the next frontier of lean & innovation in healthcare seminar · 22 april 2019, monday 9.00am to...
TRANSCRIPT
22 April 2019, Monday
9.00am to 12.00pm
Kwong Wai Shiu Hospital –
Multi Purpose Hall
The Next Frontier of LEAN &
Innovation in Healthcare
Seminar
Organised by:
WelcomeAddress
Dr Ow Chee Chung, Chief Executive Officer,
Kwong Wai Shiu Hospital
Transforming through
LEAN and Innovation
Organised by:
Challenging the “We have always done this way!” Mindset
Ms Denise Bennett, Executive Director,
Australasian LEAN Healthcare Network
Using LEAN in O’Joy’sCommunity Mental Health Work
Mr Choo Jin Kiat, Executive Director,O’Joy Care Services
Bringing Oceans of Joy to Those We Serve
Using LEAN in O'Joy'scommunity mental
health work
Choo Jin KiatExecutive Director
22 Apr 2019
O’Joy Care Services
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Using LEAN to transform O'Joy’s
integration of community mental
health care, social care and community care
programs.
Choo Jin KiatExecutive Director
22 Apr 2019
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Step One:
What organization problems are we trying to solve and why?
• Funding
• Program Integration
• Database Centralization
• Younger Clients
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
LEAN’s Definitions:
• Purpose of the organization: to provide products and/or services that solve customers’ problems/fulfil a need.
• Customer’s Value:
• solve my problem completely,
• don’t waste my time,
• give me exactly what I want,
• delivery value where and when I want it and
• reduce the number of decisions I have to take to solve my problems.
• Value is expressed as Safety, Quality, Delivery and Cost.
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services : Safety
Issue OCD &
Related
Psychotic, bipolar,
personality or addiction
Eating or
Sleep
Dementia Anxiety or Depression
Trauma &
Related
Caregiver Stress
Social Others
% 2 3 7 10 10 15 20 98 6
1. Assessment - Biopsychosocial Framework & Multi Discipline Team Approach
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services : Safety
(BPS) Interventions Biological Psychological Social
% 39 99 56
Biological Health monitoring, Improving functionality and safety & Caregiver Psychoeducation& Training
Psycholog-ical
Reminiscence, Person-centred therapy, Mindfulness, Acceptance and Commitmenttherapy (ACT), Cognitive behavioural therapy (CBT), Dialectical behavioural therapy(DBT), Motivational interviewing (MI), Mentalization-based therapy (MBT), Focusing,Compassion-focused therapy, Emotion-focused therapy(EFT), Solution-focusedtherapy, Metacognitive work, Schema work, Trauma work, Grief work, Couplestherapy, Marital therapy, Family therapy, Psychoeducation, Existential counselling,Internal Family Systems (IFS), Behavioural activation, Affect regulation, Addictioncounselling, Pain management & Risk management (suicide, violence, self neglect)
Social Financial help, Housing, Home Improvement, Employment, Personal hygiene,Interpersonal relationships, Legal, Long-term care plan, Social connection, ElderAbuse/Family Violence, Advocacy work & Collaborative work
2. Intervention Approach – Clinical Case Management (CCM)
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services : Quality
“The organization places a strong emphasis on quality, for example, through extensive training for staff and volunteers; strict service standards; and carefully considered design of its services.”
Philanthropists Forum 2017 Research Report
“O’Joy is one of few non-profits in Singa-pore providing special-ised mental health counselling for older people. Partners inter-viewed by Just Cause, Asia noted that they stand out for being able to offer home visits, speak dialects and under-stand the cultural issues of older people in the area they work.”
“they place special emphasis on staff and volunteer training; and have carefully thought through processes for ensuring and building quality. This was ack-nowledged by stake-holders (interviewed by Just Cause), e.g. “their counsellors are very well-trained”.”
Bringing Oceans of Joy to Those We Serve
• Between 2013 to 2016, Ang Mio Ko Family Medical Centre (2 MOU signed)
• Between 2015 to 2017, Unity Family Medical Centre (no MOU needed)
• In 2018, 30 Sep 2018, over 50% of the 322 total referral are from GPs, SingHealth polyclinics.
O’Joy Care Services : Delivery
Fulfilling the Purpose of COMIT - Outreach to GP Partners
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services : Cost
Significant saving-At 6th year, 90% of original 5 years budget
Financial figures FY12/13 FY13/14 FY14/15 FY15/16 FY16/17 FY17/18 Total
Original Budget ($ ,000) 484 472 513 520 535 NA 2,524
Actual Expenses ($ ,000) 362 331 390 496 492 454 2,525
Actual Client Served (Nos) 113 211 267 240 314 359 1,504
Actual Cost/Client ($) 3,515 1,569 1,461 2,067 1,567 1,265 NA
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Step Two:
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
If safety, quality, delivery and cost are good, why the problems still exist?
• Purpose
O’Joy is to provide services that fulfil clients’ mental health, social and/or community needs.
• Customer’s Value
• Who is our customer?
• public funder
• program user
• both
: secondary
: primary
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Step ThreeMan: PLUS “Story telling” summary
What organization problems are we trying to solve and why?
• Funding
• Program Integration
• Database Centralization
• Younger Clients
Material: Clients needs
Method: A3 for every clients
Machine: Cloud Case Management System
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Bringing Oceans of Joy to Those We Serve
O’Joy Care Services
Bringing Oceans of Joy to Those We Serve
Thank You
Panel Discussion:
Transformation through LEAN and Innovation
John Shook
Executive Chairman
LEAN Global Network
Denise Bennett
Executive Director
Australasian LEAN Healthcare Network
Low Yee Chang
Performance Improvement Consultant &
Certified Workplace Learning Specialist
Institute for Adult Learning
Choo Jin Kiat
Executive Director
O’Joy Care Services
Dr Ow Chee Chung
Chief Executive Officer
Kwong Wai Shiu Hospital
TEA BREAK
Organised by:
Driving Performance
through Leaderships
and Culture
Organised by:
Strengthening Quality Culture through KPICharts
Ms Patsy Pang, Director of Nursing,
Lions Home for the Elders
LIONS HOME FOR THE ELDERS
BEDOK BISHAN
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220
148
Introduction
•Lions Home for the Elders actively promotes and employs best practicein providing services and programs for the ageing community .
•Our first community home was founded in 1980 and it housed 18destitute and elderly residents.
•Today , Lions Home operates two fully equipped well designed nursinghome at Bishan and Bedok South with capacity to house a total 384residents .
Services
Recreational Service
Rehabilitation Service
Training and Education
Social work and Advocacy
Clinical Service
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Aims of the initiative are:
• To establish a recognition platform to strengthen “Quality Culture” in Lions Home for the Elders.
• To recognize the efforts and achievements of our care staff when rendering resident care.
• To increase attention on solutions, encourage on-going innovations and critical examination of care in the ward level.
Key Performance Indicator (K.P.I.)
Chart in the ward
Process1. Gather all QI champions.
- Create awareness
- Allow them to design the chart.
2. Set a target for each core QI indicator.
3. Create the timeline implementation.
4.Implemantation:
- Data: collected the data from QI champions
- Updating the chart: Assigned QI members in each level.
- Review and Analyzing the data: KPI in the ward on monthly basis.
- Sharing of data at Monthly Clinical Meeting.
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What have we done so far?
In March 2018, all wards displayed their KPI chart to showcase the outcome measures of the following core quality indicators:
• Hand hygiene compliance rate
• Pressure Injury rate
• Fall incident
• Customer Feedback – number of complaints
• Advance Care Planning (ACP) / Preferred Plan of Care (PPC)
• Medication Discrepancy
The data entered in the charts were updated promptly by Quality Improvement (QI) team members.
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What was the result has been so far?
o Helps improved care staff engagement in resident care, communication within the team and promoting sense of ownership.
o Increased the Hand Hygiene compliance rate.
o Increased number of resident with ACP/PPC.
o Serves as a review and monitoring tool for everyone.
Bishan Key Performance Indicator (K.P.I.)
Chart in the ward
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Bedok Key Performance Index
(K.P.I.) Chart in the ward
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What are our next step?o @ DND we launched the ‘Recognition
Program for Care Staff in Maintaining Key Performance Indicators’
o Refined our awards criteria.
Lesson we learned:
Initially in customer feedback only the complaints is the indicator. After 3 months of implementation we realised that it would be good to include the compliments.
Continuously fine tuning our selection criteria.
Staff recognition @ DND for maintaining Key Performance Indicators
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Implementing Senior Management Walk Around
Mr Kelvin Ng, General Manager,
Pacific Healthcare Nursing Homes
REACH OUTSenior Management Walk Around
Kelvin Ng
22 April 2019
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Reach Out - Senior Management Walk Around
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Reach Out - Senior Management Walk Around
Senior
Management
Walk Around
(SMWA)
Management By
Walking Around
(MBWA)
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1) Senior management is aware of issues on the ground
2) Closing the inter-department communication gap
3) Improve productivity and efficiency
Reach Out - Senior Management Walk Around
Aim of SMWA
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1) Identify members and forming the team
2) Decide on a regular date and time
3) Identify issues when walking around and decide an action plan with timeline
Reach Out - Senior Management Walk Around
How has been done
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1) Most decision can be made on the spot
2) Improve staff morae
Reach Out - Senior Management Walk Around
What is the outcome
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1) Regular walk around to ensure action has be taken
and to identify new issues
2) Encourage all ground staffs in reporting
issues to strengthen SMWA
Reach Out - Senior Management Walk Around
Follow up action
KELVIN NGMobile: +65 9754 4082
Email: [email protected]
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Reach Out - Senior Management Walk Around
Thank you
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Panel Discussion:
Driving Performance through Leaderships & Culture
John Shook
Executive Chairman
LEAN Global Network
Patsy Pang
Director of Nursing
Lions Home for the Elders
Kelvin Ng
General Manager
Pacific Healthcare Nursing Homes
Tyler Thorpe
Senior Consultant
Great Place to Work Institute
FT Liu
Specialist Adult Educator
Institute for Adult Learning
By
Mr Goh Keng Hwee
Skills Future Singapore
Healthcare Skills
Framework
Organised by:
Do take a few minutes to give us your feedback of the Seminar by scanning the QR code below. Slides will be sent to you after we receive your feedback. Thanks.
Lunch / Networking Session
Smart Ward Exhibition
Booths by SIT, SSG and GPTW
At Level 10
(12pm to 2pm)
Organised by:
Skills FrameworkFor You & Your Business
2
Businesses Are Being Disrupted Today
How can we better
prepare our workers
for the jobs of today
and tomorrow?
*The Straits Times (10 Jan 2018 and 31 May 2017) and News Release, 2017 SME Development (SMED) Survey, DP Information Group (DP Info), part of the Experian Group
^The Boston Consulting Group, From Capability to Profitability, Realizing the Value of People Management, July 2012
Supporting Business Growth
Key SME business growth strategies
include:*
• Improving customer service
• Increasing marketing and
promotion
• Enhancing current range of
products and services offered
• Expanding internationally
• Raising productivity
• Expanding domestically
• Developing brand
• Strengthening e-commerce/
online platforms
3
• Strong Human Resource and developing employees’
competencies are essential to drive such business
strategies and growth
• Companies that are strong in key HR capabilities, such as
recruitment, performance management and talent management,
amongst others, can have up to 3.5 times in revenue growth and
2.1 times in average profit margin^
• Consulted with and developed for employers, the Skills
Frameworks provide a robust and up-to-date reference to
strengthen such key HR capabilities
4
Skills Framework (SFw) is an Integral Part of the
Industry Transformation Map (ITM)
Pro
du
ctiv
ity
Inn
ovatio
n
Inte
rnatio
na
lisa
tion
Industry Transformation MapA skills and innovation-driven economy
Jobs & Skills
Manpower
profile
Skills
adequacy &
relevance
Career &
Wage
progression
pathways
Skills utilisation,
HR practices,
Job redesign &
Workplace
conditions
Skills Framework(s)
SSG’s development of 33 SFWs, Targeting 2/3 Of Workforce
Manufacturing Services
Aerospace Accountancy Landscape
Air Transport Design Media
Biopharmaceuticals Manufacturing Early Childhood Care & Education Public Transport
Energy & Chemicals Environmental Services Retail
Energy & Power Finance Security
Electronics Food Services Social Service
Engineering Services Healthcare Tourism
Food Manufacturing Hotel & Accommodation Services Training & Adult Education
Logistics Human Resource Wholesale Trade
Marine & Offshore Infocomm Technology Workplace Safety & Health and
Occupational Hygiene
Precision Engineering Intellectual Property
Sea Transport
Note: * Completed SFws.5
That help in talent attraction, performance and career management, learning and development …
Each Skills Framework (SFw) Contains Useful Information
6
Skills and Competencies
Training
Programmes
Technical
Skills &
Competencies
Generic
Skills &
Competencies
Sector
Information
Career
Map/Pathways
Occupations
Job
RolesJob
RolesJob Roles
Critical Work Functions; and
Key Tasks2
3
4
5
1
Some of our 33 Skills Frameworks……
http://www.skillsfuture.sg/skills-framework
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Usefulness of SFw For Key Stakeholders
Individuals
• Education &
career planning
• Training for skills
upgrading and
deepening
• Opportunities for
career
progression or
conversion
• Talent Attraction
• Performance
management
• Career
management
• Learning and
development
Enterprises
• Training
programme
development
• Curriculum
development
and review
• Education and
career guidance
• Policy formulation
• Skills and
manpower
interventions
• Professionalisation
of workforce
Education &
Training ProvidersGovt, Unions,
and Others
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SFw for Healthcare – An Overview
6 Tracks:
1. Nursing
2. Occupational Therapy
3. Speech Therapy
4. Physiotherapy
5. Operations (Patient Service Associates)
6. Pharmacy Support
70 Job Roles
111 Technical Skills and
Competencies
18 Generic Skills and
Competencies
93 Critical Work
Functions
932 Key Tasks
SFw for Healthcare – An Overview
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10
• Up-to-date information on the sector such as projected growth, opportunities, job prospects, key
statistics as well as emerging trends.
• Desired personal attributes and highlights emerging skills required
Sector Information
11
Career Map/Pathways
12
Job Roles
Job Role Description
provides information on
job scope, work context,
attributes and skill
requirement for every job
roles
Critical Work Functions
comprises a list of key
tasks
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Skills and Competencies
Skills Frameworks: What’s In It For Enterprises
Talent Attraction
• Conduct workforce planning
• Refine job descriptions for hiring
• Determine selection criteria
• Set interview questions and assessment
Ready Reference, Customisable, At No Cost
14
SFw enables Enterprises to …. Through enhancing HR strategies and
processes….
2. Build A Performing Culture
4. Develop And Grow Talent
Performance Management
• Refine job roles and performance standards
• Determine criteria to evaluate performance
• Design performance appraisal document
Career Management
• Design organisational chart and career pathways
• Develop career progression plan
Learning And Development
• Identify skills requirements/ gaps
• Identify training courses
• Design training plan
1. Attract The Right Talent
3. Retain Existing Talent
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Talent Attraction….
Conduct Workforce Planning
Write Job Description
Determine Selection Criteria
Set interview questions
and assessment
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Conduct workforce planningConduct
Workforce Planning
Write Job Description
Determine Selection Criteria
Set Interview Questions And
Assessment
CEO
Allied Health Director
Principal Speech Therapist
Principal Physiotherapist
Chief Nurse
Staff Nurse
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Conduct Workforce Planning
Write Job Description
Determine Selection Criteria
Set Interview Questions And
Assessment
Note: The complete list of Skills And Competencies will be found in the SFw for Landscape booklet.
Example: Occupational Therapist
An Occupational Therapist is responsible for providing client care, performing therapy execution and client education
activities to an assigned group of clients. S/He performs continuing education and research to achieve quality client
care. S/He is also conscientious in providing therapy recommendations based on evaluation of the client’s condition.
S/He may work in various settings such as but not limited to public and private institutions, acute and community
hospitals, rehabilitation centres, voluntary welfare organisations, schools, long-term care facilities and clients’ homes
and work environments. S/He may also work as part of collaborative, interdisciplinary teams which may include
teachers, doctors, audiologists, psychologists, social workers, physiotherapists and speech therapists.
S/He should have initiative and be sensitive to the needs of her/his clients. S/He should possess communication and problem-solving skills.
18Note: The complete list of Skills And Competencies will be found in the SFw for Landscape booklet.
Conduct Workforce Planning
Write Job Description
Determine Selection Criteria
Set Interview Questions And
Assessment
Candidates for Landscape Supervisor
Change
Management
Client
Assessment
for
Occupational
Therapy
Communication Leadership Total Comments
Name 1
Name 2
Name 3
Determine a selection criteria based
on skills and competencies to
shortlist potential candidates for
interviews.
Example: Occupational Therapist
Technical Skills & Competencies Generic Skills & Competencies
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The technical and generic skills and
competencies can be used to craft
competency-based interview
questions too!
Skills and Competencies Interview Question(s)
Teamwork (GSC)
Facilitate work team activities,
provide assistance and support
needed by team members and
promote ownership and
commitment among team
members to improve team
performance.
1. Describe a specific incident in your
work experience that you had to
step up and support your team
mates in order to improve your
team’s success.
2. What challenges did you face and
how did you overcome them?
Conduct Workforce Planning
Write Job Description
Determine Selection Criteria
Set Interview Questions And
Assessment
Skills Frameworks: What’s In It For Enterprises
Talent Attraction
• Conduct workforce planning
• Refine job descriptions for hiring
• Determine selection criteria
• Set interview questions and assessment
Ready Reference, Customisable, At No Cost
20
SFw enables Enterprises to …. Through enhancing HR strategies and
processes….
2. Build A Performing Culture
4. Develop And Grow Talent
Performance Management
• Refine job roles and performance standards
• Determine criteria to evaluate performance
• Design performance appraisal document
Career Management
• Design organisational chart and career pathways
• Develop career progression plan
Learning And Development
• Identify skills requirements/ gaps
• Identify training courses
• Design training plan
1. Attract The Right Talent
3. Retain Existing Talent
21
Self Help
Interview Checklist Job Advertisement
OJT Blueprint Performance Appraisal
What are the Next Steps ?
Download editable SFwstemplates for HRM and HRD processes
http://www.skillsfuture.sg/skills-framework
Download Skills Framework For Healthcare
Download:
• SFw Booklet
• Career Map
• Skills Maps
• Training Programmes Listing
For your reference and adaptation
http://www.skillsfuture.sg/skills-framework/hc
22
What Are Some Next Steps For Your Enterprise?
23
Self HelpWorkshops
& ClinicsConsultancy & Other Support
Downloadable resources on SFwsprofessional documents
1-day SFwWorkshops to help enterprises be learn about SFw
SFw Clinics as a further support to apply SFw @ work
Consultancyservices
HR Technology solutions
especially designed for Business Owners & HR practitioners
Attend the 1-Day Skills Framework Workshops COMPLIMENTARY
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Key Takeways:
1. Appreciate the intent and purposes of SFw
2. Appreciate the components of SFw (e.g. career pathways, skills)
3. Understand how the SFw can be applied to enhance HRM & HRD
practices (e.g. talent attraction, performance management, career
management, learning and development)
4. Relate how the skills can support business outcomes
https://tinyurl.com/SkillsFrameworkWorkshop
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To further discuss how Skills Framework (SFw) can benefit your
enterprise
Barry Chou
Principal Manager, SSG
Contact us:
Betty Yeo
Senior Specialist, SSG
Enterprisesfor
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Summary Of SkillsFuture Initiatives For Your Business
A 2-day programme to develop digital confidence in your employees.
Acquire skillsets in eight emerging areas:
A 1.5hr fully funded workshop tailored to your organisation to empower self-directed learning amongst your employees.
• Entrepreneurship• Finance• Tech Enabled Services• Urban Solutions
Hire fresh graduates from ITEs and Polytechnics with relevant skills and aptitude to meet your company’s needs.
Access to training information anytime
Honours exemplary employers who champion employee’s skills development and build a culture of lifelong learning in their workplace
1
2
3
4
5
7
6 Enhanced Training Support for SMEsClaim Absentee Payroll and enjoy higher course fee subsidy when you sponsor your employees for certifiable courses.
• Advanced Manufacturing • Cyber Security• Data Analytics• Digital Media
For further enquiries on these SSG initiatives, you may contact [email protected]
More To Come….
To Support You & Your Business
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Thank You
CHALLENGING THE “WE HAVE ALWAYS DONE IT THIS WAY”
MINDSETDenise Bennett, RN, MBALean Thinking & Practice CoachLean Enterprise Australia Australasian Lean Healthcare NetworkLean Global NetworkSingapore Institute of Technology
Flinders Medical Centre South Australia
2003
Lean Transformation of Organisations and Leaders
• In the early years, probably more time is spent convincing leaders, clinicians and staff that they should do this than actually doing anything!
• No time• No need• Just another
program• We’re different – it
won’t work here• Not research• We already exceed
benchmark or meet targets
• Them but not me• I say yes but I don’t
do yes• Next new bright
shiny thing
How to get organisations (leaders and staff) to do this!
Staff safety firstZero defects second
Lead with Safety and Quality
PQMS: Packard Quality Management System
Lead with Quality and build on what already exists
MISSIONTo provide Quality, Comprehensive and Convenient healthcare services to the needy in Singapore
VISIONTo be a Leading Community Healthcare Hub in Singapore
Identify a problem
Understand the current state and try to identify root cause or causes
Monitor and measure outcomes
Try something – implement countermeasures
Continue to improve
Lean Thinking and practice looks at qualitythrough different lens
Defects result in defective parts
and scrap
This results in ‘failure demand’Work that needs to be done again
Every time we need to do work again it is wasted
productivity
The further the defect gets in the
production line the higher the impact
The product takes longer to deliver (time to
service)
Improved quality = reduced cost
Quality by adding extra people,
extra steps
Questions for you to consider• How do you currently focus on quality and what currently
exists that you could build on?
Toyota didn’t develop TPS in their finance department
Work on something important to increase relevance & involvement• Access to care is important PLUS
– include something that will improve the quality of care for the patient in front of clinicians
– Something that will make life easier for staff• Use Lean Thinking to break down big problems into
bitesize, achievable pieces
Questions for you to consider• How do you currently focus on quality and what currently
exists that you could build on? • What are the important problems to be worked on? What
are your current strategies for solving these problems?
“I have something I would like to spread to you.”
Don’t do this!
https://blog.ordoro.com/2015/02/24/pull-pull-marketing/
Pull not Push
Adoption not
Spread
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It’s lonely on your
own
Find your first
follower
https://blog.ordoro.com/2015/02/24/pull-pull-marketing/
Pull not Push
Adoption not
Spread
Go where the ‘early adopters’ take you. Lean Thinking and Practice applies everywhere. Every story of improvement will be worth it!
They understand and connect to most
processes, particularly
communication
They spend their lives trying to get other groups of
professionals to do things
They are usually the one who has a birds eye view of the patient
journey (s)
Their role is patient advocate – their
profession is built on connecting with patients
and families
Its not difficult to convince them to reduce waste in
their work
They often provide local and
front line line leadership
Nurses make great leaders of
Lean Thinking
and Practice
Spaghetti diagram
Questions for you to consider• How do you currently focus on quality and what currently
exists that you could build on? • What are the important problems to be worked on? What
are your current strategies for solving these problems?• Where are your early adopters? How could you unleash
their influence on the organisation?
Make ‘things’ visibleWhere is the
patient journey up to?
Where is the work up to?
Make ‘things’ visibleWhere is the
patient journey up to?
Where is the work up to?
Photos courtesy of Flinders Medical Centre, SA
Questions for you to consider• How do you currently focus on quality and what currently
exists that you could build on? • What are the important problems to be worked on? What
are your current strategies for solving these problems?• Where are your early adopters? How could you unleash
their influence on the organisation?• Can you see where the patient journey and the work are up
to?
“we have always don’t it like this”“I have always done it like this”
Questions for you to consider• How do you currently focus on quality and what currently
exists that you could build on? • What are the important problems to be worked on? What
are your current strategies for solving these problems?• Where are your early adopters? How could you unleash
their influence on the organisation?• Can you see where the patient journey and the work are up
to?• Do you have WADILTs that are an opportunity for engaging
staff
Maybe you don’t need a Lean Transformation• Maybe you are good and you want to be great• Maybe you are average and you want to be good• Maybe you are great and you want to be outstanding • Maybe your service delivery is inconsistent and you want to be
consistent• Maybe you have demands you cant meet• Maybe you have a lot of waste in the system and you want to have
less waste in the system• Maybe you have unsatisfied patients and families and you want them
to be satisfied• Maybe you have some unstable departments you would like to
stabilise• Maybe you want to be better tomorrow than you want to be today• Maybe you have to be better tomorrow than you want to be today
Questions for you to consider• How do you currently focus on quality and what currently
exists that you could build on? • What are the important problems to be worked on? What
are your current strategies for solving these problems?• Where are your early adopters? How could you unleash
their influence on the organisation?• Can you see where the patient journey and the work are up
to?• Do you have WADILTs that are an opportunity for engaging
staff• Be clear and consistent about the why – transformation is
not a why
LEAN THINKING AND PRACTICEA business / organisational strategy for everything!• Do you want a safer organisation for patients and staff?• Do you want to deliver higher quality service (care) without
errors or defects?• Do you want your customers (patients) to get their services
(care) without waiting?• Do you want to reduce the cost of your service (care)?• Do you want your staff to be more engaged and morale to
be higher?• Do you want your customers (patients) to be more
satisfied?• Do you want to develop your staff and leaders at the same
time?
Are you prepared to learn, work
hard and get involved?
Getting started with Lean Thinking & Practice1. An internal leader with some influence who ‘believes’ and
would like to lead a lean experiment2. An acknowledgement of what already exists and building
on that wherever possible3. A local area or a horizontal value stream (ideally both) as
an area to experiment4. Someone to teach (inspire, build relationships) and show
the next step 5. Some time to do the improvement6. A plan for sharing the improvement that is done7. A plan for fun!
Spot the WHADILT