2. grasping the current condition - toyota kata...
TRANSCRIPT
2/6/2018
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Mike Radtke
The 4 Steps of the Improvement Kata
2. Grasping the
Current Condition
Steps of the Improvement Kata
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Grasping the Current Condition
The Linear View
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WE ARE HERE!
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Expanding Your Knowledge Threshold
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Grasping the Current Condition at Different Levels
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Starter Kata for Process Analysis
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Steps of the Process Analysis Starter Kata
A Case Example – The Surgical Value Stream
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Kata with the Surgical Value Stream
Sterile Processing Grasping the Current Condition
Takt time = available time/demand 28,800 min/3800 units 7.6 minutes per units
Planned cycle time = 90% of takt
PCT = 6.8 minutes
Steps of the Process Analysis Starter Kata
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Match the Current Condition Analysis to the Process – Patient Rounding
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Challenge Nursing Communication to be in the 80th percentile
Process Hourly Patient Rounding
Outcome Performance HCAHPS score: "How often did nurses listen carefully to you?”
Customer Demand Available time/# patient hours per day 1440min/(30pts x 24 hrs) = 2 min Planned cycle time = 1.8 min
Characteristics of the Current Process
• Flow diagram of rounding • Cycle time for rounds • Other Observations: Interruptions, routine followed by
each person, quality of interaction by each person
How many people are necessary?
Total work content/planned cycle time = 8 min/1.8 min = 4.4 people
Other Factors What should be happening? (Standard rounding), What other work content exists for those doing rounding? How do you assess how the patient/family perceived the experience?
Grasping the Current Condition – Lessons Learned
• Begin with the Starter Kata
• Adjust to your environment if needed – but still
have a Starter Kata
• Use the challenge to guide your CC focus
• What would the customer want you to notice?
• Walk with the learner
• Grasping the current social condition
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