University of Florida

Fixing Healthcare Delivery 2.0: Advanced Lean

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Lean or Toyota Production System (TPS) is responsible for revolutionizing the auto industry by creating highly reliable and safe cars and trucks. In this course healthcare providers, administrators, engineers, and healthcare professional students will be taught how to apply the principles and tools of Lean to health care. They will learn how to identify and remove of waste, design standardized work, apply 5S, map Value streams, create process maps, conduct rapid improvement events (RIEs), level workflow, use A3 forms and Paredo charts, apply error proofing, and create effective visual controls. The instructional videos minimize Lean technical language, and include patient cases to make the lessons more appealing to students in healthcare. Acknowledging that patients are very different from cars we have carefully adapted Lean to health care and call our system: Patient-centered Healthcare Delivery System (PHDS). The name and abbreviation emphasize two key principles taught in our course: 1. Just like PhDs the scientific method must be continually applied when creating plans to improve our systems of care. 2. All improvements must be made looking through the eyes of patients. Armed with this new knowledge students will be able to design and implement sustainable healthcare delivery system improvements.

From the lesson

Introduction to Applying TPS or Lean to Healthcare

Toyota Production System (TPS) or Lean has allowed Toyota to become the number one automobile manufacturer in the world by progressively improving the quality and reliability of their products. The System of Profound Knowledge developed by the American, W. Edward Deming is the basis for TPS or Lean. This system has now been adapted to healthcare by Virginia Mason Medical Center and Denver Health with exciting results. You will be introduced to the 4 principles of TPS, as well as the TPS House that illustrates how the various tools of TPS fit together to continually add value to the care of patients. The challenges faced by both health systems will be discussed and their approaches to transforming their delivery systems described. When Lean is applied to healthcare, patient care improves, and both patient mortality and the cost of care decrease. Applying Lean to healthcare systems can revolutionize how healthcare is delivered.

Why you should take this course.4:08

Why Toyota Production System (Lean)?9:52

What are the Fundamental Principles of Lean (TPS)?11:45

How Does a Health System Implement Lean (TPS)?9:34

How and Why Did Denver Health Adopt Lean?6:43

Meet the Instructors

Frederick S. Southwick, MD
Professor
College of Medicine

Remember these images from our first course, fixing healthcare delivery?

I want you to re-imagine free jumbo jets,

crashing every other day and killing everyone on board.

As you may recall,

this is the number of patients who die each year in

the United States as a consequence of preventable medical errors.

That's right, a 100,000 to 440,000 die each year,

and statistics in other countries reveal equally alarming outcomes.

If you are unlucky enough to be hospitalized in any hospital in the world,

you have a 1 in 10 chance of suffering a medical error.

I am sure you are thinking,

why are there so many errors?

The primary reason: fragmented and error prone systems of healthcare delivery.

It's like working in a maze.

After studying the problem of medical errors for over 30 years,

I've concluded that our patchwork health systems need a major makeover.

I am Dr. Fred Southwick,

professor of medicine at the University of Florida College of Medicine and

director of patient care quality and safety for the Division of Hospital's Medicine.

I am standing in front of the entrance of

UF Shands Cancer Hospital where I am working to continually improve our systems of care.

To learn more about what motivates me,

please go to the YouTube link for the video clips from a Fox News special, "Beware!

Danger at the Doctor.".

I am, as you know the creator of the Coursera course "Fixing Healthcare Delivery."

In this popular course that attracted over 22,000 students from 150 countries,

with the help of the Institute of Healthcare Improvement Open School,

we provided an overview of the field of quality and safety and taught students many

of the fundamental skills required before

starting their journey to fix our healthcare systems.

In our more new advanced course,

Fixing Healthcare Delivery advanced lean,

we will show you how to implement a comprehensive system of

healthcare delivery called Patient-centered Healthcare Delivery System or PHDS.

As the mnemonic, PHDS emphasizes by applying the scientific method just like a Ph.D,

you will be able to continually improve how healthcare is delivered to patients.

This system is based on the principles of

lean or Toyota production system that have now been adapted to healthcare.

As a provider, administrator,

health professional student or patient

interested in understanding how to improve healthcare,

you will be introduced to the tools and principles of PHDS.

You will also have free access to

the templates required to effectively apply these methods.

During this five week course we will provide real life patient examples of how

these proven tools and principles can work together to

dramatically reduce deaths and harm from medical errors,

and simultaneously improve efficiency and quality of patient care.

I hope you will join our crusade to fix healthcare delivery.

With your deeper understanding of

healthcare delivery systems and armed with a collection of powerful tools,

you can make a difference.