Value Stream Management (VSM) is a proven and effective step-by-step methodology for understanding and applying the principles and practices of the Toyota Production System (i.e., Lean) within an healthcare organization. The Toyota Production System is known for its world-class practices of having efficient processes with standards that are being adhered to, while empowering employees to find and eliminate waste. These types of efforts are also referred to as Lean. As authors, we have found continued success in applying the Value Stream Management methodology in the hospitals, clinics, and labs. You will be introduced to many of these successes throughout the book as topical anecdotes. The specific tools and practices of Lean and the implementation plan via the Value Stream Management process will be thoroughly explained. VSM or Lean Healthcare will improve overall facility efficiencies while improving patient care and safety. It should also be noted that the content in this book will support any and all Six Sigma projects. The VSM process is similar to treating a patient. It requires people (i.e., healthcare providers, aides, technicians, administrative support, etc.) and vendors (suppliers for medical equipment, pharmaceutical companies, etc.) working together to effectively yield the benefits of Lean throughout the entire supply chain. As the treatment of a patient is individually tailored, Lean must also be tailored to the facility, department, and/or process in which it will be used. In this book you will learn how 1) Apply the Value Stream Management methodology to specific projects within your facility 2) Educate staff on the fundamentals of Lean so that Lean can be part of everyone s job each and every day 3) Create a business case to inform the staff on the need for Lean or continuous improvement 4) Determine where waste lies in processes and facilitate ideas on how to eliminate waste through Total Employee Involvement (TEI) 5) Create current and future state maps, as well as a plan for implementation 6) Accelerate improvements activities 7) Select projects and apply the Lean tools 8) Improve patient (direct), as well as non-patient (non-direct), care processes 9) Document improvement activities to convey to management the success Lean can have on improving the bottom-line and 10) Allow Lean to become a way of life in an ever-changing and demanding environment. Value Stream Management for Lean Healthcare will provide you with the fundamental process (and steps) to implement Lean. Value Stream Management for Lean Healthcare has been segmented into the four main chapters of Assess, Diagnosis, Treat, and Prevent. These chapters will provide the skeletal framework on how the Lean tools and practices can be effectively applied in your Lean journey. Just as patients care requires a thorough history and physical exam to assist in determining a plan of cure for a patient; likewise, this book will provide a similar approach for the treatment and cure of your facilities process ailments.
I know a little bit about lean as specifically applied to administrative work. I have participated in three events at my company. We have generally followed similar methodology as described with some different tools. I learned about a handful of new tools in the book like kanban cards and how to level work. The example is a little outdated because if really focuses on paper movement, which is no longer an issue. Instead we waste time on hundreds of emails a day and no one else can see our inbox and monitor it. Even shared mailboxes don’t quite improve this. It is thorough enough to get you started, but I don’t think anyone could run a lean event successfully from this text on their own. The example helps for understand, but is outdated and it takes some imaginative leaps to apply to todays work environment.
An excellent introduction to Value Stream management in a manufacturing setting - easy to read, covers a lot of ground and would provide a really good framework for training people who were preparing to apply lean to their processes.
I'd love to see a version of this book applied to services rather than manufacturing