Health care value proposition

Page 144

Lean Management System  ◾  127

elements, split into three parts: external elements (before the changeover), internal elements (during the changeover), and external elements (after the changeover). 4. Convert internal elements to external. In this step, the current changeover process is carefully examined, with the goal of converting as many internal elements to external as possible. For each internal element, the team should ask the following questions: How can these internal elements be made external? This will result in a list of elements that are candidates for further action. This list should be prioritized so the most promising candidates are acted on first. Fundamentally, this comes down to performing a cost/benefit analysis for each candidate element: – Cost as measured by the materials and labor needed to make the necessary changes. – Benefit as measured by the time that will be eliminated from the changeover. Once the list has been prioritized, work can begin on making the necessary changes. 5. Streamline the remaining elements. In this step, the remaining elements are reviewed with an eye toward streamlining and simplifying so they can be completed in less time. First priority should be given to internal elements to support the primary goal of shortening the changeover time. For each element, the team should ask the following questions: How can this element be completed in less time? How can we simplify this element? As in the previous step, a simple cost/benefit analysis should be used to prioritize actions.

Examples of SMED Healthcare Applications One of the challenges for surgeons and other healthcare professionals is how to improve patient care handoffs. SMED is a lean tool that can improve changeovers in healthcare and beyond (Kashmer, 2014). As previously discussed, the essence of SMED is reducing changeover time by converting elements in the changeover process to elements that can happen before a machine is shut down for an actual changeover. Kashmer extended the analogy to a trauma and acute care surgery service, in which case the machine is the service rendered to patients or that time when the service is up and running and available. The “changeover” represents the morning handoff. The key to a successful handoff is to ensure that the required


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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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