Fixing Healthcare Delivery 2.0: Advanced Lean

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Fixing Healthcare Delivery 2.0: Advanced Lean

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Description

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  • Paid plan: Commit to earning a Certificate—it's a trusted, shareable way to showcase your new skills.

About this course: Lean or Toyota Production System (TPS) is responsible for revolutionizing the auto industry by creating highly reliable and safe cars and trucks. In this course healthcare providers, administrators, engineers, and healthcare professional students will be taught how to apply the principles and tools of Lean to health care. They will learn how to identify and remove of waste, design standardized work, apply 5S, map Value streams, create process maps, conduct rapid improvement events (RIEs), level workflow, use A3 forms and Paredo charts, apply error proofing, and create effective visual controls. The instructional videos minimize Lean technical language, and include pat…

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Didn't find what you were looking for? See also: Healthcare, Lean, Social Care, Child Care, and Nursing.

When you enroll for courses through Coursera you get to choose for a paid plan or for a free plan

  • Free plan: No certicification and/or audit only. You will have access to all course materials except graded items.
  • Paid plan: Commit to earning a Certificate—it's a trusted, shareable way to showcase your new skills.

About this course: Lean or Toyota Production System (TPS) is responsible for revolutionizing the auto industry by creating highly reliable and safe cars and trucks. In this course healthcare providers, administrators, engineers, and healthcare professional students will be taught how to apply the principles and tools of Lean to health care. They will learn how to identify and remove of waste, design standardized work, apply 5S, map Value streams, create process maps, conduct rapid improvement events (RIEs), level workflow, use A3 forms and Paredo charts, apply error proofing, and create effective visual controls. The instructional videos minimize Lean technical language, and include patient cases to make the lessons more appealing to students in healthcare. Acknowledging that patients are very different from cars we have carefully adapted Lean to health care and call our system: Patient-centered Healthcare Delivery System (PHDS). The name and abbreviation emphasize two key principles taught in our course: 1. Just like PhDs the scientific method must be continually applied when creating plans to improve our systems of care. 2. All improvements must be made looking through the eyes of patients. Armed with this new knowledge students will be able to design and implement sustainable healthcare delivery system improvements.

Who is this class for: This course is intended for healthcare providers, administrators, engineers, and healthcare professional students who want to improve our healthcare delivery systems to improve the efficiency, quality and safety of patient care.

Created by:  University of Florida
  • Taught by:  Frederick S. Southwick, MD, Professor

    College of Medicine
Commitment 5 weeks 2-5 hours per week Language English How To Pass Pass all graded assignments to complete the course. Travail en cours

Chaque cours fonctionne comme un manuel interactif en proposant des vidéos préenregistrées, des quiz et des projets.

Aide de la part de vos pairs

Connectez-vous à des milliers d'autres étudiants et débattez sur des idées, discutez le contenu du cours et obtenez de l'aide pour en maîtriser les concepts.

Certificats

Obtenez une reconnaissance officielle pour votre travail et partagez votre réussite avec vos amis, vos collègues et vos employeurs.

University of Florida The University of Florida (UF) is recognized nationally and internationally as a leader in academic excellence, both on campus and online. Ranked in the top 20 of Public Universities, the University of Florida is the state’s oldest university and has a long established tradition of academic excellence.

Syllabus


WEEK 1


Introduction to Applying TPS or Lean to Healthcare



Toyota Production System (TPS) or Lean has allowed Toyota to become the number one automobile manufacturer in the world by progressively improving the quality and reliability of their products. The System of Profound Knowledge developed by the American, W. Edward Deming is the basis for TPS or Lean. This system has now been adapted to healthcare by Virginia Mason Medical Center and Denver Health with exciting results. You will be introduced to the 4 principles of TPS, as well as the TPS House that illustrates how the various tools of TPS fit together to continually add value to the care of patients. The challenges faced by both health systems will be discussed and their approaches to transforming their delivery systems described. When Lean is applied to healthcare, patient care improves, and both patient mortality and the cost of care decrease. Applying Lean to healthcare systems can revolutionize how healthcare is delivered.


5 videos, 3 readings expand


  1. Video: Why you should take this course.
  2. Video: Why Toyota Production System (Lean)?
  3. Video: What are the Fundamental Principles of Lean (TPS)?
  4. Video: How Does a Health System Implement Lean (TPS)?
  5. Video: How and Why Did Denver Health Adopt Lean?
  6. Lecture: Implementing Lean (TPS)
  7. Lecture: Additional Resources
  8. Lecture: Glossary of Lean Terms
  9. Demande de discussion: What are the challenges you see in implementing lean in your patient care area?

Graded: Introduction to Applying TPS or Lean to Healthcare
Graded: Create a Campaign for Lean Transformation.

WEEK 2


Waste Reduction



Waste is a huge problem in modern health care. It has been estimated that 30-60% of all that we do is wasteful and is not of value. Lean has categorized 8 forms of waste allowing everyone on the front lines to recognize waste and work to remove it. 5S is a very helpful tool that can be used early in the implementation of lean and can remove clutter and quickly improve efficiency. A major form of waste is the excessive use of diagnostic tests, as well as delayed or missed diagnosis. In this session you will be introduced to the 8 forms of waste, the use of 5S, how illness scripts can be used to create a tiered diagnostic list, and how Bayes Theorem can be used to select the highest yield tests. Using this approach diagnosticians can more quickly and cost effectively arrive at diagnoses. Waste is the foundation of Lean and by removing waste we can progressively increase the value of patient care.


5 videos, 2 readings expand


  1. Video: Removing Waste: The Best Way to Reduce Cost
  2. Video: 5S
  3. Video: Reducing Waste in Diagnostic Testing (Part 1)
  4. Video: Reducing Waste in Diagnostic Testing (Part 2)
  5. Video: Reducing Waste in Diagnostic Testing (Part 3)
  6. Lecture: Lesson 2 Waste Reduction
  7. Lecture: Additional Resources
  8. Demande de discussion: Have you identified waste in your health care facility?

Graded: Waste in Health Care
Graded: 5S Exercise

WEEK 3


Standardized Work and Preparing for Value Stream Mapping



Standardized work is an absolute necessity for improvement. Without standardized work there can be no improvement. This is one of the most difficult concepts to relay to those on the front lines particularly physicians, who call this "cookbook medicine". In this module the philosophy behind creating standardized work is reviewed, and the importance of everyone on the front line participating in creating and continually modifying standardized work emphasized. You will be introduced to tools that will help you to effectively design standardized work: the spaghetti diagram and the Time Observation Sheet. Lead Time, Cycle Time and Takt Time will be defined. You will learn how time the individual steps of a work process. You will also learn how to use a percentage load chart to calculate how many workers are required to meet production demand.


5 videos, 1 reading expand


  1. Video: Standardized Work (Part 1)
  2. Video: Standardized Work (Part 2)
  3. Video: Standardized Work (Part 3)
  4. Video: Standardized Work (Part 4)
  5. Lecture: Standardized Work
  6. Video: Medication Administration Video
  7. Demande de discussion: Does your institution or facility embrace standardized work?

Graded: Standardized Work
Graded: Working with a Standard Work Sheet and a time observation sheet

WEEK 4


Value Stream & Process Mapping, RIEs, and Leveling Flow



Value stream mapping is at the heart of TPS or Lean. Using the Time Observation Sheets you will learn how to fill out a Value Stream Map, including determining WIP (work in progress) depicting physical movement and process flow along with information flow, and assessing when work is value-added and when it is non-value added. Value stream maps are used to identify bottlenecks and wasteful steps in a work process and then process mapping and rapid improvement events (RIEs) can be used to remove these wasteful processes and impediments to workflow. Finally you will be introduced to the principles of leveling both under elective and emergency treatment conditions. Applying these tools can dramatically improve efficiency and productivity without increasing overall manpower.


7 videos, 1 reading expand


  1. Video: Value Streams (Part 1)
  2. Video: Value Streams (Part 2)
  3. Video: Process Mapping
  4. Video: Rapid Improvement Events (RIE)
  5. Video: Leveling Flow (Part 1)
  6. Video: Leveling Flow (Part 2)
  7. Video: Leveling Clinic Flow - Lakesha Cotton
  8. Lecture: Value stream and Process Mapping, and RIEs
  9. Demande de discussion: Where could you apply Value Stream and Process Mapping in your facility?

Graded: Value Stream & process mapping, RIE, and leveling
Graded: Value Stream Mapping

WEEK 5


Error Proofing and Visual Controls



Preventable medical errors are estimated to kill 100,000 to 440,000 people per year in the U.S. and similar levels of harm due to medical errors have also been observed in other countries. In order to effectively eliminate errors, we must first be able to recognize and report them and different types of error reporting are described. Secondly there must be a culture in place that deals fairly with errors by differentiating systems errors from individual human errors. This can be accomplished by applying a Just Culture. Additional tools for eliminating errors and improving processes are introduced including: the Pareto Chart, Failure Mode and Effects Analysis (FMEA), an expanded Plan, Do, Study, Adjust cycle, and the A3 form. There are 6 levels of error proofing and their effectiveness in preventing errors from reaching patients is assessed using clinical examples. Visual controls can be helpful for reducing errors and for following the progress of work process improvements. In the final video the major topics covered in this course are summarized, and a new name for TPS or Lean adapted to healthcare is proposed: Patient-centered Healthcare Delivery System (PHDS). This name emphasizes the importance of applying the scientific method, like PhDs, to continually improve healthcare delivery while always focusing on the needs of patients.


7 videos, 1 reading expand


  1. Video: Error Proofing (Part 1): Just Culture and Patient Safety Reporting
  2. Video: Error Proofing (Part 2): Additional Tools
  3. Video: Error Proofing (Part 3): Inspection & Poka-Yoke
  4. Video: Visual Controls
  5. Video: Using Key Process Indicators (KPIs) - Lakesha Cotton
  6. Video: What Happened to My Sister Marcia?
  7. Video: Summary and Conclusions
  8. Lecture: Error Proofing and Visual Controls
  9. Demande de discussion: The ideal name for Lean adapted to Health Care

Graded: Error Proofing and Visual Controls
Graded: Create A Visual Control
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