TAILIEUCHUNG - Going Lean in Health Care

The commitment to lean must start at the very top of the organization, and all staff should be involved in helping to redesign processes to improve flow and reduce waste. Although health care differs in many ways from manufacturing, there are also surprising similarities: Whether building a car or providing health care for a patient, workers must rely on multiple, complex processes to accomplish their tasks and provide value to the customer or patient. Waste — of money, time, supplies, or good will — decreases value. Examples in this paper of lean thinking in health care demonstrate that, when applied rigorously and throughout. | INSTITUTE for Healthcare Improvement Innovation Series 2005 Going Lean in Health Care 1 We have developed IHI s Innovation Series white papers to further our mission of improving the quality and value of health care. The ideas and findings in these white papers represent innovative work by organizations affiliated with IHI. Our white papers are designed to share with readers the problems IHI is working to address the ideas changes and methods we are developing and testing to help organizations make breakthrough improvements and early results where they exist. Copyright 2005 Institute for Healthcare Improvement All rights reserved. No part of this paper may be reproduced or transmitted in any form or by any means electronic or mechanical including photocopying recording or by any information storage or retrieval system without written permission from the Institute for Healthcare Improvement. For reprint requests please contact Institute for Healthcare Improvement 20 University Road 7th Floor Cambridge MA 02138 Telephone 617 301-4800 or visit our website at H INSTITUTE for Healthcare Improvement Innovation Series 2005 Going Lean in Health Care This paper is based on presentations made by the following experts during an IHI Calls to Action Series in January and February 2005 James P. Womack PhD Founder and President Lean Enterprise Institute Arthur P. Byrne MBA Operating Partner JW Childs Associates LLC Orest J. Fiume MS Co-author Real Management Accounting in a Lean Organization Gary S. Kaplan MD FACP FACMPE Chairman and CEO Virginia Mason Medical Center John Toussaint MD President and CEO ThedaCare Inc. Editor Diane Miller MBA Director .

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