by Ian Glenday of Lean Enterprise Academy shown at the 1st Lean Healthcare Forum 2006 on 25th June 2006 ran by the Lean Enterprise Academy

1. Lean Enterprise Academy 2006
Lean Enterprise Academy 2006
Lean Healthcare
Forum
Ian Glenday

2. Lean Enterprise Academy 2006
LEAN =
• Creating flow in the value stream
• Eliminating waste (=muda)

3. Lean Enterprise Academy 2006
Batch Logic
vs
Flow Logic

4. Lean Enterprise Academy 2006
Batch Logic
• keep limited resources utilised
• By having “batches” of work waiting
• Intuitively right
• Economies of scale
• Every event uniquely planned,
executed and controlled
• When things go wrong, get:

5. Lean Enterprise Academy 2006

6. Lean Enterprise Academy 2006
Flow Logic
• Increase throughput
• By having fixed “drumbeat”
• Counter-intuitive as demand seen as
variable
• Economies of repetition
• Events will continue to happen
until some-one intervenes

7. Lean Enterprise Academy 2006
Flow Logic
How to start?

8. Lean Enterprise Academy 2006
The Glenday Sieve
99%
95%
50%
% Product
Range
% Cumulative
Sales
Last 1%

9. Lean Enterprise Academy 2006
The Glenday Sieve
99%
95%
50%
% Product
Range
% Cumulative
Sales
Last 1%
6%

10. Lean Enterprise Academy 2006
Central limit theory =
Greater the aggregate
less the variability

11. Lean Enterprise Academy 2006
The Glenday Sieve
and
Value Stream Mapping
What do you map first?

12. Lean Enterprise Academy 2006
The Glenday Sieve
and
Value Stream Mapping
To make the “greens” flow
to a drumbeat
and remove variability

13. Lean Enterprise Academy 2006
The Glenday Sieve
and
Value Stream Mapping
which will
as a consequence
reduce non-value added waste

14. Lean Enterprise Academy 2006
The Glenday Sieve
99%
95%
50%
% Product
Range
% Cumulative
Sales
Last 1%
6%
50%
70%

15. Lean Enterprise Academy 2006
The Glenday Sieve
99%
95%
50%
% Product
Range
% Cumulative
Sales
Last 1%
6%
50%
70%
30%

16. Lean Enterprise Academy 2006
The Glenday Sieve
reds & blues colour perceptions
and
introduce high levels of variability

17. Lean Enterprise Academy 2006
The Glenday Sieve
Don’t mix reds
With greens

18. Lean Enterprise Academy 2006
Applicable to
Healthcare?