LFH QUIZ: Value Stream Mapping for Healthcare

What is the total non-value add time?

VSM Metrics

What is the percent efficiency result?

Metrics

1.Lead Time=1190 minutes (Monday 9:10 AM- Tuesday 5:00 AM)

2.Cycle time=135 minutes

3.Wait Time= 910 minutes

Value stream mapping is a Lean tool employed in what department within an organization?

Value stream mapping is used to help identify which of the following?

A process flow chart is considered a value stream map.

Which laboratory activity would you consider value add?

Answer the questions based on details presented below:

The CEO, Mrs. Barister called the laboratory administrator and manager into her office to discuss a customer complaint. She requested the root cause of the problem be investigated and a VSM developed based on the information provided below.

The customer complaint is described as follows:

Dear Sir/Mam, I was a patient at the University Hospital of Dallas on December 4, 2018 and while in the emergency department for chest pains I noted a problem with my specimens. I’m not certain how or when the specimens were drawn, however, my husband noticed a handful of unlabeled tubes in a pink bin in my room. When my husband alerted the head nurse, she explained the lab would pick up the specimens shortly. The next day upon discharge the unlabeled tubes were still in the bin. My doctor said my labs were fine and I didn’t experience a cardiac arrest, but I am confused to how the labs were tested if they were physically located in the bin 24 hours later. Can you assure me the lab report received is accurate and is indeed was my specimens?

Sincerely,

Mrs. Susan Truson

The department would like to develop a Value Stream map to understand the problem between the ER and lab. What departments should be included in the development of the VSM?

Answer the question based on details presented below:

The CEO, Mrs. Barister called the laboratory administrator and manager into her office to discuss a customer complaint. She requested the root cause of the problem be investigated and a VSM developed based on the information provided below.

The customer complaint is described as follows:

Dear Sir/Mam, I was a patient at the University Hospital of Dallas on December 4, 2018 and while in the emergency department for chest pains I noted a problem with my specimens. I’m not certain how or when the specimens were drawn, however, my husband noticed a handful of unlabeled tubes in a pink bin in my room. When my husband alerted the head nurse, she explained the lab would pick up the specimens shortly. The next day upon discharge the unlabeled tubes were still in the bin. My doctor said my labs were fine and I didn’t experience a cardiac arrest, but I am confused to how the labs were tested if they were physically located in the bin 24 hours later. Can you assure me the lab report received is accurate and is indeed was my specimens?

Sincerely,

Mrs. Susan Truson

Question: Who is the Supplier?

The waste elimination plan discussed in the future state include all of the following:

1. To improve the percent efficiency metric we must identify and eliminate opportunities for improvement within the process
2. The opportunities for improvement are denoted by a yellow Kaizen burst
3. Once the improvements are complete we can design out waste and redesign the work to achieve value add processes and continuous flow

In a quality-focused laboratory organization, who should be responsible for creating a Value Stream Map?