About CHL
Promoting, restoring and
maintaining the physical health,
mental health and wellbeing of
more than 22,000 adults,
children, and families in
central Massachusetts.
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LEAN
What is Patient-Centered Lean?
A methodology and culture to enable improvements in patient-centered care, quality, safety, efficiency and staff satisfaction using:
- Patient-centered care principles with a Lean approach to:
- Increase both patient and staff satisfaction
- Eliminate waste with a focus on value to the patient
- Standardize and simplify processes
- Create process awareness across service lines and roles to stimulate continuous improvement and innovation at the point of care.
Learn more about Lean and Idea System
Idea Activators and Idea Cards
Idea System Huddle Guide and Huddle Agenda
Idea System Tips for managers and supervisors
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A Patient Centered Care System provides care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions. |
The Eight Wastes
Eight Types of Waste |
Definition |
Examples |
| 1. Defects | Not meeting specified requirements and producing and correcting defects. | Medication errors, wrong patient, wrong procedure, missing or incomplete information, blood redraws, misdirected results, wrong bills. |
| 2. Overproduction & Production of unwanted Products | Ties up more resources than necessary. | Extra lab tests, CT screening for coronary disease, MRI for lower back pain, Antibiotics for respiratory infections. |
| 3. Waiting | Increases wait time, work in process, and delays response time to the customer. | Waiting for test results, records, information, transport, OR cleaning, patients, staff, discharge. |
| 4.Not Utilizing Employee Ideas | Any ideas that are not considered and/or implemented. | Not asking for input from a triage RN when changes to triage are being considered, not getting feedback from all staff affected after change. |
| 5. Transport (movement of materials or people) | The unnecessary movement of material, people or a patient adding time and consuming space. | Moving patients, transport between campuses, meds, specimens, samples, equipment. |
| 6. Inventory | Ties up capital and invites risk of obsolescence and damage. | Drugs, supplies, equipment, setup kits, specimens awaiting analysis, phone cues, junk mail. |
| 7.Motion (movement by workers) | Poor labor efficiency because of work layout or material not in easy reach. | Searching for patients, meds, charts, supplies, paperwork; Long clinic halls. |
| 8. Extra - processing | Creates delays without adding any benefit and invites more defects in the process. | Bed moves, retesting, repeat paperwork, repeat registration, readmit |