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Healthcare in the United States, and around the world, is facing a crisis brought on by a combination of rising costs, lack of transparency and accountability, and preventable medical errors. Applying lean thinking to improve care is one way that healthcare organizations can engage employees in solving problems in order to deliver better and more efficient care.
Perfecting Patient Journeys is a guide for leaders of healthcare organizations who want to implement lean thinking. Readers will learn how to identify and select a problem, define a project scope, and create a shared understanding of what's occurring in the value stream. Readers will also learn to develop a shared vision of an improved future, and how to work together to make that vision a reality.
Over the past eight years, the authors of this book have helped healthcare organizations learn how to make real and sustainable change using the value-stream improvement method. Implementing lean thinking has helped healthcare providers develop an adaptive, problem-solving culture with stunning results:
- Reduced annual staff turnover by 20%
- Average length of stay (LOS) in a large emergency department was reduced by 30%
- The number of patients who left without being seen (LWOBS) dropped by 60% in the same hospital
- Customer (patient) satisfaction increased by 73%
- Operating room changeover time was reduced, which increased the number of surgical procedures performed by 20%
Rather than rely on huge training budgets or teams of consultants, the method described in this book focuses on solving real organizational problems, and helps healthcare organizations and those who labor within them to daily provide safe, effective, efficient, and timely patient care.
- Sales Rank: #867319 in eBooks
- Published on: 2013-03-22
- Released on: 2013-03-22
- Format: Kindle eBook
Most helpful customer reviews
3 of 3 people found the following review helpful.
A guidebook on eliminating waste within a value stream with a proven improvement methodology based teamwork
By Timothy F McMahon
Healthcare is undergoing many changes these days which has long been overdue for those of us who have been patients. Lean thinking has been spreading globally for decades in product and service businesses. In the last few years this value stream improvement methodology has been gaining support in health care. Now there is a step by step guide for visualizing the patient experience and improving the flow of value with Perfecting Patient Journeys.
Published by the Lean Enterprise Institute (LEI) Perfecting Patient Journeys is a guide for leaders of healthcare organizations who want to implement lean thinking. Readers will learn how to identify and select a problem, define a project scope, and create a shared understanding of what's occurring in the value stream. Readers will also learn to develop a shared vision of an improved future, and how to work together to make that vision a reality.
The authors describe and advocate a value-stream approach to improvement bringing together both scientific and cultural components needed to transform Lean Healthcare.
The workbook comprises of 8 chapters which constitutes the steps of the improvement cycle:
Team-based problem solving and learning for continuous improvement
Scoping your improvement project
Value-stream mapping - current state
Future-state mapping
Measuring the future state and planning for change
Establishing project management
Keeping your improvement project on track
Moving forward- from projects and events to consistent practice
The basis of the workbook was a field guide developed for support of training during collaborative sessions in a project with MHA Keystone Center for Patient Safety & Quality. Throughout the book the authors, who worked on the project, utilize their case study of St. Luke's Hospital initiative to improve the performance of their emergency department as an example. They include details of improvement from St. Luke's that makes it easy to follow and implement this improvement approach.
While this workbook is intended for practitioners with direct interaction with patients it also helps senior leadership understand and support system level improvements. Written is a clear manner without excessive Lean jargon or terminology, this book presents the value-stream improvement approach, which simultaneously blends the ability to change structure and process while changing culture.
Perfecting Patient Journeys follows the style as other LEI workbooks but has a different look. This workbook doesn't have the typical spiral binding of the other workbooks as it a hard cover book. Likely this was done to better market the target audience of healthcare professionals. Personally I prefer the spiral bound style for its convenience in the gemba or at team meetings.
While the audience for this book is clearly healthcare workers it has easy application for any service process. This guide presents a method to sort through problems, establish priorities, and focus on solving the right problems with teamwork which is applicable in all processes. Lean practitioners and those alike interested in learning an improvement methodology based on eliminating waste within a value stream with teamwork will find this book a helpful reference guide.
You can read more on A Lean Journey Blog...
2 of 2 people found the following review helpful.
A roadmap to successful outcomes
By Carl Bartecchi
Perfecting Patient Journeys is a wonderful road-map to achieving successful outcomes in emergency departments as well as other departments in a hospital. I was aware of the success of the Lean approach at the Mayo Clinic (Rochester)emergency department. I was then fortunate enough to have one of the book's authors, Karl Ohaus, volunteer his time and fortune to assist my Bach Mai Hospital Project to successfully improve the operation of Bach Mai's emergency department - a very busy emergency department and teaching center, in the 2000 bed government hospital for the poor, in Hanoi, Vietnam. Karl's efforts, Lean's program and the book's stress on the beneficial effects of teamwork can really make a difference that can be a model for other areas of a hospital.
The authors are to be congratulated on a nice, easy to read, book that should prove valuable to several areas of our health care system.
Carl E. Bartecchi, MD, MACP
Clinical Professor of Medicine
University of Colorado School of Medicine
Director, Bach Mai Hospital Project
3 of 3 people found the following review helpful.
I was disappointed
By @BobbyGvegas
This book is egregiously overpriced, that's my main complaint. OK at $9.99 for a reader not well versed in Lean, but I feel ripped off at this price for a eBook. I read it on my iPad in one sitting during a flight from SFO to BOS, and didn't learn anything I didn't already know. The "fictitious hospital" was annoying. How about some real world examples? (as in the much better book "Healthcare Kaizen.") I bought this because it came from the ThedaCare Center. I have greatly enjoyed the works of Dr. Toussaint published there. I will look a bit more closely next time.
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