MetaStar Health Care Quality Symposium
November 5, 2015
Lean Your Processes Today
Christian Ray
SSM Health
If you could have any Super
Power what would it be?
Please use your smart phone to answer
www.pollev.com/ssmhealth
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MetaStar Health Care Quality Symposium
November 5, 2015
Agenda
1.
2.
3.
#JTBD
Lean – Table Top Waste Walk
Kaizen – Table Top Exercise
Why does someone buy a drill?
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MetaStar Health Care Quality Symposium
November 5, 2015
The Job To Be Done
What Does Lean Mean to you?
2 Words or Less
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MetaStar Health Care Quality Symposium
November 5, 2015
What is Waste?
One Word Only
Value-Added Criteria
Customer
Cares About it
Transforms
3 CRITERIA
FOR VALUE
ADDED
Right First
Effort
Everything Else = Non-Value Added
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MetaStar Health Care Quality Symposium
November 5, 2015
Why is Value Important?
3 Words or Less
The Job To Be Done
=
The Customer Definition of Value
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MetaStar Health Care Quality Symposium
November 5, 2015
Processes Evolve Through Lean
Lean Tweets
The Penny Game

How long does it take for a coin to reach the customer?
5
Rounds
 12
Coins
 Round
1 – Batch of 12
 Record
the time that it takes to process 1 coin
 Record
the time that it takes to process all coins
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MetaStar Health Care Quality Symposium
November 5, 2015
The Penny Game
Penny Game
1 Coin
Cycle Time
12 Coins
Throughput Time
Improvements Made
Round 1
Status Quo – Flip 12 then Pass 12
Round 2
Batch Reduced 12 to 4
Round 3
Use Both Hands
Round 4
Round 5
Kaizen
KAI
“Change”
ZEN
“Good”
THE PURSUIT OF CONTINUOUS IMPROVEMENT
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MetaStar Health Care Quality Symposium
November 5, 2015
Kaizen = PDCA


Proposed solution is tested on a small scale

Understand its effects

Learn how to make the full-scale implementation
Options:

Test isolated elements of your solution if it has many
components

Test complete solutions

Test for robustness
Deming
wheel
Moving Toward the Future State
A P
Changes that result
in Improvement
C D
1. The Job To Be Done
2. Lean
3. Kaizen
A P
C D
Workout
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MetaStar Health Care Quality Symposium
November 5, 2015
Kaizen – Table Top Exercise
Objective:

Use spaghetti, marshmallows, tape, and string to build a freestanding tower.
Rules:




The large marshmallow must be the highest part of the tower.
Cutting (or eating) part of the large marshmallow will lead to
disqualification.
Use as much spaghetti, tape, string or as many small
marshmallows as you wish. You can break the spaghetti as
needed.
The tower must be free-standing and able to support its own
weight for 60 seconds, that means, not suspended from
anything and not taped to the table.
Time limit is 18 minutes
Did Your Table Have Instruction set “A” or “B”?
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MetaStar Health Care Quality Symposium
November 5, 2015
How tall was your tower?
How many different ideas did your table try?
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MetaStar Health Care Quality Symposium
November 5, 2015
The Spaghetti Tower Champion
(so far)

Stoughton Hospital

March, 2014

47 ½ inches tall
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MetaStar Health Care Quality Symposium
November 5, 2015
Lean Your Processes Today
Christian Ray
SSM Health
[email protected]
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