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anagement Seminar round the world it is well known, hat those organisations who are he greatest performers are those, ho have well developed learning systems nd understand how to make production fl ast and efficiently

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Page 1: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Management Seminar

Around the world it is well known, that those organisations who are the greatest performers are those,who have well developed learning systemsand understand how to make production flowfast and efficiently

Page 2: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

•Leading a group of people (who, education, expirience etc.)

•Based on accepted values (ethics, moral)

•Respecting the Raison d’être

•Within the defined ressource limits (budget, financing)

•To achieve/reach/obtain (how)

•A common objective/goal/result (well defined)

•Making customers/clients/patients satisfied (how to know)

Management

Page 3: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

The UMSB Raison d’être

We exist because The Bhutanese People wants to help those who are suffering from disease and disability

----to do so, the people has expressed its will to:

1. Provide Bhutan with highly qualified doctors, nurses and….2. Support the developement of evidence based medicine in all

parts of Bhutanese healthcarea. researchb. educationc. any other knowledge transferd. medical technology assessmente. innovation

Page 4: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 5: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Deming’sPDCA-cycle

Page 6: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 7: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Today I will speak about a management philosophy

with focus on learning and flowbased on respect for people

LEAN

Page 8: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Continual

improvements

Respect forpeople

Agreements / Standards/SOP’s

Tact / reduction of variations

Quality

Directly on-time intervention.

Remove causes of failures

FlowMake your flows flow

by tacting and conectingelements of the flow

2

The LEAN-house GOAL

Page 9: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Stop production so that

production never has to stop

Page 10: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Respect forpeople

The LEAN-Philosophy Is based on

Respect for people.

The moment of truth is the meeting with the student

Our students are equal citizens

All employees are important

We respect principles of democracy

We keep our promises

We respect our collegues time

Page 11: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Continued Improvements

llll

Respect forpeople

Continued improvements

Page 12: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Respekt förmänniskan

Directly on-time intervention. Remove

causes of failures

The LEAN-house – How to think and act in case of failures and deviations from our agreements???

Continued Improvements

Tact / reduction of variations

Agreements / Standards

QualityDirectly on-time

intervention. Remove causes

of failures

Page 13: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 14: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Production stop problems need urgentintervention

ANDON table

Production running but with problems that need urgentIntervention

Page 15: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 16: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Respekt förmänniskan

Agreements / Standards

Agreement

We ....

Standard

The LEAN-house– To agree on what is actually the best (procedure, technology, pedagogic principle, organisation etc....)

Continued Improvements

Page 17: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 18: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 19: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 20: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Respekt förmänniskan

Directly on-time intervention. Remove

causes of failures

The LEAN-house – How to think and act in case of failures and deviations from our agreements???

Continued Improvements

Tact / reduction of variations

Agreements / Standards

QualityDirectly on-time

intervention. Remove causes

of failures

Three simple tools

to support us in daily learning

Satisfactometer5 whysFishbone analysis

Page 21: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Dissatisfied because Satisfied becauseResults

w1 w2 w3 w4 w5 w6

Dr. Bent’s Satisfactometer

Page 22: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

5 WHYS

The 5 Whys is a simple but powerful problem-solving technique that allows you to dip below the surface level of a problem

Page 23: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

1. Why did your car stop? - Because it ran out of gas.

2. Why did it run out of gas? - Because I didn’t buy any gas on my way to work.

3. Why didn’t you buy any gas this morning? -Because I didn’t have any money.

4. Why didn’t you have any money? - Because I lost it all last night in a poker game.

5. Why did you lose your money in last night’s poker game? - Because I’m not very good at “bluffing” when I don’t have a good hand.

Page 24: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 25: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Problem

Equipment Process People

Material Environment Management

factors

Primarycause

Secundarycause

Fishbone Diagram

Page 26: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Affinity Diagram

Management

Working Environment

Technology

Providers

Staff

Page 27: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Affinity Diagram Staff

Management

Working Environment

Technology

Providers

Page 28: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Affinity Diagram Staff

Management

Working Environment

Technology

Providers

Page 29: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Affinity Diagram Staff

Management

Working Environment

Technology

Providers

Page 30: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Affinity Diagram Staff

Management

Working Environment

Technology

Providers

Page 31: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Affinity Diagram Staff

Management

Working Environment

Technology

Providers

Page 32: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Affinity Diagram

Own 5-why

Staff

Management

Working Environment

Technology

Providers

Page 33: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Problem

faktorer

Fishbone Diagram

LEAN land

Ledelse Medarbejdere

Arbejdsmiljø Teknologi Underleverandører

Primær årsag

Sekundær årsag

Page 34: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Now-let us focus

onproduction flow.

How do we make our flows flow ???

Learn how to use a flow-chart

Page 35: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Respekt förmänniskan

Make your flows flow by tacting and connecting elements of the flow

Continued Improvements

Agreements / StandardsTact / reduction of variations

QualityDirectly on-time

intervention. Remove causes of

failures

FlowMake your flows flow by tacting and connecting

elements of the flow

Page 36: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Respekt förmänniskan

The LEAN-house– Tact / reduction of variations

Continued Improvements

Tact / reduction of variations

Agreements / Standards

Page 37: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Brain storm prior to the flow-chart drawing

Big piece of plasticon the wall

Post-it gluedpaper-labels

Prior to admissionIn-hospital prior to operationDuring the operationAfter the operation

1. Put a big piece of plastic on the wall2. Divide it into intervals as appropriate3. Everybody involved in the proces describe their activity on a yellow post-it label and place it in relevant interval. One activity only per label3. In the same way write down your problems (red) and questions (green) and place them on the plastic4. If posible group all related actions and problems. It makes it much easier when you start drawing your flow-chart

Just write these headlinesWith a white board penor alike

Page 38: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Group Brain Storm prior to commencing the flow-chart drawingat Skåne University Hospital, Lund, Sweden

Page 39: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Flow chart from Dpt. Of Rheumatology, Lund Sweden

Page 40: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Doctor

Nurse

Adm. staff

Lab technician

Step 2: All Groups together arrange activities and decisions

On the whiteboard or a piece of paper

When you have finished your flow-chart:For each element/activity ask whether or not this particular activityadds value to the patient (customer) - if not: take it away

Page 41: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning
Page 42: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

A3 – new process designTheme & background

Current Condition

Root Cause analysis

Target Condition

Implementation Plan

Follow-up Plan

Follow-up Result

Department X - JDWNRH

A short and precise descriptionof the problem-no conclusions

1. first step2. second step3. third step

A clinical audit shall be performed5. February 2013Responsible: Dr. Bent

Step Responsible Deadline

KPDr SonamICN Surg

15.11.201201.01.201331.01.2013

Page 43: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

Your first LEAN-Board (Production & Improvement Board

Mystery Ltd.Production

Ressource Consumption

Quality and Improvement

Improvement Projects1. www xxxxxx zz qqqq2. Mnmn lolo øøø3. ……….4. …

New improvement Ideas from Staff Members Cumulative

Jan Dec

A3A 3

Page 44: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

LEAN-tavle

Hoshin - KanriLeadership

QualityDeliveranceWorking EnvironmentProductivity

Systematisc break-down of goals down through all levels in the organisation andsystematic reporting of results up throughall levels of the organisation

LEAN land

Page 45: Management Seminar Around the world it is well known, that those organisations who are the greatest performers are those, who have well developed learning

There is always something you can do………….to improve !!!!!


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