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Case Study of Diagnostic Laboratory Title: Improved Reliability by 5S, Flow, Standardization Presented on 2 nd Feb 2015 @ 3 rd Annual Lean Conference, AMA, Ahmedabad
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Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Jul 27, 2015

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Page 1: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Case Study of Diagnostic Laboratory

Title: Improved Reliability by 5S, Flow, Standardization

Presented

on 2nd Feb 2015

@ 3rd Annual Lean Conference,

AMA, Ahmedabad

Page 2: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Established in 1988 to give accurate Pathology reports

to the people of Ahmedabad .

Pioneered Pathology automation in Ahmedabad by regularly upgrading

technology & Quality control standards.

About

SCIENTIFIC

Accredited NABL - 15189 96 / ISO standards since 2004

WE ARE AWARDED

Page 3: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Pathology Laboratory (Computerized Bar-coding Method)

Cardiac Services (ECG, TMT, 2D-ECHO)

Radiology Services (X-Ray, Sonography, Mammography, Bone Densitometry)

Consulting Services (Eye Check-ups, Gynec Check-ups, General Check-ups)

Corporate Health Check-ups

Insurance Health Check-ups

We offer : 10% Discount to Regular Patients. 20% Discount to Senior Citizens (Corporate Social Responsibility) 40% Discount to Cancer/Renal Failure Patients (Corporate Social Responsibility) We Do Not Offer : Commission to the Doctors. Our Achievement : Nearly 10, 000 clients take an advantage of our highly discounted offer in preventive health check-up every years.

Our Services

Page 4: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Our Presence

Our Collection Centers Satellite, Vastrapur, Maninagar, Civil, Sabarmati, Surendranagar Our Laboratories Baroda, Surat, Palanpur We get the samples for specialize test from all over the Gujarat & Western part of the Country.

Page 5: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Reliable and Accurate Reports

Through World Class Processes and

Technology

Pre-analytical Processes

Bi Directional Interface and Error Free

System

Our Competitive Advantage

Page 6: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Pneumatic System

System made by Germany and

1st installation in India.

Sample transport between two

building across the road.

(Helps eliminate Muda of

Waiting)

PNEUMATIC TUBE

Page 7: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Advia Centaur

Made In : Germany

Install : 1st in India

Speed : 240 / test phr

We are the lab that does 20,000 thyroid test in a month.

Page 8: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Olympus : AU 480

Made In : Japan

Install : 1st in Gujarat

Speed : 480 / test phr

Page 9: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

LH 750

Made In : USA

Install : 1st in Gujarat

Speed : 250 / test phr

Page 10: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Immulite - 1000

Made In : Japan

Install : 1st in Gujarat

Page 11: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Variant

Made In : Japan

Install : 1st in Gujarat

Page 12: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Flow Cytometer

Made In : USA

Install : 1st in Gujarat

Page 13: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

D-10

Made In : USA

Install : 1st in Gujarat

Speed : 20 / test phr

Page 14: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Access - 2

Made In : USA

Install : 1st in Gujarat

Page 15: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

- To give faster reports with higher accuracy

- To reduce the cost

- To reduce TAT (Turn Around Time)

Why we thought of LEAN ?

Page 16: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Lean Journey

- We attended Lean Program at AMA in

April – 2014.

- Started with ADD VALUE June – 2014.

- Training given to all staff members

- Flow design concept prepared July – 2014.

- Phase 1 completed in December – 2014.

Page 17: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Activities Carried Out

- Seiri initiated

(Approx.1 ton waste paper removed from work area)

- Seiton done partially

- Layout Changed

- Developed Multi Skill Staff

- Defined Job roles and work standards

Page 18: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Ground Floor - Before

Page 19: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Ground Floor - After

Page 20: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Technical Area-Before

Page 21: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Technical Area - After

Page 22: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Improved Reliability by 5S,

Flow and Standardization

Page 23: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

As a result

Samples / Staff Ratio

Samples \ Staff : 1000 \ 15 = 65 Samples per person

HAS CHANGED TO

Samples \ Staff : 1000 \ 10 = 100 Samples person

TAT is decreased by 15%

Before : Registration Counter & Bar-Code Counter were different

After : Registration Counter & Barcode Counter has merged

CLIENT MOVEMENT IS REDUCED DRASTICALLY.

Page 24: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

WHAT WE COULD ACHIEVE AT SCIENTIFIC

Management Commitment

Clearly Defined Goals

Proper Training and Delegation of Power

Customer Focus Strategy (Reliable Reports Quickly)

Page 26: Improved Reliability by 5S, Flow, Standardization Case Study of Diagnostic Laboratory - 3rd Annual Lean Conference 2015 @ AMA, Ahmedabad

Thank You