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Value Stream Mapping Basics
Value Stream Mapping Basics
VALUE
VALUE
PERFECTION STREAM
PULL FLOW
What Flows Through the
Value Stream?
Products, information, or services flow through a
value stream
In manufacturing or distribution, materials are what
flow
In health services, patients are what flow
In office areas, information is what flows
In service areas, external customer needs flow through the
value stream
In administration, internal customer needs flow through the
value stream
In many cases, the item flowing in service or administration
is a document, an order, or a request
Purpose of Value Stream
Mapping & Analysis
Develop a common understanding of the current
process
The relationship of process steps
A true picture of the process
Create a baseline to measure improvements against
Define a vision of the future process
Establish common leadership objectives
Identify opportunities for improvement
Design an implementation plan for improvements
Lean =
+ +
Basics
Key Tool: The Charter
Project Information Process Purpose Problems/Case for Change
Leadership Participant/Process Representatives
• Time
Executive Steering Committee: Process Owners:
•VP Dr. • XXX •Quality
•Dr. VP • YYY
•Dr. VP Team Members: •Pt Sat
•Director •RN
• VP • RN- Primary nurse •Cost
• LVN
• HUC Project Goals
•ED tech
•EVS
Management Guidance: • ED resident
•ED Reg
•Bed Board
•Floor nurse
•IT (ad hoc)
Executive Sponsor:
• VP
Observers: (Outsiders & next PO)
Co Facilitators: •TTTT
•XXX •UUUU
•YYY •VVVV Project Time Frame
Lean Coach:
Milestone/Date
• ZZZ
• Scoping Session #1
• Scoping Session #2 sponsor meeting
• Scoping Session # 3
• All Team Prep Phone Con (1 hr, 11-noon)
• Training day
• VSM Vision & Implementation plan
Process Scope: Start/Stop Process Scope: In/Out Follow-up
• Working sessions
Start: In Scope:
• 14 day follow-up
• 30 day follow-up/Audit (25% of Action s done)
End: • 60 Day follow-up/Audit (50% of Actions done)
Out of Scope: • 90 Day follow-up/Audit (75% of Action s done)
4. Execute to Plan
5. Align
Value Stream Process
Step 1 - Prepare
Gather Preparatory Information
Document the Case for Change
Define the Scope (start and end of process)
Identify the Requirements
Review/establish Measurements
Set Logistics for Event
Participants
Location
Materials
Meals/Refreshments
Etc.
Value Stream Process
Step 2 - Gather Data (Develop Current State)
Observe and gather data
Walk the value stream - see the actual work place
Follow and make notes about “item” and information flow
Gather data for each step in the flow
Trigger/done actual lead time output
Actual cycle time on time delivery staffing
Defect rate batch sizes overtime
Quality variations work in process
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Value Stream Process
Step 4 – Execute to Plan
Implement improvements
Conduct Workshops, events, projects, bursts per
implementation plan
Agenda
Review event implementations & results
Review impact to value stream metrics (individual events and overall)
Review next quarter events
Review changes in business environment
Communicate results
Update value stream as required
Update implementation plan as required
Address resistance and sustainment issues
Value Stream Process
Additional Tips for Success
Capture as you go:
Issues
Acronyms / terminology
Parking Lot issues
Action items
Establish a time each day for Leadership to visit the workshop
Status update
Ask questions
Barrier busting
Capture at the end of each day:
Lessons Learned
Agenda for next day
Champion summarization for Leadership at end of each day (email):
Team accomplishments for the day
Agenda for next day
Customer Need:
Stapled pages
A Simple Example
Info: Location of stapler Info: Where to place staple
Excess Travel
Treatment
Information
Information Flow
Insurance Info
Nature of Injury
Available Room Patient ready
for Treatment
Diagnosis &
Patient history Supply Needs
Patient history
Vital Statistics
Patient Info Patient history
Vital Statistics
Diagnosis & Departing
Departing Inst. Instructions
Material Flow
Wait Wait Wait Wait Wait Wait
Out Patient Go to Nurse Doctor Nurse brings
Taken to ER Doctor Treats Departing Patient Goes
Waiting Examines Examines Medical
Registration Room Patient Instructions Home
Area Patient Patient Supplies
Emergency Room – Current State
Add data for Material and Information Flows
Treatment
Information
Attending Patient his tory Attending Insurance
Hospital
Patient Nurse Vital Statis tics Physician Company
Records
Treatment
Information
Patient history
Vital Statistics
Information Flow
Insurance Info
Nature of Injury
Available Room Patient ready
for Treatment
Diagnosis &
Patient history Supply Needs
Patient history
Vital Statistics
Patient Info Patient history
Vital Statistics
Diagnosis & Departing
Departing Inst. Instructions
Material Flow
Wait Wait Wait Wait Wait
Go to Nurse Doctor Nurse brings
Out Patient Taken to ER Doctor Treats Departing Patient Goes
Waiting Examines Examines Medical
Registration Room Patient Instructions Home
Area Patient Patient Supplies
MAT'L FLOW MAT'L FLOW MAT'L FLOW M AT'L FLOW MAT'L FLOW MAT'L FLOW MAT'L FLOW MAT'L FLOW
Trigger: Trigger: Trigger: Trigger: Trigger: Trigger: Trigger: Trigger:
Done: Done: Done: Done: Done: Done: Done: Done:
Yield: Yield: Yield: Yield: Yield: Yield: Yield: Yield:
Flow Time: Flow Time: Flow Time: Flow Time: Flow Time: Flow Time: Flow Time: Flow Time:
MCT: MCT: MCT: MCT: MCT: MCT: MCT: MCT:
Queue Time: Queue Time: Queue Time: Queue Time: Queue Time: Queue Time: Queue Time: Queue Time:
# of People: # of People: # of People: # of People: # of People: # of People: # of People: # of People:
INFO FLOW INFO FLOW INFO FLOW INFO FLOW INFO FLOW INFO FLOW INFO FLOW INFO FLOW
From/To: From/To: From/To: From/To: From/To: From/To: From/To: From/To:
Frequency: Frequency: Frequency: Frequency: Frequency: Frequency: Frequency: Frequency:
Yield Rate: Yield Rate: Yield Rate: Yield Rate: Yield Rate: Yield Rate: Yield Rate: Yield Rate:
Queue Time: Queue Time: Queue Time: Queue Time: Queue Time: Queue Time: Queue Time: Queue Time:
FTE's: FTE's: FTE's: FTE's: FTE's: FTE's: FTE's: FTE's:
TCT: TCT: TCT: TCT: TCT: TCT: TCT: TCT:
MCT: MCT: MCT: MCT: MCT: MCT: MCT: MCT: INFORMATION FLOW
Undesirable
Effects (UDE’s)
VSM
Example
“Kaizen Bursts”
(changes to Flow)
67%
Value Stream