Healthcare

4 Lean Healthcare examples

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- excerpt from an email I sent a hospital CEO, VP, CFO & a few colleagues after a Lean Government workshop to help them; hoping it also helps some others here interested in current healthcare practices

Designing new Hospitals from scratch using 3P; Saskatchewan, Dan Jones

https://www.lean.org/LeanPost/Posting.cfm?LeanPostId=111

 

Virginia Mason Health System, Seattle

https://www.virginiamasoninstitute.org/2017/08/lean-health-care

books:

https://www.virginiamasoninstitute.org/knowledge-base/books

 

Thedacare Health

Book:

On The Mend by CEO Doctor John Toussaint

- describes how ThedaCare doubled its revenue,

and how this organization became the lowest-price health care provider in Wisconsin.

One typical example: the mortality rate for coronary bypass surgery dropped from 4% a year (12 deaths) to almost zero (one death in 2009).

In addition, the time that the patients stayed in hospital fell (22%) from 6.3 to 4.9 days.

https://www.business-improvement.eu/lean/ThedaCare_On_The_Mend.php

 

Examples of results obtained at PHSA (Provincial Health Services Authority)

http://www.phsa.ca/documents/improveoct4.pdf

 

Cheers,

Ryan Cartier

HOW TO REDUCE MRI TIMES

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Here's an example

HOW TO REDUCE MRI TIMES:  

https://pubs.rsna.org/doi/full/10.1148/rg.347140025

This was done at Department of Diagnostic Radiology, Henry Ford Hospital,

2799 W Grand Blvd, Detroit, MI.

It is more complex than most I would expect, and the team did not quit, they followed through their learning. 

 

I've been implementing Lean for 10 years, part of that in healthcare, if you have questions or a hospital CEO interested in leading your facility to obtain these results.

It works. 

The question is are you learning how to apply it Alberta Health Services?

Alberta Health Services Emergency Department Wait Times

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Thu Mar 27 - day 10

Happy to see hand washing % sign on wall in emergency Alberta Health Services; still need to start continuous improvement though.

Triage & admitting were reasonably quick; next wait room was 2 hours - at least they know the wait time - no sign of Lean Healthcare.

While waiting for knee diagnosis saw the sign (in pic) - assuming someone else has also - hoping I don't rely on it either if still in disrepair.

At least it's visual.

 

speak to orthopedic surgeon,

says we can do aspirin and check in about 10 days to see if things clear up, or weeks of Rivaroxaban.

Has a pager call (they still exist!) & says to look it up while he takes the call.

A quick review of its side effects and I don't see why one would take this unless absolutely necessary.  There's also no reversal (as there would be warfarin/rat poison).

We talk more and are in agreement checking back in 10 days is a reasonable course of action.

He says he'll get a 2nd opinion from the hemotologist, comes back and is pro Rivaroxaban prescription.

I call it and point out how flip flop this is, & I prefer not to take the prescribed anticoagulate.  We agree so I'll set up another ultrasound.

I look up natural blood thinning options and adjust my diet with daily pineapple for bromelain, tumeric, apple cider vinegar, cayene pepper, garlic, fish & sardines, lemon, green tea and natto.

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