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Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for...

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Reimagining and Rethinking Our Work
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Page 1: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Reimagining and Rethinking Our Work

Page 2: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

WHY ARE YOU HERE?

Presenter
Presentation Notes
+ Stimulate discussion to create tone of session – very open – the group is our customer! + Questions: Why are you here? Who has heard Leanforward? What comes to mind when you hear that ?
Page 3: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Our way of approaching how we work …always seeking to make improvements to our

work

To make our work easier to do by reducing waste & increasing value to those we serve

LEANforward is the language we use to talk about our organization’s approach to performance improvement: It is the foundation for how we engage our employees to

redesign our work to make it easier Allows us to create more value for the people we serve

.

Page 4: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Why is it important?

Persons served have increasingly pleasing experiences and improved quality outcomes

Help us to better engage team members, finding ways to gain time reduce frustrations

Helps us continue to meet our organizational mission and the challenges of the changing health care environment

Page 5: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

WHAT this IS …

A new and different way of looking at

performance improvement

TO HELP YOU .. With the the work that you

do everyday!!!!

EXCITED!!!!

Give you framework, tools, methods for making problem solving and

performance improvement just the way we work

around here!

Page 6: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

What is LEAN Thinking ?Management philosophy & set of principles and

methods to:

Identify & Reduce WASTE in our

work

Add value to our customers&

Improved Performance & Outcomes

Page 7: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Performance Improvement

….. All within the framework of following the Scientific Method

PDSA Core of every improvement methodology

Presenter
Presentation Notes
All within the framework of the scientific method ….. The “new” concepts & tools we want to teach/talk about …. To help us improve our PI efforts
Page 8: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

PEOPLE ARE NOT THE CAUSE OF PROBLEMS, BAD PROCESSES ARE!!!

PROCESS NOT PEOPLEAnalyzing work process/design not judging people

Page 9: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Value Added Work- Activities that transform material, information,

time, service into something that the customer cares about

Required Non-Value Added Work- No value in the customer’s eyes but cannot be

avoided- Regulatory, Billing, Paperwork

Pure Waste – non value- Consumes resources but doesn’t add value- Looking for supplies- Waiting- Duplication of work- Paper work

Non Value Added

(Required)

Non Value Added Pure

Waste

Value Added

Value Added Work

Presenter
Presentation Notes
+ Ask for some examples of what is value added work in the work the group does? + Resident receiving their medication + Resident receiving and enjoying their meal + Resident satisfaction when something is fixed in their apartment + Resident enjoyment when the have fun at an event or meeting they participate in + Holding a residents hand who is end of life + responding to a “call signal” immediately + having clean linens + having someone make eye contact and say hello + making someone feel special
Page 10: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

PEOPLE ARE NOT THE CAUSE OF PROBLEMS, BAD PROCESSES ARE!!!

PROCESS NOT PEOPLEAnalyzing work process/design not judging people

WASTE in our Work design … Not YOU are wasting time ..

Page 11: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

The 8 Types of Waste:

1.Waiting2.Defects3.Unnecessary Motion4.Unnecessary Transport5.Overproduction6.Over Processing7.Excess Inventory8.Unused Employee Creativity

Page 12: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

1. Waiting

Presenter
Presentation Notes
Waiting is pretty self explanatory – any time spent “waiting” for something to happen next is considered a form of WASTE Waiting does not add any value to the outcome or satisfaction of the customer in MOST situations * In between resident appointments Residents waiting for a call for help (call bell) to be answered Staff waiting for the next staff person to come help them Staff waiting for a supply to get there Staff waiting for doctor calls or waiting for faxes Therapists waiting for their next resident to arrive for treatment Residents waiting for a maintenance request to be completed (Add photos of people waiting in our locations)
Page 13: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

2. Defects

Presenter
Presentation Notes
Defects: Our examples: Lift batteries that are uncharged when needed
Page 15: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

4. Unnecessary transport

Presenter
Presentation Notes
Rearrange your office location for shortest distance Use natural opportunities i.e. bingo or resident event Office standardiaztion-Pictorails, labeled Keys
Page 16: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

5. Overproduction

Presenter
Presentation Notes
Printing paper that goes straight to the shredding bin (reports that no one reads) Shared drive for quick access to info & forms Elimination of resource filing cabinets –using links for applications print as needed Any time you push something to the next process before that process is ready to receive it, you have overproduction: example of Materials bringing 8 IV pumps at a time to PACU in the morning and shoving them into a tiny storage room, spilling out into corridor. Why is this a problem when the PACU will eventually use all the pumps that day and it will save Materials multiple trips? Pumps sit idle for hours when other patients need them Clogs up an already crowded hallway Prevents staff from being able to access other equipment stored in the back of the room.
Page 17: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

6. Extra Processing

Presenter
Presentation Notes
Ordering extra unnecessary tests (defensive medicine) Handwriting something than re-entering it into a computer. ipads/timelier note entries, financial consent forms Repeated items such as, fire drill logs, resident meeting minutes, resident appreciation events, weekly staff meeting minutes, Better use of binders Resident files on Hdrive (Network folder) – scan copy and upload to their online file/ AASC online upload to their file
Page 18: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

7. Excess InventoryBefore

After

Presenter
Presentation Notes
Maintenance Shop Makeover Developed by maintenance team working in those area Allowed for easy coverage at other locations Reduced time and increased product standardization Training new hires on standardization practices which ensured consistency and made their job easier Simplified ordering processes to save time And has been SUSTAINED for 8+ yrs What’s so bad about excess inventory? Isn’t it better to have more of what you need than to run out? (Both are bad) I can think of at least 4 reasons that excess inventory is bad—see if you can come up with some [try to coax ideas out of the audience]: Takes up precious space Ties up money Can sometimes be unsafe (things falling out of cupboards on people) Wastes time since it takes longer to find what you do need Unused items can expire and then get thrown away and completely wasted
Page 19: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

8. Unused employee creativity

Presenter
Presentation Notes
How is this a form of waste? Toyota believes that there is critical expertise locked in the brains of the people who do the work at the frontline. If you don’t have a mechanism to draw out that expertise and put it to work, than you are wasting an important organizational resource. Toyota is very good at this: they average 10,000 employee suggestions per plant per year. Almost all of which are tested or acted on in some way. That’s how they stay so far ahead of their competition. Learning Circles, Brainstorming Sessions & Stoplight Report, HML conversations, Monthly Rounding, Train the Trainer Opportunities, Property Team meetings , employee engagement surveys, weekly staff meetings, internal & external networking opportunities i.e. peer meetings-guests,
Page 20: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

DATA…DATA…DATA…DATA

Presenter
Presentation Notes
Better use of reporting features – Waiver/AASConline/PANGEA Reporting features /standard entries user guide for better reporting data
Page 21: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait
Presenter
Presentation Notes
Click over to the 5s training or these need embedded in here ……
Page 22: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

“Using 5S to get Lean”Everyone is doing it!!!!

Page 23: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

5 S – What is it? 5S is a method of organizing &

maintaining work space to allow for effective and efficient operations

A systematic structured program to achieve total organization, cleanliness, & standardization in the workplace

Effective disciplined method to identify & reduce WASTE

Ultimately enables consistent and ongoing improvements

Page 24: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

5 S Structured Workplace Organization

Method• 5S teaches us how to organize a work space

for efficiency and effectiveness by:Only keeping what is necessary identifying and storing items usedMaintaining the area and itemsKeeping everything cleanSustaining the new order

“ A place for everything and everything in its place”

Page 25: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

So just talking about “getting organized” ?????

That’s EASY!!

Presenter
Presentation Notes
If it is so easy ?? Show me who has ever organized a project where you organized something here at work? Now raise your hands if it is still that way? Sustaining is not easy!
Page 26: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

The 5 S Method5S’s PURPOSE

SORT Tidiness – to make sure everything left in the workplace is related to work or needed to do the job

STRAIGHTEN or SET IN ORDER

Orderliness – to eliminate time wasted in retrieving the necessary items to complete a task

SHINE Cleanliness – to know what goes where and ensure that everything is where it belongs

STANDARDIZE Same & Simple – to define the standards by which people must measure and maintain order and cleanliness

SUSTAIN Keep it going – to maintain the 4S’s above

Page 27: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

The

5S Numbers Game

A fun and exciting way to present the 5S concepts to your team!

Page 28: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

• Before State – Round 1• Sort – Round 2• Set-in-Order – Round 3• Shine• Standardize• Sustain – Round 4• Benefits – Round 5

Agenda“Behind all workplace

successes and failures are the

5S’s.”

From “5 Pillars of the Visual Workplace: The

Sourcebook for 5S Implementation” by

Hiroyuki Hirano

Page 29: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Instructions – Round 1

• Please wait until you hear the entire instructions before starting – DO NOT turn over the page until asked to do so

• Individually, with a pen or pencil locate and strike out the numbers 1 through 50 in sequential order (1, 2, 3, 4, 5…)

• You will have 30 seconds to complete this task

Page 30: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Step 1: SORT Separating essential vs non-

essential items, leaving only items that are needed to perform a task/job

Focus on what should be kept or what can be discarded

Location of items not a concern –(next step)

Focus on one small area at a time if sorting in a large work room/area

Red tag items that cannot be discarded immediately

TAKE BEFORE & AFTER PICTURES

Page 31: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

WELL, Let’s SORT this out!!!• To sort through, to sort out• Guideline: If it is not needed in the next 30 days, Red

Tag it• “When in doubt, move it out!”• 5S Red Tag Technique• Place a Red Tag on the item and move it to the 5S

Red Tag Holding Area• Items will be dispositioned: keep, throw out, donate,

scrap, shred, recycle, etc.

Page 32: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Instructions – Round 2

• Let’s do the same exercise with the unneeded items removed from the work area - with a pen or pencil locate and strike out the numbers 1 through 50 in sequential order (1, 2, 3, 4, 5…)

• You will have 30 seconds to complete this task

Page 33: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Step 2: Straighten - Set in Order Establish designated

locations for everything that can be found easily when needed

Frequency of use should determine items location

Label the locations to make it obvious where items belong

Create a visual environment where anything out of place immediately jumps out and is obvious

TAKE BEFORE and AFTER Pictures

Page 34: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Set-in-Order• Now that the area has been cleared out of unnecessary items,

it is time to find a “home” for items that will remain• Guideline: Any item that you want to keep after the 5S Red

Tagging Event needs to have a specific home• “A place for everything and everything in its place.”• Organize items to make them convenient to get and put away• Use visual controls to help this process (signs, lines, labels,

color-coding)

Page 35: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Instructions – Round 3

• Let’s do the same exercise with the numbers better organized - with a pen or pencil locate and strike out the numbers 1 through 50 in sequential order (1, 2, 3, 4, 5…)

• You will have 30 seconds to complete this task

Page 36: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Step 3: Shine

• Organization & Cleanliness go hand in hand so Clean the workspace including drawers, shelves, work tops, desks, floor, lights, etc.

• The cleaner a workspace, the easier it is to identify abnormal conditions

• Can involve painting. • Create an environment that is

easy to inspect and maintain

Page 37: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Shining

• Will make a more comfortable and pleasant environment

• Will keep workplace safe and easy to work in • Encourage good quality production• Increase ownership of organizations goals and

vision• Prevent machinery and equipment deterioration• Used as inspection• Shining is to make problems obvious• Improved customer perceptions about us & our

quality

Page 38: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Shine• Now that the area has been cleared out of

unnecessary items, and put in order, it is time to “shine” the items that remain

• Guideline: Get items to a “like-new” condition• “Clean and inspect or inspect through cleaning”• Everyone participates, make it simple and easy to get

cleaning supplies and schedule it!• If you find something out that may become an issue,

fix it or have it fixed

Page 39: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Step 4: Standardize Establish clear expectations & make

them visual Use 5S boards with before and after

photos – ideally showing what final space should look like

Develop standards and post on visual boards

Develop standard daily practices Establish & get team agreement for

putting everything away after use and for cleaning during and after each shift

Page 40: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Standardize

• We need to have standards for the first three S’s: Sort, Set-in-Order and Shine

• Guideline: Make up the rules for the first three S’s and then follow and enforce them.

• “Make up the rules and then follow them”• Don’t forget to consider companywide policies like

color-coding, signage, replenishment, etc• Make the rules easy to follow

Page 41: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Step 5: Sustain

• Develop & encourage employee involvement

• It takes everyone in a work group

• Develop protocols, steps, procedures– “inspect what you expect”

• Develop routine audits & Repeat inspections

• Audits will ensure that the 5S program is maintained & sustained

Page 42: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Sustain

• Now that you have a well organized, clean and safe work environment, we must keep it that way

• Guideline: It’s not something extra, it’s part of everyday work

• “Make 5S part of everyday life.”• Sustain helps build the discipline we need to

have a great Lean organization

Page 43: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Instructions – Round 4

• In order to Sustain our gains we must be able to recognize abnormal conditions

• Let’s do a quick 5S Audit of the area• Circle any “defects” that you find• You will have 30 seconds to complete this task

Page 44: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Instructions – Round 5

• Let’s do the same exercise after applying our 5S principles - with a pen or pencil strike out the numbers 1 through 50 in sequential order (1, 2, 3, 4, 5…)

• You will have 30 seconds to complete this task

Page 45: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Before & After State

Before• Excess materials• Excessive search time• Large area• Cluttered• Difficult

• After• The correct materials• Minimal search time• Smaller area• Clean, neat & organized• Easy

Page 46: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait
Page 47: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait
Page 48: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait
Page 49: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Enriching the aging

experience

Using LEAN THINKING to make improvements in our work

Presenter
Presentation Notes
Lean is a process approach for achieving and sustaining …. A philosophy as well as a set of tools PSC pictures
Page 50: Reimagining and Rethinking Our Work...From “5 Pillars of the Visual Workplace: The Sourcebook for 5S Implementation” by Hiroyuki Hirano Instructions – Round 1 • Please wait

Reimagining and Rethinking Our Work

Take the LEAN Challenge

Kristen Dent Kim Loefke [email protected] [email protected]

412-337-1813 412-295-4039


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