Handbook> Electives > Medical Education/Teaching > Lean

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 and concepts.

Learning Objectives:

  • Describe Lean history.
  • Describe Lean philosophies and how they apply to all industries and particularly healthcare.
  • Articulate the five principles of Lean.
  • Identify eight types of wastes in clinical and administrative operations.
  • 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 tool.
  • 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.
  • Class 2: Continuous Improvement
    • Tabletop exercise in process improvement
  • Class 3: Value Stream Mapping
    • 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 areas.
  • 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 will construct a future/ideal state value stream map.
  • Class 6: Identifying Problems
    • Root cause identification and countermeasures. The class will identify and obtain necessary data to drive decision-making 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 kaizen events.
  • Class 8: Creating an Action Plan
    • Lean leadership, organizational culture, and transformation.



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