Conducting Observations in Clinical Areas

I’m going to start a series of posts on the type of observations that can be useful in Lean work, and on the forms that are often used to collect and display the information. In advance of that, I want to write about observation etiquette. In an ideal state, everyone in a work area knows…

Dealing With Whole Systems

‘Inch wide, mile deep’ is a standard mantra in many Lean teaching packages. The phrase promotes an in-depth understanding of the area in which the work is being done, while staying focused. Projects sometimes bog down because they are trying to cover too large an area. The advice to spend time achieving a rich understanding…

Listening to service users

In Lean work, value is defined as a process or activity that takes the service user or internal customer closer to their goal. In commercial settings, the test of whether the customer would be willing to pay for the activity is often used. Most authors add in the test that the action should be right…

What’s in an RPIW Report Out?

The first question is ‘what’s an RPIW?’. RPIW is an acronym for a Rapid Process Improvement Workshop. It is an event, usually lasting for several days, at which a clinical team focuses on improvement work. There’s a pdf document developed by the Department of Veterans Affairs in the US which offers some FAQs on similar…