1. LEAN PROCESS IMPROVEMENT Office of Plan Review & Inspections Wisconsin LEAN PROCESS IMPROVEMENT Office of Plan Review & Inspections Wisconsin

2. TODAYS AGENDA

3. WHERE WE STARTED 1

4. Plan Reviews Inspections Surveys

5. WHAT WE DISCOVERED 2

6. VALUE MAP CURRENT STATE APPLICATION RECEIVED 75% Defects Incomplete application Missing signatures No fee Old form PLANS REVIEWED 70% Defects Inadequate design compliance Not coordinated Draft documents REVISIONS REVIEWED 30% Defects Persistent design errors Inadequate response to conditions of review Not an integrated solution PROGRESS INSPECTION 85% Defects Not ready for inspection Identical concerns found in plan review Not per specifications FINAL INSPECTION 95% Defects Incomplete information Extensive punch list Systems not functional nor tested

7. FUTURE STATE 3

8. VALUE MAP FUTURE STATE INSPECT LEAN

9. TEAM PERSPECTIVES 4

10. OWNER PERSPECTIVE Facility Commitment Clear Programmatic Requirements Accountability Owner of Architect / Contractor Third Parties to Owner Facilitator

11. ARCHITECT PERSPECTIVE Designer Involvement Accountability to Process Regulatory Responses Construction Updates Final Occupancy Involvement

12. BUILDER PERSPECTIVE Proactive Scheduling Completion Tracking Develop a Team Synergy that eliminates silos Develop Consistencies Commission Systems

13. DHS PERSPECTIVE Collaborative Capacity Accountability Quality INPUTINPUT BUFFER PROCESSPROCESS OUTPUT INFO

14. WORK LEFT TO DO 5

15. IMPLEMENTATION | SUGGESTIONS Communication and Training Require Stakeholder Involvement Focus on One Initiative Understand the Existing Process

16. THANK YOU Wisconsin Department of Health Services