1. The Irish Context Population 4.5M, 1.25M ED visits.. Population 4.5M, 1.25M ED visits.. 13% in inpatient beds 13% in inpatient beds 130% increase in day patient cases 130% increase in day patient cases 56% increase in employment in primary health 56% increase in employment in primary health 236% increase in spending 1997 - 2007 236% increase in spending 1997 - 2007

2. Lean in healthcare provision? Diagnostic waiting times – 19wks – 2wks (Bolton hospital, UK) Diagnostic waiting times – 19wks – 2wks (Bolton hospital, UK) Castle Hill endoscopy; 174 days -45 and reduction in non attendance 20% - 4% Castle Hill endoscopy; 174 days -45 and reduction in non attendance 20% - 4% Fairfield hospital waiting times; 26wks – 13 Fairfield hospital waiting times; 26wks – 13 Parkridge hospital, Chattanooga, 45% reduction in patient waiting times. Parkridge hospital, Chattanooga, 45% reduction in patient waiting times. Intermountain healthcare, Utah reduced time to treatment from 4 hours to 12 minutes. Intermountain healthcare, Utah reduced time to treatment from 4 hours to 12 minutes.

3. Lean in Health Project Goals Delivery of proven change management principles in tandem with a complete suite of Lean techniques and training in organisational change not currently available on any clinical practice orientated Course. Delivery of proven change management principles in tandem with a complete suite of Lean techniques and training in organisational change not currently available on any clinical practice orientated Course. Innovation by use of blended offering, incorporating case study based learning with the internet as the primary delivery. Innovation by use of blended offering, incorporating case study based learning with the internet as the primary delivery. Making LEAN change management technique a core tool in evolving healthcare culture in Europe. Making LEAN change management technique a core tool in evolving healthcare culture in Europe.

4. Project Partners

5. Lean Health: Work packages; 1. Content: To assess HealthCare institutions existing levels of adaption to Lean. To identify what barriers exist(cultural, social, economic) to learning and application of lean tool techniques for the organisation. To identify what barriers exist (time, commitment excess etc.) for the individual in learning and application of lean tools for the individual. Determining of most effective methods of instigating and sustaining change management in healthcare provision settings. Identification of key critical success and failure factors in previous applications of lean tools in industry. Deliverables; Conference paper 1 documenting current level of adoption of Lean tools in Healthcare Conference paper 2 documenting the barriers and issues encountered by organisations in adapting to application of Lean tools Journal paper 1 documenting the barriers and issues encountered by individuals in learning and application of Lean tools

6. Lean Health Work package; 2 Content Determine best practice pedagogical offerings in internet based learning Determine best practice pedagogical offerings in internet based learning Investigate how mobile technology may be deployed in content delivery Investigate how mobile technology may be deployed in content delivery Identify what case studies are appropriate for incorporation in the course Identify what case studies are appropriate for incorporation in the course Develop problem based learning progression samples for incorporation Develop problem based learning progression samples for incorporation Deliverables; Report detailing how mobile technology may be deployed for information delivery Report detailing how mobile technology may be deployed for information delivery

7. Lean Health Work packages; 3 Content Distillation of the five separate research strands to identify the a)The core masters module and b) the content of the core modules. Adaptation of Lean tool techniques to ensure each technique is suitable for application in a patient centric healthcare setting. Identification of the ideal combination of delivery mechanisms to achieve key learnings and facilitate delivery of and student access to core module information. Deliverables Report detailing key learning objectives from each module Full Module listing and contents module content delivery mechanisms Preliminary internet deployment

8. Lean Health Work packages; 4 Content: Preliminary test run. Piloting of the course will be carried out in the medical faculty of Barcelona General hospital and partner hospitals in Ireland.Deliverables: Reviewing the course delivery mechanism. Reviewing the course delivery mechanism. Report from case study detailing changes required in module content. Report from case study detailing changes required in module content. Report detailing final module content and delivery mechanisms. Report detailing final module content and delivery mechanisms.

9. Lean Health Work package 5 Content: Localisation of course content. Validation of course in each respective partner’s language. Incorporation of course into Europass/Educational Framework activities. Deliverables: Validated masters course in application of Lean Tools in Healthcare in each member country.

10. Lean health Work package 6 Content Devlopment of project wide valorisation strategy. Prioritise dissemination measures, identify target groups.. Develop promotional materials, flyers etc. Deliverables: Documented dissemination strategy Project flyer Storyboard for course design and development End of project dissemination events in each partner country

11. Modules