San FranciscoDepartment of Public Health

Kaizen Promotion Office

Health Commission Community and Public Health Committee

November 21, 2017 1

SFDPH Org Chart

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SFDPH Kaizen Promotion Office (KPO)

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KAI + ZENChange Good

• This Kaizen Promotion Office (KPO) is a dedicated internal team driving lean efforts by teaching and implementing lean values, tools and techniques.

• This KPO works in concert with leadership to facilitate change in culture and thinking in the department, fostering staff engagement, principle based leadership and problem solving.

• It is an integral part of a successful lean transformation journey.

Health Commission Meeting 3

KPO Role

• Works with frontline leaders to teach and coach to lean tools, including: daily huddles, visual boards, problem solving thinking

Lean Activities

• Utilize PDSA problem solving, root cause analysis, to promote continuous improvement

Problem Solving Root Cause Analysis

• Clearly articulates data in a way that is meaningful to drive improvement

Data for Improvement

• Emphasizes the role of standard work as a basis for improvement

Standard Work

• An advisor to Lean activities, participates as Workshop Lead, Team Lead, and teaching during lean coursesCoach/Advisor

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Central FunctionsStrategic Deployment• Work with executive team to develop lean implementation strategy• Collaborate w/leadership to ensure alignment of lean activity with

organizational goals

Training• Create training program across DPH, including problem solving (A3)

thinking, certification • Develop and coach lean leaders

Communication• Communicate successes, and lean activities• Create lean activity calendar

Central Repository• Maintains standards of lean concepts throughout the organization• Ensure common language, approach

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Lean6

Lean is a systematic approach to creating value for our clients/customer.

Core Principles: 4Ps

1. Problem Solving2. People and Partners3. Process focus4. Philosophy

Health Commission Meeting 6

Respect

Continuous Improvement

Challenge

Go and See

Teamwork

Pillar #1Respect for

People

Pillar #2Continuous

Improvement

Lean Values

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Strategic Planning (Hoshin Kanri)8

ZSFG

Primary Care

PHD

8

Lean Activities& Tools

Strategic Planning

(Hoshin Kanri)

Daily Huddles, Standard WorkVisual Boards

Leadership Training

Lean Activities & Tools

Daily HuddlesStandard WorkVisual Boards

Lean Activities& Tools

Strategic Planning

(Hoshin Kanri)

Strategic Planning

(Hoshin Kanri)

Daily HuddlesStandard WorkVisual Boards

ZSFG PHD

LHH Primary Care

SFDPH Lean

Transformation

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2012 2016

20162016

Cascading Strategic Planning 2017-2018

SFDPH

SFHN/PHD

ZSFG/PHD ENV/LHH

LEVEL I

LEVEL II

LEVEL III

Sept Oct Nov Dec Sept Oct Nov Dec

201920182017Jul Jul

Budget Planning Budget Planning

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A.To protect and promote health and well-being of all in San Francisco.

Mission

Making San Francisco the healthiest place on earth

Vision

SFDPH’s Lean Kick-Off11

Established vision and mission statements

Developed a Strategic Plan (X-Matrix)

October 2017: Strategic Visioning

Retreat

Defined 6 True North

November 2017: Strategic Planning

(Hoshin Kanri)

Assigned teams for the top 2 strategic

initiativesService

Experience Workforce Health Impact

Safety and Security Equity Financial

Stewardship

Health Commission Meeting

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5

4

3

☐ ☐ ☐ ☐ ☐ 2 ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐

☐ ☐ ☐ 1 ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐

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FY18/19FY19/20 FY20/21 1 2 3 4 5 6 7 8 9 10 11

☐ ☐ ☐ Reduce Harm events

☐ ☐ Life expectancy

☐ ☐ ☐ Care experience ☐ = strong correlation or team leader

☐ ☐ ☐ Likelihood to recommend working here =

☐ ☐ ☐ Reduce reliance on general fund =

☐ ☐ ☐ Reduce BAA cardiovascular all hospitalizations

Targets will increase in out years as informed by Phase I experience correlation / contribution

Develop problem solvers

team members

Create an Electronic Health Record (EHR)

correlation / contribution accountability

Legend

important correlation or core team member

weak correlation or rotating team member

strategic initiatives

true north outcomes

true

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© 2015 rona consulting group

MISSION: To protect and promote the health and well-being of everyone in SF VISION: San Francisco is the healthiest place on the planet.

SFDPH X-MATRIX FY19 Level

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Next Steps12

• Training and development of KPO staff• Personal development plans

Unit and Individual Level

• Bring together lean operational leads• Developing program level trainings, identifying and coordinating

lean experts, training based on role in the organization

Division and Section Level

• Developing leadership expertise, behaviors• Establish and aligning strategic priorities

Department Level

“To reach our goals, we all must lead by example. When we lead by example, we as a team succeed.” 12