when post-its didn't cut it anymore: how a hospital adopted kainexus
TRANSCRIPT
Presenter: Tania Lyon St. Clair Hospital
@StClairHospital
When Post-Its Didn’t Cut it Anymore:
How a Hospital Adopted KaiNexus
Host: Mark Graban KaiNexus
@MarkGraban
Agenda & Logistics
• Presentation (~45 minutes)
• Your Questions (~10 minutes)
– Use the GoToWebinar Meeting Panel to submit a question at any time
• Recording link and slides will be sent via email
About Tania Lyon Dr. Lyon has spent the last 8+ years leading St. Clair Hospital, a large award-winning community hospital in Pittsburgh, PA, through a “lean” transformation as their first Director of Organizational Performance Improvement. She has trained over 2000 hospital employees in Toyota principles and methods. Her own background in Lean healthcare comes from 5 years with the nonprofit Pittsburgh Regional Health Initiative (PRHI) where she helped to develop their nationally acclaimed curriculum for health care professionals and coached lean improvement efforts in a variety of healthcare settings. Dr. Lyon is also interested in Lean Healthcare applications for low resource settings like hospitals in Malawi and Haiti. She earned her PhD in Sociology from Princeton University and her BA in Peace and Conflict Studies from U.C. Berkeley and has two charming daughters who have thus far resisted all efforts to apply the Toyota Way to their rooms.
When Post-Its Didn't Cut it Anymore
Tania Lyon, PhD Director of Organizational Performance Improvement
St. Clair Hospital Pittsburgh, PA
• Serves ~500,000 residents • Over 550 physicians and
2,400 employees • Member of the Mayo
Clinic Care Network
• Independent, not-for-profit • 328-bed, full service hospital • Multiple outpatient centers • Integrated physician network
7
2006
2008
New CEO
Lean journey
begins
• 3 pillars of Lean Transformation: • Training • Operations • Engagement
8 Types of Waste
• Waiting
• Defects
• Unnecessary Motion
• Unnecessary Transport
• Overproduction
• Extra Processing
• Excess Inventory
• Unused Employee Creativity
9
10
2006
2008
2010
New CEO
Lean journey
begins
Employee
Idea Boards
Hospital-wide
11
2006
2008
2010
New CEO
Lean journey
begins
Employee
Idea Boards
Hospital-wide
2015 KaiNexus is
launched
KaiNexus > Post-its
• Transparency – Staff
– Coaches
12
KaiNexus > Post-its
• Transparency – Staff
– Coaches
• Collaboration
13
KaiNexus > Post-its
• Transparency – Staff
– Coaches
• Collaboration
• Data – Metrics for improvement culture
– Captures value of small changes (kaizen)
14
Roll-out Strategies
• No “Big Bang”; take the tortoise approach
Roll-out Strategies
• No “Big Bang”; take the tortoise approach
• Pilot first
16
Roll-out Strategies
• No “Big Bang”; take the tortoise approach
• Pilot first
• Engage Chain of Command
17
Roll-out Strategies
• No “Big Bang”; take the tortoise approach
• Pilot first
• Engage Chain of Command
• Standardized Checklist
18
Roll-out Wins
• Used KaiNexus for existing work:
Required Performance Improvement (PI) Plans
19
Roll-out Wins
• Integrated existing templates into KN
20
Roll-out Wins
• Integrated KaiNexus into organizational goals
21
Approach to Training
• Frontline staff – barebones
• Managers – more one-on-one support
22
Approach to Training
• Directors – engage through bottleneck boards
23
Approach to Training
24
Directors: Hold
Managers accountable
Managers: Intensive support
from Lean coaching team
Frontline: As-needed
support from
Managers and
Lean coaches
Lean
Coach
Results
• KaiNexus culture is maturing year to year
25
26
Year 1 Results
27
Year 2 Results to Date
28
Year 1 Results
29
Year 2 Results to Date
Results
• KaiNexus is the Lean team’s “status board”
30
Webinars On Demand
2017 Webinars
• Presenters and topics to include:
– Lean Construction
– Managing Data & Metrics
– Change Management
– Developing a Standard for Improvement
– Culture Change
– KaiNexus Customer Stories
http://www.kainexus.com/webinars
Contact Info: Q&A
• Web:
– www.kainexus.com
• Past Webinars:
– www.kainexus.com/webinars
• Social media:
– www.twitter.com/kainexus
– www.linkedin.com/company/kainexus
– www.facebook.com/kainexus
Tania Lyon [email protected]
Mark Graban KaiNexus
@MarkGraban