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A Lean Guide to Transforming Healthcare
This book is an implementation manual for lean tools and principles in a healthcare environment. Lean is a growth strategy, a survival strategy, and an improvement strategy. The goal of lean is, first and foremost, to provide value to the patient/customer, and in so doing eliminate the delays, overcrowding, and frustration associated with the existing care delivery system. Lean creates a better working environment where what is supposed to happen does happen. On time, every time. It allows clinicians to spend more of their time caring for patients and improves the quality of care these patients receive. A lean organization values its employees and encourages their involvement in organizational initiatives which, in turn, sustains hospital-wide quality improvements. The opportunities for lean in healthcare are limitless. This is not a book to be read and forgotten, nor is it meant to sit on a book shelf as another addition to an impressive but underutilized collection of how-to books. As the name implies, it is a guide; a companion to be referenced again and again as the organization moves forward with its lean transformation.
Lean Manufacturing
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Rethinking Lean in Healthcare
This book deals with a hospital's struggle to secure and maintain financial stability. In the story, the leadership team of a fictional hospital adopts the tools and principles associated with the Toyota Production System or Lean. The story takes the reader through leadership's arduous journey from rejecting the methodology to embracing it, to successful implementation. This book is important because many of our nation's hospitals are besieged with financial difficulties with declining reimbursement and the public is losing confidence in our hospital's ability to provide quality care without error. Lean can provide relief from these issues but only if it is properly implemented.
Out of Another @#&*% Crisis!
In 1982, Dr. W. Edwards Deming wrote Out of the Crisis. At that time, the United States was enduring a crisis of low quality and high costs. Its previous dominance in the provision of goods and services was being challenged primarily by the Japanese. American consumers were becoming choosier in their product choices and when given two products of equal price, they were choosing the product with the higher quality levels, regardless of where it was built. So where does the United States stand today? Has it settled into an acknowledged competitive position, 28 years later? Have we remembered Dr. Deming’s words and his 14 Points, or have we forgotten all he taught so little time ago? This boo...
Establishing a Culture of Patient Safety
The purpose of this book is to provide a road map to help healthcare professionals establish a "culture of patient safety" in their facilities and practices, provide high quality healthcare, and increase patient and staff satisfaction by improving communication among staff members and between medical staff and patients. It achieves this by describing what each of six types of people will do in distress, by providing strategies that will allow healthcare professionals to deal more effectively with staff members and patients in distress, and by showing healthcare professionals how to keep themselves out of distress by getting their motivational needs met positively every day. The concepts desc...
The Lean Doctors Workbook
The content of this workbook is based on the book Lean Doctors: A Bold and Practical Guide to Transforming Healthcare Systems, One Doctor at a Time, and on the authors’ years of transforming care delivery systems with lean. The Six Success Steps discussed in the book are presented here with a focus on implementing them to achieve dramatic and sustainable change. The Success Steps are building blocks; the order in which you apply them matters. They are presented here in an order that has worked in the real world; working through them logically will help you on the path to successful implementation. Each Success Step includes a practical explanation of the theory and maps that illustrate how...
Root Cause Analysis and Improvement in the Healthcare Sector
Healthcare organizations and professionals have long needed a straightforward workbook to facilitate the process of root cause analysis (RCA). While other industries employ the RCA tools liberally and train facilitators thoroughly, healthcare has lagged in establishing and resourcing a quality culture. Presently, a growing number of third-party stakeholders are holding access to accreditation and reimbursement pending demonstration of a full response to events outside of expected practice. An increasing number of exceptions to healthcare practice have precipitated a strong response advocating the use of proven quality tools in the industry. In addition, the industry has now expanded its scop...
Using ISO 9001 in Healthcare
ISO 9001 offers an orderly, disciplined approach to managing a healthcare organization. When applied conscientiously, an ISO management system will provide a framework for improvement efforts and the discipline to demonstrate outcomes. A lot has changed since the first edition of this book was published in June of 2011. Most notably, the Affordable Care Act (ACA) was passed and is being implemented throughout the country. Although the long-term effects of the ACA will not be determined for several years, it is clear that most Americans will be affected in some way and that that the provider and payer communities are undergoing rapid changes. Even amongst all this uncertainty, the challenges faced by provider organizations can be dealt with most effectively by using an ISO 9001 quality management system. Each of the authors in this book has instituted ISO 9001:2008 as a management system: one in a multi-specialty group practice, the other in a global government healthcare system. Their reasons were different, but in both cases, they established a management system that could respond to diverse needs without adding expenses to their organizations.
Quality Function Deployment and Lean Six Sigma Applications in Public Health
The public health industry has recognized the value of continuous improvement. Quality Improvement (QI) teams are engaged across the country in identifying root causes of the issues which prevent us from providing the best public health services to communities and individuals. The tools of quality, when used effectively, will truly make a difference in the public’s health. It is time to take a more advanced approach for cross functional and long-term improvements that will achieve the systems level results the public deserves. The purpose of this book is to introduce the concepts embedded in Quality Function Deployment (QFD) and Lean Six Sigma to help Public Health professionals in their i...
Lean for Service Organizations and Offices
Service organizations and offices worldwide are beginning to realize that only those companies that are efficient and able to meet the changing needs of customers will survive the fierce competition of the marketplace. Adopting lean puts anyone in a position more likely to build an intimate relationship with customers and build a foundation of operational excellence. Lean as a philosophy is new to the service companies, and many of them struggle to find the correct approach for its adoption. Many declare early victory after a few successful projects only to realize that the benefits do not sustain over a period of time. This happens because they do not really know what it takes for a holi...
