Taking Improvement From the Assembly Line to Healthcare: The Application of Lean Within the Healthcare Industry by Ronald G. BercawTaking Improvement From the Assembly Line to Healthcare: The Application of Lean Within the Healthcare Industry by Ronald G. Bercaw

Taking Improvement From the Assembly Line to Healthcare: The Application of Lean Within the…

byRonald G. BercawEditorRonald G. Bercaw

Paperback | November 3, 2011

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According to a report by the Institute of Medicine, up to 98,000 deaths per year occur in U.S. hospitals as a result of adverse events. In other words, errors in hospitals cause more annual deaths than car accidents, breast cancer, or AIDS. With the healthcare system in such critical condition, Lean is the best possible treatment. Taking Improvement from the Assembly Line to Healthcare: The Application of Lean within the Healthcare Industry supplies step-by-step guidance on how to implement Lean methods to achieve world-class improvement within the healthcare industry. Specific examples of this approach are provided in emergency medicine, diagnostic imaging, orthopedic clinics, general internal medicine, administration, and community care.
Ronald Bercawis the President of Breakthrough Horizons, LTD, a management consulting company specializing in World Class Improvement through the application of the Toyota Business System, more commonly known as Lean. With more than 20 years of experience in operations, his Lean management experience was gained through multiple enterpri...
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Title:Taking Improvement From the Assembly Line to Healthcare: The Application of Lean Within the…Format:PaperbackDimensions:180 pages, 8.8 × 6 × 0.4 inPublished:November 3, 2011Publisher:Taylor and FrancisLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:1439862397

ISBN - 13:9781439862391

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Table of Contents

Critical Condition: Why Change Is Needed Now
Introduction: The Perfect Storm
Quality of Care
Access to Services
Affordability of Healthcare Services
Shortage of Resources

Fundamentals of Improvement
What Is Lean?
Value-Added Activities
Non-Value-Added Activities
Themes of Lean Improvement: Continuous Improvement
Themes of Lean Improvement: Respect for All People
Seven Wastes
     Overproduction
     Waiting
     Overprocessing
     Inventory
     Motion
     Defects
     Transportation
Principles of Improvement: Lean DNA
     Flow Concept
     Pull System
     Defect-Free Work
     Visual Management
     Kaizen

Tools for Improvement
Introduction
     Takt Time
          Clinic Example
     Direct (Time) Observation
     Loading Diagram
     Spaghetti Mapping and Circle Diagrams
          Circle Diagram
     Flow Diagram with Value-Added/Non-Value-Added Analyses
          Value-Added and Non-Value-Added Analyses
     Standard Work
     Process Control
     Summary
Putting Tools Together
     A-3 Thinking
     Value Stream Mapping and Analysis
     Kaizen
     5S

Case Studies
Revolutionizing Emergency Services: Enhanced Quality and Access
Accelerating Productivity and Access in Diagnostic Imaging
Creating the Ultimate Patient Experience: A Visit to an Orthopedic Clinic
World Class Care at Inpatient Medical Unit
Beyond the Hospital: Continuing Care in the Community
Creating More Time for Quality Care: Streamlining Administration
Summary

Getting Started
Define Measurable Outcomes
     Select and Map Value Streams
Begin Improvement
     Sustain Improvement and Manage Visually
     5S
     Process Control
     Results Management
Support Improvement with Lean Training and Coaching
Spread Improvement
     Replication of Artifacts, Products, Solutions, and Process
     Adding Additional Value Streams

Leadership Lessons Learned
Participate
Walk the Value Streams
Commit Resources to Ensure Success
     Facilitation
     Team Resources
     Improvement Supplies
     External Resources
Hold People Accountable
Engage Physicians
Establish Governance Structure
Address Antibodies
Develop and Deliver Communication Strategy
Redeployment versus Unemployment
Demand and Monitor Results
     Expect improvement!
Summary

Glossary of Lean Terms

Index

Editorial Reviews

Ron Bercaw has made an important contribution to the Lean healthcare movement by starting with the ABCs of Lean and showing through detailed healthcare case studies how they can be used to greatly improve healthcare. He then goes on to give a rich description of the leadership role, the single most important success factor in creating a culture of improvement. Anyone in healthcare doubting that Lean can apply to them should be convinced of the power of Lean by this book. ¿Professor Jeffrey K. Liker, University of Michigan and Shingo Prize-Winning Author of The Toyota Way