Northern Health Surgical LEAN projects Spring 2012 Where is Northern Health? Why LEAN projects? Analyze existing procedures Identify opportunities for improvements and where possible, testing and implementing changes Enhancing quality improvement using the LEAN methodologies and increasing LEAN trained personnel Two phased approach Phase 1 Connected with stakeholders Identified expectations of the project Developed project plan Deliverables Scope of project Phase 2 All 3 sites had identical processes Kaizen Rapid Improvement Events over a 3 -5 day period. Prince Rupert North West Dawson Creek North East Prince George Northern Interior Value Stream Maps Brought Value Stream Map to the OR OR aide assignments changed First Ortho Case Start Time Value Stream Map of First Ortho Case / built with staff Pick lists analyzed and downsized with Orthopedic surgeon 5S Where do we start?? Just do it - 5S Dirty Hold Area 5S - Day Care surgery locker room and kitchen area Our Red Tag Cart! Supplies Area What does it look like now? Physician Engagement Supporting Engagement Other Projects Metric collection for OR Turnaround time wheels out wheels in Preadmission clinic and Day Care Surgery Patients were arriving DCS not prepared Revamped the patient information booklet that is sent prior to surgery LEAN Conference March 2012