Before you address the problems in your value stream to make it more lean, you’ll find it helpful to have a clear picture of what a truly lean value stream looks like.
A lean value stream exhibits the following characteristics:
- The value stream produces precisely what the end customer requires (value), and each process in the value stream produces what the next process requires exactly when it is needed, how it is needed, and how much is needed.
- The work flows smoothly through the value stream with no waiting or rework and with the information necessary to perform the work available when it is needed.
- Work is standardized so that each step uses the best current method and the best sequence for the process, problems are surfaced quickly and addressed appropriately, and quality of work is confirmed as work occurs.
- Regular milestones are established to monitor and evaluate how well the value stream is working, and lessons learned are fed back into the process and into the organization as a whole (i.e., the process itself is managed, not just the people).
Your future-state map will follow guidelines to establish value, flow, work, and management. Translating the guidelines into questions that you and your team collectively answer will help you begin to define your future state. Step through the guidelines and questions provided in order.
Perfecting Patient Journeys, from which these guidelines are taken is taken, is a guide to value-stream improvement for leaders of healthcare organizations who want to implement lean thinking and engage employees in solving problems in order to deliver better and more efficient care. Readers will learn how to identify and select a problem in the performance of a value stream, define a project scope, and create a shared understanding of what's occurring in the value stream. Readers will also learn to develop a shared vision of an improved future, and hopefully work together to make that vision a reality.