lean initiatives throughout this pocket guide, assess, treat, diagnosis, and prevent will be the overriding themes. The following topics are covered: 5S, Continuous Flow, Cycle Time, Document Tagging, Error Proofing, Goals and Outcomes, Goal Card, Healthcare Case for Lean, Interruptions and Random Arrivals, Just-In-Time,Kaizen Events ,Kanbans for Supplies, Leveling, Measurement Techniques, Paper File System, Physical Layout, Pitch, Predictable Outcome, Problem Solving, Pull Systems, Reporting and Communications, Resistance to Change, Runners, Six Sigma, Standard Work, Takt Time, Value Stream Mapping, Visual Controls, Waste, and Work Load Balancing. There are over a dozen case studies demonstrating the use of various Lean tools throughout the guide.

The New Lean Healthcare Pocket Guide XL - Tools for the Elimination of Waste in Hospitals, Clinics and Other Healthcare Facilities

Medical Books

Debra Hadfield

Shelagh Holmes

Master Black Belt

Nursing

The Practical Lean Six Sigma Pocket Guide for Healthcare (D-M-A-I-C) is designed as a convenient, quick reference, and, most importantly, a step-by-step implementation guide. You can put your finger on any tool within a matter of seconds! Use the book as follows: - Navigate the (Prepare) - Define - Measure - Analyze - Improve - Control right side book tabs. - Complete the A3 Project Report as you learn and apply the various tools on the project by: 1. Go to the tab in the book that corresponds to the D-M-A-I-C Phase you are working on. 2. Read about the tools for that phase of your project. 3. Apply the appropriate tools. 4. Complete the relevant section of the A3 Project Report. 5. Repeat 1 - 4 as you navigate through the phases and complete your project. - Use the Case Study Example Look-Ahead and Tool Grid Matrix to direct you to specific pages with examples or case studies for hospitals, clinics, and/or physician group practices. - Use the Index for quick access to a specific topic or tool. The tools are presented in the logical order relative to the D - M - A - I - C Phases and A3 (Project) Report format; keep in mind that many tools can be used repeatedly across the phases. For example, the value stream map introduced in the Define Phase and A3 Report - 2. Current State will most likely be used in the Improve Phase and A3 Report - 5. Future State; the Run Chart introduced in the Analyze Phase will most likely be used (or updated) in the Control Phase, and so forth. The Practical Lean Six Sigma Pocket Guide for Healthcare aligns managers and supervisors with the front-line associates to understand, implement, and sustain continuous improvement initiatives with real-world examples and practices.

The Practical Lean Six Sigma Pocket Guide for Healthcare - Tools for the Elimination of Waste in Hospitals, Clinics, and Physician Group Practices

Jayant Trewn

PHD.

This book bridges the gap between a highly quantitative analysis of a process that requires extensive training (i.e., Six Sigma certification) and a more simplified approach that can be used and understood by the masses(i.e., Lean thinking). The goal of this book is to make the methods and tools of Lean and Six Sigma accessible to more people and provide a common sense or practical approach to problem solving and continuous improvement. This book is intended to be used by Sigma Belt Levels, Lean Senseis (i.e., teachers), Continuous Improvement Specialists, front-line managers, supervisors of departments and work groups, and improvement team members in their efforts to improve production and delivery of goods and services while reducing waste and variation in all types of processes. The Lean Six Sigma tools and concepts are presented relative to the A3 Project Report to provide a definitive how-to guide to problem solving and continuous improvement (Kaizen) initiatives. The examples contained in this book are from a wide range of industries and functional areas within organizations, and will assist team members to fully understand the tool s usage and purpose. We expect with the knowledge conveyed in this book, as well as the experiences from your improvement projects, that one day you will become a Lean Sensei at whatever functional level you are within your organization. The Practical Lean Six Sigma Pocket Guide is designed as a convenient, quick reference, and, most importantly, a step-by-step implementation guide. You can put your finger on any tool within a matter of seconds! Find the right tool for the right initiative by using the: - Navigate the Prepare - Define - Measure - Analyze - Improve - Control right side book tabs. - Complete the A3 Project Report as you learn and apply the various tools on the project by: 1. Go to the tab in the book that corresponds to the D-M-A-I-C Phase you are working on. 2. Read about the tools for that phase of your project. 3. Apply the appropriate tools. 4. Complete the relevant section of the A3 Project Report. 5. Repeat 1 - 4 as you navigate through the phases and complete your project. v Use the Case Study Example Look-Ahead and Tool Grid Matrix to direct you to specific pages with examples or case studies. - Use the Index for quick access to a specific topic or tool. The tools are presented in a sequence that you would most likely first encounter using that particular tool. However, many tools are used repeatedly throughout the D-M-A-I-C Phases. For example, Effective Meetings and Project Management are introduced in the Define Phase but will be most likely used in each of the phases, the Run Chart is introduced in the Analyze Phase and will most likely be used (or updated) in the Control Phase, and so forth. The improvement tools and standard methodology used must be tailored to the facility, department, and/or process in which they will be used. The following icons will be your navigator throughout the sections of this book. Also, each phase refers back to the appropriate section of the A3 Project Report.

The Practical Lean Six Sigma Pocket Guide - Using the A3 and Lean Thinking to Improve Operational Performance in ANY Industry, ANY Time - Tools for the Elimination of Waste!

Reference

Catalogs & Directories

We are pleased to present Kaizen Demystified, perfectly timed for today s ever-changing and ever-demanding business environment requiring improved processes. Whether your industry is manufacturing, healthcare, financial, education, armed forces, services, government, or the construction industry, or, you are a manager, supervisor, team leader, or a front-line worker, this book will provide new insights and ideas for managing and facilitating continuous improvement and problem solving projects (i.e., Kaizen Events). Kaizen Demystified provides a simple and practical approach detailing five distinct methods on how Lean (and Six Sigma) tools and concepts can quickly and efficiently be applied and managed to solve business problems and improve processes. The five types of Kaizen Events detailed in this book are the: (1) Standard 5 Day Kaizen Event, also referred to as a Kaizen Blitz or Rapid Improvement Event, (2) Rolling Kaizen Event, (3) Web Based Kaizen Event, (4) Today's Kaizen Event, and (5) Wiki (or Quick) Kaizen Event. Each type will be thoroughly explained to demystify what it may mean for you. This book also includes a section (chapter) on Kaizen Event Leadership and provides a listing of common issues facing the leader of a Kaizen Event as well as suggested how-to leadership skills to address those issues. (This being one of the most important aspects of Kaizen Events.) Kaizen Demystified will certainly support, supplement, and/or enhance your current Kaizen or Lean thinking and, most importantly, the doing and sustaining. In the end, there will be no mystery!

Kaizen Demystified - A Practical and Systematic Method of Evaluating Circumstances to Use the Most Efficient and Effective Type of Kaizen to Improve Processes

Deborah Salimi

The Practical Lean Six Sigma Pocket Guide XL bridges the gap between a highly quantitative analysis of a process that requires extensive training (i.e., Six Sigma certification) and a more simplified approach that can be used and understood by the masses (i.e., Lean thinking). This book make the methods and tools of Lean and Six Sigma accessible to more people and provide a common sense or practical approach to problem solving and continuous improvement. Over 40 of the most common Lean Sigma tools are clearly define with a step-by-step approach, checklists, forms and worksheet examples, as well as case study examples from office/service (administrative), retail, healthcare, financial, travel services, and manufacturing. The broad examples will allow employees to fully understand the practicality and universal application these tools provide. Therefore, with that information, the ability to apply the tool or concept to their processes will be that much more successful. The tools are aligned within the (Prepare) D-M-A-I-C and A3 Project Report format to ensure a structured methodology is referenced. This significant alignment ensures the importance of Lean Thinking (via the A3 Project Report) be prevalent throughout the learning. Each section concludes with Lean Thinking Statements to ensure a thorough understanding occurs prior to continuation. The Practical Lean Six Sigma Pocket Guide XL provides guidance in the proper selection (and suggested use) of the most common Lean Sigma tools, all within an improvement and A3 reporting format. Different improvement methodologies that organizations may already be using to meet customer requirements and performance goals are recognized and mentioned. We acknowledge that all have their benefits. It is important to select the one that fits the organization and will be widely used. The methodology should be easy to understand and implement, actively engage the employees, and provide a visual management structure for sustaining continuous improvement initiatives.

The Practical Lean Six Sigma Pocket Guide XL - Using the A3 and Lean Thinking to Improvement Operational Performance in ANY Industry, ANY Time!

This book bridges the gap between a highly quantitative analysis of a process that requires extensive training (i.e., Six Sigma certification) and a more simplified approach that can be used and understood by the masses (i.e., Lean thinking). The goal of this book is to make the methods and tools of Lean and Six Sigma accessible to more people and provide a common sense or practical approach to problem solving and continuous improvement. This book is intended to be used by Sigma Belt Levels, Lean Senseis (i.e., teachers), Continuous Improvement Specialists, front-line managers, and supervisors of departments and work groups, and improvement team members in their efforts to improve all types of administrative processes while reducing waste and variations, and engaging employees. The Lean Six Sigma tools and concepts are presented relative to the A3 road map to provide a definitive how-to guide to problem solving and continuous improvement (Kaizen) initiatives. The examples contained in this book are from a wide range of industries and functional areas within organizations, and will assist team members to fully understand the tool s usage and purpose. Different improvement methodologies that organizations may already be using to meet customer requirements and performance goals are recognized and mentioned. We acknowledge that all have their benefits. It is important to select the one that fits the organization and will be widely used. The methodology should be easy to understand and implement, actively engage the employees, and provide a visual management structure for sustaining continuous improvement initiatives. The examples provided throughout this publication demonstrate how a Lean or Six Sigma tool was used in a particular setting. We have presented them in this manner to provide a general understanding on how the tools can be applied in everyday (i.e., practical) situations. It is acknowledged that situations in the various types of office settings will vary greatly. However, by focusing on a proven methodology, understanding, identifying, and eliminating waste, and engaging the employees that continuous improvement efforts will have the greatest impact - and thus be sustained!. Practical Lean Six Sigma for Offices is designed as a convenient, quick reference, and, most importantly, a step-by-step implementation guide. You can put your finger on any tool within a matter of seconds! Use the book as follows: - Navigate the A3 Report as you progress through the project (using the right side book tabs). - Complete the A3 Report as you learn and apply the tools on the project by: 1. Go to the tab in the book that corresponds to the A3 Report section you are working on. 2. Read about the tools for that stage of your project. 3. Apply the appropriate tools. 4. Complete the relevant section of the A3. 5. Repeat 1 - 4 as you navigate through the A3 and complete your project. Use the Case Study Example Look-Ahead to direct you to specific pages relative to a specific example and/or case study.

Practical Lean Six Sigma for Offices - Using the A3 and Lean Thinking to Improve Operational Performance in ALL Types of Office Environments!

Business & Money

This book bridges the gap between a highly quantitative analysis of a process that requires extensive training (i.e., Six Sigma certification) and a more simplified approach that can be used and understood by the masses (i.e., Lean thinking). We introduce the familiar healthcare protocol for patient care and safety, the Assess, Diagnosis, Treat, and Prevent (ADTP) model to be considered as an improvement methodology. This will assist those in your facility to better understand how Lean and Six Sigma can be successfully deployed. (NOTE: Please see The Practical Lean Six Sigma Pocket Guide for Healthcare (smaller, 3.5 in. x 5.5 in.) for the same tools, concepts, etc. arranged in the D-M-A-I-C model for less than 10 dollars!) The goal of this book is to make the methods and tools of Lean and Six Sigma accessible to more people and provide a common sense or practical approach to problem solving and continuous improvement. This book is intended to be used by Sigma Belt Levels, Lean Senseis (i.e., teachers), Continuous Improvement Specialists, front-line managers, and supervisors of departments and work groups, and improvement team members in their efforts to improve the patient care experience while reducing waste and variation in all types of healthcare processes. The Lean Six Sigma tools and concepts are presented relative to the A3 road map to provide a definitive how-to guide to problem solving and continuous improvement (Kaizen) initiatives. 
 The examples contained in this book are from a wide range of hospitals, clinics, and physician group practices, and will assist team members to fully understand the tool s usage and purpose.
 Throughout this book, the different improvement methodologies that organizations may already be using to meet the Joint Commission requirements are recognized and mentioned. We acknowledge that all have their benefits. It is important to select the one that fits the organization and will be widely used. The methodology should be easy to understand and follow, therefore better engaging the employees, as well as providing a visual management structure for reporting and sustaining continuous improvement initiatives. 
 The examples provided throughout this publication demonstrate how a Lean or Six Sigma tool was used in a particular setting. We have presented them in this manner to provide a general understanding on how the tools can be applied in everyday (i.e., practical) healthcare services. This includes supporting key parts of the Affordable Care Act (such as EMR deployment and meaningful use) and the IHI Triple Aim initiative.
 Practical Lean Six Sigma for Healthcare is designed as a convenient, quick reference, and, most importantly, a step-by-step implementation guide. You can put your finger on any tool within a matter of seconds! Use the book as follows: Navigate the A3 Report as you progress through the project (starting at the top left of the report moving vertically to the bottom right). Complete the A3 Report as you learn and apply the tools on the project by: 1. Go to the tab in the book that corresponds to the A3 Report section you are working on. 2. Read about the tools for that stage of your project. 3. Apply the appropriate tools. 4. Complete the relevant section of the A3. 5. Repeat 1 - 4 as you navigate through the A3 and complete your project. Use the Case Study Example Look-Ahead to direct you to specific pages relative to hospitals, clinics, and/or physician group practices. Use the Index for quick access to a specific topic or tool. We expect with the knowledge conveyed in this book, as well as the experiences from your improvement projects, that one day you will become a Lean Sensei.

Practical Lean Six Sigma for Healthcare - Using the A3 and Lean Thinking to Improve Operational Performance in Hospitals, Clinics, and Physician Group Practices

The A3 Pocket Handbook for Kaizen Events allows team members to be literally and figuratively on the same page when participating in an improvement event. This allows more ownership, while at the same time preserving organizational knowledge. 
 The improvement methodology used (i.e., Six Sigma D-M-A-I-C, PDCA, etc.) will relate to the A3 Report that is conveyed in this publication. (The A3 Report is designed to help you tell the story in a logical and visual way and act as a road map for continuous improvement and problem solving initiatives.) 
 The purpose of this pocket handbook is to: 1. Ensure all team members have a quick reference for Lean Six Sigma definitions. 2. Compliment, as a mini-workbook, the Practical Lean Six Sigma for Healthcare and The Lean Six Sigma Pocket Guide XL books as well as any other training materials used in an improvement event. 3. Provide a road map for continuous improvement projects if no other methodology (i.e., PDCA, D-M-A-I-C, etc.) is used. 4. Provide Lean Thinking Statement assessments at the end of each section for employees to think Lean and continue their engagement. 5. Be a repository of thoughts, ideas, and any action items that may be assigned, etc. 6. To retain organizational knowledge by being a personal detailed log of the Kaizen Event to be shared and/or referenced later. 
 Each project (i.e., challenge) uses a variety of Lean Six Sigma tools. No project will require every tool listed in this book or that the same tools be applied in exactly the same order. However, if you follow a structured methodology and use the A3 Report format, you will find projects will become easier to execute - especially as employees understand, learn, and experience success. As your familiarity and experience with applying the A3 Report format increases, so will your ability to effectively select the appropriate tools. 
 To effectively use this book:
 Navigate the A3 Report as you progress through the project (starting at the top left of the report moving vertically to the bottom right - represented sequentially by the right-side book tabs).
 Complete the A3 Report (i.e., this handbook) as you learn and apply the tools to the project: 1. Go to the tab in the book that corresponds to the A3 Report section you are working on. 2. Review Tools and Sensei Tips for that stage of your project. 3. Ensure the Key Questions are appropriately addressed. 4. Complete the relevant section of the A3 Report by explaining what was completed or by drawing a simple diagram. 5. Document My Action Items that you (or a sub-team) are responsible for. 6. Complete the Lean Thinking Statement assessments to reinforce the team s direction as well as your continued involvement in the project. 7. Complete the For Future Reference section to retain organizational knowledge.
 Use the Wiki Kaizen Event section to plan those quick, easy-to-implement improvements that do not typically require any type of collaboration. 
 It is suggested each team member receive one The A3 Pocket Handbook for Kaizen Events books for each Kaizen Event.

The A3 Pocket Handbook for Kaizen Events - Providing Any Industry Any Time With A Lean Reporting Format and Lean Thinking

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