This presentation is the slides from the KaiNexus webinar “How to Spread Continuous Improvement.”

You can watch the full webinar here.

• 1846: Surgical anesthesia

• 1867: Antisepsis

• 1846: Surgical anesthesia – Visible, immediate problem (pain)

– By February, anesthesia had been used in almost all the capitals of Europe, and by June in most regions of the world.

• 1867: Antisepsis – Invisible problem that’s delayed (infection)

– Spread quickly? NOPE

1. Lots of one-on-one mentoring

2. Not just evidence, but 7 touches

3. Seven key, easy to remember messages

• Methodology must be – Consistent

– Disciplined

– Simple

• How do we spread Lean, etc. more effectively or more quickly?

Hospital A

Hospital C

Hospital B

Hospital D

• 12/14: Started daily Kaizen in two units

• 4/15: Active in 14 units, 4 more starting now

• Active coaching is key

• Coached initially by Mark in December 2014

• PI lead was trained and coached

• Two departments every two weeks

– Conference call with KaiNexus (technology)

– Ron spends a day with each dept each week

• 14 departments so far – variation in impact

– Half are “rock stars,” other half not as much

• How to prioritize where to go?

– Based on “pull” from department leaders

– Create pull through exposure of ideas, CEO talks

• PI lead is coaching a second coach

– Can now do 3 or 4 departments at a time

• “First wave” of spread through July

– Then, “second wave” to focus on better problem solving skills (not just PD, but PDSA)

• Hypothesis:

– If

• We’ve found and solved a problem

• Or at least made things a little better

– Then

• That problem is likely to exist elsewhere

• And our implemented idea might help them

• Customer: “Local managers don’t see the opportunities for spread as much as I do.”

– PI lead suggests opportunities for spread

– KaiNexus team reviews OIs and sometimes asks

One improvement often leads to another

Source: Healthcare Kaizen

Improvements

Idea in

“Alpha Unit”

Idea in

“Beta Unit”

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

Idea

• “Sneaker-Net”

• Spreadsheets

• PowerPoint files

• Emailing ideas around

• Bulletin boards (local & more public)

• Email newsletters

• CEO blog posts (“Ideas of the Week”)

1. Visibility

2. Standardization

3. Collaboration

4. Impact

• Commitment

• Communication

• Accountability

Upcoming Webinars

KaiNexus Blog

Continuous Improvement eBooks

• Web:

– www.KaiNexus.com

– Blog.KaiNexus.com

• Webinars:

– www.KaiNexus.com/webinar

• Social media:

– www.twitter.com/KaiNexus

– www.linkedin.com/company/KaiNexus

– www.facebook.com/KaiNexus