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1 Lean 6S Training Mercy Medical Center 5046 LDLEAN6S - Version 8/20/2009

6S Training Presentation

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Lean 6S TrainingMercy Medical Center

5046 LDLEAN6S - Version 8/20/2009

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What are the 8 Forms of Waste?

What is 6S?

How do I conduct a 6S?

Examples of Mercy 6S results

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8 Forms of Waste

1. WASTED HUMAN TALENT 

2. DEFECTS 

3. INVENTORY 

4. OVERPRODUCTION 

5. WAITING TIME 

6. MOTION 

7. TRANSPORTATION 

8. PROCESSING WASTE 

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Not asking the staff that works the process how

to improve it 

1. Wasted Human Talent

I’ve made a few

changes to the

process.

Staff

Staff

Staff

Manager

I wish someone

would ask OUR

opinion…! 

Staff

Staff

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@*&#!

!

A negative outcome from process failure 

2. Defects

Another

defect!!

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Items in greater quantities than can be immediately

processed or used. 

3. Inventory

Did I really

order this

much??

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Generating more work than is really required 

4. Over Production

Staff

Hey…are these

multiple orders for the

same thing? @#$&*!!

I didn’t get my

order yet… I’ll

send another

fax.

Pharmacist

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People waiting for items (patients, supplies,

specimens, etc.) to process 

5. Waiting

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Unnecessary human movement 

6. MotionWhy can’t I get

anything done?

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Unnecessary movement or relocation of items 

7. Transportation

I have orders to

run some tests.I’ll bring the patient

right over.

Waiting Area

Sigh…..!! 

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8. Over Processing

Please

approve.

Please

approve.

Please

approve.

Please

approve.

Please

approve.

Please

approve.

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8. Over Processing

I’m the finalapproval.The final

approval?!!

Applying effort to activities that are not required

in the process 

Please

approve.

+

??

?

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1. Sort

2. Straighten

3. Scrub

4. Standardize

5. Sustain

What is 6S?

6. Safety

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Step 1: Sort

Separate the needed from the not needed

BeforeAfter

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Step 2: Straighten

A place for everything & everything in its place!

BEFORE AFTER

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Step 3: Scrub (inspect)

Regularly “scrub” to ensure everything is in

perfect working condition

“Scrub” and inspectequipment to ensure it is

in perfect working

condition...

 Add inspecting

equipment into your

work routine.

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Step 4: Standardize

Standard Work requires determining the best

method then following that method every time.

Note: Blue taped outlines and

labels ensure equipment is quickly

found and returned to the same

spot every time.

St 4 St d di

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Visual Controls ensure that anyone can find what they

need in a matter of moments.

Note labels andinstructions

Step 4: Standardize

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Step 5: Sustain

Develop a method for sustaining your gains

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How do I Conduct a 6S?

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Preparation

Observe the process first hand (Gembawalk)

Create a spaghetti diagram - a hand

drawn map of your process including: Tasks in the sequence they are done

Location of supplies and equipment

Measure distance traveled and time spentsearching or waiting

Good preparation is the key to successful results!

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23What forms of “Waste” can you identify? 

 Ancillary

Testing

Supply

RoomChartRack

TubeStation

Printer

Patient’s

Room

Nurse’s

Station

Med

RoomReportRoom

200 feet

100 feet

150 feet

250 feet

200 feet

150 feet

200 feet300 feet

1,550 Feet

Time & Distance Traveled - Before

Spaghetti Diagram

108 min

16 min

16 min

11 min

21 min

11 min

1 min

31 min

1 min

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What would you do to improve?

Sort out the need from the not needed

Have a place for everything so there is no searching

Move supplies or equipment closer to where they are

needed

Co-locate tasks or people

Change the sequence in which tasks are done

Be creative with your solutions – you, after all, arethe expert!

How Can We Improve?

Applying 6S eliminates waste!

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Spaghetti Diagram

No Searching or Waiting - After

Reduced travel by 1150 ft & search time by 68 min.

Chart

Rack

 Ancillary

Testing Printer

Tube

Station

Nurse’s 

Station

Patient’s 

Room

MedRoom

SupplyRoom

ReportRoom

Dedicated

Staff

I’ve found my“dream” job! 

40 min

1.5 min

2 min

1.5 min

1.5 min

1.5 min

1 min

30 min

1 min

400 ft

50 feet

50 feet

50 feet

50 feet

50 feet

50 feet

50 feet

50 feet

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Simulation – Round 1

I t ti t th Cl

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Instructions to the Class

Worker

Gather White, Yellow and Blue sheets of paper Paper clip the sheets together

Place in a folder

Place post-it on the outside of the folder

Place folder and contents on the chair (to be picked upby a delivery person)

Manager

Create a spaghetti diagram: Draw the room layout, identifying the location of the

supplies used in the simulation

 As Participant #1 walks the process, trace his/her

footsteps on the spaghetti diagram

I t ti t th Cl

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Instructions to the Class

Efficiency Expert #1

Count the number of steps Person #1 travels from beginning toend in the process.

Efficiency Expert #2 Track how much time Participant #1 takes to do the entire

process

Track how much time is wasted waiting and/or searching

Customer Do a quality inspection on the finished product against the

sample provided to you by the Instructor

Co-workers (Rest of Class) Identify the 8 Forms of Waste in our process

Identify possible ideas for improvement

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Quantifying the Results

Capture the Results from Round 1

Wh t A th R lt ?

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What Are the Results? Manager

What does the spaghetti diagram show us?

Efficiency Expert #1 How many steps did it take for the worker to do the process?

Efficiency Expert #2

How much time did the entire process take? How much time was wasted waiting and/or searching?

Customer Was the customer happy with the service provided (quality

inspection)?

Rest of Class Identify forms of waste in the process

Include possible ideas for improvement

Wh t W t Did Y Ob ?

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What Waste Did You Observe?

1. Wasted Human Talent 

2. Defects 

3. Inventory 

4. Over Producing 

5. Waiting 

6. Motion 

7. Transportation 

8. Over Processing 

H C W U 6S t I ?

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How Can We Use 6S to Improve?

1. Sort  – Separate the needed from the not needed

2. Straighten  –  A place for everything and

everything in its place

3. Scrub  – Ensure everything is in perfect workingcondition

4. Standardize – Determine the best method – 

visual queues, labeling, etc.

5. Sustain – Develop Standard Work

6. Safety – Safety first at all times

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Simulation – Round 2

Instr ctions to the Class

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Instructions to the Class

Now that you have identified the waste and theopportunities for improvement in the process

Put your recommended improvements in place

We’ll run the simulation a second time

Then we’ll measure the results… 

….and celebrate our success!!

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Quantifying the Results

Capture the Results from Round 2