This document summarizes a presentation on applying lean techniques to reduce waste in healthcare. It discusses how healthcare facilities generate large amounts of waste, much of which is plastic, and the associated costs. It then introduces lean principles like value stream mapping to understand current waste processes and identify opportunities for improvement. The presentation describes a waste characterization study conducted at Kaiser Permanente to establish metrics and map waste streams. The goal is to standardize metrics to track progress in waste reduction and recycling over time.
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37 Hospitals
568 Medical Office Buildings
336 Administrative locations
Over 56 million square feet of real estate
9 million members
173,300 technical, administrative, and
clerical employees and caregivers
16,658 physicians representing all
specialties
14 Medical Centers
198 Medical Offices
3.5 million members
70,000 technical and clerical
employees and caregivers
5,700 SCPMG physicians
Los Angeles County's largest
private employer
Southern California
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Outline
• Introduction
– Waste Issues & their Costs in Healthcare
– Lean Principles
• Kaiser Permanente Story
– Understanding Baseline & Metrics Development
– Value Stream Mapping as a Tool to Ideate, Propose, Communicate,
and Drive Change
• Waste Exercise
• Conclusions
• Questions
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Waste Characterization
Waste study conducted
by the City of Los
Angeles:
Services: Medical / Health
•Other Organic – 37.8%
•Paper – 27.8%*
•Plastic – 24.3%
•Metal – 9.4%
*Paper recycling through Goodwill
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Lean Essentials
Creating a Lean Culture, David Mann, CRC Press, 2010
Lean Healthcare: Get Your Facility in Shape, Sarah Cottington & Shawna Forst, HCPro, 2010
1. Cross Functional:
expedite decision
making
2. Focused amount
of time – reach
consensus & avoid
future rework
3. Co-develop the
plan – ideas come
from team
4. Clear metrics &
goals – shared by
team
5. Anticipate and
recognize problems
6. Interactive process of
continuous improvement –
Plan, Do, Check, Adjust
7. Changes are
Embraced
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Three-Year Project
• Contractor establishes initial “Reference Baseline”
– Develop basic correlative environmental metrics
– Conduct on-site “Functional Assessments”
– Develop a tracking/monitoring database
• KP/Contractor conducts joint assessment of progress and update
metrics (training)
• KP conducts assessment / metrics under supervision of
contractor
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Goals / Objectives of Solid Waste Baseline Study
1. Compliance with the Kaiser Permanente National Waste Minimization (NWM) policy of make a significant effort
to reduce the amount of waste that is generated by implementing waste reduction and recycling programs.
2. Promote the overall Kaiser Permanente environmental sustainability strategy which also promotes individual and
community health, environmental stewardship, cost savings and legal compliance by reducing the amount of waste
generated in Kaiser Permanente buildings and establishing waste minimization as part of it operational thinking.
3. Create a standardized comparative quantitative basis with legally and technically defensible environmental
metrics which can be used to be compare against other medical centers, cites, and other organizations/entities.
4. Create an institutionalized Kaiser Permanente infrastructure with trained personnel which can quantitatively
monitor, evaluate, track the progress of the implemented waste reduction and recycling programs and the disposal at
each medical center with legally and technically defensible environmental metrics.
5. Create an award-winning Kaiser Permanente solid waste reduction and recycling program which will be a UCLA
“Best Management Practices” (BMP) reference teaching model at and peer match model for the medical services
industry.
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Conclusions
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• Waste is a Big Deal!
• Effective management of waste streams is Essential
• Hospital
• Product & packaging design & reduction
• Space optimized for inventory & waste & disposal
• Reduce cost for hospital
• Ease of waste stream optimization
• Opportunities for Suppliers to make impact!