Health care value proposition

Page 132

Lean Management System  ◾  115

Management must create an environment that encourages ideas and suggestions for improvement. Without an acceptance of experimentation and noble failures, it is difficult to cultivate a healthy contempt for mistakes. The era of digital transformation has opened the doors to creative instincts and new possibilities.

Kaizen According to the Kaizen Institute, kaizen is the practice of continuous improvement in which everyone is involved. The word kaizen comes from two words: kai, which means “change,” and zen which means “good.” Its original Japanese meaning therefore is “Change for the better,” which is continuous improvement. Kaizen was originally introduced to the West by Masaaki Imai, in his 1986 book Kaizen: The Key to Japan’s Competitive Success. Today, kaizen is recognized worldwide as an important pillar of an organization’s long-term competitive strategy. Kaizen’s continuous improvement is based on the following guiding principles: ◾◾ Good processes bring good results. ◾◾ Go see for yourself to grasp the current situation. ◾◾ Speak with data; manage by facts. ◾◾ Take action to contain and correct the root causes of problems. ◾◾ Work as a team. ◾◾ Kaizen is everybody’s business. One of the most notable features of kaizen is that big results come from many small changes accumulated over time (Kaizen Institute, 1985). Imai describes kaizen as daily incremental improvements to a process. The kaizen methodology requires each employee to create as many as three to five ideas for improvement every month. The power of this methodology is not in the individual small improvement, but the combined force of hundreds of small improvements designed to continuously advance an organization. These ideas and the many improvements that follow are expected in every part and process of the organization. They involve everyone from the housekeeping staff to the chief executive officer (CEO). Suggestion schemes are a simple and easy way to drive kaizen. Each area is measured based on the number of suggestions made and, of course, implemented. The performance of supervisors and managers are measured in terms of the number


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Index

9min
pages 240-247

Implications for Outcomes

2min
pages 234-235

Important First Steps in Implementing a Digital Strategy

1min
page 212

The Institute of Medicine (IOM) Model

1min
page 222

Dimensions of Quality Measurement in Telemedicine

8min
pages 223-227

Role of Leadership

1min
page 211

Effectiveness and Process

1min
page 228

Patient-Centeredness and Structure

1min
page 229

Efficiency and Process

1min
page 232

Impact on Employees

1min
page 210

The Meaning of Digital

1min
page 207

Digital Health Applications

3min
pages 208-209

8 Creating Value Through Digital Transformation

1min
page 206

An Example

1min
page 197

Brainstorming

0
pages 188-189

Cause and Effect Diagrams (Ishikawa or Fishbone Diagrams

1min
page 195

Results

0
page 183

7 Six Sigma

5min
pages 156-158

Steps for the Implementation of a Two-Bin Kanban System

3min
pages 149-150

The Process

1min
page 152

Kanban

4min
pages 147-148

Additional Readings

1min
page 155

Benefits of Standardized Work

1min
page 153

Five Whys

1min
page 146

Examples of SMED Healthcare Applications

3min
pages 144-145

The Steps for Implementing 5S Methodology

4min
pages 139-141

Kaizen Events

1min
page 133

Kaizen

1min
page 132

The Process

2min
pages 128-129

Poka-Yoke

3min
pages 130-131

Defining Waste

1min
page 127

What Is Value Stream Mapping?

3min
pages 125-126

The Lean Process

5min
pages 121-123

6 Lean Management System

4min
pages 118-120

Why Collect Data?

1min
page 105

Data Variations

1min
page 112

References

1min
pages 116-117

Data Collection Methods

1min
page 106

Observation

1min
page 107

Surveys

1min
page 110

5 Data and Information

1min
page 104

Core Value Principles of ATD

3min
pages 100-101

Today’s Culture of Distraction

3min
pages 98-99

Attentiveness—The Gold Standard

5min
pages 93-95

The Power of Details

1min
page 96

Culture of Attention to Detail

1min
page 97

4 Value Is in the Attention to Detail

9min
pages 88-92

References

3min
pages 84-87

Tactics and Strategies for Improving HCAHPS Scores

17min
pages 74-82

Measuring Patient Experience: HCAHPS Surveys

4min
pages 71-73

3 The Patient Experience

5min
pages 68-70

References

4min
pages 64-67

Value Proposition: Health Outcomes Divided by Costs

1min
page 59

The Patient Experience Value Manifesto

5min
pages 60-62

Questions for Discussion

1min
page 63

Clinical Outcomes as a Measure of Value

1min
page 58

Empathy, Sensitivity, and Compassion

1min
page 53

Chief Complaint

1min
page 52

The Hassle Factor in Healthcare

1min
page 51

Privacy, Confidentiality, and Security

2min
page 47

Care for the “Whole Person”

1min
page 50

Timeliness

1min
page 48

Patient Safety

1min
page 49

2 Determinants of Value: Patients’ Perspective

5min
pages 44-46

Transition from Volume-Based Healthcare to Value-Based Healthcare

1min
page 39

Empathy and Compassion

6min
pages 36-38

Preventive Care

3min
pages 34-35

Data and Insights in Healthcare

1min
page 33

Behavioral Healthcare

3min
pages 27-28

Price Transparency in Healthcare

3min
pages 25-26

Data Security

1min
page 29

Telemedicine and Virtual Healthcare

1min
page 23

Population Health Management

1min
page 24

Healthcare Technology and Electronic Medical Records System

5min
pages 30-32

The Growing Trend of Retail Healthcare

3min
pages 21-22

The Aging Population in the United States

1min
page 20
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