Title: Process Redesign for Health Care Using Lean Thinking : A Guide for Improving Patient Flow and the Quality and Safety of Care Author: David Ben-Tovim ISBN: 1138196096 / 9781138196094 Format: Soft Cover Pages: 204 Publisher: Productivity Press Year: 2017 Availability: 2 to 3 weeks
Description
Feature
Contents
Process Redesign for Health Care Using Lean Thinking is a response to a simple, but hard to answer, question and is the result of the experiences of a working doctor who was also the chief safety and quality officer of an Australian teaching hospital. At this hospital, he observed that the Emergency Department was staff by talented, well-trained, and respected doctors and nurses. The facilities were modern, and the work load unexceptional, but the department was close to melt down. Bad things were happening to patients, everyone was blaming each other, lots of things had been tried but nothing was getting better and no one could explain why. The problem was not a lack of technical knowledge or expertise, the problem was that no one stood back and said, "what’s the best way to move 200 or 300 patients a day through the complicated and varying, sequence of steps needed to sort out the many different problems that bring patients to our department?"
These challenges are faced by hospitals and health services all over the world. There are difficulties with patient flow, congestion, queues, inefficient utilization of resources, problems engaging clinical staff in improvement programs, adverse incidents, and budget constraints.
Lean thinking and value stream analysis gives hospitals and health services struggling with these issues the insights they need to help themselves. This book provides a method that systematically turns those insights into working programs of service and system redesign.
The book is divided into two sections. The first section gives the background to the approach, and systematically works through the Process Redesign methodology, step-by-step. The second section is a series of case studies that show the methodology in action, what worked and what didn’t work. The goal of any process redesign is simple: the right care, for the right person, at the right time, in the right place, and right the first time. This book helps the people who work in hospitals and health services realize these goals by working together.
Written by an experienced healthcare professional
Builds on over a decade of direct experience improving health care processes using Lean Thinking and Value Stream analysis
Integrates theory and practice
Describes a proven implementation methodology, illustrated with brief clinical examples and extended case studies
Addresses the human as well as the technical
Preface
Part 1 : Process Redesign - The Complete Method
Chapter 1 : Introduction : An Accidental Redesigner Chapter 2 : Craft, Flow, Mass Chapter 3 : Taiichi Ohno and The Birth of Lean Chapter 4 : The Principles of Lean Thinking Chapter 5 : Healthcare is not Manufacturing Chapter 6 : Knowledge Work Chapter 7 : Redesigning Care : Authorization, Permission, Teams and Governance Chapter 8 : The Virtuous Circle of Process Redesign and The A3 Chapter 9 : Identifying The Problem Chapter 10 : Defining The Scope Chapter 11 : Diagnosis (1) Mapping - The Big Picture Chapter 12 : Diagnosis (2) Direct Observation Chapter 13 : The Real Problem (1) : Identifying The Real Problem Chapter 14 : The Real Problem (2) : Measurement Chapter 15 : Goals, The Scientific Method and The Future State Chapter 16 : Value Stream, Batching and Flow Improvement Chapter 17 : Targeted Interventions - 5S, Visual Management and Visual Systems Chapter 18 : Queues, Prioritizing, Capacity and Demand Chapter 19 : Embedding and Sustaining
Part 2 : Case Studies
Chapter 20 : Case Study 1 : Redesigning Emergency Department Flows Chapter 21 : Case Study 2 : The Care-after-Hours Program Chapter 22 : Case Study 3 : Visual Management Chapter 23 : Case Study 4 : Redesigning Podiatry Care Chapter 24 : Conclusion - Redesigning Process Redesign