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(Sesi 14) LEAN MANAGEMENT (FINAL)
(Sesi 14) LEAN MANAGEMENT (FINAL)
Lean Manufacturing
What the organization wants
What that leads to:
• Available and prompt care
• Smooth operations
• Better patient outcomes
• Ensure patient safety • Increased patient satisfaction
• Provide quality care • Improved financial viability
• Improved patient throughput
• Effective patient treatment • Improved publicly reported
• Utilized staff and information
• Higher employee involvement
resources and satisfaction
• Reduced LOS
What do our Patients need?
• Favorable patient outcomes
• Patient safety
• Implement new procedures and capabilities
• Slow rising healthcare costs
Virginia Mason Medical Center (lesson learned)
• Menghilangkan pemborosan
• Meningkatkan kualitas
• Menekan biaya
• Memuaskan pelanggan/pasien
• Meningkatkan kepuasan karyawan
• Meningkatkan keselamatan kerja
Lean Health care
• Eliminating waste
• Work sampling
Time Defects
•Waste related to costs
•Waiting for people or
services to be for inspection of
•Defects in materials
provided.
Waste
•Time when your and processes.
•Customer complaints.
processes, people and
•Repairs
machines are idle.
Overprod Transport
uction Inventor ation
Conveying, transferring,
Producing what is
unnecessary, when it is y picking up.setting down,
piling up and otherwise
unnecessary, and in •Maintaining
unnecessary amounts moving unnecessary
excessive amounts
items.
of parts, materials, or
information for any
length of time.
•Having more on
WASTE ~ PEMBOROSAN
PEMBOROSAN =
Elemen kegiatan Value Added: 5%
operasi yang tidak
memberi nilai
tambah, tetapi
Non – Value Added: 95%
menambah waktu,
upaya dan biaya
WASTE ~ PEMBOROSAN
Mike Rona
President Virginia Mason Hospoital
TRADITIONAL VERSUS LEAN
Traditional
Pemotongan biaya (cost cutting)
Lean
Keluarkan pemborosan dari
proses kerja
TRADITIONAL VERSUS LEAN
Traditional
time
Lean
Customer order Cash collected
Waste
Time (shorter)
Kaizen Philosophy
• Employee-led continuous improvement
• Five steps
• Specify value
• Map and improve the value stream
• Flow
• Pull
• Perfection
• Even if it isn’t broken, it can be improved.
Transcriptionist I
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ANALISIS PENYEBAB
• FISHBONE DIAGRAM (ISHIKAWA ANALYSIS)
STANDARISASI
Tools
• Takt time • Standardized work
• Throughput time • Kanban
• Five Ss • Single minute exchange of
• Spaghetti diagram die (SMED)
• Kaizen blitz or event • Flow
• Jidoka • Pull
• Andon • Heijunka
Wait 15
minutes
Shine : Clean it up
Full Full
Kanban Kanban
Task 1 Task 2
Customer
Workstation Workstation
Order
1 2
Microsoft Visio® screen shots reprinted with permission from Microsoft Corporation.
Copyright 2008 Health Administration Press. All rights
9-45
reserved.
Kanban
Signal Signal
Microsoft Visio® screen shots reprinted with permission from Microsoft Corporation.
Copyright 2008 Health Administration Press. All rights
9-46
reserved.
Single Minute Exchange of Die (SMED)
• Used to reduce changeover or setup time, which is the time needed
between the completion of one procedure and
the start of the next procedure
• Steps
• Separate internal activities from external activities
• Convert internal setup activities to external activities
• Streamline all setup activities
Layout is driven by
departments
A • MD consult
• Needle into Port
Creative
Concerned
“Lean” on work and workers…
Knowledgeable
A Partner
TERIMA KASIH