Posted on: 1.13.2009 8:50:31 AM Posted by John Herman
Since originally championed by Toyota
in the1950’s, we’ve seen LEAN Process improvement and design move from
manufacturing into a variety of industries including aerospace, engineering,
architecture, and today we’re seeing its growth in healthcare. While becoming
more accepted and even “commonplace,” there are some misconceptions;
Misconception #1: LEAN is something you can implement in an afternoon.
“Going LEAN” is not something you can
decide to do in an afternoon or over lunch—the actual implementation of lean
principles is an ongoing journey. Transitioning to a “LEAN operation or
organization” is more than simply the application of a different set of tools
and techniques; it’s a change in your organization’s foundation that will take
time, effort and discipline to succeed.
Misconception #2: Lean principles can’t be used in existing healthcare
systems.
Actually, LEAN principles are
applicable in existing healthcare systems. Granted, it may be easier to design
a new hospital with surgical preparation suites in close proximity to the
operating rooms from the ground up, but there are plenty of changes that can be
made to streamline intake processing, patient care and staff duties.
From reducing and relocating supplies
to where they are most used, moving a nursing station to a more central and
visible location or streamlining and redesigning processes to eliminate waste,
small changes can save time and money throughout any healthcare facility.
Misconception #3: LEAN principles are expensive to implement.
LEAN is often seen as expensive when
in fact, with the paybacks achievable over time, the opposite is true. LEAN is
about identifying and eliminating waste and improving processes and “flow;” it
is about implanting ideas and systems, not expensive tools or equipment.
Eliminating waste can create more capacity in existing programs and practices,
which can eliminate the need for more square feet or expensive new
construction. Many times simple and less expensive renovations and/or less
space can greatly improve the flow of the operations. With reliable and
standardized processes, medical mistakes decrease, which can save hospitals and
clinics hundreds of thousands of dollars annually.
I have planned and programmed space around lean, and there are three ideas that need to be underscored: 1) many of the lean activities do not require space changes. And little changes can make a big difference. 2) changing space alone will not make lean happen. The hard work is in changing staff behavior