Gregory_Borja_IE4120_M3Questions
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Thomas Edison State College *
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Course
4120
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Industrial Engineering
Date
Feb 20, 2024
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docx
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Uploaded by SuperHumanButterfly2575
IE 4120
1. You have been asked to conduct a lean project for the ICU of a hospital which maintains 20 patient beds, has 20 nurses, 4 doctors and 10 medical technicians. Provide the following:
a. Describe your approach for how you will begin the project.
The purpose of a lean project in the ICU of a hospital would be to identify, analyze and reduce or eliminate waste in the hospital. The first approach for the ICU would be to identify the values of separate waste’s and determine how they affect
the patient flow path for time spent in the hospital, money cost to the hospital and patient satisfaction. In order to implement change at the hospital would require a lot of different frames of thought, for example the culture of the hospital. In determining how lean thinking can reduce waste
in the hospital the staff need to be interviewed and a culture needs to be established so as to speak in the staff’s “language” in determining the best strategy of lean management. There’s more than mapping a value stream, creating pull, establishing pull, and seeking perfection. This is a constant cycle that is done in small movements of implementing an entire project that needs to be brought to the workers and executives of the organization as well as taking surveys on patients and their experiences. b. Provide a description of the process you will take, including a timeline (by calendar days/weeks) and the tools you would use during different parts of the lean project.
The process would be as follows:
Commence the lean initiative through introduction of lean thinking to the workers/execs in training meetings and get a sense of workplace culture (Day
1/Week 1)
Look at the hospitals negative operational costs (waste) and determine where the needs are, and identify the value of waste in the hospital (This would be done in 2-5 weeks and throughout the project to narrow the scope)
Create value stream maps of lean management in order to determine value added work along with non-value added work and how they affect the project flow path. (weeks 2-20(hard to determine based on the time allowed for the lean management program).
An assessment study would be provided to executives and described via lean training throughout the study.
Interview and study workplace culture in determining the process for implementing lean in the workplace (All weeks)
Determine process owners and their function in the
lean project (all weeks)
After 5 weeks, provide the staff with training on lean thinking and methodologies to reduce waste through lean management.
After week 5 provide a report and findings as well and continue to take data on the changes
implemented by staff up to 20 weeks. Improve on the process with staff and take interviews.
After week 20 determine the project success and present to the executives of the project. c. Consider all the different elements with which you may interact (e.g., pharmacy) and how they may affect your project. How will you approach handling them?
Looking at the different elements such as pharmacy and how
they affect the project I would handle them as customers to the process flow. Each customer which is anyone in the process flow that serves a need will be handled to determine
their role in the value stream map and assessed for waste. The pharmacy will be interviewed, waste identified, reduced or eliminated just as the rest of the customers in the process. d. Provide a presentation outline that you would give to the ICU leadership/staff on the lean project to kick off the project considering they have never done a lean project.
The presentation would consist of the following material in the order and as described below: 1. Introduction to lean thinking-What is lean?
2. Lean Management Principles-Process to lean
3. Lean management tools-tools used in lean to reduce waste.
4. 5S tool and its uses
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5. How to create efficiency in a hospital environment. 6. Sample hospital practices, lean management uses and their implementation for the examples.
7. The overarching effects of lean management in
the hospital environment
8. Questions from the executives on the plans to implement lean in their hospital/ their take on the changes they want to see or feel they need. 2. Watch the following video on YouTube,starting at 2:08 and ending at 4:24. Document the process using a value-stream map including the values added and waste
steps. Indicate the time needed for each step. Identify areas for improvement.
Greet the patient/Patient privacy/Introduce yourself- 2/1/12 seconds
Greet the patient-2 seconds
Patient privacy-1 second
Introduce yourself-12 seconds
Collect subjective data-20 seconds
Explain the procedure to the client-7 seconds
Identify the client correctly with full name and UHID number- 18 seconds
Take temperature and heart beat- 1 min 7 seconds
No areas for improvement noted, taken quickly and introduction allowed for patient to identify discomfort.
Collect subjective data- 20 seconds
Ask their pain level on a scale, have a chart to point to in order to eliminate time explaining the scale.
Explain the procedure to the client- 7 seconds
Don’t describe what you’re doing, most patients understand taking vitals as a simple sentence, just say, “I’m going to be taking your vitals” and proceed. Identify the client correctly with full name and UHID number-18 seconds
Have the patient read the UHID number and compare to that in the chart along with full name. Take temperature and heart beat- 1 min 7 seconds
Have thermometer previously santised.
Have a thermometer that is easy to push
Have a machine to take pulse of patient quicke
Have protective covers on thermometer that are quick and easy to swap for eliminating sanitizing time.
16 seconds is left in between steps that is unaccounted for that can be eliminated by having equipment ready or material all in one place to eliminated wasted time.