Getting Started The Purpose of This Book What This Book Is Based On Two Ways to Use This Book How to Get the Most out of Your Reading Become Familiar with This Book Become Familiar with Each Chapter How a Reading Strategy Works Using the Margin Assists An Overview of the Contents Chapter 1: Getting Started Chapter 2: The Production Processes and Operations of Healthcare Chapter 3: Value Streams and the Mapping Process Chapter 4: Map the Current State Chapter 5: Map the Future State: Phase I--Flow Chapter 6: Map the Future State: Phase II--Pull Chapter 7: Implement the Future State Chapter 8: Reflections and Conclusions The Production Processes and Operations of Healthcare The Industrial Origins of Lean Healthcare Production, Process, and Operation Principles of Lean Healthcare Management Standard Work Autonomation Flow Production PDCA Socratic Method Summary Reflections Value Streams and the Mapping Process Mapping Clinical Value Streams What Is Value? The Seven Wastes and the Purpose of Value Stream Mapping Patient as Customer versus Participant What Is a Value Stream? The Value Stream Mapping Process Using Value Stream Mapping Icons Summary Reflections Map the Current State The Power of Direct Observation Building a Current-State Map Choose a Service Family Identify the Patient Walk the Value Stream and Gather Data Identify Sequential Operations in the Process Identify Operational Metrics Identify Waits between Operations Document How Work Is Prioritized Identify Manual and Electronic Information Flows Identify External Patient Flows Build a Process Time Line and Calculate Summary Statistics Another Example Summary Reflections Map the Future State: Phase I--Flow Principles of Flow Production in Healthcare Building a Future-State Map with Flow Produce Services to Takt Time Eliminate Waits to Flow the Process Create Continuous Flow with Clinical Cells Summary Reflections Map the Future State--Phase II: Pull Introduction If You Cannot Flow, Pull Link Separate Processes with FIFO Lanes FIFO Lanes and Reaction Plans Where to Use FIFO Lanes Is FIFO Consistent with Patient Safety? Pull Production with Buffers When to Use Buffers Examples of Buffers Push Me, Pull You Pull to the Pacemaker Level the Production Volume Level the Case Mix Summary Reflections Implement the Future State Focus Loop the "Loops" Hoshin Kanri, A3-Ts, and PDCA Plan: Write an A3-T for Each Loop Do: Conduct Kaizen Workshops Check and Act: Develop Leader Standard Work Where to Begin? Summary Reflections Reflections and Conclusions Reflecting on What You Have Learned Applying What You Have Learned Possibilities for Applying What You Have Learned Applying Value Stream Mapping in Your Organization Your Personal Action Plan Opportunities for Further Learning Conclusions Appendix Further Reading about Value Stream Mapping Further Reading about Lean Healthcare Useful Websites Future State: Phase I--Flow Chapter 6: Map the Future State: Phase II--Pull Chapter 7: Implement the Future State Chapter 8: Reflections and Conclusions The Production Processes and Operations of Healthcare The Industrial Origins of Lean Healthcare Production, Process, and Operation Principles of Lean Healthcare Management Standard Work Autonomation Flow Production PDCA Socratic Method Summary Reflections Value Streams and the Mapping Process Mapping Clinical Value Streams What Is Value? The Seven Wastes and the Purpose of Value Stream Mapping Patient as Customer versus Participant What Is a Value Stream? The Value Stream Mapping Process Using Value Stream Mapping Icons Summary Reflections Map the Current State The Power of Direct Observation Building a Current-State Map Choose a Service Family Identify the Patient Walk the Value Stream and Gather Data Identify Sequential Operations in the Process Identify Operational Metrics Identify Waits between Operations Document How Work Is Prioritized Identify Manual and Electronic Information Flows Identify External Patient Flows Build a Process Time Line and Calculate Summary Statistics Another Example Summary Reflections Map the Future State: Phase I--Flow Principles of Flow Production in Healthcare Building a Future-State Map with Flow Produce Services to Takt Time Eliminate Waits to Flow the Process Create Continuous Flow with Clinical Cells Summary Reflections Map the Future State--Phase II: Pull Introduction If You Cannot Flow, Pull Link Separate Processes with FIFO Lanes FIFO Lanes and Reaction Plans Where to Use FIFO Lanes Is FIFO Consistent with Patient Safety? Pull Production with Buffers When to Use Buffers Examples of Buffers Push Me, Pull You Pull to the Pacemaker Level the Production Volume Level the Case Mix Summary Reflections Implement the Future State Focus Loop the "Loops" Hoshin Kanri, A3-Ts, and PDCA Plan: Write an A3-T for Each Loop Do: Conduct Kaizen Workshops Check and Act: Develop Leader Standard Work Where to Begin? Summary Reflections Reflections and Conclusions Reflecting on What You Have Learned Applying What You Have Learned Possibilities for Applying What You Have Learned Applying Value Stream Mapping in Your Organization Your Personal Action Plan Opportunities for Further Learning Conclusions Appendix Further Reading about Value Stream Mapping Further Reading about Lean Healthcare Useful WebsitesONG>Mapping Clinical Value Streams What Is Value? The Seven Wastes and the Purpose of Value Stream Mapping Patient as Customer versus Participant What Is a Value Stream? The Value Stream Mapping Process Using Value Stream Mapping Icons Summary Reflections Map the Current State The Power of Direct Observation Building a Current-State Map Choose a Service Family Identify the Patient Walk the Value Stream and Gather Data Identify Sequential Operations in the Process Identify Operational Metrics Identify Waits between Operations Document How Work Is Prioritized Identify Manual and Electronic Information Flows Identify External Patient Flows Build a Process Time Line and Calculate Summary Statistics Another Example Summary Reflections Map the Future State: Phase I--Flow Principles of Flow Production in Healthcare Building a Future-State Map with Flow Produce Services to Takt Time Eliminate Waits to Flow the Process Create Continuous Flow with Clinical Cells Summary Reflections Map the Future Sta.