welcome to the lean overview for the revenue cycle christine fricke, m.a., training lpi specialist...
TRANSCRIPT
![Page 1: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/1.jpg)
Welcome to theLean Overview for the
Revenue Cycle
Christine Fricke, M.A., Training LPI SpecialistJanuary 2015
![Page 2: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/2.jpg)
Introductions
Name Department Role
![Page 3: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/3.jpg)
Learning Objectives
• Describe Lean. • Understand the six organizational linkage
goals. • Know Lean Key Terms and Lean Tools.• Describe 5S, Gemba Walks, Standardized
Work, Visual Management Boards, Everyday Lean Ideas (ELI’s), and Huddles.
![Page 4: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/4.jpg)
Organizational Linkage
• UMHS initiatives
Revenue Cycle initiating
![Page 5: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/5.jpg)
Organizational Linkage
• Six goals identified to help us prioritize areas of focus for improvement.
1. Service: Improve customer satisfaction in all groups.
2. Financial: Enhance our financial strength and competitiveness.
3. Quality Care: Improve clinical care and service.
4. Academic: Support the University’s health science academic mission.
5. People: Create a safe and healthful workplace.
6. Community: Participate with state and local partners to create healthy communities.
![Page 6: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/6.jpg)
What is Lean?
“Lean is a set of concepts, principles and tools used to create and deliver the most value from the customers’ perspective while consuming the fewest resources by fully utilizing the skills and knowledge of those who do the work.”
Lean Enterprise Institutewww.lean.org
![Page 7: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/7.jpg)
Lean is…
“Lean is the endless transformation of waste into value.”
Jim P.WomackFounder and Senior AdvisorLean Enterprise Institute
![Page 8: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/8.jpg)
Lean is…
![Page 9: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/9.jpg)
• Lean does not only apply to the manufacturing processes
• Lean does not eliminate jobs
• Lean does not force people to work harder
• Lean does not just speed up the pace of work
Lean is …
![Page 10: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/10.jpg)
Discuss with others at your table:Are there aspects of your daily personal or work
life that seem wasteful or pointless?
What stops you from having a productive day?
Decide on one or two items from your group to share with the class.
![Page 11: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/11.jpg)
The 5 S Exercise
Let’s practice using the 5 S’s tool to see what we can do right now to make improvements!
![Page 12: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/12.jpg)
Lean Tools: 5 S
Straighten
SweepStandardize
SustainEliminate
Waste
Sort
![Page 13: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/13.jpg)
Lean Overview Summary
• Before • After
Closed versus open storage
![Page 14: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/14.jpg)
The Flip Side of Lean …
http://www.youtube.com/watch?feature=player_embedded&v=8NPzLBSBzPI
![Page 15: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/15.jpg)
Summary of Lean Thinking
Are we happy with the way we are doing things?
Is there a way to do things more efficiently and effectively?
Can we fix the problem now?
Do we know the root cause(s) of the problem?
![Page 16: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/16.jpg)
Lean Key Terms
• Why do you need to know the key terms?–Lean–Value–Waste–Root Cause Analysis
![Page 17: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/17.jpg)
Lean Key Tools
• Why do you need to know these key tools? – SIPOC+R– Gemba Walks– Value Stream Map– Lean Icons– Current State Visual Map– 5 Whys– 5 S– Future State Visual Map– Huddles– Standardized Work – PDCA– A3 Report– Visual Management Boards– Everyday Lean Ideas– Root Cause Analysis
![Page 18: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/18.jpg)
Summary of Lean Key Terms & Tools
Terms and Tools Reviewed:
Lean, Value, Waste, Gemba Walks, 5 S,
Standardized Work, Everyday Lean Ideas,
Visual Management Boards, and Huddles.
![Page 19: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/19.jpg)
Lean Tools: Gemba Walks
• “Gemba” is a Japanese term meaning “the place where the truth can be found”- for us this means the actual place where the work is being done.
• Real improvement requires a shop-floor focus based on direct observation of current conditions where the work is done.
![Page 20: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/20.jpg)
Lean Tools: Gemba Walks
Three simple rules for going to the Gemba:
1. Go See.
2. Ask Why.
3. Show Respect.
![Page 21: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/21.jpg)
Lean Tools: Standardized Work
• Group Activity
![Page 22: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/22.jpg)
1
23
4
5
6
711
9
108
12
13
![Page 23: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/23.jpg)
Lean Tools: Visual Management
Many of us already use some forms of visual management systems.
Does anyone keep work, school or sports schedules on your refrigerators or in some other central spot in your homes?
![Page 24: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/24.jpg)
Lean Tools: Visual Management
Goal: To make waste, problems, and abnormal conditions readily apparent to employees and managers.
Aim: To expose problems so they can be fixed, as opposed to the old approach of hiding problems to make things look good.
Purpose: To reduce “information deficits” in the workplace. In an information scarce workplace, people ask lots of questions and lots of the same questions, repeatedly.
![Page 25: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/25.jpg)
Personal Visual Management
• Let’s begin our practice by setting up our own personal visual management sheet.
• What are things that are important for you or someone in your family to know for today or this week?
• Are there things you want to accomplish this week?
![Page 26: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/26.jpg)
My Personal Visual Management
![Page 27: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/27.jpg)
Billing Area Visual Boards
![Page 28: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/28.jpg)
Billing Area Visual Boards
![Page 29: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/29.jpg)
Billing Area Visual Boards
![Page 30: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/30.jpg)
LPI Visual Board
![Page 31: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/31.jpg)
Patient Business Services Visual Boards
![Page 32: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/32.jpg)
Patient Business Services Visual Boards
![Page 33: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/33.jpg)
Payment Posting Visual Boards
![Page 34: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/34.jpg)
Payment Posting Visual Boards
![Page 35: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/35.jpg)
Lean Learning / Solution Summary
Picture of Problem: Picture of Solution:
Description of Problem:Only 1 printer that is located over in the suite. This takes a couple
minutes to walk over there every time you print something. Sometimes get interrupted with conversation along the way.
Impact of Problem:Wasted time, not very efficient
Reporter of Problem:Barb Semanske
Description of Solution:Obtained printer and placed in the “cube farm” just a few steps away.
Impact of Solution / What Did We Learn?Much quicker to collect printed items making work much more
efficient and more lean.
Date Solution Implemented:July 2010
Hallway
Hallw
ay
Pri
nter
![Page 36: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/36.jpg)
Lean Learning / Solution Summary
Picture of Problem: Picture of Solution:
Description of Problem: With the number of applications we received for our job openings, it was difficult to keep all the interviewee’s straight. We kept having to flip through multiple sheets of paper.
Impact of Problem: We were hasting time, rereading applications. Plus, we had a greater chance of misplacing important paperwork.
Reporter of Problem: Tonya Harrigan
Description of Solution: We took our “first string” applicants and placed there information on post it notes. These post it notes were placed on A3 sized paper & kept with the stack of applications.
As the applicants came in for their interview, we ranked them and placed them in the order of our preference.
Impact of Solution / What Did We Learn? We were able to quickly see applicants scores & area’s of strength. We were also able to later add what training each applicant would need. This was
all “at a glance”, which stream lined the process & kept us organized.
Date Solution Implemented: 12/20/2010
![Page 37: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/37.jpg)
Lean Tools: My Everyday Lean Idea (ELI)
![Page 38: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/38.jpg)
Lean Tools: Huddles
Huddles are held near the Visual Management Boards.
Brief meetings with the team to discuss results, areas of concern and possible countermeasures.
Team members rotate responsibility of updating the visual management boards and leading huddles.
Team members should be able to speak about their visual management process to others.
![Page 39: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/39.jpg)
Summary of Lean Tools
• 5S
• Gemba Walks
• Visual Management Boards
• Everyday Lean Ideas (ELI’s)
• Huddles
![Page 40: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/40.jpg)
Payment Posting Visual Boards
![Page 41: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/41.jpg)
Guiding Principles for Lean Process
• Respect each other and refrain from making personal attacks.
• Acknowledge that it is OK to disagree.
• Listen to others, don’t interrupt.
• Everyone participates; no one dominates, value the diversity of the group.
• Honor time limits: be on time, start on time, end on time
• Recognize that all ideas are potentially good ideas; keep an open mind.
• Stay on task. • Respect confidentiality,
what is said in the session should stay in the session.
• Make arrangements to not be interrupted during the session; turn off cell phones.
![Page 42: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/42.jpg)
Guiding Principles for Lean Process
• Customer satisfaction will be a driving principle in all of our decisions.
• We will make decisions based on fact not emotion.
• We will transcend our traditional silo mentality to do what’s best for our customers.
• We will make a commitment to actively attend meetings, use Confluence, identify Just-do-it items, and implement process improvement plans.
• We will work with other departments to help ensure our customers are satisfied.
![Page 43: Welcome to the Lean Overview for the Revenue Cycle Christine Fricke, M.A., Training LPI Specialist January 2015](https://reader035.vdocuments.net/reader035/viewer/2022062715/56649da95503460f94a975f6/html5/thumbnails/43.jpg)
An evaluation will be emailed to you. Please take time to
complete it.
Thanks for coming!