lean philosophy 2014
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Lean Philosophy
Charles Sharkey M.S., M.B.A., PharmDPharmacy Site Manager/Residency PGY 1 Coordinator
New York Harbor Healthcare SystemBrooklyn, New York 11209
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Zero Defect Customer Needs are First Concern Value Stream
What is Lean Philosophy?
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Henry Ford – Designed Mass Production
System by Beginning with What Customer Would Pay For (Value)
Worked Backward to Design Product and Production Line
Least Time, Least Waste
Lean Thinking (Opposite)
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Alfred Sloan President GM Decentralized Organization Central Coordinated Control Scientific Management Inventory, Costs, Not People
Lean Thinking (Opposite)
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Henry Ford “You can Have Any Color Car as
Long as Its Black”
Lean Thinking (Opposite)
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Value (v) = Quality (q)/Costs (c)
True North Involves Focus on Key Matters What Really Matters, We Measure
Lean Thinking
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Walter Shewart Bells Labs Also Called Deming Wheel Scientific Method Applied to Daily Work
Plan, Do, Study, Act (PDSA) Cycle
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Act
PlanDo
Study
PDSA Cycle
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Standard Work is “the Best Known Steps
Required to Perform a Job” Lean Thinking Edits Standard Work “Andon” Allows Workers To Call Timeout to Fix
a Process
Lean Thinking
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ANDON GEMBA Walk Top Leadership Buyin
Lean thinking
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Problem Business Case Opportunity Goals
Lean Thinking
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Brainstorm Flow Chart SIPOC Fishbone
Lean Thinking
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Set a Timeline Frequent Short Meeting Define Team Roles
Lean Thinking
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Not a Program Not Quality Improvement Not a Quick Fix Not a Destination
Lean Thinking
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Cultural Transformation That Changes How an
Organization Works A Journey with No Finish Line
Lean thinking
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1. Attitude of Continuous Improvement 2. Value Creating 3. Unity of Purpose
Lean Thinking – Major Principles
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4. Respect for People Who do the Work 5. Visual Process 6. Flexible Regimentation
Lean Thinking – Major Principles
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So Dr Sharkey How Does This Relate to
Pharmacy?
Lean Thinking
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Zero Patient Complaints Zero Medication Errors Zero Waiting Time Highly Trained Staff
Lean thinking - Pharmacy
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New Pharmacy Roles New Clinics for Pharmacist Cost Savings
Lean thinking - Pharmacy
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Innovative Management Approach
Transforming Organizational Culture Form Inside Out
Lean thinking