The Irish ContextThe Irish Context

Population 4.5M, 1.25M ED visits..Population 4.5M, 1.25M ED visits..13% in inpatient beds13% in inpatient beds130% increase in day patient cases130% increase in day patient cases56% increase in employment in primary 56% increase in employment in primary

healthhealth236% increase in spending 1997 - 2007236% increase in spending 1997 - 2007

Lean in healthcare provision?Lean in healthcare provision? Diagnostic waiting times – 19wks – 2wks Diagnostic waiting times – 19wks – 2wks

(Bolton hospital, UK)(Bolton hospital, UK) Castle Hill endoscopy; 174 days -45 and Castle Hill endoscopy; 174 days -45 and

reduction in non attendance 20% - 4%reduction in non attendance 20% - 4% Fairfield hospital waiting times; 26wks – 13Fairfield hospital waiting times; 26wks – 13 Parkridge hospital, Chattanooga, 45% Parkridge hospital, Chattanooga, 45%

reduction in patient waiting times.reduction in patient waiting times. Intermountain healthcare, Utah reduced time Intermountain healthcare, Utah reduced time

to treatment from 4 hours to 12 minutes.to treatment from 4 hours to 12 minutes.

Lean in Health Project GoalsLean in Health Project Goals Delivery of proven change management principles in Delivery of proven change management principles in

tandem with a complete suite of Lean techniques and tandem with a complete suite of Lean techniques and training in organisational change not currently available training in organisational change not currently available on any clinical practice orientated Course.on any clinical practice orientated Course.

Innovation by use of blended offering, incorporating case Innovation by use of blended offering, incorporating case study based learning with the internet as the primary study based learning with the internet as the primary delivery.delivery.

Making LEAN change management technique a core Making LEAN change management technique a core tool in evolving healthcare culture in Europe.tool in evolving healthcare culture in Europe.

Project PartnersProject Partners

University of Limerick

University of Linkoping/Lund

University Complutense

Madrid.

University of Piraeus

Cardiff University

Health Service Executive

Odense University Hospital

Hospital Fundacion Alcorcon

Athene Consulting Group

Lean Health: Work packages; 1.Lean Health: Work packages; 1.Content:To assess HealthCare institutions existing levels of adaption to Lean.

To identify what barriers exist(cultural, social, economic) to learning and application of lean tool techniques for the organisation.

To identify what barriers exist (time, commitment excess etc.) for the individual in learning and application of lean tools for the individual.

Determining of most effective methods of instigating and sustaining change management in healthcare provision settings.

Identification of key critical success and failure factors in previous applications of lean tools in industry.

Deliverables; Conference paper 1 documenting current level of adoption of Lean tools in HealthcareConference paper 2 documenting the barriers and issues encountered by organisations in adapting to application of Lean toolsJournal paper 1 documenting the barriers and issues encountered by individuals in learning and application of Lean tools

Lean Health Work package; 2Lean Health Work package; 2ContentContent Determine best practice pedagogical offerings in internet based learningDetermine best practice pedagogical offerings in internet based learning Investigate how mobile technology may be deployed in content deliveryInvestigate how mobile technology may be deployed in content delivery Identify what case studies are appropriate for incorporation in the courseIdentify what case studies are appropriate for incorporation in the course Develop problem based learning progression samples for incorporation Develop problem based learning progression samples for incorporation

Deliverables; Report detailing how mobile technology may be deployed for information deliveryReport detailing how mobile technology may be deployed for information delivery

Lean Health Work packages; 3Lean Health Work packages; 3

Content Distillation of the five separate research strands to identify the a)The core

masters module and b) the content of the core modules. Adaptation of Lean tool techniques to ensure each technique is suitable for

application in a patient centric healthcare setting. Identification of the ideal combination of delivery mechanisms to achieve

key learnings and facilitate delivery of and student access to core module information.

Deliverables Report detailing key learning objectives from each module Full Module listing and contents module content delivery mechanisms Preliminary internet deployment

Lean Health Work packages; 4Lean Health Work packages; 4

Content:Preliminary test run. Piloting of the course will be carried out in the medicalfaculty of Barcelona General hospital and partner hospitals in Ireland.

Deliverables:Deliverables: Reviewing the course delivery mechanism.Reviewing the course delivery mechanism. Report from case study detailing changes required in module content.Report from case study detailing changes required in module content. Report detailing final module content and delivery mechanisms.Report detailing final module content and delivery mechanisms.

Lean Health Work package 5Lean Health Work package 5Content:Localisation of course content. Validation of course in each respective partner’s language.Incorporation of course into Europass/Educational Framework activities.

Deliverables:Validated masters course in application of Lean Tools in Healthcare in each member country.

Lean health Work package 6Lean health Work package 6Content Devlopment of project wide valorisation strategy. Prioritise dissemination measures, identify target groups.. Develop promotional materials, flyers etc.

Deliverables: Documented dissemination strategy Project flyer Storyboard for course design and development End of project dissemination events in each partner country

ModulesModules