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Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 1.1 Changes Made 1.2 Clinic Day 2

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Page 1: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

Lean Quality Improvement: A Practical Approach Part 2

1. Clinic Day 2

1.1 Changes Made

1.2 Clinic Day 2

Page 2: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

1.3 Groups Working

2. Discussion Day 2

2.1 Discussion Day #2

Page 3: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3. Case Study 2

3.1 Case Study #2

3.2 Problem or Current Condition

Page 4: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.3 Third Party Observation

3.4 Room Layout 1

Page 5: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.5 Handling Specimen Process

3.6 Accessioning Route

Page 6: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.7 Accessioning Route 2

3.8 Handling Specimen Process 2

Page 7: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.9 Handling Specimen Process 3

3.10 Accessioning Route 3

Page 8: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.11 Handling Specimen Process 4

3.12 Event Categorization

Page 9: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.13 Examples of Near-Miss Events

3.14 What We Found

Page 10: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.15 Latent-error Prone Condition

3.16 Room Layout 4

Page 11: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.17 Process Map

3.18 Critical Steps

Page 12: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.19 Ideal State

3.20 Original Workspace

Page 13: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.21 Redesigned Workspace

3.22 Handling Specimen Process 5

Page 14: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

3.23 Improvement

3.24 Knowledge Check

(Multiple Choice, 10 points, 3 attempts permitted)

Page 15: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

4. Clinic Day 3

4.1 Additional Changes Needed

4.2 Overview

Page 16: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

5. Discussion Day 3

5.1 Discussion

6. Case Study 3

6.1 Case Study #3

Page 17: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

6.2 Implementation Case Study

6.3 Labeling Blocks

Page 18: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

6.4 Rapid Improvement Event Timeline

6.5 Rapid Improvement Event

Page 19: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

6.6 Statistical Modeling

6.7 Implementation Confirmed Statistical Modeling

Page 20: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

6.8 Rapid Improvement Event Timeline

6.9 Productivity

Page 21: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

6.10 Histology Summary

6.11 PARiHS Framework

Page 22: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

6.12 Evidence

6.13 Camouflage

Page 23: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

6.14 People Like the Camo

6.15 A Typical Change Curve

Page 24: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

6.16 Change Occurs at Two Levels

6.17 Knowledge Check

(True/False, 10 points, 1 attempt permitted)

Page 25: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

7. Conclusion

7.1 Thank You

7.2 Summary

Page 26: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

7.3 Quote

7.4 Resources

Page 27: Lean Quality Improvement: A Practical Approach Part 2 1. Clinic Day 2 · 2015-04-22 · Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014 3. Case Study

Lean Quality Improvement: A Practical Approach (Part 2) © APF and ASCP 2014

7.5 Congratulations!