Christian Foyer presentation at Open Forum Events' Continuous Improvement conference

Learning to see the Waste – The Key Step towards Streamlined Processes

Christian Foyer – 28/05/2014River Rouge Consulting Ltd

www.riverrougeconsulting.co.uk

Example: Hospital Ward


PatientCare

OrderConsumables

8 hours

Walking

PatientCare

Meetings

8 hours

Walking

Patient Care

Searching forfiles

8 hours

Walking

TreatmentWaiting

2 hours

Check-in/out

Customer



Example: Quality Team of a Service Organisation


1) Complaint received plus Cust Response

Incoming:~ 8 Compl / DayCT: 1 h / claimOperators: 2

2) Log Financial Claim

CT: 30 min / claimOperators: 1

1

InventoryCT: ~8 h / claimOperators: 5

3) Problem Solving32

Inventory

CT: ~2 h / claimOperators: 1

4) Cost Calculation / forwarding to suppliers

37

Inventory



Agenda


Agenda


PatientCare

OrderConsumables

8 hours

Walking

PatientCare

Meetings

8 hours

Walking

Possible first improvement steps: Improving walking distances Improving file organisation Streamlining consumable order process Understand reason for customer waiting time (constraint analysis)

Patient Care

Searching forfiles

8 hours

Walking

TreatmentWaiting

2 hours

Check-in/out

Customer



1) Complaint received plus Cust Response

Incoming:~ 8 Compl / DayCT: 1 h / claimOperators: 2

2) Log Financial Claim

CT: 30 min / claimOperators: 1

1

InventoryCT: ~8 h / claimOperators: 5

3) Problem Solving32

Inventory

CT: ~2 h / claimOperators: 1

4) Cost Calculation / forwarding to suppliers

37

Inventory

Possible first improvement steps: Re-balance team Understand Top 10 incoming problems and root causes Improve cycle-time of process 4



How do we learn to see the waste ?

How do we start?


How to start looking for waste?

Management

StrategyProcesses

Focused Studies:

1) Work Sampling Study2) Walk Way Analysis3) Value Stream Analysis4) Work Balancing Analysis 5) …..

Simple Visual Management


Focussed Analysis: Work Sampling

Activity Categories

Observation Time = 3 hoursSampling Interval = 1 minute Runs = 3 times

Searching for files

Entering Data,Patient care…

Waiting

Walking

Correcting wrong invoices

Sampling Form Analysis Result

Target: Identifying main process wastes


Walk Way Analysis of Sterilisation Unit

185 m or 45 min per tool trolley Interfering paths

112 m or 32 min per tool trolley Separate paths

Value Add

Waste

Not sterilising but required

Value Add

Waste

Not sterilising but required

Target: Reduction of Walk Ways

Work Place Organisation

Target: Reduction of Search Activities

No Clear Rules Too much Stock

Clear Rules Only what’s needed


How to start looking for waste?

Management

StrategyProcesses

Focused Studies:

1) Work Sampling Study2) Value Stream Analysis3) Walk way Analysis4) Work Balancing Analysis 5) …..

Simple Visual Management

Simple Visual Management – Quality Team Coordination Board

Targets: 1) Understand Work Flow2) Identify Team Balance and Bottlenecks

Transparency of Complaint Progress Transparent Workload Balance Identification Bottlenecks

Simple Visual Management – Hospital Ward Coordination Board

Targets: 1) Understand Work Flow2) Identify Team Balance and Bottlenecks

Clear Patient Progress Transparent Information Flow Identification of Bottlenecks

‘You can’t fight what you can’t see!’

J.F. Kennedy

Agenda


Christian Foyer presentation at Open Forum Events' Continuous Improvement conference

Leadership & Management

h claim operators

work balancing analysis

patient care meetings

work flow

balance team

team balance

value stream analysis

patient care order consumables