tag:blogger.com,1999:blog-5957894794378274433.post3862425558179341193..comments2015-12-14T14:25:44.351+01:00Comments on Lean, lief en leuk - Dagelijks verbeteren in de zorg: Go see, ask why, show respectFreek Dekkerhttp://www.blogger.com/profile/04143545281094526919noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-5957894794378274433.post-84780981765474503972011-03-23T10:23:52.765+01:002011-03-23T10:23:52.765+01:00Chris, Thanks for your feedack an I'm in full ...Chris, Thanks for your feedack an I'm in full agreement. And the way you're looking at it was the way I set out a while back when I started out on my own lean journey and that of the department I'm working in. <br /><br />I wanted to use all tools I found out about right away. But then I found it is not possible to take on all of them at once. And that lean is even more powerful as a shift of culture, mentality and business philosophy as it is through using the tools. <br /><br />So we're taking things one at a time. We just started with our ops board, visualising problems our workers are coping with every day. And because they start seeing we're taking their problems seriously they join in the effort of continuous improvement. And because we're taking each other seriously we can address patients needs better. And, in a while, get patients involved in the improvements we're making.<br /><br />Next step: we're taking a multidisciplinary team on a journey to get though a current state and future state value stream map of a clinical pathway. Not just to use the tool but to get them to get into the same spirit of continuous improvement.<br /><br />It's been slow going to get the fundamentals in. But we're now really ready to gear up!<br /><br />FreekFreek Dekkerhttps://www.blogger.com/profile/04143545281094526919noreply@blogger.comtag:blogger.com,1999:blog-5957894794378274433.post-58276456875678234152011-03-23T09:45:41.095+01:002011-03-23T09:45:41.095+01:00Hi Freek, nice work and great insight.
What if in...Hi Freek, nice work and great insight.<br /><br />What if in addition to eliminating waste you created flow? What if in addition to creating flow you considered the values of the patient and payer and looked at creating patient experiences that were less Victorian sanatorium and more like an expensive hotel? <br /><br />What if we looked at a clinical pathway end to end or even an entire therapy area and saw it through the eyes of the patient, identified cosmetic and systemic waste, articulated future value and designed a future state that enabled better services to be delivered through a less wasteful system design?<br /><br />Up for the challenge?<br /><br />Chris EllinsAnonymousnoreply@blogger.com