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* * * * * * * * * 28 * * * * * * Stage 1: Current state Flow Analysis Tool: 4 elements Desegregation into: process steps communication steps responsible clinically responsible for each part of the process Flow Analysis Tool: Process steps Flow Analysis Tool:Information communication steps Flow Analysis Tool: Clinical responsibility Flow Analysis Tool: Responsible for making each part of process happen Flow Analysis Tool Stage 2: Analysis Add value Remove waste Understanding your map Quantifying value Value and non-value added stepsValue added time v non-value added time 3 5 35 5 20 120 Value added Total Time = 188 TIME: Value added time = 13 Waiting Mistakes Uncoordinated activity Stock Transportation Motion Inappropriate processing Opportunities to remove waste Analysis summary Steps Total number steps Number of value steps Value steps as % total steps Time Total time Hrs:Mins Time of value steps Value Time as % total time Waste Waiting Mistakes Uncoordinated activity Stock Transportation Motion Inappropriate processing Waiting is the most important of all the wastes because: the process STOPS it inhibits FLOW it does not add value for the PATIENT Waiting Stage 3: Take action to apply flow improvement principles 4 characteristics of smooth flow: 1 Small batch sizes 2 Linked processes 3 Setting the pace 4 Overall co-ordination Next - helping the value-adding steps flow Current processes often operate in isolation from each other, particularly departments and directorates Each area needs to be linked to the one before, to ensure that they always have capacity to deal with what they are receiving Linked processes Linkages are important both within each individual process... …and between processes Endpoint Endpoint Key stages that need to be set or balanced are often identified by the value adding line For example - clinical assessment - investigations - clinical decision - admission - treatment - discharge Setting the pace Setti
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