Identify which value streams should be maintained and

Info icon This preview shows pages 182–184. Sign up to view the full content.

View Full Document Right Arrow Icon
Identify which value streams should be maintained and what new value streams should be created. Analyze gaps in Lean deployment and engagement. Direct changes in strategy where appropriate. A Value Stream Steering Committee comprises an executive sponsor (generally an executive such as the chief financial officer, chief nursing officer, etc.), leadership from the department or areas where the value stream operates, and the process owner who is generally the chief of service or the department’s lead administrator. The executive sponsor is responsible for ensuring that activities link to organizational goals. The process owner is tasked with overseeing the implementation of value stream projects and supporting ongoing monitoring. Delivery. Cost. Productivity and financial impact. Quality and safety. Human development and growth. “It’s more than an improvement method. It’s like a whole management structure around building consensus on what it is we need to do, what’s the most important thing we need to do.” Senior executive
Image of page 182

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
176 Exhibit 5.8. Overview of Lean Implementation Process The initial emphasis was on value streams related to revenue management and perioperative services because they could yield the highest financial returns. Soon, Heights began using Lean in behavioral health because of its large presence among the hospital services offered. For the ambulatory care value stream, several managers and executives stated that the administrative leader in the department saw opportunities to improve processes in the various outpatient clinics. The Emergency Department (ED) value stream became a priority after a patient in a neighboring county’s ED died in the waiting room. Since 2008, when Lean was initiated at Heights Hospital, value streams have included the ED, perioperative surgical services, ambulatory care, behavioral health, revenue cycle (e.g., financial screening processes, accounts receivable, billing practices), pain management, and palliative or end-of-life care. A new Lean project begins with a planning phase in which service-area leaders, most often working in value stream steering teams, draft a project charter and select a project team, either as part of a value stream analysis (VSA) event or as part of their monthly meetings to monitor Lean deployment. Whenever a project comes up that requires strong clinical support, the chief of service is asked to sit on the project team and participate in the rapid improvement event (RIE) week. When rapid cycle change is appropriate, the project moves to implementation with 4.5 Executive steering committee Executive director, chief medical officer, chief nursing officer, Advance deployment officer, chief financial officer, quality improvement director, chief of staff, human resources director, and chief operating officer Value stream steering committees Department/unit leadership: administrative director, physician chief of service, nursing director, an administrative manager, and a representative from the Finance Department.
Image of page 183
Image of page 184
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern