Tens of thousands of patients die unnecessarily every year as a result of errors and defects in our healthcare processes. Those that survive often pay too much for the privilege. The value stream mapping methods described in Mapping Clinical Value Streams will help you achieve more efficient health care processes and will pave the way to an improved medical system with significantly reduced medical errors and other costly waste. Part of the Lean Tools in Healthcare series, this user-friendly book will help you understand how to use value stream mapping to provide quality, patient-centered care. Value stream mapping is a powerful tool for observing and depicting processes as they truly are-and for envisioning and reconfiguring the same processes to eliminate errors and other waste. With this book, you'll learn how to: Map current-state processes Create a future-state map with processes streamlined through "flow" and "pull" Manage the rollout of your future state with "A3" project plans Presented in a highly organized and easy-to-assimilate format, the book includes examples from actual healthcare processes, plus numerous illustrations and margin assists that call your attention to key points. Value stream mapping icons make it easy to see and understand the ebb and flow of healthcare processes. Each chapter also includes a summary for quick review. Throughout the book you will be asked to reflect on questions that will help you apply these concepts and techniques to your own workplace. To be competitive in today's marketplace, you cannot afford to leave processes unexamined, or let them become haphazard. You must apply conscious, quality attention to continuously see and fix your healthcare processes. In Mapping Clinical Value Streams, Shingo Prize-winning author Thomas L. Jackson shows you how.

While there are a growing number of books based on the Toyota Production System, or lean, focused on healthcare, there are very few that detail the tools that make lean more than just a way of thinking and put the methodology into practice. Based on Hiroyuki Hirano's classic 5 Pillars of the Visual Workplace and modeled after the Shingo Prize-winning Shopfloor Series for Lean Manufacturers, 5S for Healthcare adopts a proven reader-friendly format to impart all the information needed to understand and implement this essential lean methodology. It provides examples and cased studies based on the experiences of the principals involved with the Rona Consulting Group, who were responsible for the groundbreaking implementation of the Toyota Production System at the Virginia Mason Medical Center. Written to readily assist with hands-on implementation efforts, this volume offers innovative features designed to improve understanding and support application. This includes helpful how-to-steps and practical examples taken directly from the healthcare industry.

Winner of a Shingo Research and Professional Publication Award! At the heart of Lean and Six Sigma is the same, unique business operating system: hoshin kanri. It is a method of strategic planning and a tool for managing complex projects, a quality operating system geared to ensuring that organizations faithfully translate the voice of the customer into new products, and a business operating system that ensures reliable profit growth. The true power of hoshin kanri, however, is two-fold -- it is a superior organizational learning method as well as a competitive resource development system. Hoshin Kanri for the Lean Enterprise, by Tom Jackson, explains how you can implement, identify and manage the critical relationships among your markets, design characteristics, production systems, and personnel to satisfy your customers and beat your competition. This practical workbook provides- A new understanding of hoshin kanri as a grand experimental design implemented through a system of team agreements. Clear explanations of the steps of hoshin kanri. A measure of overall business effectiveness used to determine the focus of corporate strategy. A new, improved X-matrix that incorporates a lean "balanced scorecard" for identifying improvement opportunities and converting them readily into bottom line results as a value stream P&L in terms that financial managers and accountants can understand and support. Downloadable resources containing forms, meeting agendas, and examples of X-matrices that serve marketing and design engineering as well as manufacturing. This workbook will show you the mechanics of implementing hoshin kanri, so that you can systematically improve your brand equity, implement Lean manufacturing and Six Sigma, and integrate your suppliers into a Lean and Six Sigma organization.

Part of the Lean Tools for Healthcare series, this user-friendly book will help to improve your understanding of kaizen. It describes exactly what a kaizen event is and details all the phases necessary for implementing continuous improvement practices in your healthcare organization. Kaizen Workshops for Lean Healthcare walks you through the steps of conducting an effective kaizen workshop one that is well planned, well implemented, and well monitored. The information is presented in an easy-to-assimilate format. Numerous illustrations reinforce the text and margin assists call your attention to key terms, healthcare examples, and how-to steps. Throughout the book, you will be asked to reflect on questions that will help you apply the concepts and techniques in your own workplace. Defining the key concepts and elements of the "production" of healthcare services, the text delineates the differences between healthcare processes and the individual cycles of work that those processes link together. It also: Provides foundational information on kaizen and kaizen workshops defining the key roles for success Explains exactly how to plan and prepare Presents examples of how to present workshop results and how to follow up Includes a concise summary of kaizen workshop steps Supplies a list of additional resources for learning more about the different kinds of improvement methodologies you might want to implement in your kaizen workshops If your healthcare organization fully applies the steps detailed in this book, it will gain much more than the knowledge of how to conduct a workshop. Through kaizen, you will empower your employees to make positive change a reality. And incrementally, kaizen workshops will become more than isolated events they will become the way all work is done in your organization.

Winner of a Shingo Research and Professional Publication Award! At the heart of Lean and Six Sigma is the same, unique business operating system: hoshin kanri. It is a method of strategic planning and a tool for managing complex projects, a quality operating system geared to ensuring that organizations faithfully translate the voice of the customer into new products, and a business operating system that ensures reliable profit growth. The true power of hoshin kanri, however, is two-fold -- it is a superior organizational learning method as well as a competitive resource development system. Hoshin Kanri for the Lean Enterprise, by Tom Jackson, explains how you can implement, identify and manage the critical relationships among your markets, design characteristics, production systems, and personnel to satisfy your customers and beat your competition. This practical workbook provides- A new understanding of hoshin kanri as a grand experimental design implemented through a system of team agreements. Clear explanations of the steps of hoshin kanri. A measure of overall business effectiveness used to determine the focus of corporate strategy. A new, improved X-matrix that incorporates a lean "balanced scorecard" for identifying improvement opportunities and converting them readily into bottom line results as a value stream P&L in terms that financial managers and accountants can understand and support. Downloadable resources containing forms, meeting agendas, and examples of X-matrices that serve marketing and design engineering as well as manufacturing. This workbook will show you the mechanics of implementing hoshin kanri, so that you can systematically improve your brand equity, implement Lean manufacturing and Six Sigma, and integrate your suppliers into a Lean and Six Sigma organization.

Tens of thousands of patients die unnecessarily every year as a result of errors and defects in our healthcare processes. Those that survive often pay too much for the privilege. The value stream mapping methods described in Mapping Clinical Value Streams will help you achieve more efficient health care processes and will pave the way to an improved medical system with significantly reduced medical errors and other costly waste.Part of the Lean Tools in Healthcare series, this user-friendly book will help you understand how to use value stream mapping to provide quality, patient-centered care. Value stream mapping is a powerful tool for observing and depicting processes as they truly are and for envisioning and reconfiguring the same processes to eliminate errors and other waste. With this book, you'll learn how to: Map current-state processes Create a future-state map with processes streamlined through "flow" and "pull" Manage the rollout of your future state with "A3" project plans Presented in a highly organized and easy-to-assimilate format, the book includes examples from actual healthcare processes, plus numerous illustrations and margin assists that call your attention to key points. Value stream mapping icons make it easy to see and understand the ebb and flow of healthcare processes. Each chapter also includes a summary for quick review. Throughout the book you will be asked to reflect on questions that will help you apply these concepts and techniques to your own workplace.To be competitive in today's marketplace, you cannot afford to leave processes unexamined, or let them become haphazard. You must apply conscious, quality attention to continuously see and fix your healthcare processes. In Mapping Clinical Value Streams, Shingo Prize-winning author Thomas L. Jackson shows you how.

While there are a growing number of books based on the Toyota Production System, or lean, focused on healthcare, there are very few that detail the tools that make lean more than just a way of thinking and put the methodology into practice. Based on Hiroyuki Hirano's classic 5 Pillars of the Visual Workplace and modeled after the Shingo Prize-winning Shopfloor Series for Lean Manufacturers, 5S for Healthcare adopts a proven reader-friendly format to impart all the information needed to understand and implement this essential lean methodology. It provides examples and cased studies based on the experiences of the principals involved with the Rona Consulting Group, who were responsible for the groundbreaking implementation of the Toyota Production System at the Virginia Mason Medical Center. Written to readily assist with hands-on implementation efforts, this volume offers innovative features designed to improve understanding and support application. This includes helpful how-to-steps and practical examples taken directly from the healthcare industry.

Proven to increase efficiencies in the manufacturing sector, Standard Work has become a key element in reducing process waste, ensuring patient safety, and improving healthcare services. Part of the Lean Tools for Healthcare Series, this reader-friendly book builds on the success of the bestselling, Standard Work for the Shopfloor. Standard Work for Lean Healthcare explains how to apply this powerful Lean tool to increase patient safety and reduce the cost of providing healthcare services. It illustrates how standardization can help you establish best practices for performing daily work and why it should be the cornerstone for all of your continuous improvement efforts. Presented in an easy-to-assimilate format, the book describes work in terms of cycle time, work in process, takt time, and layout. It also: Defines the key concepts of standard work and explores the essential elements of a continuous improvement culture Provides detailed guidance through the process of creating, maintaining, and improving standards Illustrates the application of standardization and standard work in healthcare with a range of examples Includes access to helpful websites and further reading on standardization, standard work, the 5S System, and Lean healthcare A joint effort between the Rona Consulting Group and Productivity Press, this book presents invaluable insights from pioneers in Lean thinking to help you avoid common mistakes that can lead to unnecessary wastes of time and resources. Each richly illustrated chapter includes a chapter summary, reflection questions, and margin assists that highlight key terms, how-to steps, and healthcare examples making this an essential resource for healthcare professionals starting out on their Lean journey.

Does your company think and act ahead of technological change, ahead of the customer, and ahead of the competition? Thinking strategically requires a company to face these questions with a clear future image of itself. "Implementing a Lean Management System" lays out a comprehensive management system for aligning the firm's vision of the future with market realities.

Based on hoshin management, the Japanese strategic planning method used by top managers for driving TQM throughout an organization, Lean Management is about deploying vision, strategy, and policy at all levels of daily activity. It is an eminently practical methodology emerging out of the implementation of continuous improvement methods and employee involvement. The key tools in the text build on the knowledge of the worker, multi-tasking, and an understanding of the role and responsibilities of the new lean manufacturer.

This volume contains the proceedings of the Workshop on Com bustion, sponsored by the Institute for Computer Applications in Science and Engineering (ICASE) and the NASA Langley Research Center (LaRC). It was held on October 12-14, 1992, and was the sec ond workshop in the series on the subject. The first was held in 1989, and its proceedings were published by Springer-Verlag under the title "Major Research Topics in Combustion," edited by M. Y. Hussaini, A. Kumar, and R. G. Voigt. The focus of the second workshop was directed towards the development, analysis, and application of basic models in high speed propulsion of particular interest to NASA. The exploration of a dual approach combining asymptotic and numerical methods for the analysis of the models was particularly encouraged. The objectives of this workshop were i) the genesis of models that would capture or reflect the basic pllysical phenomena in SCRAMJETs and/or oblique detonation-wave engines (ODWE), and ii) the stimulation of a greater interaction between NASA exper imental research community and the academic community. The lead paper by D. Bushnell on the status and issues of high speed propulsion relevant to both the SCRAMJET and the ODWE parallels his keynote address which set the stage of the workshop. Following the lead paper were five technical sessions with titles and chairs: Experiments (C. Rogers), Reacting Free Shear Layers (C. E. Grosch), Detonations (A. K. Kapila), Ignition and Struc ture (J. Buckmaster), and Unsteady Behaviour ('1'. L. Jackson)."

These two volumes contain the proceedings of the Workshop on Transition, Turbulence and Combustion, sponsored by the Insti tute for Computer Applications in Science and Engineering (ICASE) and the NASA Langley Research Center (LaRC), during June 7 to July 2, 1993. Volume I contains the contributions from the transi tion research, and Volume II contains the contributions from both the turbulence and combustion research. This is the third workshop in the series on the subject. The first was held in 1989, the second in 1991, and their proceedings were published by Springer-Verlag under the titles "Instability and Transition" (edited by M. Y. H ussaini and R. G. Voigt) and "Instability, Transition and Turbulence" (edited by M. Y. Hussaini, A. Kumar and C. L. Streett) respectively. The objectives of these workshops are to expose the academic community to current technologically important issues of transition, turbulence and combustion, and to acquaint the academic COllllllU nity with the unique combination of theoretical, computational and experimental capabilities at LaRC. It is hoped these will foster con tinued interactions, and accelerate progress in elucidating the funda mental phenomena of transition, turbulence and combustion. The research areas of interest in transition covered the full range of the subject: linear and nonlinear stability, direct and large-eddy simulation and phenomenological modeling of the transition zone."

These two volumes contain the proceedings of the Workshop on Transition, Turbulence and Combustion, sponsored by the Insti tute for Computer Applications in Science and Engineering (ICASE) and the NASA Langley Research Center (LaRC), during June 7 to July 2, 1993. Volume I contains the contributions from the transi tion research, and Volume II contains the contributions from both the turbulence and combustion research. This is the third workshop in the series on the subject. The first was held in 1989, the second in 1991, and their proceedings were published by Springer-Verlag under the titles "Instability and Transition" (edited by M. Y. Hussaini and R. G. Voigt) and "Instability, Transition and Turbulence" (edited by M. Y. Hussaini, A. Kumar and C. L. Streett) respectively. The objectives of these workshops are to expose the academic community to current technologically important issues of transition, turbulence and combustion, and to acquaint the academic commu nity with the unique combination of theoretical, computational and experimental capabilities at LaRC. It is hoped these will foster con tinued interactions, and accelerate progress in elucidating the funda mental phenomena of transition, turbulence and combustion. The research areas of interest in transition covered the full range of the subject: linear and nonlinear stability, direct and large-eddy simulation and phenomenological modeling of the transition zone."

Proven to increase efficiencies in the manufacturing sector, Standard Work has become a key element in reducing process waste, ensuring patient safety, and improving healthcare services. Part of the Lean Tools for Healthcare Series, this reader-friendly book builds on the success of the bestselling, Standard Work for the Shopfloor.

Standard Work for Lean Healthcare explains how to apply this powerful Lean tool to increase patient safety and reduce the cost of providing healthcare services. It illustrates how standardization can help you establish best practices for performing daily work and why it should be the cornerstone for all of your continuous improvement efforts. Presented in an easy-to-assimilate format, the book describes work in terms of cycle time, work in process, takt time, and layout. It also:

• Defines the key concepts of standard work and explores the essential elements of a continuous improvement culture
• Provides detailed guidance through the process of creating, maintaining, and improving standards
• Illustrates the application of standardization and standard work in healthcare with a range of examples
• Includes access to helpful websites and further reading on standardization, standard work, the 5S System, and Lean healthcare

A joint effort between the Rona Consulting Group and Productivity Press, this book presents invaluable insights from pioneers in Lean thinking to help you avoid common mistakes that can lead to unnecessary wastes of time and resources. Each richly illustrated chapter includes a chapter summary, reflection questions, and margin assists that highlight key terms, how-to steps, and healthcare examples making this an essential resource for healthcare professionals starting out on their Lean journey. "

These two volumes contain the proceedings of the Workshop on Transition, Turbulence and Combustion, sponsored by the Insti tute for Computer Applications in Science and Engineering (ICASE) and the NASA Langley Research Center (LaRC), during June 7 to July 2, 1993. Volume I contains the contributions from the transi tion research, and Volume II contains the contributions from both the turbulence and combustion research. This is the third workshop in the series on the subject. The first was held in 1989, the second in 1991, and their proceedings were published by Springer-Verlag under the titles "Instability and Transition" (edited by M. Y. H ussaini and R. G. Voigt) and "Instability, Transition and Turbulence" (edited by M. Y. Hussaini, A. Kumar and C. L. Streett) respectively. The objectives of these workshops are to expose the academic community to current technologically important issues of transition, turbulence and combustion, and to acquaint the academic COllllllU nity with the unique combination of theoretical, computational and experimental capabilities at LaRC. It is hoped these will foster con tinued interactions, and accelerate progress in elucidating the funda mental phenomena of transition, turbulence and combustion. The research areas of interest in transition covered the full range of the subject: linear and nonlinear stability, direct and large-eddy simulation and phenomenological modeling of the transition zone."

These two volumes contain the proceedings of the Workshop on Transition, Turbulence and Combustion, sponsored by the Insti tute for Computer Applications in Science and Engineering (ICASE) and the NASA Langley Research Center (LaRC), during June 7 to July 2, 1993. Volume I contains the contributions from the transi tion research, and Volume II contains the contributions from both the turbulence and combustion research. This is the third workshop in the series on the subject. The first was held in 1989, the second in 1991, and their proceedings were published by Springer-Verlag under the titles "Instability and Transition" (edited by M. Y. Hussaini and R. G. Voigt) and "Instability, Transition and Turbulence" (edited by M. Y. Hussaini, A. Kumar and C. L. Streett) respectively. The objectives of these workshops are to expose the academic community to current technologically important issues of transition, turbulence and combustion, and to acquaint the academic commu nity with the unique combination of theoretical, computational and experimental capabilities at LaRC. It is hoped these will foster con tinued interactions, and accelerate progress in elucidating the funda mental phenomena of transition, turbulence and combustion. The research areas of interest in transition covered the full range of the subject: linear and nonlinear stability, direct and large-eddy simulation and phenomenological modeling of the transition zone."

This volume contains the proceedings of the Workshop on Com bustion, sponsored by the Institute for Computer Applications in Science and Engineering (ICASE) and the NASA Langley Research Center (LaRC). It was held on October 12-14, 1992, and was the sec ond workshop in the series on the subject. The first was held in 1989, and its proceedings were published by Springer-Verlag under the title "Major Research Topics in Combustion," edited by M. Y. Hussaini, A. Kumar, and R. G. Voigt. The focus of the second workshop was directed towards the development, analysis, and application of basic models in high speed propulsion of particular interest to NASA. The exploration of a dual approach combining asymptotic and numerical methods for the analysis of the models was particularly encouraged. The objectives of this workshop were i) the genesis of models that would capture or reflect the basic pllysical phenomena in SCRAMJETs and/or oblique detonation-wave engines (ODWE), and ii) the stimulation of a greater interaction between NASA exper imental research community and the academic community. The lead paper by D. Bushnell on the status and issues of high speed propulsion relevant to both the SCRAMJET and the ODWE parallels his keynote address which set the stage of the workshop. Following the lead paper were five technical sessions with titles and chairs: Experiments (C. Rogers), Reacting Free Shear Layers (C. E. Grosch), Detonations (A. K. Kapila), Ignition and Struc ture (J. Buckmaster), and Unsteady Behaviour ('1'. L. Jackson)."

The change from traditional ways of producing and managing healthcare services to a just-in-time approach requires a new understanding about what adds value for the patient or customer, and what does not. Just-in-Time for Healthcare is intended to share powerful knowledge that will help you participate effectively in the change to just-in-time. Part of the Lean Tools for Healthcare series, this user-friendly book is designed to improve understanding of the just-in-time (JIT) system that is fundamental to providing lean healthcare services and eliminating waste from healthcare processes. The book covers why JIT is important for healthcare by explaining how it enables a healthcare organization to efficiently and reliably produce the quality services its patients require-when they need them, where they need them, and in the amount they need. This book also - Addresses the basic concepts of just-in-time in healthcare, including flow, pull, and kanban systems Describes the principles and benefits of process flow layouts versus operations-based layouts Reviews the importance of standard work as the foundation for continuous improvement Outlines support techniques for just-in-time such as 5S, visual management techniques, quick setup, mistake proofing, and the essential concepts of lean management Includes real-world healthcare examples. Presented in practical terms, this fundamental book shows how lean principles and tools connect in a just-in-time system. It is ideally suited for both individual and group learning.

Part of the Lean Tools for Healthcare series, this user-friendly book will help to improve your understanding of kaizen. It describes exactly what a kaizen event is and details all the phases necessary for implementing continuous improvement practices in your healthcare organization. Kaizen Workshops for Lean Healthcare walks you through the steps of conducting an effective kaizen workshop-one that is well planned, well implemented, and well monitored. The information is presented in an easy-to-assimilate format. Numerous illustrations reinforce the text and margin assists call your attention to key terms, healthcare examples, and how-to steps.Throughout the book, you will be asked to reflect on questions that will help you apply the concepts and techniques in your own workplace. Defining the key concepts and elements of the "production" of healthcare services, the text delineates the differences between healthcare processes and the individual cycles of work that those processes link together. It also: Provides foundational information on kaizen and kaizen workshops-defining the key roles for success Explains exactly how to plan and prepare Presents examples of how to present workshop results and how to follow up Includes a concise summary of kaizen workshop steps Supplies a list of additional resources for learning more about the different kinds of improvement methodologies you might want to implement in your kaizen workshops If your healthcare organization fully applies the steps detailed in this book, it will gain much more than the knowledge of how to conduct a workshop. Through kaizen, you will empower your employees to make positive change a reality. And incrementally, kaizen workshops will become more than isolated events-they will become the way all work is done in your organization.

These two volumes are concerned with current technologically important issues of transition, turbulence and combustion. Topics covered in transition include linear and nonlinear stability, direct and large-eddy simulation and phenomenological modelling of the transition zone. In turbulence, interest was focused on second-order closures and the formulation of near-wall corrections to existing high Reynolds number models, and closure model development based on turbulent flow structures and RNG theory. Topics covered in combustion include counterflow diffusion flames, development of novel mixing enhancement techniques for non-premixed combustion, and methods of modelling the interaction between turbulence and chemical kinetics. This collection of papers from leading researchers represents as yet unpublished state-of-the-art research, resulting in a very valuable tool for scientists and students working in areas of turbulence, transition and combustion.