Transcript LEAN IN THE LABORATORY

LEAN IN THE
LABORATORY
Linda Whaley, MS, RN
Vice-President Clinical Services
Anne Iehl, MT (ASCP)
Assistant Lab Manager
GOALS:
1. 90% of morning work completed by
8 A.M.
2. Reduce turn-around time of lab
results.
3. Improve physician satisfaction.
First Step: Begin 5 S’s
SORT
STRAIGHTEN
SHINE
STANDARDIZE
SUSTAIN
STANDARDIZED PHLEBOTOMY TRAYS
PHLEBOTOMY – 5:30 AM Start Time
Small Tests of Change:
1. Draw 3 transport to lab May 21-May 31
● Of 9 monitored days, obtained 90% goal 2
times (22%)
2. Runner June 1-June 21
● Of 21 monitored days, obtained 90% goal
14 times (66%)
3. Swarming June 22-June 28
● Of 7 monitored days, obtained 90% goal 1 time
(14%)
Result: Runner implemented
One additional person added to 5:30 AM shift
OUTPATIENT SPECIMEN PROCESS
Changed location of OP phlebotomy
from Main Lab to Front Entrance area
with pneumatic tube system.
Main Lab Distance = 420 feet
Front Entrance Distance = 150 feet
PROCESS CHANGE:
Conversion Of
Collection
Tubes
PROCESS CHANGE:
NURSING
HOME SUPPLY
LIST
PHYSICAL CHANGES: WORK AREA
PRE-LEAN
PHYSICAL CHANGES:
WORK
AREA
POST-LEAN
PHYSICAL CHANGES: MONITOR
PHYSICAL CHANGES:
SUPPLY
CART
PRE-LEAN
PHYSICAL CHANGES:
SUPPLY
CARTS
POST-LEAN
AUTOMATED LINE
Before Automated Line
After Automated Line
GOAL SUMMARY
1. 90% of morning work completed by 8 AM
● Pre-LEAN: 45% of work complete by 8 AM
March 2010: 90% of work complete by 8 AM
● Standardized Phlebotomy Trays
Pre-LEAN: Over 30 trays
March 2010: 10 Standardized trays
● Scheduled 2nd phlebotomist at 5:30 AM
● Implemented a “runner”
● Nurses doing central line blood draws
GOAL SUMMARY
2. Reduce turn-around time of lab results
● Specimen drop-off area
● Efficient “race track” layout of lab
● Conversion of collection tubes
GOAL SUMMARY
3. Improve physician satisfaction
● Plan to re-survey physicians
May 2010
Other LEAN Process Improvements
 Front Entrance Specimen Process
■ Outpatient blood draws
■ Client drop off
 Supply Inventory
 Time clock added closer to Lab
(approx. saving = $6552/yr.)
PLANS FOR 2010
1. Standardize storeroom supplies
● Main Lab
● Front Entrance
2. Auto-verification
3. Standardize phone system
4. Sustain turn-around-time improvement!
QUESTIONS?