Transcript Lean Healthcare - The Use of Value Stream Maps in Healthcare

Lean Healthcare - The Use of
Value Stream Maps in Healthcare
ISE 468 ETM 568
Spring 2013
Dr. Joan Burtner
What is a Value Stream?
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Value stream: A sequence of processes that are connected by a
common customer, product, or service request.
Value stream map (VSM): The visual representation of the processes
(work units and information required) to meet a customer demand
Value-added (VA) time: “The time element that the customer is willing
to pay for” *
Non value-added: (NVA) “The part of the process that the customer
will not pay for” *
Total cycle time: The time for completion of a process or group of
tasks that have a common element. It is calculated by adding up the
individual cycle times for the value stream. This includes VA and NVA
elements.
*Source: The Lean Healthcare Pocket Guide XL
(2008) Authors: Debra
Hadfield, RN MSN and Shelagh Holmes, RN
Spring 2013
ISE 468 ETM 568 Dr. Joan Burtner
Slide 2
Value Stream Map Examples - Basic
Source: http://blog.minitab.com/blog/real-world-qualityimprovement/how-to-use-value-stream-maps-in-healthcare
Accessed March 20, 2013
Spring 2013
ISE 468 ETM 568 Dr. Joan Burtner
Slide 3
Value Stream Map Examples - Complex
Source: dagazinc.com Accessed March 20, 2013
Spring 2013
ISE 468 ETM 568 Dr. Joan Burtner
Slide 4
Value Stream Map Examples - Mixed
Source: http://www.ahrq.gov/professionals/quality-patient-safety/patient-safetyresources/resources/toolkit/tkfig6.html Accessed March 20, 2013
Spring 2013
ISE 468 ETM 568 Dr. Joan Burtner
Slide 5
Healthcare VSM - Basic Method
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Draw process flow map
Collect data through observation or examination of
historical records
Draw current state value stream map, including
identification of value added and non value added
processes
Evaluate current state value stream map
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Reduce time spent on value added steps if possible
Eliminate or minimize time spent on value added steps
Revise process as needed
Develop future state VSM for planning purposes
Spring 2013
ISE 468 ETM 568 Dr. Joan Burtner
Slide 6