Adopting a High Performance Management System Utilizing a Lean Visual Management Tool to Sustain Improvements

2.50
Hdl Handle:
http://hdl.handle.net/10755/622117
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Adopting a High Performance Management System Utilizing a Lean Visual Management Tool to Sustain Improvements
Other Titles:
Promoting Safety and Clinical Outcomes
Author(s):
Rudden, Louise C.; Hicks, Melody; Lappan-Gracon, Stephanie; Walli, Yogini; Koo, Irene; Rivard, Rose
Lead Author STTI Affiliation:
Lambda Pi-at-Large
Author Details:
Louise C. Rudden, MScN, RN, BScN, NP (Paed), Professional Experience: Louise completed an RNAO advanced nursing practice fellowship in 2016 to advance her skills in leadership and education specific to process Improvement. During the fellowship term she became certified as a yellow and Green belt LEAN coach and as a daily continuous improvement process facilitator Author Summary: Louise Rudden is a Paediatric Nurse practitioner in Toronto, Canada who has a professional interest in process improvement and improving the care of maternal and child health globally. She has participated as an active member of the Canadian Paediatric Nursing standards Advisory Steering Committee who published their first edition Canadian Paediatric Nursing standards in October 2016. She has 25 years of Nursing and NP experience combined and is excited to share her most recent project.
Abstract:

After the implementation of a LEAN Daily Continuous Improvement Program (DCIP) in a Large Pediatric ambulatory portfolio the momentum for process improvement accelerated and great successes were achieved. However, after a period of time ideas for improvement began to decrease. Managers resorted to look for solutions to sustain and maintain the improvement. As healthcare evolves so do the increasing demands on manager responsibilities limiting their ability to not only find solutions but act on them.

In an effort to support managers and leaders in sustaining improvement, a High Performance Management System (HPMS) was adopted using a LEAN visual management tool called an Obeya, translates as “big room” in Japanese. A HPMS is an organizational framework that defines standard work for each tier of management and the integrated hierarchy that reinforces, supports, and improves work at all levels. Its theory is grounded in the Juran Trilogy (Quality Planning, Quality Control, and Quality Improvement). A HPMS enables a culture of transparency that encourages and sustains improvement.

The Obeya aids in visualizing priority projects within the portfolio and a visual map of how each project is directly aligned with the organizational strategy and goals to achieve key performance metric targets.

 

Using a visual management tool has allowed managers and leaders to quickly visualize their progress on many important initiatives and move projects along at a more efficient pace. Some of the early outcomes experienced by managers who have piloted this framework include increased focus, collaboration, and efficiency.The Obeya allows managers to “see together, learn together, act together”.

 

Defining management standard work enables managers to reduce variation and achieve outcomes more efficiently. This framework will aid in eliminating non value added/non managerial work in a manager’s schedule supporting them to find and implement solutions that sustain improvement both at a departmental and organizational level. As a framework its adaptability to all tiers of management in an organization will really drive the strategic agenda for organizations.

Keywords:
Nursing Leadership; Organizational Framework; Sustaining Improvement
Repository Posting Date:
25-Jul-2017
Date of Publication:
25-Jul-2017
Other Identifiers:
INRC17I14
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleAdopting a High Performance Management System Utilizing a Lean Visual Management Tool to Sustain Improvementsen_US
dc.title.alternativePromoting Safety and Clinical Outcomesen
dc.contributor.authorRudden, Louise C.en
dc.contributor.authorHicks, Melodyen
dc.contributor.authorLappan-Gracon, Stephanieen
dc.contributor.authorWalli, Yoginien
dc.contributor.authorKoo, Ireneen
dc.contributor.authorRivard, Roseen
dc.contributor.departmentLambda Pi-at-Largeen
dc.author.detailsLouise C. Rudden, MScN, RN, BScN, NP (Paed), Professional Experience: Louise completed an RNAO advanced nursing practice fellowship in 2016 to advance her skills in leadership and education specific to process Improvement. During the fellowship term she became certified as a yellow and Green belt LEAN coach and as a daily continuous improvement process facilitator Author Summary: Louise Rudden is a Paediatric Nurse practitioner in Toronto, Canada who has a professional interest in process improvement and improving the care of maternal and child health globally. She has participated as an active member of the Canadian Paediatric Nursing standards Advisory Steering Committee who published their first edition Canadian Paediatric Nursing standards in October 2016. She has 25 years of Nursing and NP experience combined and is excited to share her most recent project.en
dc.identifier.urihttp://hdl.handle.net/10755/622117-
dc.description.abstract<p><span lang="EN-US">After the implementation of a LEAN Daily Continuous Improvement Program (DCIP) in a Large Pediatric ambulatory portfolio the momentum for process improvement accelerated and great successes were achieved. However, after a period of time ideas for improvement began to decrease. Managers resorted to look for solutions to sustain and maintain the improvement. As healthcare evolves so do the increasing demands on manager responsibilities limiting their ability to not only find solutions but act on them.</span></p> <p><span lang="EN-US">In an effort to support managers and leaders in sustaining improvement, a High Performance Management System (HPMS) was adopted using a LEAN visual management tool called an Obeya, translates as “big room” in Japanese. A HPMS is an organizational framework that defines standard work for each tier of management and the integrated hierarchy that reinforces, supports, and improves work at all levels. Its theory is grounded in the Juran Trilogy (Quality Planning, Quality Control, and Quality Improvement). A HPMS enables a culture of transparency that encourages and sustains improvement.</span></p> <p><span lang="EN-US">The Obeya aids in visualizing priority projects within the portfolio and a visual map of how each project is directly aligned with the organizational strategy and goals to achieve key performance metric targets.</span></p> <p><span lang="EN-US"> </span></p> <p><span lang="EN-US">Using a visual management tool has allowed managers and leaders to quickly visualize their progress on many important initiatives and move projects along at a more efficient pace. Some of the early outcomes experienced by managers who have piloted this framework include increased focus, collaboration, and efficiency.The Obeya allows managers to “see together, learn together, act together”.</span></p> <p><span lang="EN-US"> </span></p> <p><span lang="EN-US">Defining management standard work enables managers to reduce variation and achieve outcomes more efficiently. This framework will aid in eliminating non value added/non managerial work in a manager’s schedule supporting them to find and implement solutions that sustain improvement both at a departmental and organizational level. As a framework its adaptability to all tiers of management in an organization will really drive the strategic agenda for organizations.</span></p>en
dc.subjectNursing Leadershipen
dc.subjectOrganizational Frameworken
dc.subjectSustaining Improvementen
dc.date.available2017-07-25T16:27:40Z-
dc.date.issued2017-07-25-
dc.date.accessioned2017-07-25T16:27:40Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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