Lean Tools Summary

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    Lean Process

    Improvement

    Memory Jogger

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    GE Healthcare Confidential and ProprietaryInformation

    The information contained in this document is disclosedin confidence and is subject to a confidentiality

    agreement between GE Healthcare and the customer. Itis the property of GE Healthcare. This notice shall appearon any reproduction, in whole or in part. The information

    contained herein should not be used by others, ordisclosed to others, without the express written consent

    of GE Healthcare.

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Operations inover100+ countries

    300,000+employeesworldwide

    Manufacturingfacilitiesin 40+ countries

    GE is a family of businesses aligned with ourcustomers needs and acting as one company

    to drive growth.

    CommercialFinance

    Healthcare

    NBC

    Universal

    Industrial

    ConsumerFinanceInfrastructure

    GE a Global Company

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    GE Healthcare

    GE Healthcare brings the world medical science and technologies thatare helping to transform healthcare. We are working with our partners

    in healthcare to help them predict, diagnose, inform, and treat diseaseearlier than ever.

    Diagnostic Imaging Interventional Cardiology & Surgery ClinicalSystems

    Healthcare Information Technologies Services Life Sciences Medical Diagnostics

    90+ years in Healthcare

    By inventing the high vacuum x-ray tube in1913, we enabled the first modern x-ray tube.

    Throughout the past century we've ledmedical breakthroughs, such as the recentcreation of the first all-digital hospital, with

    real-time electronic patient records andmedical images accessible to doctors

    worldwide

    Continuing Innovation

    MOLECULAR MEDICINECombining today's sophisticated

    diagnostic imaging with an increasingunderstanding of both the human

    genome and the body's chemistry, GE ishelping to transform after-the-fact

    treatment to before-onset care

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Sustainable Impact

    Performance Culture

    Formula for Success

    Quality

    Lean SixSigma

    Acceptance

    ChangeAcceptanceProcess &

    Work-Out

    Accountability

    Performance

    Management &

    Effective

    Leadership

    & &

    GE Healthcare are not like otherconsultants, they use these tools

    internally as well, in one of theworlds largest and mostsuccessful companies.

    James Barbour, CEO NHS Lothian

    Success Factors

    Based on our extensive experience ofdelivering programmes oftransformational change in the NHS,

    we know there are three thingscritical for success:

    Solid and deep methodology,tailored to the NHS andneeds of particular trusts

    Clinical engagement andacceptance of change

    Accountability supported bystrong leadership

    1

    3

    2

    Performance Solutions -Formula for Success

    Our Team

    Clinically

    TrainedHealthcare

    Experts

    HealthcareManagement

    GE Lean SixSigma &Change

    Acceleration

    Consulting

    Experts

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Capabilities and Applicationareas

    Market Leader inHealthcare

    Market Leader inHealthcare

    PerformanceImprovementPerformanceImprovement

    Clinical engagementClinical engagement

    LeadershipLeadership

    Training & EducationTraining & Education

    ProjectTeam

    ProjectTeam

    GE CapabilitiesGE Capabilities Hospital areasHospital areas

    We bring experience and understanding of delivering

    process transformation in healthcare

    We bring experience and understanding of delivering

    process transformation in healthcare

    A&E

    Outpatients

    Diag

    nostics

    Treatment

    Theatres

    Rec

    overy

    Disc

    harge

    Discharge points

    Value Stream Management

    Scheduling BookingDischargePlanning

    BedManagement

    Keyareasfor

    improvement

    ValueC

    hain

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Our Delivery

    Examples of Projects Examples of clients

    Cancer Pathways

    Pharmacy

    Trauma

    Mental Health

    Cardiac

    Theatres

    A&E

    Business Planning

    Skills Transfer

    Key Offerings

    Performance & Process ImprovementChange Acceleration & ManagementProductivity Improvement InitiativesCultural ChangeLeadership DevelopmentSix Sigma Black Belt & Lean Leader Development

    Management & Leadership SystemResource Development Coaching & Mentoring

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Components for EffectiveChange

    Quality x Acceptance x Accountability = Effect Results

    Change Acceleration

    Process

    SixSigma

    Work-Out

    Lean

    Effective

    Results

    Project Framework

    =

    Quality

    X

    Acceptance

    Accountability

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Benefits of Lean

    Lean eliminates or minimises waste / non value add activity within a processwhich either shortens the overall cycle time or allows for more quality valueadd activities to take place or both.

    After

    Before

    Wait / Waste . . .Non Value Add Time

    Lean attacks waste here

    Work . . .Value Add Time

    Lead Time / Cycle Time

    After

    Before

    Wait / Waste . . .Non Value Add Time

    Lean attacks waste here

    Work . . .Value Add Time

    Lead Time / Cycle Time

    This leads to: Improved customer satisfaction Better quality of service delivered Reduced cycle times More efficient delivery More capacity Increased Productivity

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    VA vs. VE vs. NVA

    1 VA = Value-Added Lean defines a value from the patients point of view.

    2 VE = Value-Enabling No Value in the patients eyes but

    necessary for the process

    Start to look at processes from the patients point of view!VALUE

    Examples: Consultant talking to a patient a nurse taking blood radiologist looking at X-ray scans surgery

    Value-Added work are all processes..which add direct value to the patient...All contact with a clinician is considered.. value

    Examples: Check in at reception booking and scheduling anaesthetic Reporting regulations Data collection

    Pt recovery at natural rate

    Value-Enabling steps are steps whichthe patient would not be willing to pay forbut cannot be deleted from the process Steps regard to work which have to be

    done because of laws and regulations.

    Most important vocabulary in Lean issues. NVA work is waste. All processes and steps without

    direct Value to the patient are Waste.

    3 NVA = Non-Value-Added = Waste

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    8. DefectsA mistake in the process => very dangerous inhealthcare

    => Examples: giving patient wronginjection

    7. Under utilizationStaff working on processes under their specificskill

    => Examples: Doctors transportingpatients to treatment rooms

    5. OverproductionProducing more to the patient than required orneeded

    => Examples: MRI scan that could havebeen done with X-ray

    6. Excessive processingNot necessary or duplicated processes

    => Examples: patient repeatedly askedfor their details

    2.TransportationUnnecessary transportation while providing a

    service direct to the patient

    => Examples: Bring wheel chair patient towrong treatment room, multiple be moves

    1.WaitingTime that passes while a step or activity ends

    until the next step can start

    => Examples: Waiting for an exam,

    waiting in a queue

    4.MotionNot optimized and standardized processes

    creating unnecessary motion

    => Examples: Transportation of patientfiles

    3.InventoryEverything that ties up resources

    => Examples: Batching blood samples

    Any wasteful activity or anyobstruction to the smooth flow of an

    activity

    Types of Waste (Muda)

    * NVA = Non-Value Add

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    VA*

    NVA*

    17 Minutes

    39 Minutes

    66 Minutes

    15 Minutes

    4 Minutes

    13 Minutes

    149 Minutes

    89 Minutes

    149 Minutes

    89 Minutes

    149 Minutes

    89 Minutes

    Reception WardAssessment

    Admitted

    HoldingBay Recovery

    Home/

    2 6ORAnaesthetic

    Room

    OperaiPAS

    I I I

    KAIZEN!

    KAIZEN!KAIZEN!

    Value Stream

    Visualize your processes and find the wasteA Value Stream Map is a pictorial view of Value-Added and Non-

    Value-Added activities that are required to bring the patientthrough the whole process

    A Value Stream is the set of activities that convert patients needsinto delivered services

    *VA = Value Add

    *NVA = Non Value Add

    Phone

    Call

    Movement of

    PatientPatient

    ElectronicInformation

    Flow

    Data

    System

    1Number of

    operators

    Care

    Provider

    Pull of

    PatientTransportPatient

    inventoryI

    ManualInformation

    Flow

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Flow

    Why

    Have a Lean lookon movement (flow)of products, servicesand informationdown the valuestream

    TargetCreate a continuousflow as product,service andinformation istransformed bycontinuously addingvalue

    HowFlow is created byeliminating queuesand stops, andimproving processflexibility and reliability

    In Healthcare:An example of flow is the patient journey

    Patientarrives inHospital

    Patient isbooked in

    atReception

    Patient isbroughtto Ward

    Patienthas

    Surgery

    Patientrecoverson ward

    Patientleaves

    hospital

    One continuous flow of a patient or material.One at a time

    Let processes flow like water=> find the easy way!

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Pull

    Target

    No action is takenuntil thedownstreamprocess initiates it

    Why

    To createprocesses whereonly the requiredamount is taken

    When the Flow is determined by pull from further downthe Process. As opposed to being pushed through theprocess

    To produce only requested amounts

    In Healthcare:an Example of PullWhen a patient is called by theatres to an operation. It is theatre whodetermines the rate of flow and that only the required amount of patientsare pulled into the next step

    How

    Let the end customerpull theproduct/servicethrough the valuestream.=> Each step pulls theproduct/transactionwhen needed from the

    preceding step

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    The Perfect Process

    Current State

    Future State

    Next Future State

    Original State

    The perfect process is a continuous flow ofcustomer value add, without interruption

    Current State

    23 Days

    Future State

    14 Days

    HEALTHCARE EXAMPLE

    Valuable - Would the customer be equally happy if the step was left out? Capable - Can it be conducted with the exact same result every time? Available - Can it be performed whenever it is needed? Adequate -Can it be done exactly when required Flexible - Can it shift quickly between different requirements? Flow - Does the product Flow from one step to the next with no delay?

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Spaghetti Map

    A diagram that shows the motion

    and transportation of the patient /family / caregiver / supply

    throughout the care experience orprocess

    How Draw a layout from thebirds eyes perspective ofthe focus area

    Observe apatient/family/caregiverwhile doing their joband draw it on the layoutby not lifting the pencilfrom the paper

    Why Creates a betterunderstanding an overviewof the whole process

    Visualizes waste intransportation and motionlike no other lean tool

    Quantifies travel time/distance elimination

    Visualize transportation and motion

    Paper Referral Trail in Booking Centre

    KEY=paper referral=Cancer urgent

    TL= TeamLeaderCI =Cancer Intray

    KEY=paper referral=Cancer urgent

    TL= TeamLeaderCI =Cancer Intray

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Implementing LeanImprovements

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Lean Event Key Phases

    Pre Workincl. Training

    VSM KAIZEN Sustainability

    Project Timeline

    3 4 Weeks 3days 1 Week 30 Days

    Key Reporting Points

    Success Metrics.Further

    improvementsimplemented.Feedback fromteam & staff.Furtheropportunitiesidentified

    Implementedimprovements.

    Success Metrics.Ongoing trackingmechanism.Sustainability Plan.Further Action Plan

    Current & FutureState Value

    Stream Map.Quick Winactions.Prioritised optionsfor focus of RIE

    Deliverable(s)

    SustainabilityRIEVSMReportingPoint

    Q x A = E2

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    KAIZEN: Its not a spectator sport

    Rapid Improvement Event or KAIZEN

    Try-Storming

    Very Hands On try new ways, stop atany issues, solve them and continue

    Continuous evaluation & tracking

    Communicate & Celebrate successes

    Organise Event

    Mobilise Team

    Trystorm Improvements

    Track Success

    Communicate & Celebrate

    TaskNo.

    Category Task OwnerDate

    AssignedTarget

    Complet ion Status

    1TransitiontoIn-PtWard

    ImplementationofDischargeCoordinator / BedManager as pilot

    DebsHorrocks/AngelaMurpy 11-Apr 9-May Complete

    2TransitiontoIn-PtWard

    ImplementationofDischargeCoordinator / BedM an ag er a s Ac ti ng up op pr tu ni ty A ng el a Mu rp hy 1 1- Ap r 9 -M ay Co mp le te

    3TransitiontoIn-PtWard

    Reaffirmedshiftcoordinator allocatedthroughtheduty rota Angela Murphy 11-Apr 9-May Complete

    4TransitiontoIn-PtWard

    ReaffirmedA&EliasonNurse allocatedthroughtheduty rota Angela Murphy 11-Apr 9-May Complete

    5TransitiontoIn-PtWard

    SectorisationofCrisisTeamsQualifiedPractionerTeams A ng el a Mu rp hy 1 1- Ap r 9 -M ay Co mp le te

    6T ra ns it io n to I n- Pt W ar d L au nc h Ro le o f t he b le ep h ol de r S ha ro n. Mo rr is on 1 1- Ap r 9 -M ay C om pl et e

    7TransitiontoIn-PtWard

    ReviewOperationalpolicyAdultinpatients fromfeedback Sharon.Morrison 11-Apr 9-May In progress

    8TransitiontoIn-PtWard

    ReviewoperationalpolicyMapleHouseFromfeedback Sharon.Morrison 11-Apr 9-May In progress

    9TransitiontoIn-PtWard ReviewoperationalpolicyCRHT team

    AngelaMurphyP au la So lo mo n 1 1- Ap r 9 -M ay I np ro gr es s

    10Tr an s it i on t o I n- P t W ar d R a ti f y Ro l e of s h if t c o or d in at o r A n ge l a Mu r ph y 1 1- A pr 9 - Ma y C omp le te

    11AdmissionSupport

    Ensuringinformationpacks(basicblack andwhiteformat) areonK2 S Johnson 11-Apr 18- Apr Complete

    12

    AdmissionSupport

    Examiningfeasibilityofdouble-sidedcolour printingonK1for futurestocks of informationpacks andal ternatives if requir ed S Johnson 11-Apr 18-Apr Inprogress

    13AdmissionSupport

    Undertakingweeklyevaluationofnewadmissions onK2 S Johnson 11-Apr 9-May Complete

    14AdmissionSupport

    Amendingpatientinformationbasedonevaluationa nd i n fo r ma l f ee db a ck f r om pa t ie nt s /s t af f S Jo hn so n/ K C oo pe r 1 1- A pr 9 - Ma y C omp le te

    15

    A dmi ss i on S u pp or t Mo ni t or i ng s t af f t ak e -u p an d u se o f n ew ob s f or ms A De n ha m/B E a rp 1 1- A pr 9 - Ma y C omp le te16

    AdmissionSupport

    Examiningfeasibilityofstaff scanningforms(workerallocation,exitand entry,level3obs,handover) andsavingelectronically- discussionwithAnneWarburton/wardmanagers S Johnson/B Earp 11-Apr 18-Apr Inprogress

    17AdmissionSupport

    Observinghandovers andobtainingfeedbackfromstaff. B Earp 11-Apr 9-May Complete

    18AdmissionSupport

    Respondingtostafffeedbackandamendinghandover sheet as indicated B E arp 11-Apr 9-May Complete

    19

    ACTION PLAN

    0.00

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    100.00

    7 -2 00 7 8 -2 00 7 9 -2 00 7 1 0- 20 07 1 1- 20 07 1 2- 20 07 1 -2 00 8 2 -2 00 8 3 -2 00 8 4 -2 00 8 5 -2 00 8 6 -2 00 8

    Bolton

    Salford

    Trafford

    Average of LoS

    Dischargeperiod

    Directorate

    CouncilTax Benefits- 01204331599

    PALS0800587 4793

    CitizensAdviceBureau- 0844826907

    CouncilHousing - 01204335811

    MIND- 01619534006

    Benefits (DWP) - 08456088510

    Samaritans- 084579090 90

    Useful Telephone Numbers

    CreativeSupport - 01204366347

    PatientsCouncil- 01204546088

    BAND- 01204546070

    BEST- 01204337523

    MHIST- 01204527200

    AgeConcern - 01204382411

    HousingBenefi ts- 01204331590

    Useful Telephone Numbers

    DontForget!!!

    KAI-ZEN

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    The House of Lean

    Lean Transaction Production System

    JIDOKA

    JUST-IN-TIME

    HEIJUNKA

    Single PieceFlow

    Pull Production

    TAKT TimeProduction

    Autonomation

    Stopping atAbnormalities

    Level Loading

    Sequencing

    J

    idoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production System Single Piece

    Flow

    Pull Production

    TAKT TimeProduction

    Autonomation

    Stopping atAbnormalities

    Level Loading

    Sequencing

    J

    idoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production SystemHouse of lean

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Jidoka

    Healthcare Example:

    Impact:

    Visual Timeline

    Highlights delays

    Prompts action Instant Progress Snapshotfor all

    Clear plan to meetEstimated ..Discharge Date

    Building human intelligence intomachines or software

    giving automation the ability to make adecision to shut down automatically inthe case of an abnormality

    in order to stop defective productsfrom flowing into the next process.Example: Automatic loom can detect abroken thread

    One of the 3 main principles of Lean

    2) Autonomation:1) Stop at an Abnormality:

    Stopping the processwhen an abnormality hasbeen detected

    Countermeasureimplemented to preventrepeat occurrences

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production System

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production SystemHouse of lean

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production System

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production SystemHouse of lean

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    JIT Just In Time

    One of the 3 main principles of Lean

    Just-in-Time provides theCustomer

    what is needed

    when needed,

    without excess, the amountneeded

    Single Piece Flow

    Process 1 task at a timeand check at the end of

    process. Ensuresdefects are detectedand not passed on. Thebasis for Jidoka

    Pull

    A system where eachprocess step takes

    product or knowledgeit needs from theproceeding processwhen needed, in theproper amount

    Takt Time

    Derived from Heijunkaplan. Establishes thepace the system willoperate at

    Takt Time = AvailableTime/Customer Demand

    3 Main Elements must work together to achieve JIT

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production System

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production SystemHouse of lean

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production System

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production SystemHouse of lean

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Heijunka

    2 key elements:1. Leveling: Leveling or Level

    Loading of a process to

    reduce variation in output2. Sequencing: Defining theSequence which work isprocessed

    A Methodology to establish stability in aSystem where Customer Demand is erratic

    One of the 3 main principles of Lean

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production System

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production SystemHouse of lean

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production System

    Jidoka

    Just-in-Time

    Heijunka

    LeanTransaction

    Production SystemHouse of lean

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Healthcare Example:

    Takt-Time

    Specific production time showing the neededcompletion time of a process to hit customers

    satisfaction.

    Takt Time =Available working time*

    Actual Demand

    * excluding breaks, meetings, etc.

    8 hrs. (480min, 28800sec) work per day60 patients per day = 8 min

    (480 secs)Takt Time =

    Takt time here shows that every 8 min an exam needsto be completed to hit patients demand

    How to calculate Takt-Time calculate your demand for a specific time period (day, week, month)

    Look at your available working time during that period*

    60 Patients arrive at a X-Ray on a given day and X-Raydept. is working 8 hours per day => Takt-Time here would

    be calculated as follows:

    The heartbeat of the organization

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Appendix

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    The process of level loading and sequencing the timing of production.Heijunka

    A method of conducting single-piece flow in which the operatorproceeds from machine to machine (in a counter-clockwise fashion),taking a part from the previous operation and loading it in the nextmachine. Then taking the part just removed from that machine,checking it and loading it into the following machineetc,

    Chaku-Chaku

    Building Blocks for process discipline and control; Sort, Shine , Set inOrder, Standardize, Sustain.

    5S

    (Kaizen) 3-5 day team based activity focused on quickly solvingproblems through physical simulation and evaluation.

    Action Workout

    A visual device (light) or pin-pan-pon that operators use to call attentionto an abnormality. The use of this is to request immediate attention and

    action to the problem.

    Andon

    Increasing the delivery frequency of parts, such as parts from outsidevendors, in order to keep inventory to a minimum.

    FrequentConveyance

    Work done simultaneous to or in conjunction with transportation orconveyance. e.g. (1) an assembly is moving down a line while a person isperforming work, (2) a person acts as a conveyor carrying a part to thenext machine in a Chaku-chaku fashion. The main purpose of flow is to

    quickly and continuously identify and eliminate waste.

    Flow

    Defects per unit.DPU

    The total time required for a task to be complete. Elements includemanual and travel times, automated or machine run time.

    Cycle Time

    Carrying out one-piece-at-a-time production in order to eliminatestagnation of work (queue) in and between processing steps(see Flow)

    Continuous FlowProcessing

    The optimal physical layout or machines and manpower for a productor family of products that identifies and eliminates waste.

    Cell

    Any machine or process that limits flow or capacity.Bottleneck

    The process of separating the work of man and machine characterizedby: work not movement; quality built into the process; and visualmanagement. (see Jidoka)

    Autonomation

    The use of machines working independently of manpower.Automation

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    Performance Solutions/26/02/2009 Copyright GE All Rights Reserved.GE Healthcare Performance Solutions Northern Europe Rev2008.01KE

    Internally led Kaizen event.Lean AWO

    Machines that have human intelligence built into them, giving them theability to shut down automatically in the case of an abnormality to stopdefective products from flowing into the next process. Jidoka measuresare incorporated in the assembly process by use of Andons and Pin-Pan-Pon; stopping when abnormality is detected.

    Jidoka

    (Just in time) theory of production characterized by (1) single piece flow, (2)

    producing according to TAKT time,

    (3)

    pulling of material from upstreamprocess, keeping inventory at minimum, established levels.

    JIT

    Change for the better; a process quality tool for improvement involving aseries of activities whereby instances of waste are eliminated one by oneat minimal cost, by workers pooling their ideas and increasing efficiency ina timely manner. It emphasizes manual work operations rather thanequipment. (see action workout)

    Kaizen

    A method/device of pulling from previous processes in order to controlmaterial flow, cap inventory levels, and to take pulse of the customer. Itserves as: an instruction for when to produce; a tool for visual controlagainst over production and a detection of irregular processing speeds.Kanban can be broadly categorized into 2 categories: Production Kanbanand Pick-up Kanban. These can be further stratified into Ordinary, Signal,Transport, and Purchase.

    Kanban

    Grouping component parts used in a process or build for ease of assembly.( see material presentation )

    Kitting

    Introducing material to the line or cell in a manner that is easy andeffective for the operator. Usually broken into 3 categories (1) items thatare too large to kit (2) items that are too small to kit (3) items that lendthemselves to be kitted.

    MaterialPresentation

    The hands-on time it takes for the worker to perform a task.Manual Time

    The time from machine switch on, processing, to machine returning tooriginal position, during which there is no hands-on work by the operator.

    Machine Time

    Overall leveling in the production schedule of the variety and volume ofitems produced in a given time period. ( see Heijunka)

    LevelProduction

    The total time it takes the product to go from raw inventory to the finished

    product. Order to remittance lead time refers to the total time from whenan order is placed until the finished product is shipped.

    Lead Time

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    Mixing of products for central services (i.e. heat treat), OV, kits forcomponents and assemblies.

    Mincing

    Any type of waste elements that add no value to the product:i.e. Waiting, Transporting, Over production, Excess Motion, InventoryDefects, Human Touches.

    Muda

    One shop worker operating two or more similar machines that aregrouped together.Multi-MachineHandling

    An operator being able to perform more than one process(which may or may not include machines).

    Multi-processHandling

    Broadening a workers skills so that the worker can operate multipletypes of equipment and processes in order to facilitate cell developmentand one piece flow.

    Multi-skillDevelopment

    A product that deviates from drawing or an internal quality system.

    A product with a defect.

    Non-conforming

    Material

    Production system in which only one part at a time is processed orassembled and the work is verified before being sent along theproduction line to follow processes.

    One Piece Flow

    Mistake proof: usually refers to the use of fail-safe devices in the processin order to prevent defects from occurring and insure quality. When thisingredient is added to automation will yield autonomation. ( see Jidoka )

    Pokeyoke

    A form of Andon that is auditoryspecial sounds are designated tocertain points on the line. e.g. A pin-pin-pin repeating sound may beassociated with power supply installation, calling attention to it when anabnormality has been detected.

    Pin-Pan-Pon

    A study of the process and machine sequence for a group of similarparts. It can be used to standardize product flow for ease of cellimplementations.

    Process RouteAnalysis

    A series of steps to achieve a desired result.Process

    A technique used to follow the detailed flow of a product through amanufacturing cycle.

    Process Mapping

    Indicates the maximum capacity for parts processing at any one

    process. Recorded on it are: the amount of time spent in manual work,machine time, setup time, etc.

    Process Capacity

    Table

    Maximum amount of product that can be produced through a processfor a given period of time.

    Process Capacity

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    A study of the quantities demanded of different products produced at awork location. This picture of the volume and variety of products can beused to identify high impact areas to concentrate efforts or identify theneed to use process razing to make products more similar.

    Process QuantityAnalysis

    System of manufacturing in which each process withdraws the parts itneeds from the preceding process when they need them, in the exactstandardized amount needed.

    Pull System

    Shows the outline of work for each worker in a cell. Recorded on it are: Takttime, work sequence, standard WIP, quality checks, safety precautions, etc.

    Standard WorkSheet

    Total customer satisfaction-involves having all employees Customerfocused.

    Quality

    The time a part sits waiting to be worked on.Queue Time

    The order in which the part is processed.Sequence ofProcessing

    The order in which an operator performs a series of repetitive tasks.Sequence of Work

    Machine changeover steps that are performed while the machine isprocessing parts or off-line from production time.Set-up, External

    Machine changeover steps that are performed while the machine isstopped during production.

    Set-up, Internal

    A quality standard of 3.4 defects per million opportunities - used to insure

    customer satisfaction.

    Six Sigma

    Single Minute Exchange Die (i.e., under 10 min) has become a title for thecategory of improvement devices used in manufacturing to allow for quickchange over of machine/fixture set-ups.

    SMED

    Sequence of repeatable tasks that an operator performs.Standard Work

    Minimum (and standardized) amount of work in process required toperform repetitive operations economically.Standard WIP

    Combining people and machines to accomplish production in such a wayas to minimize waste.

    StandardOperations

    Statistical Process Control: analysis of variation in a process.SPC

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    A table that clarifies how much time is spent doing manual work andtraveling at each production process. It is used to examine the range ofprocesses that one worker can take care of within Takt time and theamount of time during which machines are operated automatically.These are recorded to help determine what combination of operationsare possible.

    Standard WorkCombination Sheet

    The specific activities required to design, order, and provide a productfrom concept to launch order to delivery raw materials to finishedgoods.

    Value Stream

    A visual system that has a predetermined amount of inventory and allfacets of 5s in order to detect abnormalities. With this system, theshopper from the downstream process can buy from the supermarket.Once the purchase has been made, and material consumed, a signal canbe sent to the upstream process to supply more. (see pull)

    Super Market

    Available production time / required production (fcst & actdemand)..must be like units; e.g., 1 shift = 1980 min/wk

    Takt Time

    Total Productive Maintenance involves of all employees in a cell toimprove the process.

    TPM

    The time is takes a worker to move to the next station to pick up or putdown parts, tools, etc. May occur during operations as well.

    Travel Time

    The process of detailing the process of converting raw material tofinished goods. This is typically mapped with the 7 flows (info, people,equipment, raw material, sub-assembly, assembly,engineering) one at atime, or in a combination.

    Value StreamMapping

    Refers to the means by which anyone can tell at a glance if productionactivities are proceeding normally or not. A communication, disciplineand pacing tool.

    VisualManagement

    Work In Process; inventory of materials that has been already startedprocessing.

    WIP

    Rework, set-ups, inspection, repair processing, transportation,unnecessary work to complete of a product. Anything that isnt directlychanging the form fit or function of the part.

    Work, Non-valueadded

    Only necessary direct work to manufacture a product. Anything that thecustomer is willing to pay for or an operation that changes the form, fit,or function of the part.

    Work, Value Added

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    Title Topic/Focus

    Lean Thinking Lean Background /

    Case Studies

    Becoming Lean: An inside Lean Background /

    story of US Manufacturers Case Studies

    The Toyota Production System: Lean Background

    Beyond Large Scale Production

    The Machine That Changed The World: Origination of Lean

    The Story of Lean Production outside of Japan

    Learning to See Value Stream

    Mapping

    Creating Continuous Flow Creating flowwithin a cell

    Additional Lean resources

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    Title Topic/Focus

    The Goal: A Process of OperationalExcellence

    Ongoing improvement

    Poke Yoke: Improving Product Implementation of

    Quality by Preventing Defects Poke Yoke

    techniques

    The Toyota Production System DetailedImplementation

    of TPS

    The Toyota Way Managementprinciples

    from Toyota

    Lean Solutions Lean thinkingbeyond the

    factory floor

    Additional Lean resources