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Improving Care Delivery Through Lean: Implementation Case Studies

Exhibit 5.4. Chronology of Quality Improvement (QI) and Lean at Heights Hospital

Phase Ramp up
    2007 2008
Quarters ‘02 ‘03 ‘04 ‘05 ‘06 1 2 3 4 1 2 3
                         
Case study data collection                        
History of QI & concurrent QI activities X X X X X X X X X X X X
Corporation-wide quarterly reports X X X X X X X X X X X X
Management by Walking Around                   X X X
QI projects led by QI department X X X X X X X X X X X X
Introduction of Lean X X X X X X X X X X X X
Executives visit Denver Health to observe Lean (approximate)         X              
Planning for Lean adoption         X X X X X      
The safety net system's contracts with consulting firm to implement Lean                 X      
Lean training and projects X X X X X X X X X X X X
Lean consultant makes weeklong visits once per month to facility                   X X X
Value streams selected                   X    
Lean consultant visits facility bi-monthly                        
Lean consultant visits facility as necessary                        
Value stream analysis to identify projects                   X   X
Transformational plan of care reviews                       X
ED value stream                        
Pediatric continuity of care                        

 

Phase Implementation Study period
  2008 2009 2010
Quarters 4 1 2 3 4 1 2 3 4
                   
Case study data collection             X X  
History of QI & concurrent QI activities X X X X X X X X X
Corporation-wide quarterly reports X X X X X X X X X
Management by Walking Around X X X X X X X X X
QI projects led by QI department X X X X X X X X X
Introduction of Lean X X X X X X X X X
Executives visit Denver Health to observe Lean (approximate)                  
Planning for Lean adoption                  
The safety net system's contracts with consulting firm to implement Lean                  
Lean training and projects X X X X X X X X X
Lean consultant makes weeklong visits once per month to facility X                
Value streams selected                  
Lean consultant visits facility bi-monthly   X X X X        
Lean consultant visits facility as necessary           X X X X
Value stream analysis to identify projects X   X X X   X X  
Transformational plan of care reviews       X       X  
ED value stream   X X X X X X    
Pediatric continuity of care           X X    


Note: Shading in a cell, denoted here by an X, indicates that the relevant activity (row) commenced or continued during the time period (column).

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Publication:
13(15)-0056

Page last reviewed November 2014
Page originally created November 2014

Internet Citation: Exhibit 5.4. Chronology of Quality Improvement (QI) and Lean at Heights Hospital. Content last reviewed November 2014. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-4.html

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