Tools for Improving Quality: Up' Down and Sideways: Overview of process Improvement Utilizing A3 and

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Tools for Improving Quality Up. Down and
Sideways (Overview of process Improvement
Utilizing A3 and Value Stream Mapping)

• Cindy Manning MT (ASCP), RN
• Jo D Fontenot MS, MT (ASCP)

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Objectives

• At the completion of the lecture the students
  will be able to accomplish the following
• Describe what the Toyota Production System
  Principles
• Explain the Four Rules of Use
• Define and describe the Value Stream Mapping Tool
• Describe how to use a Value Stream Map
• Describe the A3 Process
• Design an A3 Report

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Introduction

• Toyota Motor Company Management Style
• Not a Top Down management
• A management that promotes staff ingenuity and
  workplace redesign
• Dedication to striving toward an ideal state.

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Four Rules in Use
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Value Stream Mapping (VSM)

• What is a Value Stream Map?
• A graphic map of steps that occur to respond to a
  specific request for a product or service.
• Illustrates sets of activities currently required
  to provide that service or product.
• Gives a big picture of the delivery of a service
• Allows us to see the connections
• It visually demonstrates the complexity of
  systems as they exist and allows us to discover
  and experiment with options to simplify the
  system

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Current Stream Mapping (CSM)

• Learning by direct observation

• Observing the steps of a process

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Data Collection Tool for VSM
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Data Collection Tool for VSM
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Future Stream Map (FSM)
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Using Data from VSMs
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VALUE STREAM MAP OF TROPONIN I Troponin I
process from the time the specimen arrives to the
laboratory until verification Jo D
FontenotOct 31-Dec 28, 2002810 AM - 1655 PM
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A3 Process and A3 Report
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Design of the A3 Report

• Left Side
• Issue
• State the theme
• Background information
• Current condition
• Problem Analysis Ask why 5 times.

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Why 5 Times
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Design of the A3 Report

• Right Side
• Countermeasures
• Implementation Plan
• Cost/Cost Benefit
• The Test

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Summary

• Described the Toyota System Production Principles
• Defined the use, purpose and tools involved with
  the Value Stream Map
• Described the A3 Tool
• Reference
• Applying Principles from the Toyota Production
  System to Healthcare, Cindy Jimmerson, 2002.