Lean Methodology in Health Care Quality Improvement

Lean production (Lean) is a type of qualityHealth care organizations typically spend a larger
improvement methodology which has beenpercentage of operating expenses on overhead and
implemented in many industries. Its principles andlabor costs. This can account for 50 percent of the
practices also have been applied to health careoperating costs while inventory is in the range of 2
organizations with success. This has beenpercent (Caldwell, 2005). Understanding waste in
accomplished with refinement for the nuances ofthroughput entails a comprehension of the relationships
health care. Lean is a process management philosophybetween process variables and costs. Costs are not
which has its roots in manufacturing and technology. Itcauses of waste but are indicators of interrelationships
was developed as part of the Toyota Productionbetween processes. While the ultimate goal of most
System for the process assembly of automobilesLean implementations is to recover costs as tangible
(Toyota Motor Corporation, 2009). The Toyotabenefits, eliminating costs without fully understanding
System is comprehensive and spans a large numberprocesses is problematic. Looking at the types of cost
of methods and practices. It was initially influenced byrecovery is essential to determining an action plan.
the work of W. Edwards Deming and Henry Ford andSolution: Cost Recovery
was also inspired by innovation in the AmericanThe ultimate goal of most Lean implementations is to
grocery store industry of the 1950s (Keller, 2006). Thisattain a tangible benefit, often in the form of a cost
is reflected in the Just-in-Time philosophy ofrecovery. However, not all process improvement
productivity improvement, which emphasizes producingopportunities will result in immediate returns. The actual
quality products efficiently through the completerealization of a benefit depends on the nature of the
elimination of waste, inconsistencies, and unreasonableimprovement as well as the additional steps that
requirements (Toyota Motor Corporation, 2009).management takes to achieve it. Caldwell (2005) cites
Though the Lean methodology was initially developedthree types of cost recovery through the elimination of
as part of an overall system focusing on thewaste: Type 1, Type 2, and Type 3. In a Type 1
production of automobiles, its principles also have beensituation the process throughput improvement will yield
adapted for health care. As certain case studiesa direct cost recovery. For example, a process
indicate, Lean thinking and tools have been successfullyimprovement that reduces length of patient stay would
applied to specific health care settings. The scope andrecover costs in the form of reduced resources
value of Lean production within this field will beexpended. In a Type 2 situation, the process
explored in this paper.improvement saves time but does not result in cost
Significance:Valuerecovery without additional hours worked per unit of
A significant component of Lean is the concept ofservice. A provider may spend less time per patient
value: the theoretical concept of value, thebecause of reduced length of stay but scheduling will
measurement of value, and the tangible processesneed to be adjusted in order to capitalize on the
behind delivering value. Lean is unique in that itbenefit to workflow. Lastly, Type 3 yields savings in
accounts for the reduction of waste in order tothe form of immediate optimization of capacity. In this
achieve both real and potential value. Recovering thissituation a process improvement in an emergency
value can present itself in the form of saved costs orroom, for example, may allow a provider to see more
other tangibles. Lean thinking dictates that thepatients in the same staffed time without additional
expenditure of resources for any purpose other thanaction taken by management. This is similar to a Type
delivering value to the customer is considered to be2 recovery but with no changes to scheduling. This
wasteful. The reduced expenditure of time, money,can occur if the provider is willing to see more patients
and resources is thought to bring additional bottom-lineper unit of time and sufficient patient volume exists to
benefit to the customer. The customer-centric focusachieve capacity. Maximum velocity is achieved
of Lean thinking is especially relevant to health care.without additional action needed to be carried out by
Broader levels of patient/customer satisfaction aremanagement. These examples show that throughput
constantly being sought. This mode of thinking hasimprovement may not achieve an immediate benefit
been brought on by increased competition amongwithout other factors. It also brings to light the fact that
organizations and the need to differentiate services. Itthroughput improvement may yield different benefits
is recognized that providing complete customersuch as recovered costs, time saved, or increased
satisfaction can be vastly beneficial to health carerevenues. Regardless of the actual benefit achieved
organizations. Customer satisfaction can be an equallyand the way that it is realized, the ultimate outcome
important measure of an organization's performancemust increase bottom-line value and satisfaction to
as the delivery of quality health outcomes. This is acustomers in some way.
factor which is exemplified in Noriaki Kano's model.Examples of Lean implementation in Healthcare
Lean thinking dictates that processes and methodsThe study of actual Lean implementations in health
must be efficiently optimized with the needs ofcare is essential to understanding their application. One
customers in mind in order for organizations to be fullyexample of a successful implementation is outlined by
effective.Fairbanks (2007) at a medical center in Vermont. This
Problem Addressed: Wasteimplementation dramatically improved overall
Lean focuses on the maximization of process velocitythroughput processes within the organization. An
through the reduction of waste. It provides tools forimplementation team was assembled and delved into
analyzing process flow and delay times at eachall steps of the processes they were analyzing in
activity in a process. The focal point is the separationorder to determine the sources of waste. They utilized
of "value-added" from "non-value-added" work. This isvarious Lean steps and methodologies to conduct
complemented by tools which aide in the identificationroot-cause analyses and prioritize process
and elimination of root causes of non-valued activities.improvements. The team measured time involved,
The primary problem addressed by Lean is waste,identified activities, and made rapid improvements
which can affect value in a number of ways. It maythrough the elimination of non value-added activities. A
result in lower quality products, higher costs, lesslarge part of their improvements involved the
favorable customer experiences, excessive time orelimination of redundancy. The topic of redundancy
effort expended to complete goals, or fewershows the importance of analyzing all processes, even
resources available for innovation which could providethose which are perceived to contribute to customer
potential value at a future date. Waste can be found invalue. Even though a particular function may provide
people, processes, tangibles, and other areas.value in an organization it is possible that a redundant
Eliminating waste through the lens of Lean productionfunction may exist which can be eliminated. In another
can help to achieve the goals of health carecase example Lean methodology was used to
organizations. There are eight generally identifiablestreamline the physical space and inventory areas of a
centers of waste: overproduction, waiting (time onDenver-area hospital (Gabow, Albert, Kaufman, Wilson,
hand), unnecessary transport or conveyance,& Eisert, 2008). The implementation team utilized
over-processing or incorrect processing, excessthe 5-S approach to organize physical work spaces
inventory, unnecessary human movement, defects,within the hospital. 5-S is a Lean improvement which
and unused employee creativity (United States Army,incorporates visualization management to organize
2009). There are variations on these categories ofobjects and supplies. The five Ss stand for sort, set in
waste depending on the setting or industry. For theorder, shine, standardize, and sustain. These steps
purpose of health care Caldwell (2005) slightly refinesinvolve tasks ranging from simple clean-up and
these measures into seven categories of waste.organization to the implementation of detailed visual
These consist of "in-quality/out-of-quality staffing orcontrols. In a 5-S environment there is "a place for
overcapacity, overcorrection, over processing, excesseverything and everything in its place, when you need
inventory, waiting, motion of patients or staff, andit (Lean Innovations, 2003)." The Denver hospital used
material and information movement (Caldwell, 2005, p.this approach in a series of projects focusing on
46)." Regardless of the differences in terminologiesindividual offices, nursing stations, entire laboratories,
used, there are common centers of waste in healthand financial services departments. These spaces
care which can be targeted for elimination. These canwere reorganized to achieve optimal work flow and
be identified through Lean processes which focus ongood space management. The successful outcomes
root cause analysis.included reclaimed physical work space, improved lab
Process: Root Cause Analysisturnaround time, reduced time in locating equipment,
A crucial process in Lean is the identification of wasteand better processes which could improve patient
through root cause analysis. Root cause analysis incare (Gabow et al, 2008). The 5-s method is an
Lean involves a method called 5-Whys (Toyotaexcellent first step in implementing Lean programs in a
Manufacturing Kentucky, 2003). This method rapidlyhealth care organization. Improvement of physical work
identifies root causes and aides in determining thespace can positively affect mindset and mental
relationship between multiple root causes. It can beperception of work. Another case example of a
learned quickly and does not require statistical analysis.successful 5-S implementation involves a rural health
This method is especially effective for anclinic in Georgia. Lean techniques were used in this
implementation team in the initial stages of problemorganization to resolve problems with bottlenecks,
exploration. The application of this strategy involvesturnaround times, customer satisfaction, and
asking a series of why-related questions to drill downoverworked nurses (Cross, 2009). 5-S is one of many
into a problem area. Asking progressive questionsLean tools which can provide immediate benefit.
about a perceived difficulty forces team members toConclusion
think critically about the actual sources of waste andLean is a multifaceted approach to quality
inefficiency. It is suggested that at least five questionsimprovement which has tangible benefits to health
(5-Whys) are posed to arrive at the root cause,care organizations. There are aspects which focus on
though a root cause may be discovered in more orreducing non value-added work and waste to achieve
less inquires.value in various ways. Successfully implementing Lean
The following is an example of a 5-Whys exercisein health care depends on the setting involved and the
used in a hypothetical hospital setting:motivation of management and teams. Health care
(Q1) Why are patients being diverted to neighboringencompasses a wide range of organizations and each
hospitals?has unique characteristics which must be considered in
(A1) Because wait times for our hospital arelight of Lean processes. Important considerations in
exceeding industry norms.implementing lean in any environment can be reduced
(Q2) Why are our wait times exceeding industryto a few key points: Understanding the concept of
norms?value Understanding waste and its sources Learning
(A2) Because patient volume is exceeding capacity.how to determine and analyze root causes Prioritizing
(Q3) Why is patient volume exceeding capacity?multiple root causes Devising methods to eliminate
(A3) Because not enough hospital beds are available.waste Determining ways to recover costs or achieve
(Q4) Why are not enough hospital beds available?benefits Analyzing effectiveness and repeating steps
(A4) Because hospital patients are not beingif necessary In addition, it is important to note that
discharged efficiently.eliminating waste through a Lean process may not
(Q5) Why are hospital patients not being dischargedimmediately result in tangible benefit. Management
efficiently?must thoroughly analyze action plans and make
(A5) Because ER staff is not following best practicesadjustments based on actual outcomes. Additional
for proper discharge.steps may need to be taken following initial process
In this example, waste in the throughput processimprovements. This is especially relevant in health care
comes from incorrect processing. Once hospitalwhere process throughput improvement and staffing
management determines the root cause they canare areas which are commonly targeted. These areas
implement further training, ensure compliance withmay involve more challenges when trying to extract
existing standards, or eliminate other barriers. In thisbenefit. Freeing time for providers cannot always be
case the hospital might consider implementing a trainingcapitalized upon without other capacity and throughput
program to ensure that ER staff is following bestimprovements. Scheduling or work flow functions may
practices for patient discharge. The hospital might alsoneed to be overhauled in order for providers to
conduct additional 5-Whys analyses to uncover otherincrease overall process velocity and maximize value
problem areas. Once root causes of waste areper unit for time. It is also crucial to realize that humans
uncovered, the elimination of waste or other relatedare not machines. Theoretical methods of quality
action plans can be executed.improvement in Lean may not always be feasible to
Sources of wasteachieve at maximum levels. The Lean methodology
Sources of waste vary greatly by industry. Thedeveloped by Toyota is very cognizant of respect for
majority of waste encountered by health carepeople. It is reflective of a collective culture and a
organizations occurs in flow and throughput. As aholistic concept rather than a series of parts or steps.
result, Lean implementations in this field are primarilyThis is a fact which cannot be overlooked by
focused on the elimination of waste in staffing andmanagement and teams when planning an
staff/patient processes. Unlike manufacturing industriesimplementation. People perform processes with normal
most health care organizations have very littlehuman variation and improvements must be sensitive,
inventory. Thus, some of the Lean concepts related toappropriate, and sustainable.
inventory control are less applicable to health care.