How do you manage the complex hospital environment in an easy, intuitive manner? With Visual Controls of course!

1. Baptist’s Bed Management System
A Lean Visual Workplace

2. Baptist’s Bed Management System: A Lean Visual Workplace
Introduction
Brad White
– Title: Operations Improvement Engineer
– Description: Implements Lean Six Sigma at Baptist
Health System
Who are you?

3. Baptist’s Bed Management System: A Lean Visual Workplace
Visual Controls
What are visual controls?
– Quick information
– Intuitive
– Easy to use
– Make problems apparent
– Real-time
Examples?

4. Baptist’s Bed Management System: A Lean Visual Workplace
Visual Controls Example

5. Baptist’s Bed Management System: A Lean Visual Workplace
Visual Workplace
– Heavily depends on visual controls
– Requires:
• Stable, mapped processes
• 5-S
• Good discipline
• What else?
– Benefits:
• Better resource use
• Less wait
• Less inventory
• What else?
How are you working towards this?

6. Baptist’s Bed Management System: A Lean Visual Workplace
Visual Controls & Technology
– Does Lean and technology mix?
– How to automate:
• Simplify
• Standardize
• Automate
When done right, automation is a powerful tool

7. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Current State
– Database silos
– Hidden information
– Old information
– Poor patient flow
– Lots of phone calls
What if a restaurant ran that way?

8. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
HEV is an integrated real-time visual display that combines
clinical, transport, ADT, and EVS information allowing for improved patient flow.
Clinical
Real-
EVS
Time Transport
Visual
Display
ADT

9. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Large monitors will display nursing assignments and their corresponding
patient information. The touchscreens in hallways display the unit maps and
are used to make patient updates, bed requests, or EVS updates.

10. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
The map contains information on patient type, room clean
status, patient location, and patient attributes.
Room Fill Color
• Type of Patient
Secondary Area
• Clean/Dirty • Safety Attributes
• NPO, Falls, etc.
Primary Area
• Orders / Results
• Patient Location
Three distinct characteristics of each room
• Room Fill - Reflects Room State
• Primary Area - Clinical Alerts/Location
• Secondary Area - Patient Identifiers

11. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Floor View

12. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Pending Discharges

13. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Pending Discharges

14. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Pending Discharge Dashboard

15. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Housekeeping Flow

16. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
OR Flow

17. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
OR Bed Request

18. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Patient Flow

19. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Occupancy Dashboard

20. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Transports

21. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Dietary

22. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Infection Control

23. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Visual Control to a Visual Workplace
Centralized Bed Placement is
enabled to respond to
admissions, discharges and
transfers without picking up the
phone.

24. Baptist’s Bed Management System: A Lean Visual Workplace
Case Study: Bed Tracking
Implementation Challenges
• Staff buy-in Come see John Knotts on Feb. 3 – “Change Management”
rd
• Keeping it simple
• Data collection
• Anticipating every possible patient scenario
Have you implemented something similar?
What were your “lessons learned”?

25. Questions?