1. Focus on Value: Improving the Way We Work
Luca Boi, MHA
Sr. Value Engineer
University of Utah Health Care

3. Lean Culture: Toyota Way
Continuous Improvement
Respect for the People
Create Flow
Eliminate
Waste
Everyone engaged
Problem solving
Value to our customers

4. The principle
Focusing on Value allows us to ask if our activities are moving us forward in delivering what our customers expect from us.

5. Therefore:
If what we are doing, doesn’t move us closer to delivering what customers expect from us, that step in the process should be eliminated Value Added Vs Non Value Added

6. Lean in Action
Meals per hour

7. Lean in Action
Meals per hour:

8. Where to start Effectiveness: Efficiency:
the degree to which something is successful in producing a desired result; success
Efficiency:
The state or quality of being efficient, or able to accomplish something with the least waste of time and effort; competency in performance

9. Effectiveness through Standard Work
It is common sense, the one way to do something that everyone (or most everyone) agrees is the best way
Clear expectations reduce variation

10. Standard Work: Examples

11. Eggs Over Easy & Toast 2ND SHELF Cook
1. Pan on stove, tablespoon butter in pan.
Preheating medium 5 min.
2. Crack eggs into bowl (note more than 2 eggs at a time increases difficulty).
3. Plug in toaster, set to level 4 (middle).
Place bread in toaster.
4. Poor eggs into center of hot pan, holding bowl no more than 3 inches above pan. Jiggle pan slightly to keep them from sticking to the bottom of the pan.
Cook approx. 1.5 min until whites are set.
Season to taste with Salt and Pepper.
5. Start toasting bread.
6. Flip egg over with spatula.
Loosen edge of egg, and ensure it is not stuck to pan.
Lift from pan, keepings spatula and egg no more than 3 inches above surface.
Rotate wrist inward, slowly so that egg slides off and sits in pan opposite side down.
7. Wait 30 seconds and remove from pan using the spatula to first loosen edge and then pick up. Place onto the plate.
8. Toast will be done, place on plate, and add butter to taste.
Time- 10min
1 Person
Prep
Gather materials
Wash hands
Put on Apron
Materials
•Eggs
•Bread
•Butter
•Salt & Pepper
•Apron
•Non Stick Pan
•Spatula
•Toaster
•Butter Knife
•Plate
•Bowl
SET WHITE
NEEDS MORE TIME
Input from target audience was obtained. I sent out this document to my sister in law, she followed steps and created a over medium egg. I then added the visual of what a “set white” looks like so she knew when to flip the egg, and did not wait to long. This addition helped with the timing. (Please not my sister in law does not cook often.)
I would integrate this into my own work place by keeping it in a laminated form under my pans. I asked my sister in law where she would keep it, and her response was in the spice cabinet by the salt and pepper.
Clean
Unplug toaster and turn off stove.
Place eggs, bread, and butter back in refrigerator.
Place salt and pepper back in spice cabinet.
Place dirty pan, spatula, bowl, and butter knife into sink.
2ND SHELF

12. Efficiency through Waste Elimination and Problem Solving
Seven Wastes
Visual Management 5S
Forcing functions
Huddle boards
Problem Solving

13. The 7 Wastes Defects Inventory Overprocessing Transportation Motion
Overproduction
Waiting

14. Visual Management 5S: Sort – remove unused and unneeded items
Set in Order – have a place for everything.
Shine – clean and keep clean
Standardize – agree how the workplace should look like
Sustain – regularly check adherence to 1-4

15. Forcing Functions
1- The design of forcing function makes the mistake impossible
2- Stopping the process before (immediately after) a mistake is made

16. Huddle Boards Define the metrics that matters
Make information easy to understand
Involve the team in the huddle
Know normal from abnormal in your processes
Define the escalation path

17. Problem Solving Discovery PROBLEM GO AND SEE VOICE OF THE CUSTOMER
UNDERSTAND PROCESS
VOICE OF THE CUSTOMER
SOLUTION
PILOT
Form a Team

18. Improvement Project Summary
1| PROBLEM AND GOAL STATEMENTS
4| IMPACT
SM-RT PROBLEMS: Specific | Measurable | Relevant | Time-bound
SMART GOALS: Specific | Measurable | Achievable | Relevant | Time-bound
2| ANALYSIS AND INVESTIGATION
3| IMPROVEMENT DESIGN AND IMPLEMENTATION
Implementation Start Date:
Implementation Completion Date:

19. Key Steps for a Successful Improvement Project : TPMS
Teams:
Assemble the right players
Brainstorm not groupthink
Build culture
Measurement:
Baseline Data
Quantify the problem
Set clear improvement goals and timelines
Process:
Understand current. Have vision for future
Scope appropriately
Visualize
Systems
Impact of the improvement in the organization
Transfer of lessons learned

20. Conclusions

21. Thank You