Electives - Medical Education
Lean in Healthcare
Elective Number: (Oasis E90r) 3418
Rotation Supervisor: Dr. Sean Jackson
Duration: Maximum 2 weeks, Minimum 2 weeks
Available: Rotation 13a - Class of 2018
Report to: TBD
Time to Report: TBD
Place to Report: TBD
Typical Day: Schedule will come from Dr. Jackson
Attendance: Attendance at elective activities is mandatory.
- Anyone who is ill or has a personal or family emergency must contact
Student Affairs and the Attending on Service.
- Students are allowed to take off up to 1 day per week to interview
between November 1 and February 1.
- Specific days missed must be approved by the Attending on Service.
Suggested Preparatory Reading: The High Velocity Edge (Steven
Spear), A3 Problem Solving for Healthcare (Cindy Jimmerson), On
the Mend: Revolutionizing Healthcare to Save Lives and Transform the
Industry (John Toussaint, MD, Roger A. Gerard PhD, Emily Adams).
Number of Students Per Rotation: Minimum 5; Maximum 15
Course Description: This interactive course explains the mindset,
philosophy and thought processes behind the tools and methods of Lean.
We will translate basic Lean principles and apply them to the Healthcare
domain. This course explores how to eliminate waste throughout the continuum
of care including ambulatory and administrative processes, as well as
inpatient processes using basic Lean tools and concepts by using case
studies, exercises and simulations. Upon completion of this program,
participants will comprehend fully and be able to implement Lean tools
- Describe Lean history.
- Describe Lean philosophies and how they apply
to all industries and particularly healthcare.
- Articulate the five principles
- Identify eight types of wastes in clinical and administrative
- Describe when, where and how to apply Value Stream Mapping
(VSM) techniques to your processes.
- Create a Value Stream Map for a
clinical or administrative process.
- Apply Lean principles to create
a future/ideal state and implementation plan using the VSM as a planning
- Use the Plan-Do-Check-Act (PDCA) and A3 tools to processes to
obtain better results.
- Describe the steps to planning and facilitating
a Kaizen event.
- Demonstrate Lean leadership techniques to help your
organization make the cultural transition to Lean
Sample Course Schedule:
- Class 1: What Does it Mean to Be Lean?
- An overview of the history of Lean, along with philosophy, systems
and tools and a presentation of the Health System Be Safe methodology.
2: Continuous Improvement
- Tabletop exercise in process improvement
- Class 3: Value Stream
- An overview of the method by which to observe and document how
value flows through a process. A presentation and
discussion of a Healthcare
value stream mapping initiative. Identify a value
stream that we will map.
- Class 4: Going to the Gemba
- We will observe our chosen value stream
in action, identifying component processes, and potential improvement
- Class 5: Finding Gold
- The class will create a current state value
stream map and analyze it based on our observations
from Class 4. The class
state value stream map.
- Class 6: Identifying
- Root cause identification and countermeasures.
The class will identify and obtain
necessary data to
about how to
implement the future/ideal state
value stream mapped in Class 5. We will use
the Lean A3 tool to structure
our problem solving efforts.
- Class 7: Kaizen
- Basic project management skills.
Planning and facilitating
- Class 8: Creating an Action
- Lean leadership, organizational
culture, and transformation.
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