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Lean Philosophy

Charles Sharkey M.S., M.B.A., PharmDPharmacy Site Manager/Residency PGY 1 Coordinator

New York Harbor Healthcare SystemBrooklyn, New York 11209

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Zero Defect Customer Needs are First Concern Value Stream

What is Lean Philosophy?

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Henry Ford – Designed Mass Production

System by Beginning with What Customer Would Pay For (Value)

Worked Backward to Design Product and Production Line

Least Time, Least Waste

Lean Thinking (Opposite)

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Alfred Sloan President GM Decentralized Organization Central Coordinated Control Scientific Management Inventory, Costs, Not People

Lean Thinking (Opposite)

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Henry Ford “You can Have Any Color Car as

Long as Its Black”

Lean Thinking (Opposite)

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Value (v) = Quality (q)/Costs (c)

True North Involves Focus on Key Matters What Really Matters, We Measure

Lean Thinking

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Walter Shewart Bells Labs Also Called Deming Wheel Scientific Method Applied to Daily Work

Plan, Do, Study, Act (PDSA) Cycle

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Act

PlanDo

Study

PDSA Cycle

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Standard Work is “the Best Known Steps

Required to Perform a Job” Lean Thinking Edits Standard Work “Andon” Allows Workers To Call Timeout to Fix

a Process

Lean Thinking

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ANDON GEMBA Walk Top Leadership Buyin

Lean thinking

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Problem Business Case Opportunity Goals

Lean Thinking

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Brainstorm Flow Chart SIPOC Fishbone

Lean Thinking

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Set a Timeline Frequent Short Meeting Define Team Roles

Lean Thinking

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Not a Program Not Quality Improvement Not a Quick Fix Not a Destination

Lean Thinking

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Cultural Transformation That Changes How an

Organization Works A Journey with No Finish Line

Lean thinking

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1. Attitude of Continuous Improvement 2. Value Creating 3. Unity of Purpose

Lean Thinking – Major Principles

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4. Respect for People Who do the Work 5. Visual Process 6. Flexible Regimentation

Lean Thinking – Major Principles

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So Dr Sharkey How Does This Relate to

Pharmacy?

Lean Thinking

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Zero Patient Complaints Zero Medication Errors Zero Waiting Time Highly Trained Staff

Lean thinking - Pharmacy

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New Pharmacy Roles New Clinics for Pharmacist Cost Savings

Lean thinking - Pharmacy

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Innovative Management Approach

Transforming Organizational Culture Form Inside Out

Lean thinking