Anais do Congresso Lean Six-Sigma

ANAIS

Copyright ©2018, Gabriela Salim Spagnol, Alice Sarantopoulos, Robisom Damasceno Calado, Li Li Min Direitos Reservados. Os direitos de todos os textos contidos neste livro eletrônico são reservados a seus autores-organizadores, e estão registrados e protegidos pelas leis do direito autoral. Esta é uma edição eletrônica (e-book) não comercial, que não pode ser vendida nem comercializada em hipótese nenhuma, nem utilizada para quaisquer fins que envolvam interesse monetário. Este exemplar de livro eletrônico pode ser duplicado em sua íntegra e sem alterações, distribuído e compartilhado para usos não comerciais, entre pessoas ou instituições sem fins lucrativos, sendo preservada obrigatoriamente sua referência bibliográfica.

Gabriela Salim Spagnol Alice Saratopoulos Robisom Damasceno Calado Li Li Min Editores Responsáveis Dados Catalográficos _____________________________________________________________________________ S732a

Anais do VII Congresso Lean Six Sigma/Organizadores Gabriela Salim Spagnol, Alice Sarantopoulos, Robisom Damasceno Calado, Li Li Min. – Campinas: ADCiência Divulgação Científica, 2018 36 p.

Modo de acesso: http://issuu.com/adiciencia ISBN: 978-85-69736-04-2 1. Ciências Aplicadas. 2. Gestão e organização da indústria e do comércio. I. Spagnol, Gabriela Salim. II. Sarantopoulos, Alice. III. Calado, Robisom Damasceno. IV. Li, Li Min. 1. Anais do VII Congresso Lean Six Sigma.

CDD: 610.06 CDU:6-65

_____________________________________________________________________________ ADCiência – Divulgação Científica – Edição Digital https://www.facebook.com/adciencia.adc

Comissão Científica Gabriela Salim Spagnol Alice Sarantopoulos Robisom Damasceno Calado Li Li Min Avaliadores Cintia Tavares do Carmo Eduardo Guilherme Satolo Fábio Paixão Fredjoger Mendes Luana Pizetta Maria Rosa Ceccato Colombrini Messias Borges Silva

Milena E. D. Mansur dos Reis Nayene Leocádia Manzutti Eid Patricia Helena Breno Queiroz Sergio Crespo Pinto Stephanie D'Amato Nascimento Valdenir da Silva Pontes

O evento O pensamento enxuto (Lean Thinking) tem, a cada dia, atraído mais a atenção dos gestores, dado o sucesso de empresas que adotaram esse tipo de filosofia pelo mundo. No Brasil, o mesmo fenômeno vem acontecendo com capilaridade a diversos setores produtivos e de serviços.

O Grupo de Inovação e Gestão na Saúde (GIGS) da Unicamp e o Laboratório de Design Thinking, Gestão e Engenharia Industrial (DGE) da UFF, tem pesquisado novas maneiras de gestão e inovação, com o olhar para o futuro. Apostando na potencialidade da inteligência coletiva, desde 2012, este grupo têm contribuído para a difusão do conhecimento sobre Lean Six Sigma em seus eventos anuais e com publicações científicas.

Por meio dessa publicação, divulgamos os resumos apresentados durante o VII Lean Six Sigma Congress, nos dias 12 e 13 de Abril de 2018 na UNICAMP em Campinas.

Apresentações Orais

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Makigami: a process analysis of psychological service through the voice of the customer C. Arlotta1, L. R. P. Claudino1, R. D. Calado2, A. P. B. Sobral2 1, 2

Departament of Engineering, Science and Technology Institute, UFF

Introduction: This work is aimed to analyze the customer service process of a psychological clinic using the Makigami tool and to identify if the process is adherent to the attributes that provide costumers’ satisfaction. In order to perform this analysis, was considered the principle Value Flow of Lean Healthcare approach, applied through the Makigami tool, and the concept of Voice of the Customer, through the application of the Kano model. Considering these tools, the method applied resulted in improvement proposals for the studied process, in order to create a psychological attendance flow aligned to the clients' requirements.

Materials and Methods: The method applied considered the Kano model, proposed by Noriaki Kano, and the Makigami tool, identified in the [1] Henrique (2014) research. Considering these tools, the following steps were performed: a) Application of the Kano method: customer needs analysis, based on the research of characteristics that provide customer satisfaction and dissatisfaction; b) Application of the Makigami: process mapping and performance analysis for the psychological service; c) Process analysis regard to the voice of the costumer: evaluation of the process adherence to the attributes that provide satisfaction to the clients; d) Proposition of process improvements in order to perform customer requirements.

Results: it was identified the requirements that provide satisfaction and dissatisfaction to the clients and if the current process meets these requirements. In general, it is perceived that the clinic process studied attend to the clients' expectancy, however with some variability, rework or high time in the activities.

Discussion: Due to the results of this research, was evidenced the importance of the previous evaluation of the requirements that generate value for the customer before making changes in the process, in order to avoid an improvement effort that does not necessarily impact the customer satisfaction. In the same way, performing the analysis of the process allow implementing relevant initiatives to achieve the clients' expectations. The Kano and Makigami models perfectly fulfilled this role, since they allowed the visualization of the process problems and the necessary improvements to increase the satisfaction of the clients.

Conclusion: The present work confirmed the efficiency of the method used on this research, since it was possible to identify the clients' requirements related to the psychology service, to analyze the performance of the process and, finally, to propose improvements based on characteristics that add value to customers. It was identified that the psychological clinic process needs improvements to better meet the clients expectations, however, the applied method was developed initiatives in order to obtain the level of clients' satisfaction desired.

Keywords: Lean Healthcare, Makigami, Voice of the Customer, Psychological Process, Kano Method.

References: [1] HENRIQUE, D. B. Modelo de mapeamento de fluxo de valor para implantações de lean em ambientes hospitalares: proposta e aplicação. Usp [Internet]. 2014; Category: Lean Healthcare

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Heijunka Teaching Experience Through Simulation S. D. Nascimento1, R. D. Calado2, V.G. Ricardo3

1,2,3

Instituto de Ciência e Tecnologia, Universidade Federal Fluminense

Introduction: In search for competitiveness, becomes increasingly common for organizations to search practices that allow them to improve their products or processes looking for better performance and with this, the lean mentality approach is gaining space and the need for professionals with expertise in Lean tools grows, according to [1], it also indicates that the number of organizations with Lean training courses has been increasing significantly. For [2] students and professionals need an understanding a real company complexity, its intrinsic challenges and specific problems, and understand what Lean transformation concepts can do for conventional organizations. According to [3] many benefits are associated with the implementation of games for educational purposes, among them the fact that games promote immediate feedback to students, who, knowing that are progressing, keep in motivating to seek more and more of the game. This work aimed to discuss questions of how active learning methodology based on simulation games allows a greater understanding, absorption and retention of heijunka knowledge to participants in Lean thinking training when compared to the conventional model of teaching Materials and Methods: The work was accomplished through application of production leveling targeted training for undergraduate students and professionals. approximately four hundred participants were trained in twenty-two different classes. The trainings were conducted to encompass both academia and industry, being applied to more than twenty classes in an automotive industry and in a university. The feedback for analysis of the applied method was given through two forms analysis, being one applied at the beginning of the training to observe previous knowledge level of students in lean manufacturing concepts, and another one applied at the end in order to obtain a critical evaluation of employed method.

Results: There was consensus in answers about the ease visualization of learned concepts practical application and in the motivation obtained by the learning method used. As a result of the training, most frequent answers were: “the dynamics helps to absorb theoretical concepts”, “it brings a better visualization of organizational processes and their relations in organization”, “the practice is more stimulating than lessons in lecture format”. As suggestions for improvement, the answers obtained were:” need for improvement in structure of material”, “the dynamics requires a moderator”, “it’s necessary to involve participants in order to be successful in the simulation”.

Discussion: The training met expectations, and effectively promoted understanding of Lean Manufacturing principles, production leveling and use of heijunka box.

Conclusion: The use of active teaching methodology based on simulation games proved to be efficient in training both professionals and students. The knowledge applied and practiced in simulation games proved to be enduring and cooperative so that professionals, after training, can recognize and understand the methodologies applied to work environment, besides being able to facilitate the incorporation of new learned tools, which helps to overcome resistance and barriers found in traditional companies Keywords: Six Sigma, Active learning, Lean tools, Simulation games, Lean Thinking.

References: [1] A. Bodnar et al, Journal Of Engineering Education,105(1):147-200; [2] Kuo et al, Revista Eletrônica Gestão & Saúde, 06(1):1044-1055; [3].Lucato et al, International Journal of Productivity and Performance Management 63(1):529-549.

Category: Lean Education

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The Adoption and results of the Kanban method in the directorate of contracts of a public institution of federal higher education T. OLIVEIRA¹, J. V. MEDEIROS JUNIOR¹, A. M. GURGEL¹ 1

Universidade Federal do Rio Grande do Norte

Introduction: With the advent of the managerial model focused on results, the need for a more aligned management of quality and efficiency in the public sector arose. There are several tools and methods of the private sector that are adopted in public organizations. The lean philosophy, focused on reducing costs and enhancing efficiency in the execution of work processes, has been adopted frequently in public organizations, in order to support organizational improvement. Thus, the present work aims to present the results of the adoption of a lean method, kanban, in the contract directorate of a federal institution of higher education.

Materials and Methods: This work is qualitative in nature, having as a methodological approach the case study. The instrument of data collection was the interview, supported by a questionnaire constructed from bibliographic sources that deal with the benefits of kanban. The methodology used to obtain the results was content analysis.

Results: From the results point of view, the study identified that the kanban framework supports the organizational improvement of the sector from the point of view of visual control. Thus, the method provided: the visualization of the flow of tasks; the identification of problems in flows; improvement in team performance; improvement of motivation; facilitating self-organization; and better sharing of information and communication.

Discussion: It was identified that kanban was able to support the execution of activities in the study area, providing most of the benefits mentioned in the literature, regarding visual flow control, problem identification, motivation, performance, communication and self-organization team in its activities and work processes. With this, some actions in the kanban framework can be deployed to the complete search of its benefits, for example: the limitation of the number of post-it's in each stage of the processes; and the elimination of activities that do not add value.

Conclusion: The present study presented the results of the adoption of kanban in a sector of a federal institution of higher education. Finally, the results of this study will serve as a contribution to the proposed literature, giving significance to the hypothesis that lean methods and tools, when well implemented in the public sector, become improvement factors in their organizations.

Keywords: lean philosophy; Kanban; Benefits; Visual Control.

References: [1] LIKER, Jeffrey K. MEIER, D (2007). O modelo Toyota – manual de aplicação – um guia prático para implementação dos 4 p’s da Toyota. Trad. Lene Belon Ribeiro. Porto Alegre: Bookman, 2007. [2] MOURA, Reinaldo A. Kanban: a simplicidade do controle da produção. São Paulo: Imam, 1989.

Category: Lean Public.

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Lean manufacturing teaching and students’ learning styles Guilherme Tortorella1, Rogério Miorando1, Aurora Patrícia Piñeres2 1

Departamento de Engenharia de Produção e Sistemas, UFSC – Brasil, 2Corporación Universidad de la Costa, Barranquilla – Colombia

Introduction: As more companies embrace the concept of Lean Manufacturing (LM) implementation, universities should consider changing their curriculum with this movement, since there is a high likelihood that students will participate in some aspects of LM as they begin their professional careers. Thus, it is important to provide appropriate learning experiences to prepare students prior to LM. This paper aims at examining the relationship between different LM teaching methods and students learning preferences to maximize performance in courses.

Materials and Methods: To achieve that, 76 graduate students from Industrial Engineering, who participated in two LM courses with different teaching methods were assessed according to their learning preferences and performance. Each LM course had a specific teaching approach: (i) classroom lectures and exercises (classified as traditional teaching methods), and (ii) problem-based learning (PBL) in real-world problems from companies undergoing a LM implementation.

Results: From the eight hypotheses formulated for this study our results verified four of them, being two for each LM teaching method applied. Further, the effect of the learning dimension ‘information perception’ seems to be more extensive than the others, since students’ performance in both teaching methods is significantly associated with it.

Discussion: Students may learn through several ways and teaching LM has proved to be extremely challenging, especially for engineering students who are not used to abstractions.

Conclusion: The mix between active learning methods and traditional teaching methods may facilitate dialogical learning, encouraging collaboration between students and facilitate the transfer of knowledge on LM. Keywords: Lean manufacturing, Teaching methods, Learning styles, Students’ performance.

Category: Lean Education

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The application of lean thinking methods to improve the operational performance through the use of industry 4.0 technologies.

F. B. Mendes1, L. P. Claudino2, 1

Design Thinking Lab DGE, ICT, UFF, 2 Design Thinking Lab DGE, ICT, UFF

Introduction: This work consists of a systematic review of the literature with the objective of finding proposals and / or examples of improvement in the operational process performance through the integration of lean thinking and the technologies that emerged in the context of the industry 4.0.

Materials and Methods: A structured bibliographic research was considered on the subject. The bibliographical research is defined by Paulista, Campos and Turrione (2010) as one of methods of research with bibliographical sources, selected with technical rigor, also constituting a critical view of the existing works, which may have relevance to the work ongoing. The practice of bibliographic review can summarize the work of several researchers, as well as establish relationships between the different approaches. The objective of the bibliographic review is to capture the state of the art of a given topic and from the review of papers; it becomes possible to identify areas in which a deeper research could be more relevant. The articles were searched through the Google Scholar platform and also on the research site of CAPES with the many associations. The following terms were used: savings industry 4.0, performance improvements industry 4.0, lean thinking industry 4.0. All this content was screened taking into account the objectives of the research and the alignment with the theme and were highlighted articles that are cited in this work.

Results: Several examples of technologies applied to process improvement have been identified that can contribute to the reduction or elimination of losses in operations, thus providing an alternative for companies to obtain cost savings in their value chains. It is known that the reduction of costs contributes to increase the competitiveness of organizations, a fact that becomes relevant in a globalized market where the main players of each economic segment are already investing heavily in technological updating.

Discussion: The main discussion in this work is the integration between a management concept, which is lean thinking and a concept of intelligent automation that is the industry 4.0. It is perceived that what can unite these two organizational concepts is exactly the intelligence. Where the lean thinking methods work as a guide to identify opportunities for improvement and the tools of industry 4.0 work as a means to enable the prevention, reduction and or elimination of losses.

Through industry 4.0 the concepts of lean thinking can be applied in the design of the installations and through computational simulations, prototypes and virtual reality all processes can be simulated and improved before they even materialize.

Conclusion: This work confirmed that the integration between the concepts of lean thinking and industry 4.0 is a smart alternative for organizations that aim to ensure the return of their investments in technology update with the objective of improving their competitiveness and ensuring their sustainability. On the other hand, it is also concluded that the application of industry 4.0 without the correct identification of the gains can potentiate the generation of losses through the automation of ineffective processes.

Keywords: Industry 4.0; lean thinking; operations management; digital transformation; Industrial internet of things.

References: [1] BRETTEL, Malte et al. How virtualization, decentralization and network building change the manufacturing landscape: An industry 4.0 perspective. International Journal of Mechanical, Industrial Science and Engineering, v. 8, n. 1, p. 37-44, 2014.

[2] HOFMANN, Erik; RĂœSCH, Marco. Industry 4.0 and the current status as well as future prospects on logistics. Computers in Industry, v. 89, p. 23-34, 2017.

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[3] LI, Xiaomin et al. A review of industrial wireless networks in the context of industry 4.0. Wireless networks, v. 23, n. 1, p. 23-41, 2017.

[4] THOBEN, Klaus-Dieter; WIESNER, Stefan; WUEST, Thorsten. “Industrie 4.0” and Smart Manufacturing–A Review of Research Issues and Application Examples. Int. J. of Automation Technology Vol, v. 11, n. 1, 2017.

[5] ONAR, Sezi Cevik et al. The Changing Role of Engineering Education in Industry 4.0 Era. In: Industry 4.0: Managing The Digital Transformation. Springer, Cham, 2018. p. 137-151.

[6] THEORIN, Alfred et al. An event-driven manufacturing information system architecture for Industry 4.0. International Journal of Production Research, v. 55, n. 5, p. 1297-1311, 2017.

[7] LI, Guoping; HOU, Yun; WU, Aizhi. Fourth Industrial Revolution: technological drivers, impacts and coping methods. Chinese Geographical Science, v. 27, n. 4, p. 626-637, 2017.

[8] ATTARAN, Mohsen. Additive Manufacturing: The Most Promising Technology to Alter the Supply Chain and Logistics. Journal of Service Science and Management, v. 10, n. 03, p. 189, 2017.

[9] WANG, Zhaojing; HU, Hao; ZHOU, Wei. RFID Enabled Knowledge‐ Based Precast Construction Supply Chain. Computer‐ Aided Civil and Infrastructure Engineering, 2017.

[10] YUAN, Zhihong; QIN, Weizhong; ZHAO, Jinsong. Smart Manufacturing for the Oil Refining and Petrochemical Industry. Engineering, v. 3, n. 2, p. 179-182, 2017.

[11] MAIER, Alexander; SCHRIEGEL, Sebastian; NIGGEMANN, Oliver. Big Data and Machine Learning for the Smart Factory—Solutions for Condition Monitoring, Diagnosis and Optimization.

In: Industrial Internet of Things. Springer International Publishing, 2017. p. 473-485.

[12] BORLIDO, David José Araújo. Indústria 4.0: Aplicação a Sistemas de Manutenção. 2017.

[13] SERPANOS, Dimitrios; WOLF, Marilyn. Industrial Internet of Things. In: Internet-of-Things (IoT) Systems. Springer, Cham, 2018. p. 37-54.

[14] LEYH, Christian; MARTIN, Stefan; SCHÄFFER, Thomas. Industry 4.0 and Lean Production– A Matching Relationship? An analysis of selected Industry 4.0 models.

[15] BORLIDO, David José Araújo. Indústria 4.0: Aplicação a Sistemas de Manutenção. 2017.

[16] PROTZMAN, Charles et al. The Lean Practitioner's Field Book: Proven, Practical, Profitable and Powerful Techniques for Making Lean Really Work. CRC Press, 2016.

[17] HERMANN, Mario; PENTEK, Tobias; OTTO, Boris. Design principles for industrie 4.0 scenarios. In: System Sciences (HICSS), 2016 49th Hawaii International Conference on. IEEE, 2016. p. 3928-3937.

[18] ATTARAN, Mohsen. The rise of 3-D printing: The advantages of additive manufacturing over traditional manufacturing. Business Horizons, v. 60, n. 5, p. 677-688, 2017.

[19] OLIVEIRA, Luiz Eduardo Santos de. Concepção de um framework para monitoramento e teleoperação de máquinas-ferramenta CNC via internet aderente à Indústria 4.0. 2017.

[20] SILVA, Edson Pereira da. Gestão da manutenção industrial em transição para a indústria 4.0: Controle mobile, considerações sobre esta nova tecnologia. Enegep 2017. Joinville. SC. [21] LIBÓRIO, Nicole Sales. Cuntomcolor: Uma simulação da produção customizada aplicando os conceitos da indústria 4.0. Enegep 2017. Joinville. SC. [22] MURAYAMA, Roberto Cartwright Brodie. Aplicação do lean manufacturing e estruturação da indústria 4.0 em uma linha de baterias para smartphones. Enegep 2017. Joinville. SC. [23] CORDEIRO, Gabrielly Araújo. Etapas para implantação da indústria 4.0. Uma visão sob aspecto estratégicos e operacionais. Enegep 2017. Joinville. SC.

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[24] VOLPE,Waini. Habilidades e competências do professional para a indústria 4.0. Uma revisão sistemática. Enegep 2017. Joinville. SC. [25] PAULISTA, Paulo H.; CAMPOS, Danielle F.; TURRIONI, João B. Análise bibliométrica da gestão do conhecimento. ENEGEP, São Carlos, 2010.

[26] JONES, Daniel T.; WOMACK, James P.; ROOS, D. A. Máquina que mudou o mundo. Rio de Janeiro: Campus, 2004.

[27] CALADO, Robisom D. Lean six sigma na indústria de óleo e gás. Aplicações e boas práticas.

Rockville, MD. EUA. 2017 [28] ANTUNES, Junico. Sistemas de produção: conceitos e práticas para projetos e gestão da produção enxuta. Bookman Editora, 2009.

[29] LIKER, Jeffrey K.; MEIER, David. O Modelo Toyota-Manual de Aplicação: Um Guia Prático para a Implementação dos 4Ps da Toyota. Bookman Editora, 2007.

Category: Industry 4.0

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Educational Program: How does the Internet of Things can help?

A. Scavarda1, G. Daú2, C. V. Viegas3 1

Production Engineering School, UNIRIO, 2 Nursing School, UNIRIO, 3 Production and Systems Engineering Program, UNISINOS

Introduction: In health, the fourth industrial revolution aids the supply chain and safe processes with the presence of the Internet of Things (IoT), of the Lean concept and innovation1. This new health management, already integrated into the daily routine of hospitals, is called Healthcare 4.02.

Health product processing (HPP) presents critical stages which require much detailing. Various suppliers deliver surgical products and the advancement of surgical techniques determines the pace of technology arrival.

Materials and Methods: The present study analyzes the processing of HPPs, with the objective of identifying possibilities for introduction of Healthcare 4.0 in the Sterilized Materials Department (SMD) during the protocol of a stage called preparation. It was carried on a large size hospital in an important Brazilian city.

Results: Educational tools represent one of the most efficient measures for disseminating information, generating knowledge and skills, standardizing the process, and guaranteeing the fulfilment of stages3. A virtual catalogue, when incorporated into the SMD, is able to, through the Lean concept, reduce steps, minimize failures, and enable access to the necessary information.

Discussion: This virtual catalogue may be capable of aiding in preparation of several of the SMD products. The introduction of the IoT as a base tool contributed for professionals working with HPP having access to this information 5.

Conclusion: The IoT contributes with adaptations allowing the acquisition of processes with increased quality and safer. Educational strategies involving software, systems in process integration, Lean concept and people bring improvements, and providing for reduction of costs with inadequate assemblies or unsafe processes.

Keywords: Healthcare 4.0; Industry 4.0; Internet of Things References: [1] Roblek, V.; Meško, M.; Krapež, A. A Complex View of Industry 4.0 SAGE Open April-June 2016: 1–11; [2] Gapchup A.; Wani, A.; Gapchup, D.; Jadhav, S. Health Care Systems Using Internet of Things. International Journal of Innovative Research in Computer and Communication Engineering, 2016; [3] Campo-Ávila, J.; Conejo, R.; Triguero, F.; MoralesBueno, R. Mining Web-based Educational Systems to Predict Student Learning Achievements.

International Journal of Artificial Intelligence and Interactive Multimedia, Special Issue on Digital Economy Vol. 3, Nº 2. -49, 2015; [4] Muller, C.; Grunewald, M. Spengler, T. Redundant configuration of automated flow lines based on ‘‘Industry 4.0’’technologies J Bus Econ 87:877– 898, 2017; [5] Vijaykumar, S.; Saravanakumar, S. G.; Balamurugan, M. Unique Sense: Smart Computing Prototype for Industry 4.0 Revolution with IOT and Bigdata Implementation Model.

Indian Journal of Science and Technology, Vol 8(35), 2015.

Category: Industry 4.0

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Using Lean tools to reduce patient waiting time

Luciana Teixeira Lot1, Alice Sarantopoulos2, Simone Reges Perales1, Ilka de Fatima Santana Ferreira Boin1, Li Li Min2, Elaine Cristina Ataide1 1

Liver Transplant Outpatient Clinic Group, FCM, UNICAMP, 2 GIGS, UNICAMP

Introduction: This study aims to address problems at patient flow and the reasons behind long wait times in a public Liver Transplant outpatient clinic at an education and research hospital, using Lean Healthcare theories.

Materials and Methods: This paper opted for application of Lean Thinking and the action-research strategy. Data were collected through personal observations, interviews with users and team brainstorm. A Value Stream Map was developed, improvement possibilities were identified and implemented seeking eliminate non-value-added activities and consequently reduce waiting time.

Results: Significant problems were identified and improvements were implemented. After an analysis of causes the major remedial measures were: change the scheduling pattern and create a flowchart. In addition, an institutional change in the medical appointment scheduling software collaborated in the reduction of execution time and in the patient's displacement to the accomplishment of their schedules. The flow was redesigned and a culture of continuous improvement was introduced.

Discussion: Observing where the work was being done, more value was created, without significant costs. The Gemba Walk was a powerful tool, interacting with people and processes in a kaizen spirit. The solutions presented in this study reduced waiting times by improving the patient's flow at an outpatient clinic service, from a public educational and research hospital, using Lean Healthcare theories. Enhancing quality of health care delivered in public health facilities in developing countries is a key to guarantee sustainability of health care services to the population.

Conclusion: The present work confirmed that public health services in developing countries are one of the most deprived social needs of good practice, Lean Thinking is a proven effective organizational strategy. After improvements, success could be demonstrated by significantly reduced waiting times and resulting the increase patient and employee satisfaction. It will be useful for those who needs examples about how to apply Lean tools in healthcare.

Keywords: Patient Waiting Time, Lean Healthcare, Value Stream Map, Gemba Walk References: COSTA, L. B. M. et al. Lean healthcare in developing countries: evidence from Brazilian hospitals. International Journal of Health Planning and Management, v. 32, n. 1, p.

E99-E120, Jan-Mar 2017.

ISSN 0749-6753.

Disponível em: < <Go to ISI>://WOS:000396411500007 NAIDOO, L.; MAHOMED, O. H. Impact of Lean on patient cycle and waiting times at a rural district hospital in KwaZulu-Natal. African Journal of Primary Health Care & Family Medicine, v. 8, n. 1, p. 1084, 07/26 11/06/received 03/03/accepted 2016. ISSN 2071-2928 2071-2936. Disponível em: < http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969513/ >.

Category: Lean Healthcare

PĂ´steres e A3

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Learning philosophy and disseminating Lean Six-Sigma culture in port operations management case study of a terminal in the port of Santos Leonardo Prado Conceição - Professional Master's Program in Production Engineering. Araraquara University - UNIARA, Araraquara/SP Prof. Dr. Carlos Magno de Oliveira Valente (Advisor) - Professional Master's Program in Production Engineering. University of Araraquara - UNIARA, Araraquara / SP

Introduction: Since the 1960s, Brazilian ports have been demonstrating considerable and consistent evolution, shifting their basic modal shift from goods to becoming an integrating element and component of local and global logistics chains. With increasing competition in this area, the challenge for port operators is to achieve process efficiency and deliver more value to customers, since the port area is an extremely important environment for the national economy, but always was associated with obsolete structures, inefficient operations, lack of dredging, expensive tariffs among other political and management problems. In this scenario, where port managers have done what they can with their limited resources to serve their main customers, the search for continuous improvement becomes an effective commitment and the use of traditional tools in the manufacturing environment is also gaining ground in the sector of ports. Implementing a management program emerges as one of the priorities for this type of business and to be successful, needs to be related to the development of change agents. They will be the true drivers of change, one of the key points to retain of people in the company and establish the formation of a new operational culture focused on continuous qualitative progression.

Objective: The objective of this research is to show the steps of the leadership development program to ensure the implementation of the LEAN SIX SIGMA (LSS) methodology in a port terminal, disseminating a new operational culture.

Methods: The ongoing research is of an applied nature and with a combined approach through an exploratory case study. This work presents an empirical and practical character, associating steps of bibliographic research as a conceptual basis in the application of SIX SIGMA and LEAN tools.

Conclusion: The thematic is justified by the strategic importance of the port of Santos in the logistics chain of the exporters. This port represents a large part of the flow of national-international trade and has a considerable impact on the Brazilian trade balance. The application of this philosophy is monitored on two bases: (1) the technical and management training of leadership teams through the development of LEAN projects and (2) the contributions of the projects to the considerable reduction of existing waste, shifting the results to a level of performance throughout the operational process. It is hoped that this experience can be amplified and extended to all sectors of the company.

Keywords: Lean Manufacturing; Six Sigma; Continuous Improvement, Leadership, Operations Management, Productivity

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Multidisciplinary learning based on a reality simulation game for the education of production engineering Graduando em Engenharia de Produção, UFF, Manuel Henrique Guinelle Teixedo; Professor de Engenharia de Produção, UFF, Robisom Damasceno Calado; Graduando em Engenharia de Produção UFF,Vitor Eduardo Martins Maciel Introduction: The transmission of knowledge in an academic environment has a segregate approach, in which the disciplines are fragmented and separated from each other’s, having no interaction between them, making the learning process more difficult as a whole, resulting in students inert to a tiresome educational process.

Materials and Methods: This article shows a didactic activity of practical nature, that seeks to interact the content taught inside the class in different subjects, through the use of simulation as a tool to support the teaching and learning act.

Results: By means of simulation games and the deconstruction of the conventional teaching model.

It was possible to make learning process clearer and attractive to students. In addition, we were able to show the interaction of the many disciplines, taught inside classroom, solving real problems.

Discussion: The effort to search and use real data, having to start from zero to build professional reports and to compete between them in simulation gaming using Lego pieces. This experience gave to students not only the opportunity to assimilate concepts, but also to interact with them building and rebuilding the reality lived inside the simulation. They were forced to bring back to their minds subjects learned and had to use them together, combined, to build up the best solution.

Conclusion: At the end of the three stages of reality simulation game, the students have experienced a market experience through the applications put into practice in an agile, dynamic and integrated way. The factory prototipation, stimulates individual and collective creativity on participants and allows debates between them. Where each one defends his point of view, but in the end the team builds a robust knowledge about this type of business, developing skills and expertise of market. However, the main goal in this game is to bring a new approach to learning that creates a critical and analytical sense, making those involved able to unravel paradigms and unilateral models, proposing new solutions with multidisciplinarity.

Keywords: Education, Simulation, multidisciplinarity, Game, Factory planning, Strategic Planning.

References: [1] Bamford D, Karjalainen K, Jenavs E. An evaluation of problem-based assessment in teaching operations management.Int. J.Operat. Product. Manag. 32: 1493-1514,2012; [2] CANDAU, Vera Maria (org.). Rumo a uma Nova Didática. 16ª ed. Petrópolis: Vozes, 2005; [3] FREIRE, Paulo. Educação e Mudança. 23ª Ed. Rio de Janeiro: Editora Paz e Terra, 1979; [4] OLIVEIRA, F. P. S.; SOUZA, R. L. R.; MEDEIROS JUNIOR, J. V.; ANEZ, M. E. M. Aplicação da simulação empresarial no ensino da graduação. In: SIMPÓSIO DE ENGENHARIA DE PRODUÇÃO, 12, Bauru. Anais... Bauru, 2006; [5] SILVA FILHO R.L.L. Para que devem ser formados novos engenheiros? Disponível em: <http://educacao.estadao.com.br/noticias/geral,artigopara-que-devem-ser-formados-os-novos-engenheiros,838027> Acessado em: 20 Dez, 2017.

Category: Lean Education – Design Thinking

VII Lean Day th th April 12 – 13 , 2018 Brazil

VSM e classificação ABC/XYZ em um restaurante japonês Graduando em Engenharia de Produção, UFF, Manuel Henrique Guinelle Teixedo; Graduando em Engenharia de Produção UFF,Vitor Eduardo Martins Maciel Introduction: The presented case use tools and techniques of Lean through the elaboration of Value Stream Mapping and Process Mapping in a Japanese food restaurant located in Rio das Ostras, Rio de Janeiro.

Materials and Methods: The methodology used was Design Science Research, in which enabled us to create a rigorous body of knowledge and a temporal line of actions.

Results: We proposed a new future VSM with the following improvements:  Implementation of a demand forecasting method, facilitating supplier communication and scheduling;   Efficient management of inventory control: Reduction of existing inventories or implementation of a supermarket system;   Creation of security stock, order point and maximum stock, ensuring that the merchandise is always available and in qualities of use;   Improvement of Production Flow;  Production pulled with implementation of Kanban system;  Reduction of Processing Time by 53%;  Lead Time reduction by 65%;  Reduction of Takt Time by 35%; Discussion: The suggested solutions focus on process improvements, together with the organization management day-by-day and should be enhanced as a cycle.

Conclusion: With the accomplishment of all the stages present in the methodology studied throughout this work, it is possible to notice the effectiveness of the control tools and improvements in search to obtaining results.

Keywords: Lean, VSM, Gestão de Estoques, Lead Time, Takt e Produção puxada.

References: [1] JURAN, J. M. Planejando para a qualidade. 3° ed. São Paulo: Pioneira, 1995.; [2] LACERDA, P. D et.al. Design Science Research: método de pesquisa para engenharia de produção.

Disponível em: <http://www.scielo.br/pdf/gp/v20n4/aop_gp031412.pdf>. Acessado em: 15 de Jul. 2016. ; [3] QUEIROZ, A.A.; CAVALHEIRO, D. Método de previsão de demanda e detecção de sazonalidade para o planejamento da produção de indústrias de alimentos. XXIII ENEGEP,2003.Disponívelem: < http://www.abepro.org.br/biblioteca/enegep2003_tr0101_0801.pdf>. Acesso em: 25 Jul.2016. [4] SLACK, N.; CHAMBERS, S.; JOHNSTON, R. Administração da Produção. 2ª ed. São Paulo: Atlas, 2009.; [5] TUBINO, D. F. Manual de Planejamento e Controle da Produção. 2ª ed. São Paulo: Atlas, 2000.; [6] TUBINO, D. F. Planejamento e controle da produção: Teoria e prática. São Paulo: Atlas, 2007.; Category: Others.

VII Lean Day th th April 12 – 13 , 2018 Brazil

Improvement in patient care performance, internal flow and compliance with outpatient medical consultation goals 1

C.C.R. Lisboa , B. C. Fernandes 1

2

2

Gerente Técnica Regional, CEJAM, Consultora de Projetos, Hospital Albert Einstein

Introduction: This study presents the impact of the unduly regulated regulation fittings on outpatient schedules and their reorganization with the objective of optimizing the flow of patients in the clinic, guaranteeing patient quality and safety, patient satisfaction and compliance of the goal of the management contract signed between a Social Health Organization and the Municipal Health Department, in addition to increasing the satisfaction of the internal client (doctors) through the reduction of the fittings / substitutions carried out incorrectly.

Method: In the period of 14 days we collected data in relation to the number of queries offered, performed, number of faults and fittings by medical specialty with the purpose of obtaining data to be used as baseline of the study in the measurement and analysis phase. The data was organized in an Excel spreadsheet and analyzed using statistical methods of the Action add-in.

The methodology was based on the Lean Six Sigma concepts, through the phases of Definition, Measurement, Analysis, Improvement and Control - DMAIC. The gating rate indicator was defined to mark the analysis of the number of visits performed correctly by medical specialty.

This rate was measured by calculating the number of correct fittings per medical specialty for every 100 medical appointments.

Results: As a way to highlight implemented improvements, the tools used in the administrative (reception) and care (doctors and nurses), brought greater fluidity in the initial care to the patient, for the accomplishment of regulated fit, having a better technical evaluation and faster in the care of the patient who needed to fit in the day. The improvement achieved yielded consistent positive results, with an average of 43 correct fittings and after implementation of process improvement this value increased to an average of 75.5 correct fittings in the total period of all the medical specialties of the clinic.

Discussion: The actions carried out promoted the beginning of a new phase in this service, indicating new challenges in other established processes, which require a more specific and detailed look at data measurement, planning and the use of tools in search of operational efficiency.

Conclusion: The benefits of the project for the Institution are greater operational capacity, customer satisfaction, better quality of management, monitoring of indicators, and improvement in organizational climate through internal customer satisfaction.

Keywords: Lean Six Sigma, Continuous Improvement, Client Satisfaction.

References: [1] Carvalho, M. M., Ho, L. L., & Pinto, S. H.B. (2007). Implementação e difusão do programa Seis Sigma no Brasil. Revista Produção,17(3), 486-501. [2] CROSBY, Philip, B. Qualidade, falando sério. São Paulo: McGraw-Hill, 1990. [3] Pande, P.S., Neuman, R. P., & Cavanagh, R. R. (2001). Estratégia Seis Sigma. Rio de Janeiro: Qualitymark. [4] Trad, S., & Maximiniano, A. C. A. (2009). Seis Sigma: Fatores críticos de sucesso para sua implantação.

Revista de Administração Contemporânea, 13(4), 647-662.

Category: Lean Healthcare.

VII Lean Day th th April 12 – 13 , 2018 Brazil

Material reprocessing with the Lean Education lenses G. Daú1, A. Scavarda2, M. V. Godoy da Silva3, C. R. Lyra da Silva4 1

Nursing School, UNIRIO, 2Production Engineering School, UNIRIO, 3Nursing School, UERJ, 4 Nursing School, UNIRIO

Introduction: Cost reduction, without loss of quality1, becomes a complex task. Strategies that primarily evaluate the macroenvironment may be integrated with subsequent microenvironment analysis. This microenvironment analysis involves observing, though the Lean Healthcare lenses, practices developed at each sector of the hospital institution. The complexity of activities may reveal unnecessary stages and flow adjustments2.

Materials and Methods: This is a study of analysis of practices developed at the Sterilization Materials Processing Department (SMPD). It has the main purpose of proposing an educational action for establishing or maintaining quality processes on this unit. It was carried in the period from December 2016 to July 2017.

Results: Processing requires agility, but at the same time careful observation3. Enabling interruption of work or convening of the team in days different from duty days may be a challenge.

It is observed that processes involving Lean Educational may be auxiliary in keeping practice consistency.

Discussion: Meetings with SMPD professionals in order to understand the best training program format allowing the participation of all, thus providing higher chance of success. A program of classes may be available for access by such professionals. The time for this refresher course may be of around half an hour on work breaks or through remote access in a venue outside the hospital institution4, 5.

Conclusion: The integration of the Lean concept brings contributions as the cost with education on service and the conservation of the quality of processes are being considered. Training programs become a challenge by the characteristics of hospital dynamics itself. Instituting an objective program which allows the effective participation of the SMPD professional may be the pathway for strengthening quality processes.

Keywords: Lean Education; Quality Process; Hospital References: [1] Keizer, M. C.A.O; Teunter, R.H.; Veldman, J.; Babai, M.Z. Condition – based maintenance for systems with economic dependence and local sharing. International of Prduction Economics. Volume 195, January 2018, Pages 319-327, 2017.

[2] Muller, C.; Grunewald, M. Spengler, T. Redundant configuration of automated flow lines based on ‘‘Industry 4.0’’technologies J Bus Econ 87:877–898, 2017; [3] Aronsson, H; Abrahamsson, M.; Spens, K., Developing lean and agile health care supply chains Supply Chain Management: An International Journal Volume 16 · Number 3 · 176–183, 2011; [4] Campo-Ávila, J.; Conejo, R.; Triguero, F.; Morales-Bueno, R. Mining Web-based Educational Systems to Predict Student Learning Achievements. International Journal of Artificial Intelligence and Interactive Multimedia, Special Issue on Digital Economy Vol. 3, Nº 2. -49, 2015; [5] Katherine A. Whalen, K. A.; Berlin, C., Ekberg, J.; Barletta, I.; Hammersberg, P. ‘All they do is win’: Lessons learned from use of a serious game for Circular Economy education. Resources, Conservation & Recycling, 2017.

Category: Lean Education – Design Thinking

VII Lean Day th th April 12 – 13 , 2018 Brazil

The Central Sterile Supply Department: working with the Lean Agile concept A. Scavarda1, G. Daú2, L. R. Holsbach3 1

Production Engineering School, UNIRIO, 2 Nursing School, UNIRIO, 3 Biomedical/Clinical Engineering, Santa Casa de Misericórdia of Porto Alegre

Introduction: The Central Sterile Supply Department (CSSD) answers for the processing of products to support all hospital unit patients. Its highest demand is found in the surgical theater with products of varied designs and for specific use. The Lean Agile concept adds value to this complex sector which needs to work with process agility without compromising quality1.

Materials and Methods: The study was carried on a hospital located on the Metropolitan Region of the city of Rio de Janeiro, with 211 beds and processing around 9,000 products which shall be used in the patient’s sterile cavity. It supports several surgical specialties and teams.

Results: The several surgical teams and procedures performed by the largest CSSD client, the surgical theater, use various products, which need customized kits for supporting different surgical techniques. Aside from customization, there is a need for process agility with a cost possible to be implemented, with assured quality2, 4.

Discussion: In order to support the surgical demand needs, the incorporation of the Lean Agile concept and the customization of kits is present1, 3, 4. Understanding what medical teams need, organizing service or prioritizing assistance in a given moment provide flow to the supply chain5 in the link established between the CSSD and the surgical theater.

Conclusion: The Lean Agile and customization at the CSSD bring value to the service in the sense they prioritize support and seek to understand the user, maintaining financial health and quality processes.

Keywords: Lean Agile; Customization; Surgical Center References: [1] Duguay, C. R., Landry S.; Pasin, F. From mass production to flexible/agile production International Journal of Operations & Production Management, Vol. 17 No. 12, 1997, pp. 1183-1195. [2] Bruce, M; Daly, L. Towers, N. Lean or agile A solution for supply chain management in the textiles and clothing industry? International Journal of Operations & Production Management Vol. 24 No. 2, 2004 pp. 151-170 [3] Brown, S.; Bessant, J. The manufacturing strategy-capabilities links in mass customisation and agile manufacturing – an exploratory study.

International Journal of Operations & Production Management Vol. 23 No. 7, 2003 pp. 707-730 [4] Krishnamurthy, R.; Yauch, C. A. Leagile manufacturing: a proposed corporate infrastructure International Journal of Operations & Production Management Vol. 27 No. 6, pp. 588-604, 2007.

[5] Aronsson, H; Abrahamsson, M.; Spens, K., Developing lean and agile health care supply chains Supply Chain Management: An International Journal Volume 16 · Number 3 · 176–183, 2011.

Category: Lean Healthcare

VII Lean Day th th April 12 – 13 , 2018 Brazil

Corporate Social Responsibility and Lean Healthcare: A framework proposal A. Scavarda1, G. Daú2, A. L. Korzenowski3 1

Production Engineering School, UNIRIO, 2 Nursing School, UNIRIO, 3 Production and Systems Engineering Program, UNISINOS

Introduction: Corporate Social Responsibility (CSR) has been adopted by many companies and jointly brings the concept of the sharing economy1 to the area of health. In Brazil, the economic, social and political crisis provide for corporate innovation and strategies in the search for investments that may contribute to society. Many Brazilian hospitals are located close to low income population communities, who, in most cases did not have opportunity of employment or study2.

Materials and Methods: The present study was carried on a Brazilian large sized hospital from analysis performed by the authors and seeks to provide a framework proposal involving CSR and Lean Healthcare.

Results: Four possible actions are highlighted on the framework proposal: family support unit, mother-child health and medical clinic support, educational program, and investment in recycling co-operative3.

Discussion: The enrolment for support at the mother-child health and medical clinic unit seeks to understand: the needs of the family and the possibilities of integration or reintegration into the work environment; mother-child health support enabling medical, nursing, psychology, and physical therapy support; prepare residents who need and desire to be reintegrated into the work environment for activities like cleaning, hotel business, reception, building maintenance, and support to the creation or maintenance of a residue recycling co-operative4.

Conclusion: Taking the hospital into the community and vice-versa are measures that add value not only to the institution brand, but also to the social, economic and environmental settings5.

Keywords: Corporate Social Responsibility; Lean Healthcare, Framework; Triple Bottom Line.

References: [1] Yang, S., Song, Y., Chen, S. Xia, X. Why are customers loyal in sharing – economy services? A relational benefits perspective. Journal of Services Marketing 31/1 48-62, 2017; [2] Martin, C. J., Upham, P. Klapper, R. Democratising platform governance in the sharing economy: An analytical framework and initial empirical insights. Journal of Cleaner Production 166 1395-1406, 2017; [3] Ciliberti, F.; Haan, J,; Groot, G.; Pontrandolfo, P. Journal of Cleaner Production CSR codes and the principal-agent problem in supply chains: four case studies. Journal of Cleaner Production 19 885e894, 2011; [4] Crifo, P.; Diaye, M.; Pekovic, S. CSR related management practices and firm performance: An empirical analysis of the quantity–quality tradeoff on French data. Int.J.ProductionEconomics 171 405–416, 2016; [5] Khayatzadeh-Mahani, A, Labonté, R. Ruckert, A. Leeuw, E. Using sustainability as a collaboration magnet to encourage multi-sector collaborations for health. Global Health Promotion 1757 – 9759; Vol 0(0): 1-5; 683387, 2017.

Category: Lean Healthcare

VII Lean Day April 12th – 13th, 2018 Brazil

LEAN Healthcare applied to hospital processes L. A. Valle¹, R. H. Gutierrez² ¹Alfa Hospital ²Production Engeneering Department, UFF

Introduction: The LEAN methodology was used in this work to achieve a standardized protocol for the prevention of ventilator-associated pneumonia (VAP), a hospital infection. The protocol has contributed to improve the services provided at an Adult ICU at Alfa Hospital, named Alfa ICU, through the management of VAP prevention processes. This work is part of an applied academic research (5) developed to improve the quality of the services performed in a healthcare institution by using LEAN and Process Management.

Materials and Methods: Nationally and internationally recognized databases, and an extensive bibliographic survey were used in this work. Among the documents researched and used, there are protocols from renowned Brazilian [1], [3], [4] and International Institutions [2]. The healthcare professionals treating the inpatients at Alfa ICU were the research universe, and they validated the proposed protocol. A semi-structured questionnaire, a comparative benchmarking, three focus groups, and a process flowchart were also used. The following steps were performed: a) identification of existing standardized national and international protocols for the VAP prevention processes; b) development and proposition of a protocol to standardize the VAP prevention process, aiming at reducing the process variability and VAP incidence at the Alfa ICU; c) the validation of the newly designed protocol at Alfa ICU. Results: In order to dry and reduce the variability of the activities and processes, their standardization was sought, and a protocol, designed from the bibliographic survey, the field research and the validation, was achieved. It was found that, at Alfa ICU: a) there were not any standardized VAP prevention protocols; b) there were actions identified as isolated personal routine for the VAP prevention; c) some professionals used an alternative protocol [2] for the VAP prevention, the Ventilator Bundle.

Discussion: The nonexistence of a standardized protocol for the VAP prevention was identified by 69% of the respondents. The personal routines mentioned by the professionals, carried out as if they were protocols, showed that the team sought to guarantee the quality in the care of the patients. The Ventilator Bundle [2] was mentioned by some of the medical professionals as the sector’s protocol for the VAP prevention. This was subsequently characterized as not actually so.

Conclusion: This LEAN work applied Process Management methodologies, and it achieved a standardized protocol for the VAP prevention, based on Comparative Benchmarking and on the contribution of the professionals who answered the questionnaire and validated the proposed protocol.

Thus, it contributed for the standardization of the prevention procedures, the reduction of work process variability, and the reduction of resource waste due to ineffective measures.

Keywords: LEAN Service, Process Improvement, Process Management, Hospital Management, Hospital Infection.

References: [1] Agência Nacional de Vigilância Sanitária, Brasília-DF, 2009; [2] Institute for Healthcare Improvement, Cambridge, 2009; [3] Sociedade Brasileira de Pneumologia e Tisiologia, Brasília, 2007; [4] Sociedade Paulista de Infectologia, São Paulo, 2006; [5] Valle LA, Universidade Federal Fluminense, Niterói, 2013.

Category: Lean Healthcare

VII Lean Day th th April 12 – 13 , 2018 Brazil

Lean Healthcare: A case study of the reprocessing of the boxes for hip arthroplasty G. Daú1, A. Scavarda2, N. N. de Almeida3, M. Seabra4 1

Nursing School, UNIRIO, 2Production Engineering School, UNIRIO, 3 Maritime Studies, Naval War School, 4 Gerontological Department, Amahanna Medical Services.

Introduction: The Lean concept at its various fronts, Lean Six Sigma and Lean Manufacturing1, is absorbed by the hospital unit for optimization of processes and minimization of errors2. At the hospital environment, the Central Sterilization Department (CSD) possesses a similarity with the industrial process, where a production line with its own characteristics is identified. The present study sought to analyze the several stages composing the processing of health products and to identify, among these, the applicability of the Lean Healthcare concepts3.

Materials and Methods: The study was carried on a private network hospital in the city of Rio de Janeiro. The stages aimed at processing for the support to 50 hip arthroplasty procedures were timed.

Results: Two results are highlighted: the CSD physical plant and the state of conservation of boxes aimed at hip arthroplasty surgeries.

Discussion: The Lean concept applied to the hospital institution brings several contributions, with results being herein discussed3.

• CSD physical plant – a physical area reserved for the preparation of such boxes, from consignation companies, must be evaluated in the physical structure of a CSD supporting a horizontal flow with no interruptions4, 5.

• Conditions of the conservation of boxes – the quality of the final product may be affected and the professional shall have to provide greater time for care during preparation.

Conclusion: Among process stages, preparation presents the highest time taken by the nursing professional than any other (25.76%). Both highlighted results may impact as much the physical plant structure as the conservation of surgical boxes brought by consigned material companies.

Keywords: Lean Healthcare; Case Study; Hospital References: [1] Sanders, A.; Elangeswaran, C.; Wulfsberg, J. Industry 4.0 Implies Lean Manufacturing: Research Activities in Industry 4.0 Function as Enablers for Lean Manufacturing.

Journal of Industrial Engineering and Management JIEM, 9(3): 811-833, 2016; [2] Smith, M.L.; Wilkerson, T., Grzybicki, D. M., Raab, S. The Effect of a Lean Quality Improvement Implementation Program on Surgical Pathology Specimen Accessioning and Gross Preparation Error Frequency Am J Clin Pathol; 138:367-373, 2012; [3] Aronsson, H; Abrahamsson, M.; Spens, K., Developing lean and agile health care supply chains Supply Chain Management: An International Journal Volume 16 · Number 3 · 2011 · 176–183; [4] Hoek, R I.; Harrison, A.; Christopher, M., Measuring agile capabilities in the supply chain. International Journal of Operations & Production Management, Vol. 21 No. 1/2, 2001, pp. 126-147; [5] Hoffmann, E; Rüsch, M. Industry 4.0 and the current status as well as future prospects on logistics. Computers in Industry, 2017.

Category: Lean Healthcare

VII Lean Day th th April 12 – 13 , 2018 Brazil

Lean Sustainability practices in the Central Sterilization Service Department: A case study G. Daú1, A. Scavarda2, R. C. Lyra da Silva3, V. Schutz4 1

Nursing School, UNIRIO, 2Production Engineering School, UNIRIO, 3 Nursing School, UNIRIO, 4 Nursing School, UNIRIO

Introduction: The issue of Lean Sustainability, increasingly discussed in various areas and presently in health, brings contributions for practices on product recycling1. Among the possibilities of integration of these practices, can be observed the product processing department (PPD) with its internal and external clients. The responsibility of such department goes from the input of products for processing to their use on the patient.

Materials and Methods: The present study, carried on a health institution located in Brazil’s southwest region, offers a model of sustainable practices at the PPD, involving Lean Sustainability.

The base for this model is the reuse of cardboard paper on the Process Challenge Device (PCD).

Results: The PPD strongly implies in costs, where the rates of surgical rooms and forwarding of health plans do not cover expenses involving processing. It is possible to evaluate and identify this sector not only a cost sector, as it possesses direct influence on the reduction of infection rates related to health support and surgical site infection. Many are the opportunities for material recycling, enabling not only the incrementation of the department’s annual budget, but also how to add value to the institution’s image2.

Discussion: The appeal for recycling practices brings the strengthening of the health institution’s concern in face of society and the environment3, 4. The sale of cardboard paper can be made, but if this is not possible, cardboard paper may also be converted into other products, like as institutional cards and newsletters.

Conclusion: The PPD is identified as possessing products likely to be recycled, such as cardboard paper used on all loads to be sterilized as PCD component. The encouragement to these practices must be present in the daily activities of the health institution, strengthening the Triple Bottom Line5.

Keywords: Lean Sustainability; Recycling; Sterilization; Hospital References: [1] Plewnia, F., Guenther, E., 2017. Advancing a sustainable sharing economy with interdisciplinary research uwf 25:117-124, 2017; [2] Connor, A., O’Donoghue, D. The seventh dimension of quality in health care. Invited Editorial. Hemodialysis International; 2-5, 2012; [3] Kumar, V., Lahiri, A. Dogan, O. B., 2017. A strategic framework for a profitable business model in the sharing economy. Industrial Marketing Management, 2017; [4] Khayatzadeh-Mahani, A, Labonté, R. Ruckert, A. Leeuw, E., 2017. Using sustainability as a collaboration magnet to encourage multi-sector collaborations for health. Global Health Promotion 1757 – 9759; Vol 0(0): 1-5; 683387; [5] Carlfjorg, S., Lindberg, M., Andersson, A., 2013. Sustained use of tool lifestyle intervention implement in primary health care: a 2 – year follow - up. Journal of Evaluation in Clinical Practice 19 (2013) 327-334.

Category: Lean Healthcare

VII Lean Day April 12th – 13th, 2018 Brazil

Lean Practices in a Nationwide Brazilian Fractional Cargo Carrier: A Case Study D. C. Moretti1, V. B. Bini1, S. M. Bernardo1, B. A. Roder1, S. C. Pereira2, T. O. Souza2 1

Nortegubisian Consultoria e Treinamento, 2Patrus Transportes Urgente

Introduction: Sustainable profitability in the fractional cargo carrier market is specially challenging due to pulverized delivery and low entry cost. Also, quality and delivery customer requirements are increasingly high. As a result, process planning and continuous waste elimination are key drivers for business survival. This work presents a qualitative and quantitative case study for the deployment of Lean practices in the logistics operations of a nationwide Brazilian fractional cargo carrier, in its Campinas (SP) and São Paulo (SP) branches.

Lean is a corporate philosophy comprised of a set of techniques and tools that aim to improve business performance, as a result of customer value identification and waste elimination. The so-called "Lean Journey" began with mapping value stream, analyzing the flow of products and resources, identifying and prioritizing improvement opportunities, improvement execution and control.

Materials and Methods:The research was conducted through the application of exploratory methods using the case study technique. According to Miguel (2012), the case study is an empirical study which investigates a current phenomenon and, generally, the boundaries between the phenomenon and the context where it is inserted are not clearly defined. The case study is characterized by an indepth knowledge of activities where it is possible to detail problems and create solutions (MARTINS, MELLO and TURRIONI, 2014).

Results: A two-digit profitability increase was achieved one year after program kick-off. It was a consequence of increased labor productivity due to a 20 to 70% lead time reduction in the cargo unloading, distribution, picking and loading processes. Layout and flow improvements resulted in a space requirement reduction in the order of 15%. In addition, revenue increased due to quality and delivery performance. Significant employee morale and satisfaction rating increases are also important results achieved due to process streamlining, housekeeping and suggestion program rollout.

Discussion: An important success factor was top tier management buy-in. Total support was given for the improvements, the right behaviors and leadership practices were conducted, enabling cultural change.

The execution of several training and practical workshop sessions was key in enabling cultural change.

Conclusion: To conclude, the case study demonstrates that the deployment of Lean practices can be successful in a fractional cargo carrier, contributing to business profitability and survival, in spite of its contextual challenges.

Keywords: Lean Thinking, Lean Logistics, Fractional Cargo Carrier.

References: [1] WOMACK JP, Jones DT (1996) Lean Thinking: Banish Waste and Create Wealth in Your Corporation. Free Press, New York; [2] WOMACK J, JONES DT, ROOS D (1990) The Machine that Changed the World. New York, NY; [3] MARTINS RA, MELLO CH, TURRIONI JB (2014) Guia para Elaboração de Monografia e TCC em Engenharia de Produção São Paulo, Atlas; [4] MIGUEL PAC (2012) Metodologia de pesquisa em Engenharia de Produção e gestão de operações. 2° ed, Rio de Janeiro; [5] SLACK N, CHAMBERS S, JOHNSON R (2002) Administração da Produção, São Paulo, Atlas.

Category: None (Lean Logistics)

VII Lean Day th th April 12 – 13 , 2018 Brazil

Design Thinking and motivational interviewing as tools to reduce resistance to change in the school context T. P. Ferro1, I. Assumpção2, T. Ayres ³, L. M. Li1, 2 1 Instituto Brasileiro de Neurociências e Neurotecnologia, BRAINN, UNICAMP, 2Assistência à Saúde ao Paciente com Epilepsia, ASPE, UNICAMP 3 Diretoria Leste de Ensino Campinas thais.pilon.ferro@gmail.com

Introduction: The approximation between the health and education areas is indicated by the Brazilian public policies, however, there are no models in the literature that indicate how this partnership can be accomplished. ASPE, a health centered NGO together with Brainn, a research Institute have conducted a project on science diffusion, aiming to improve knowledge and fight stigma associated to brain disease. One project in particular has been conducted in schools. Yet the idea and concept of working in the school environment is quite clear on its potentials, the partnership between health researchers and school teachers is not. The objective of this study is to describe the use of Design Thinking (DT) and Motivational Interviewing (ME) techniques as a tool of initiate the bonding and partnership between the health and education areas, reducing resistance and projecting joint intervention projects.

Materials and Methods: Data collection occurred with teachers from a public school in the city of Campinas and was carried out through the DT and ME technique, which aims to address the problem and the solution of the same by the participants themselves, through the development of empathy and immersion in the context analyzed. The data collection was conducted by the researchers and sought to analyze consecutively four topics: challenges and solutions encountered by teachers in the classroom, desirable reality of the school within one year and level of motivation to achieve the desired condition. The application lasted for three hours, occurred in the school participating in the study and used the following materials: flipchart sheets, pens, post-it, tables and chairs. Participants were divided into 7 groups with 3 to 5 participants each. The stages of the dynamics were performed by each group simultaneously. The collected data were analyzed in a qualitative way, through predicted and emergent categorization of participants' responses.

Results: The study involved 33 teachers from Elementary and High School of a public school in the city of Campinas (mean age 43 years and 75% female). Through the Design Thinking technique, the participants were able to describe and list the greatest difficulties encountered in the school context, as well as the possible solutions for the school to approach the ideal situation described.

The average motivation score (between 0 to 10) to act on the action plans suggested by the participants was 8.5. When questioned through the Motivational Interview technique about the possibility of the motivation level being smaller, all participants justified that it would not be possible to the fact of felling that they were responsible for the development of the students and for the multidisciplinary partnerships of the school. After the application of the DT and ME techniques, all the teachers consent with the project partnership between health and school areas, moreover, they all got motivated.

Discussion: The DT and ME techniques proved to be efficient in forming a bond and a partnership between health and education. At the beginning of the contact between the researchers and the school and only with a presentation of the project in a pedagogical meeting, the teachers had refused the participation. However, after the intervention using DT and ME, the teachers and the pedagogical management teamed up with the project, concluded about the importance of the same in the biopsychosocial development of the students and the co-responsibility of education professionals in this process. Two weeks after, teachers started the action plans listed to achieve the ideal situation of the school and solve the problems encountered Keywords: Design Thinking; School; Health; Partnership

VII Lean Day th th April 12 â&#x20AC;&#x201C; 13 , 2018 Brazil

Implementation of the Lean approach in water efficiency project in the hospital area D. D. Affonso1, R. D. Calado2, G. B. A. Lima2, W. Cunha3 1

Production Engineering, UFF, 2Department of Production Engineering, UFF, 3CEO W Energy

Introduction: In an effort to improve operational efficiency and reduce costs, hospitals have sought the Lean Thinking approach. This work consists in presenting the implementation of an innovative water efficiency project of a private hospital, located in Rio de Janeiro/Brazil, under Lean perspectives.

Methodology: For the development of the case study, a technical survey was carried out initially, containing a quantitative and descriptive survey of the hospital's hydraulic installations for the elimination of waste from the leak, as well as the search for solutions to problems for rational and conscious consumption from water. The company W Energia was contracted for the support and all the necessary technical support for a project of this project.

Next, the report of the initial survey with the potential of saving the project was presented at the kick-off meeting on the hospital board. Considering the high initial investment for an implementation of the changes of this project, it was defined that the payment to the company consulted for a obtained economy (success rate), a security company and focus on the quality and without results of the services provided.

After the use of this project, training was carried out with a whole hospital team to raise awareness and promote good practices for the rational use of water and, consequently, a change of culture that is to come.

Finally, the installation and use of technologies to reduce water consumption in the hospital were implemented at all potential identified points, such as: automation of the water system, internet monitoring of water consumption, use of flow regulators in faucets, showers and showers, economizers, correction of leaks, among others.

Results: The results of the implementation of this project guaranteed the monthly real savings of R$ 242,000.00. The estimated savings are of R$ 17.4 million in 5 years of implementation of this project.

Figure (1) Installation of hydrometers; (2) flow regulators and economizers; (3) geophone: leak detection equipment

Discussion: In addition to the results obtained financially, this project still has potential for improvements through the installation of a water reuse system and artesian well drilling as a way to guarantee the hospital's water autonomy.

Conclusion: As a way of encouraging good practices in implementing the Lean approach, this project, besides adopting a sustainable posture, also promoted the significant reduction of its operational costs and the improvement in the quality of the services rendered to the patient.

Keywords: Lean healthcare, water saving, water efficiency, cost reduction in hospitals.

References: [1] POKSINSKA, B., Quality Management in Health Care (19), 4, 319-329, 2010; [2] KIM, C. et al., Journal of Hospital Medicine, v. 1, n. 3, p.191â&#x20AC;&#x201C;199, 2006.

Category: Lean Healthcare.

VII Lean Day th th April 12 – 13 , 2018 Brazil

Waste analysis based on the principles of Public Administration and Lean Office: a study conducted in a Public Education Institution R. M. G. S. UBARANA¹, A. M. GURGEL¹, T. OLIVEIRA¹ 1

Universidade Federal do Rio Grande do Norte

Introduction: In the current Brazilian public scenario, with the scarcity of resources and administrative reductions, public administration (PA) is subject to rethinking its processes and adopting results-focused approaches for continuous improvement. Some philosophies of private initiative come to the fore in support of the achievement of the principles of the AP. One such practice is lean office, which aims to improve workflow and eliminate waste in the administrative areas. In addition, it is known that any administrative act should be guided by the principles of the AP. Thus, this paper intends to present an analysis made among the seven lean wastes, identified in the flow of a process of a public educational institution and the principles of the Brazilian public administration, expressed in the Federal Constitution of 1988, identifying the relation between these concepts.

Materials and Methods: It is a qualitative study, starting with the inductive method. Its methodological approach is mixed, since it had a focus group, workshop and participant observation. Finally, it is also a descriptive study, since the results were obtained by observation, recording and subsequent analysis.

Results: The study identified, in a given analyzed process, 117 residues in light of lean philosophy and 125 residues in light of the Principles of Brazilian Public Administration. Thus, it was found that these two families of residues in the present study are directly related, since each of the seven lean wastes influences the achievement of the five principles of AP. Discussion: In general, the seven lean waste categories and the principles of the PA are directly related to their objectives. These two concepts are focused on efficiency, cost reduction and continuous improvement in the execution of their processes and service delivery. Thus, the results validated the hypothesis that, in PA, the lean approach can be effective in terms of waste identification and organizational improvement.

Conclusion: The present work presented the relation between the wastes of the lean office and the principles of PA. In addition, the research demonstrates that lean's goals are aligned with PA, offering methodologies that result in improvements for the public sector without conflicting with its principles. Therefore, the results of this work are relevant and reinterpreted the hypothesis that the adoption of methodologies and tools of lean philosophy can bring benefits and organizational improvements in the public sector.

Keywords: Principles of Public Administration; Waste Lean office; Organizational Improvement.

References: [1] LIKER, Jeffrey K. MEIER, D (2007). O modelo Toyota – manual de aplicação – um guia prático para implementação dos 4 p’s da Toyota. Trad. Lene Belon Ribeiro. Porto Alegre: Bookman, 2007. [2] BRASIL. Constituição (1988). Constituição da república federativa do brasil.

Brasília, DF: Senado Federal: Centro Gráfico, 1988. 292 p.

Category: Lean Public

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Application of the Design Thinking the definition of Customer Attributes in the application of Axiomatic Design in public good development F. E. Hukai1, M. M. Jarra1, F. A. Calarge2, F. T. Berssaneti1 1

Postgraduate Program in Industrial Engineering, PPGEP, UNINOVE, 2UNICAMP

Introduction: This work is the proposition of the use of the Design Thinking (DT) process in the definition of the Customer Attributes (CA), the most important part in the Principles of Axiomatic Design (AD). AD is a design method using matrix to assist the definition of design parameters based on functional requirements. This method evolves around CAs, that are a set of needs expressed by the customer. The most difficult and important part of the AD is the correct definition of the CAs since those will guide all the development. For this task, this work proposes the use of Design Thinking, that is a framework for problem solving related to future information acquisition, knowledge analysis and solution proposals. The information that CA contains is qualitative and base on the empathy of the designer regarding the client needs, therefore Design Thinking has a potential for being powerful tool on this process.

Materials and Methods: The proposition will be in the definition of the CA, therefore the research is completely theoretical, using bibliographical research to support all the propositions and conclusions, first the most used methods of defining CA were analyzed, than the DT tool was studied so an integration method could be proposed.

Results: We found a potentially successful method of using DT to determine the CAs of the AD based on the client needs, a proposition for a next step of this research is to apply the integrated framework in a case study so it can be validated.

Discussion: The successful integration of DT and AD is probably due to the focus on the customer that both tools use, but since the the principles of AD does not specify a framework for determining CA and this activity is qualitative and with hight grade of difficulty, the DT supports this gap, for it is a tool that uses empathy towards client needs, and a framework for transforming this empathy in tangible and objective qualitative values.

Conclusion: This work confirmed a successful integration of AD and DT, proposing a framework for better determine CAs in the AD process.

Keywords: Design thinking, axiomatic design, design for lean.

References: [1] Suh NP, Axiomatic design: Advances and applications (the oxford series on advanced manufacturing), 2001; [2] Babur F., Cevikcan E & Durmusuglu MB, Computers & Industrial Engineering 100: 88-109, 2016; [3] Buchanan R, Design Issues 8(2): 5-21, 1992; [4] Dym CL et al., Journal of Engineering Education 94(1): 103-120, 2005.

Category: Lean Education â&#x20AC;&#x201C; Design Thinking

VII Lean Day th th April 12 – 13 , 2018 Brazil

Difficulties observed in the Adoption of the Total Productive Maintenance Program (TPM) in Production Systems: a literature review I. F. Arromba1

1

Mechanical Engineering Institute, FEM, UNICAMP

Introduction: Total Productive Maintenance is a complimentary tool that enables Lean Production and embraces the whole organization, aiming to increase productivity and quality and, at the same time to mitigate losses and reduce costs in order to elevate the business competitivity level.

However, many organizations face difficulties in achieving the possible benefits of TPM, because of its incorrect implementation.

Objective: The main objective of this article is to gather and collect further information related to the main difficulties observed in the adoption of TPM in production systems through a broad review of the literature.

Results: A total of 159 articles were initially found related to the general term “Total Productive Maintenance”. The previous term combined with the words “Barriers” and “Difficulties” resulted in 25 articles, used to compose the table of main difficulties in the adoption of the TPM program. This article presents the definition of TPM and its relation to Lean Production. Furthermore, it presents the main difficulties observed in the adoption of TPM program as the result of the literature review.

Conclusion: This research aims to contribute with knowledge within the Total Productive Maintenance and to ease information access. The collected data can be used by the academic area in future in-depth research as well as by the corporate and business area in addressing information about the major difficulties the organizations may face in implementing the TPM program.

Keywords: Total Productive Maintenance. TPM. Barriers. Difficulties.

Category: Other

VII Lean Day th th April 12 – 13 , 2018 Brazil

Transdisciplinary application of Quality Function Deployment (QFD) and Lean Healthcare in the construction of urban public facilities Geraldo Gonçalves Delgado Neto1, Anderson Augusto Dal’ Bó1, Vivianne Vieira Delgado1, Silvio J. Cavallari Jr.1 1

UNIFAJ

Introduction: The teaching model for undergraduate students provides to acquire and improve knowledge and skills in practice, using the Total Quality management philosophy and to adapt new techniques of cost reduction in the operational and administrative processes. In order to achieve the objective, the Study Groups have opportunized and to add to the students new experiences and knowledge, and the students' objectives in producing a product that promotes accessibility and autonomy for people with reduced mobility, the Lean Manufacturing system is implemented, aiming at waste reduction and quality assurance with low cost for its production. This same system, when applied in health care, is called Lean Healthcare, which unifies Total Quality with cost-saving and waste reduction, making the process for health promotion and disease care more viable with improving the use of human, technical and structural resources..

Materials and Methods: The QFD[3] is being applied in groups of students, and always with the fundamental theme of Accessibility and Universal Design, as already presented in previous works [1] .Of these we have built prototypes of products and academic articles that contribute to the evolution of students' knowledge and to health promotion, since the target public is lacking care with their needs, forgotten by the consumer market with products that satisfy them. One of the points of convergence between Lean Healthcare and applied QFD was visual management, where the main objective is to inform those involved in the project about abnormal problems and conditions, making the processes more visible to the real state of the critical areas that demand special attention[2].

Results: The greatest difficulties encountered during project development are how to raise awareness and create links between people in a world of digital interactions. For the intermediation of digital media leads to the neglect of an important and relevant medium of communication, the interpretation of body reading. With that the challenge became, to create urban public equipments, using the QFD and the Lean, by undergraduate students of production engineering.

Discussion: A new culture was added in the teaching of product design development for undergraduate students in Exact and Technological Sciences. The results presented semi-annually surprised by the motivation and interest of future professionals for the promotion of health and its universe of action, which was long unknown and neglected at graduation.

Conclusion: The support of multidisciplinary Study Groups was fundamental, to create tools of support and motivation for these projects, the results ends up surprising positively, all involved.

Students gain a humanized education and better understand the world around them, as well as highlighting their important social contribution and improving their ability to "put themselves in the shoes of others." Participatory teachers and promoting interactions with different areas of knowledge, taking these from their area of comfort and stagnation of knowing.

Keywords: Lean Education, Design Thinking, QFD. References: [1] Delgado Neto G. G.; Sperandio, A. M. G. Contribuição das Ciências exatas e tecnológicas na promoção da saúde, In: 22º IUHPE v.25. p.9 - 1911, 2016; [2] Delgado V. V. Gerenciamento estratégico do projeto e pensamento enxuto aplicados à metodologia de desenvolvimento de produtos, FEM, UNICAMP, 90 f., 2011. [3] Pinto C. G. S. et al., O QFD para melhoria no uso de lixeiras, ENEGEP, , v.2015, p.01 - , 2015.

Category: Lean Education

VII Lean Day th th April 12 – 13 , 2018 Brazil

Proposal to implement hoshin kanri at the health environment P. A. C. Oliveira Introduction: This paper aims to propose an implementation model that minimizes the risks through the initial process and assure the system is maintained independently of the health organizations’ size and its specialized actuation processes by involving top management on the lean approach and structure it to be deployed, followed up and reviewed continuously.

Materials and Methods: Different papers were analyzed to understand which the main implementation methods are and how lean implementation is perceived as customer satisfaction in Brazil. Then it was possible to identify the main tools used worldwide on lean implementations and link it to the sustainability of the approaches.

Results: Most papers mention the use of operational tools, which may lead to discredit of the approach as there is no concern to keep the momentum for change and waste reduction. The implementations from Womack et al.[1] and Bertani [2] were investigated in more details for being broadly spread and, on the case of the second, concerned about lean’s sustainability.

Discussion: Both proposals considered the five principles of lean [3], but there is no formal involvement of all levels from top management to the operations of the organization to deploy the long-term objectives into small activities conducted by all staff and stakeholders involved, what may lead to a loss of focus on the mid- long-term.

Conclusion: The present work proposes a set of thirteen stages to guarantee the focus on the client is assured and the people involved so they are able to work to reduce wastes while the organization achieve its strategic goals. The steps consist on: diagnose the organization; define what value is; map the value stream; plan hoshin’s long-term view; align objectives to hoshin’s long-term plan; stablish mid- and short-term objectives and goals; plan hoshin implementation; engage stakeholders; define the future situation; implement improvements; sustain the improvements implemented; improve continuously; review hoshin implementation. For charter planning purposes, they may be grouped on four phases: annual hoshin review; engage top management; implementation and sustainability.

Keywords: Hoshin kanri, healthcare management, lean management; lean implementation.

References: [1] WOMACK J P; JONES D T; ROOS D. The Machine that changed the World. Ed. 2007, New York: Free Press, 2007; [2] BERTANI T M Lean Healthcare: recommendations for implementations of the concepts of Lean Production in hospital environments. São Carlos, 166p.

Master’s Thesis (MA), 2012; [3] WOMACK, J. P.; JONES, D. T. Lean Thinking: Banish Waste and Create Wealth in Your Corporation. Ed. 1996, Simon & Schuster, 1996.

Category: Lean Healthcare

VII Lean Day th th April 12 – 13 , 2018 Brazil

Proposal for an approach of processes analysis in a Higher Education Institution by means of BPM and Lean integration R. A1. N. F. SEVERO1, J. V. MEDEIROS JÚNIOR1 1

Universidade Federal do Rio Grande do Norte, UFRN

Introduction: Faced with the current yearnings of society for effective changes in public services, there is an increasing adoption of the BPM methodology as a protagonist in administrative modernization projects. Parallel to BPM, other methodologies focused on analysis and improvement of processes has also gaining space in the public domain, such as the Lean approach, differentiating itself from the traditional business processes management by focusing on aspects like value and waste elimination. In this context, in view of the necessities of process analysis team to determine a standard and more appropriate approach for process analysis in public organizations, the main objective of this study was to propose a process analysis approach by means the integration of BPM and Lean methodologies in a Higher Education Institution (HEI).

Materials and Methods: This study is defined as a case study, characterized as an applied research with a qualitative approach, through participant observation in the data collection. From the point of view of objectives, it is characterized by a descriptive research.

Results: Through the proposition of a model for process analysis by means BPM and Lean methodologies, based on the CBOK process life cycle and the Toyota Model problem solution model, the result was a standard analysis framework of processes in public higher education institutions (HEI). The approach has the following steps: Definition of the critical process, process identification, process modeling, value-added analysis, problem identification, problem prioritization and root cause analysis.

Discussion: The results from the application of the proposed framework brought various opportunities for research and improvement in projects of analysis and improvement of processes.

Some aspects such as: The complementarity between these and other methodologies with a focus on continuous improvement; the members familiarity, perception and involvement of the analysis team when using BPM and Lean methods/tools; and finally, the flexibility and appropriateness in the use of concepts, such as the added value and customer focus in public context.

Conclusion: It was observed a complementarity of the methodologies, allowing the use of the principles and techniques of each of the approaches, demonstrating their viability in projects to improve processes in HEI public and other public organizations. As well as of high academic and managerial relevance, and being able to be used as a theoretical and practical basis for research in the area and in other projects for analysis and improvement of processes in public organizations.

Keywords: Processes analysis; Lean; Higher Education Institution; BPM; Processes Improvement Referencies: [1] ABPMP, (2013). BPM CBOK – Guia para o Gerenciamento de Processos de Negócio. Corpo Comum do Conhecimento. Brasil: ABPMP BPM CBOK V3.0. [2] LIKER, J., MEIER, D. (2007). O modelo Toyota – manual de aplicação: um guia prático para a implementação dos 4 p’s da Toyota. São Paulo: Bookman.

Category: Lean Public

VII Lean Day th th April 12 – 13 , 2018 Brazil

Assessment of health unit under the Baldrige and LESAT methodology: a case study of a hospital of Macaé –RJ Alexandre Beraldi Santos1; Robisom Damasceno Calado1 1 ICT/UFF - alexandreberaldisantos@gmail.com

Introduction: The current scenario of organizations demands that they remain competitive throughout their existence. For Bhagat (2017), the reduction of barriers to cross-country negotiation imposed by globalization, the use of labor from many countries, the administration of large amounts of unstructured data, and the focus on developing skills for customer satisfaction are issues for businesses to continue to exist. According to Battaglia (2014), the interest in the use of Lean thinking in the Brazilian health system is increasing and the subject begins to gain repercussion, following trends observed in the rest of the world. For Malmbrandt (2013), research on Lean on health services is in its infancy, it is important to move forward by shifting the focus from descriptive contributions to developing operational definitions of Lean practices, as in the field of research mature Lean Manufacturing.

Methods: In this project, the Company Diagnostic Method (MDE) was used as a basis, which implies gathering and systematizing information related to several aspects of business management that are not always known to all and often many information is not expressed and used in decision making ( CALADO et al., 2014). From the point of view of the study, the method has three main axes: the application of the Value Stream, the Capacity Management Research and the Company Diagnostic Research. It should be emphasized that self-evaluation and evidence collection generate the identification of the strengths and weaknesses that translate into possible improvements to be made.

Results: The surveys, once filled in, were entered in a spreadsheet (Ms Excel) for the purpose of processing data from the classifications assigned by the interviewee and thus obtaining conclusive results on the strengths and weaknesses of the institution, not neglecting the interviewee in question and the specificities of their position, as well as the characteristics of the hospital unit.

Conclusion: The diagnosis revealed that the CAES of the Macaé / RJ region can legitimately aspire to reach the status of challenger since it only needs to increase in the index of practice.

Keywords: Lean Healthcare; Method of Diagnosis; Performance indicators.

Categoria: Lean Healthcare.

VII Lean Day th th April 12 – 13 , 2018 Brazil

Using Lean tools in the upstream oil chain Paulo Sérgio de Arruda Ignácio1, Regina Branski2 Universidade Estadual de Campinas – UNICAMP / Faculdade de Ciências Aplicadas - FCA / Centro de Pesquisa em Engenharia de Produção – CENPRO; 2Universidade de São Paulo - USP, Escola Politécnica – POLI / Departamento de Engenharia de Minas e Petróleo.

1

Introduction: Lean thinking can be defined as a philosophy or set of methods, techniques, and tools that essentially seek to eliminate waste in operations. Used in manufacturing, there are reports in the literature of successful experiences in lean methodology applied in the petroleum sector. This paper aims to identify tools and lean methods that can be applied to the oil chain and offshore logistics. The research will be exploratory and the method used will be literature systematic review by covering articles published in scientific journals, specialized journals and congresses of the area between the years of 2000 to 2017.

Methods: The methodology allows to summarize accumulated knowledge in a field of interest, to identify the research methods that predominate in the area and to determine where there are gaps for future research (Chrochane Libray, 2014).

Results and Discussion: The oil chain is quite complex and faces challenges uncommon for most companies. Traditionally the chain is classified into two segments: upstream, where are the stages of exploration, development and production, and downstream with refining and distribution. This work is exclusively focused on the upstream oil chain. The purpose of most lean tools is to change and adapt the business to the needs of customers. Pettersen (2009) recommends grouping tools according to collective goals. Wasting can take different forms. Of the 7 wastes reported by Ohno (1997) for manufacturing, many may occur in the oil chain or in the FPSOs: 1) overproduction: It is recommended to use tools related to the collective objectives of the chain of production as well as process control ; 2) reworking: It is recommended to use the tools related to the collective objectives of defect control, standardization and human relations management; (3) waiting time: It is recommended to use the tools related to the collective objectives of resource reduction and process control; (4) unnecessaring transport of tools: It is recommended to use the tools related to the collective objectives of resource reduction and process control; (5) unnecessaring processing: It is recommended to use the tools related to the collective objectives of resource reduction, standardization and process control; (6) Unnecessaring inventory of final products, raw materials and inputs. It is recommended to use the tools related to the collective objectives of resource reduction, standardization, production chain management and process control; (7) unnecessaring movement of workers. It is recommended to use the tools related to the collective objectives of human relations management and standardization.

Conclusion: This paper contributes for developing a basic conceptual and methodological framework for the application of lean in the oil sector.

Keywords: oil chain, logistics, lean, lean thinking, offshore, oil, oil and gas.

VII Lean Day th th April 12 â&#x20AC;&#x201C; 13 , 2018 Brazil

Lean assessment: a diagnosis method for oil company Ana Carolina Pires Souza Arantes (UFF) ana.carolina.arantes@hotmail.com Vera Lucia de Souza CorrĂŞa (UFF) veludam@yahoo.com.br

Introduction: Any economy needs energy to produce goods and provide services. And the size of an economy is deeply correlated with the amount of energy it uses. Oil, as a source of energy, has been a key element in the growth of the Brazilian economy. In this context, the efficiency in oil and gas exploration and production operations is a recurring theme and has been gaining more space in recent years. Although adopted in some countries of the world in the oil sector, lean production remains little explored in the Brazilian oil industry, because unlike the automotive segment where the concept emerged, in the oil industry this philosophy is still in the process of implementation, being developed as a necessity for a competitive differential between companies.

Purpose: This study aims to identify the strengths and weaknesses of a national oil company, which implemented the lean production system. The production management system will be measured using the Oil Companies Diagnostic Method (MDEP), proposed from the application of the Business Diagnostic Method (MDE). And through the Gray Correlation Analysis, the strengths and weaknesses of this organization will be verified.

Rationale: The choice of this study is attributed to the relevance of the petroleum industry in the Brazilian economy, given the generation of energy, innovation and technology, Royalties collection, trade balance of the sector and generation of sectorial jobs. The oil industry represents an important source of tax revenue through the collection of royalties, resulting in a significant impact on the finances of some states and municipalities. In addition, the financial return of oil companies depends, in large part, on the reduction of operating costs. Evidence of the relevance of investment in new technologies that focus on reducing waste and reducing total cost of operation.

The Company: This article was applied to a large national oil company with mixed capital, located in the state of Rio de Janeiro, at the operational base in the City of MacaĂŠ. Such a company caters to several domestic customers and on 4 continents. This research will provide strategic information and opportunities for improvements in processes, business and people. The Company Diagnostic Method was used in a timely manner and will not be a tool for comparison with other companies in the same segment, even though it is the first time that this evaluative concept has been applied in an oil company.

Conclusion: As important as implementing the lean approach is the need to diagnose and identify strengths and weaknesses of production management in oil companies to provide aid aids in investment decisions, strategic information and process improvement opportunities through the approach lean.

Key words: lean production, Grey system, industrial benchmarking, business diagnosis.