This week’s Issue | 23/09/2019

When you are a Lean Practitioner you never just observe an operation you are always looking for process.  So this week I found myself attending our local hospital emergency room and indeed process exists.  Imagine being in an environment where you have absolutely no idea what kind of demand will be coming your way … you can have victim walk-ins needing stitches, ambulance intake ranging from broken bones, heart attacks, strokes and broken bones and even over-doses.  You have no idea of the incoming volume rate but you do know that every patient needs to be attended and attended with dignity.  So observing this environment I was in awe … of course all incoming require triage in order to be placed on the schedule with a priority.  Of course the constraint is the number of patients vs. the number of beds available. I witnessed several management tools including a visual management board where incoming ambulances called from being 2 minutes out with their truck number, age of the patient and early diagnosis.  We witnesses constant stand-up meetings working the schedule and re-assigning patients to different beds … the best warehouse management system I have ever seen in action.  Amazing how they never seemed to lose track of a patient or where they are located … never mind the ancillary operations … I had my blood test processed and returned in under 1 hour … awesome.  However, the pacemaker within this entire operation is the doctor who one they gave you their gift of time where focused, not rushed and truly caring …

I envy to help others create an environment of this kind with true employee engagement, agility while focused on effective through-put.

This week we look at how to identify your pacemaker … but I now wish to add how agile can you make it to adjust to rapid changes in type of demand.

About Richard
Senior Lead Practitioner