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Mike Radtke

The 4 Steps of the Improvement Kata

2. Grasping the

Current Condition

Steps of the Improvement Kata

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Grasping the Current Condition

The Linear View

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WE ARE HERE!

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Expanding Your Knowledge Threshold

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Grasping the Current Condition at Different Levels

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Starter Kata for Process Analysis

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Steps of the Process Analysis Starter Kata

A Case Example – The Surgical Value Stream

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Kata with the Surgical Value Stream

Sterile Processing Grasping the Current Condition

Takt time = available time/demand 28,800 min/3800 units 7.6 minutes per units

Planned cycle time = 90% of takt

PCT = 6.8 minutes

Steps of the Process Analysis Starter Kata

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Match the Current Condition Analysis to the Process – Patient Rounding

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Challenge Nursing Communication to be in the 80th percentile

Process Hourly Patient Rounding

Outcome Performance HCAHPS score: "How often did nurses listen carefully to you?”

Customer Demand Available time/# patient hours per day 1440min/(30pts x 24 hrs) = 2 min Planned cycle time = 1.8 min

Characteristics of the Current Process

• Flow diagram of rounding • Cycle time for rounds • Other Observations: Interruptions, routine followed by

each person, quality of interaction by each person

How many people are necessary?

Total work content/planned cycle time = 8 min/1.8 min = 4.4 people

Other Factors What should be happening? (Standard rounding), What other work content exists for those doing rounding? How do you assess how the patient/family perceived the experience?

Grasping the Current Condition – Lessons Learned

• Begin with the Starter Kata

• Adjust to your environment if needed – but still

have a Starter Kata

• Use the challenge to guide your CC focus

• What would the customer want you to notice?

• Walk with the learner

• Grasping the current social condition

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