International Examples of Lean in Healthcare Case Studies of Best Practices

This multi-authored book provides expert descriptions of Lean methods and their application in healthcare, written by the people who developed and tested the methods in healthcare settings. Each chapter brings together a description of the technique or approach, with examples of application in pract...

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Bibliographic Details
Other Authors: Mead, Elaine (Editor), Stark, Cameron (Editor), Thompson, Maimie (Editor)
Format: Book
Language:English
Published: Milton : Productivity Press, 2022
Subjects:
Table of Contents:
  • Cover
  • Half Title
  • Title Page
  • Copyright Page
  • Dedication
  • Table of Contents
  • Foreword
  • Acknowledgements
  • Editors
  • Contributors
  • Chapter 1 Using Lean in Healthcare
  • Aims
  • Introduction
  • History and Principles
  • Lean in Healthcare
  • Evidence of Impact
  • Importance of Context
  • Examples of Lean in Healthcare
  • Conclusions
  • Learning Points
  • Bibliography
  • Chapter 2 Applying 5S in Healthcare
  • Aims
  • Introduction
  • 5S
  • Getting Started
  • Tools for 5S
  • 5S Tags
  • Floor Markings
  • Shadow Boards
  • Signs
  • Labelling
  • Each Step of 5S
  • Sort
  • Sort Tips
  • Box Score
  • Pareto Analysis
  • PDSA Cycles
  • Visual Management Board
  • Weekly Huddle
  • Daily Management
  • Conclusions
  • Learning Points
  • Acknowledgements
  • Bibliography
  • Chapter 6 Building a Model Value Stream for Older People Living with Frailty in Ireland
  • Aims
  • Introduction
  • True North and Adopting Lean for Healthcare Transformation
  • From Getting Started to System-Wide Implementation: Frailty Case Example
  • Example of a Rapid Improvement Event at St Luke's: 'First 72 Hours
  • Frailty Identification'
  • Preparation
  • Days One to Five
  • Sustain and Standardise
  • Case Study 2: Outpatient Specialist Care Flow
  • Working with Multiple Teams
  • Conclusions
  • General Reflection
  • Focus of Improvement Work
  • Learning Points
  • Bibliography
  • Chapter 5 Value Management
  • Aims
  • Introduction
  • Development of Value Management
  • Context
  • Value Management
  • Preparing the Service
  • Identify the Existing Quality Improvement Capacity of the Organisation
  • Understand Finance Team Capacity
  • Assess Management Interest
  • Review Strategic Alignment
  • Look for the Right Fit for a First Adopter
  • Preparing a Team
  • Detailed Components of Value Management
  • Practical Steps for Good Data Design and Good Data Systems
  • Learning Activities
  • Where Does Data Design and Use Fit in an Overall Lean Improvement Effort?
  • Conclusion
  • Tips
  • Learning Points
  • Acknowledgments
  • Bibliography
  • Chapter 4 Hospital Flow
  • Aims
  • Introduction
  • Why Improve Patient Flow?
  • Improving Flow
  • How Can a Hospital Work on Flow Improvement?
  • Case Examples
  • Context: The Dutch Healthcare System and Hospital Characteristics
  • Case Study 1: Clinical Hospital Flow
  • Lessons from This Case Study about Flow
  • Lessons on How to Improve Flow
  • Set in Order
  • Set in Order Tips
  • Sweep
  • Tips for the Sweep Stage
  • Standardise
  • Standardise Tips
  • Sustain
  • Tips for Sustaining 5S
  • Safety
  • Common Misconceptions about 5S
  • Kanban
  • Conclusion
  • Learning Points
  • Bibliography
  • Chapter 3 The Design and Use of Good Data in Clinical Processes
  • Aims
  • Introduction
  • Using Data for Improvement
  • Outcomes Tracking Systems
  • Outcomes (or Causal) Chains
  • Challenges in Finding the Decision Layer
  • General Principles for Data Design
  • Quality Data Needs to Be Complete, Timely, Accurate, and Transparent