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Value Stream Mapping for the office with permission from www.makigami.info
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We acknowledge with thanks the permission granted by
www.makigami.info
To use their proprietary material for making this presentation
20 Sep 2008 RVMN ASSOCIATES 2
MAKIGAMI
Makigami literally means: 'Roll of Paper' in Japanese. But it is also the 'Action Script' to the Ninja (who holds this as roll of paper in front of him)
20 Sep 2008 RVMN ASSOCIATES 3
A Makigami Process Map
MAKIGAMI
Basically it consist of 4 area's: 1. Activities performed by different parties 2. Documents/media used in communication 3. Time-analysis 4. Identified problems
20 Sep 2008 RVMN ASSOCIATES 4
20 Sep 2008 RVMN ASSOCIATES 5
Purpose: The Makigami process map, visualizes the current process in offices, laboratories, hospitals: Any place where the 'product' is not directly visible or physical.
Makigami Process Mapping is used to analyze and visualize any 'business' process and is very suitable to use in environments, where processes are usually not transparent
The Makigami Process Map also can be used to improve the investigated process by designing a future state map after taking away the identified losses.
20 Sep 2008 RVMN ASSOCIATES 6
The Makigami Process Mapping steps are described in a manner that the steps can be used separately if needed.
Step Function
0 Birds eye view
1 Preparing Makigami Process Mapping
2 Making the Process Map
3 Making a deep loss-analysis
4 Designing a loss-free Future State Process Map
20 Sep 2008 RVMN ASSOCIATES 7
Expected benefits of the Makigami Process Mapping
Issue Improvement
Throughput time 50% - 90% faster
Transfers 90% less
Output errors 90% - 100% less
Value added time If the time stays the same, quality of output goes drastically up. For the same output, the VA time sometimes can go down 25% or more.
20 Sep 2008 RVMN ASSOCIATES 8
Treatment of lumbosacral radicular syndrome (LRS, 'Hernia')
from an average 107 days to 14 days!
20 Sep 2008 RVMN ASSOCIATES 9
The process starts with the visit at a neurologist and ends when the patient is correctly being treatedThe team came up with more than 10 meters of analysis éach! Although involved in the process on a daily basis, they where flabbergasted about the complexity of such a 'regular, standard treatment'. On average a patient is 'on the way' for 107 days, with fluctuations between 37 and 270 days.
20 Sep 2008 RVMN ASSOCIATES 11
In the teams participated: •hospital manager, •manager neurosurgery, •floor manager, •nurses, •secretaries, •department assistants, and •neurosurgeons.
None of them had knowledge of the whole process, most were even not aware of parts of the process.