Aug 15 2013
Don’t ‘Lean’ on Me, Hospital Workers Say | Labor Notes
See on Scoop.it – lean manufacturing
“A sign in the newborn intensive care unit invited nurses to suggest changes that would speed up their work.
One popular suggestion: replace a sticky combination lock with swipe-card entry. But that would cost too much.
Instead, on a consultant’s recommendation, supplies were rearranged. Blue masking tape outlines now show where each item is supposed to go. A sign lists the “five S’s” of workplace organization (sorting, straightening, cleaning (shine), standardizing, and service). Each shift, one nurse is supposed to check them off.”
– See more at: http://www.labornotes.org/2013/06/dont-lean-me-hospital-workers-say#sthash.BUCnk306.dpuf
I had seen articles bashing Lean from a union perspective in manufacturing, but this is the first one I see about hospitals.
On the one hand, the author thinks that the work processes cannot be improved, and that the only way outcomes can be is by new equipment or more people. On the other hand, the “improvements” she describes are definitely L.A.M.E. (Lean As Mistakenly Implemented) rather than Lean: 5S as the most visible change, curtailment of communications between outgoing and incoming nurses as shift change, or reduction in the skill level of heart monitor operators, etc.
If that is what “Lean Health Care” boils down to, she has a point. But what about the use of Kanbans to manage supplies, as described in the “Par versus Kanban” article I scooped on 8/13?
See on www.labornotes.org

Aug 18 2013
Obeya Ops | IW Presentation, April-2013 | Sam McPherson
See on Scoop.it – lean manufacturing
“The Theory behind Obeya is based on a simple idea: Dedicate time and space to coordination and problem-solving and organizational barriers will be minimized.
The ability to maintain Proper Problem Awareness in Real-time, listen to Teammember concerns, make discoveries, resolve problems together, collaborate, accelerate leader and team-member development and reach our full potential is critical to a Lean Organization
The Obeya promotes coordination, strategy and flexibility while leveraging the expertise and support of teammates from diverse areas.
The Result: Effective solutions and actions that can be developed and implemented quickly…”
A clear presentation, with many informative pictures, as befits this topic.
See on www.leanleadershipacademy.com
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By Michel Baudin • Web scrapings 0 • Tags: Lean, Obeya, Toyota