a. Lean trained staff

1. Go Go Go Go Go Go Go Go Go No Go No Go No Go No Go No Go No Go No Go No Go No Go Act Plan Study Do Title: Strategic implementation of Continuous Service Improvement in NHSG 6 7 8 9 1 2 3 4 5 Facilitator: Eileen Buchan TEAM PHOTO Start Date: 25 June 09 Current Date: 9 Sep 09 End Date: Event Date: 8 Sep 09 APPENDIX 1 Executive Sponsor: Mark Sinclair Process Owner: Dave Jones-Lofting/Lynn Marsland Team Members: Pauline Strachan, Alan Gall, Stuart Scott, Alison Hawkins, David Sullivan, Ewan Robertson, Anne Ross 1. Reason for Action 4. Gap Analysis 7. Completion Plan Therefore improvements are required to ensure a sustainable healthcare system able cope with an increasing demand that: a. NHSG has knowledgeable and confident staff prepared to lead and engage in CSI activities . b. Pan-NHSG service delivery is led, managed, prioritised and improved using lean techniques. c. NHSG agree and establishes it’s use of lean improvement tools and techniques. d. NHSG approach realises significant benefits. • Seek to show the tools and logic used to determine direct causes of problems and true root cause. • Recommended approach; show fish bone or affinity diagram with: • Problem Statement from box 1 in head. • a, b, c & d improvement requirements as “rib” titles. • Primary Root Causes (the 5th Why) on the branches. • Prioritise Root Causes by numbering them; where 1 = highest impact, etc. • The top 6 carried down in order to the Solution box 5 below… • - If VSA then add Current State Summary box.. We want improve the health of population by providing high quality services for our patients and to help them to look after their. The circumstances we currently face (economic, clinical progress & demographics) require a dramatic change in our approach to service provision While there is a good deal of constructive and innovative change taking place, we need to make these activities even more effective, widespread and sustainable. This will be achieved only if this change is understood, owned and delivered by all NHSG staff. Therefore all staff need to be supported and encouraged to be involved Max 3 Actions WIP/person 30-90d break through focus. Last Column is Status - use RAG (Red, Amber Green) Good events have no to do list! Reflections: Root Causes: If true root cause not clear then review above. Reflections: What did you learn and what are you going to do as a result? AND SO WHAT? 2. Initial State 5. Solution Approach 8. Confirmed State ? # Projects with Exec Sponsors # trained Project Leads # Lean Practitioners This box is “GO” when Box 8 = Box 3 Monitor ACTUAL results against the metrics defined in initial and target state # People June 09 a. Lean trained staff a. People/culture b. CSI Spread b. Quality ? ? £M Confusing array of improvement tools; very few lean tools What will be our ROI Explanation of last 5 columns: - Affecting - If major affect on deliverable then use CAPITAL, if minor then lower case. - Current State = data point that describes current performance in terms used in boxes 2 & 3. - FS = Future state prediction (e.g. 1 day) - EASE O = Easy ∆ = Medium Ease X = Difficult. - COST O = Low Cost ∆ = Medium Cost X = High Cost c. Tools & Techniques d. Delivery against True North c. Time/Delivery d. Actual Benefit = £ _____ Reflections: Reflections: Reflections: ?? What did you learn and what are you going to do as a result? AND SO WHAT? What did you learn and what are you going to do as a result? AND SO WHAT? What are the fundamental lessons of the event and the improvement cycle? 3. Target State 6. Rapid Experiments 9. Insights & Lessons Actions What did not go well? What went well? Consider; Process Team Leader Sensei Culture & Behaviour # People Jul 09 Jan 10 Jul 10 Jan 11 a. Trained staff b. CSI Spread £M What helped? What hindered? NHSG The NHSG Directory 09/10 10/11 11/12 c. Tools & techniques d. Expected Benefit = £ ____ If actual effect = anticipate then proceed to box 7 if not then return to box 4: Reflections: Reflections: What did you learn and what are you going to do as a result? AND SO WHAT? What did you learn and what are you going to do as a result? AND SO WHAT?