Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements by Mark GrabanHealthcare Kaizen focuses on the principles and methods of daily continuous improvement, or Kaizen, for healthcare professionals and organizations. Kaizen is a Japanese word that means change for the better, as popularized by Masaaki Imai in his 1986 book Kaizen: The Key to Japans Competitive Success and through the books of Norman Bodek, both of whom contributed introductory material for this book.
Winner of a 2013 Shingo Research and Professional Publication Award!
In 1989, Dr. Donald M. Berwick, founder of the Institute for Healthcare Improvement and former administrator of the Centers for Medicare & Medicaid Services, endorsed the principles of Kaizen in the New England Journal of Medicine, describing it as the continuous search for opportunities for all processes to get better. This book shows how to make this goal a reality.
Healthcare Kaizen shares some of the methods used by numerous hospitals around the world, including Franciscan St. Francis Health, where co-author Joe Swartz has led these efforts. Most importantly, the book covers the management mindsets and philosophies required to make Kaizen work effectively in a hospital department or as an organization-wide program. All of the examples in the book were shared by leading healthcare organizations, with over 200 full-color pictures and visual illustrations of Kaizen-based improvements that were initiated by nurses, physicians, housekeepers, senior executives and other staff members at all levels.
Healthcare Kaizen will be helpful for organizations that have embraced weeklong improvement events, but now want to follow the lead of ThedaCare, Virginia Mason Medical Center, and others who have moved beyond just doing events into a more complete management system based on Lean or the Toyota Production System. Its often said, without much reflection, that people hate change. The experiences shared in this book prove that people actually love change when they are fully engaged in the process, get to make improvements that improve patient care and make their day less frustrating, and when they dont fear being laid off as a result of their improvements.
Mark Graban explains why his new book Healthcare Kaizen is a great resource for healthcare organizations looking to make improvements on the frontlines.(www.youtube.com/watch?v=l4JdaH03Dbo&a...) Check out a recent entry about this book on the Virginia Mason Medical Center Blog, Could this new book help drive your Lean journey? (http: //virginiamasonblog.org/2012/09/05/coul...) Check out what the experts at the Franciscan St. Francis Health System have to say about Healthcare Kaizen. (http: //www.youtube.com/watch?v=XcGmP5gLEPo&a...
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Kaizen: Continuous Improvement Ideas for Health Care
Healthcare reform has placed pressure on hospitals to streamline their practices in the face of shrinking budgets and increasing demands. Budgets are strained as Medicare and Medicaid set fixed prices for services that are much lower than the prices paid by other insurances. ERs are then overwhelmed because many private practitioners refuse to take these insurances. Instead of seeing patients, an ER might see patients without additional resources. Lean tools can increase efficiency and help hospitals stay within their budgets.
Kaizen is a method of thinking that can be used in personal lives as well as businesses. The basic method of this line of thinking involves two things, small changes, and common sense. It has been used in thousands of businesses around the world and positive results have come from the proper use of it. One of the most recent industries to adopt this line of thinking is the healthcare industry. It might seem strange to think that a philosophical method of thinking in healthcare could be beneficial, but quite the contrary, it can actually save lives. Essentially, the way that this method works involves implementing small changes throughout the company over time to create a big change for the better. The key thing to remember is that this method is not meant to be used until a goal is achieved.
As a continuous improvement tool Kaizen for Healthcare can help increase For example, unnecessary slowdowns and life-threatening emergencies can arise.
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Monthly Management Tips
Here is an example that is good for patients and staff less delay and is good for the organization better charge capture. Before there were multiple methods of informing Central Supply of the need for cart refills. Nursing could call down to Central Supply, fax a tick sheet or transport the cart to the bar code reorder workstation. Patient charges are now captured on a charge sheet and entered into the reorder workstation without moving the cart. This was a small improvement reduces cost for the hospital and the patients.