LEAN IN THE LABORATORY

Linda Whaley, MS, RN Vice-President Clinical ServicesAnne Iehl, MT (ASCP) Assistant Lab Manager

GOALS:

GOALS:

1. 90% of morning work completed by 8 A.M. 2. Reduce turn-around time of lab results.

3. Improve physician satisfaction.

GOALS:

First Step: Begin 5 S’s

SORTSTRAIGHTEN

SHINESTANDARDIZE

SUSTAIN

STANDARDIZED PHLEBOTOMY TRAYS

GOALS:

PHLEBOTOMY – 5:30 AM Start Time

Small Tests of Change:1. Draw 3 transport to lab May 21-May 31 ● Of 9 monitored days, obtained 90% goal 2 times (22%)2. Runner June 1-June 21 ● Of 21 monitored days, obtained 90% goal 14 times (66%)3. Swarming June 22-June 28 ● Of 7 monitored days, obtained 90% goal 1 time (14%)Result: Runner implemented One additional person added to 5:30 AM shift

GOALS:

OUTPATIENT SPECIMEN PROCESS

Changed location of OP phlebotomy

from Main Lab to Front Entrance area with pneumatic tube system.

Main Lab Distance = 420 feet

Front Entrance Distance = 150 feet

GOALS:

PROCESS CHANGE:

Conversion Of Collection

Tubes

GOALS:

PROCESS CHANGE:

NURSING HOME SUPPLY

LIST

GOALS:

PHYSICAL CHANGES: WORK AREA

PRE-LEAN

GOALS:

PHYSICAL CHANGES:

WORK AREA

POST-LEAN

GOALS:

PHYSICAL CHANGES: MONITOR

GOALS:

PHYSICAL CHANGES:

SUPPLY CART

PRE-LEAN

GOALS:

PHYSICAL CHANGES:

SUPPLY CARTS

POST-LEAN

GOALS:

AUTOMATED LINE

Before Automated Line

After Automated Line

GOALS:

GOAL SUMMARY1. 90% of morning work completed by 8 AM ● Pre-LEAN: 45% of work complete by 8 AM March 2010: 90% of work complete by 8 AM ● Standardized Phlebotomy Trays Pre-LEAN: Over 30 trays March 2010: 10 Standardized trays ● Scheduled 2nd phlebotomist at 5:30 AM ● Implemented a “runner” ● Nurses doing central line blood draws

GOALS:

GOAL SUMMARY

2. Reduce turn-around time of lab results

● Specimen drop-off area

● Efficient “race track” layout of lab

● Conversion of collection tubes

GOALS:

GOAL SUMMARY

3. Improve physician satisfaction

● Plan to re-survey physicians

May 2010

GOALS:

Other LEAN Process Improvements

Front Entrance Specimen Process

■ Outpatient blood draws

■ Client drop off Supply Inventory Time clock added closer to Lab

(approx. saving = $6552/yr.)

GOALS:

PLANS FOR 2010

1. Standardize storeroom supplies

● Main Lab

● Front Entrance

2. Auto-verification

3. Standardize phone system

4. Sustain turn-around-time improvement!

GOALS:

QUESTIONS?