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Improving Care Delivery Through Lean: Implementation Case Studies

Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center

Phase Ramp-up Implementation Study Period 
Years 2006 2007 2008
Quarters 1 2 3 4 1 2 3 4 1 2 3 4
Case Study Data Collection                        
History of QI & Concurrent QI Activities  
Parent system begins using DMAIC approach to quality improvement (QI) X                      
Quality Academy created   X X                  
Quality Academy staff visit Grand to provide overview of Lean       X                
Quality Academy provides classes and sessions to all parent organization sites         X X X X X X X X
Parent organization implements enterprise-wide priority projects on core measures         X X X X X X X X
Introduction of Lean  
Grand in financial trouble                 X X X  
New CEO hired for medical center                       X
Lean implemented formally at medical center                       X
External consultant hired for medical center                 X X X X
Lean included in medical center strategic plan, which outlines operations through 2012                        
Lean Training & Projects  
External consultant mentored S&P staff at medical center                   X X X
External consultant conducted Lean trainings (2009 - 2010)                        
Wave 1 of Lean training and projects occur. Trainings conducted by external consultant. Wave 1 includes Hip and Knee Replacement cost and four other projects.                        
Wave 2 of Lean training and projects occur. Trainings conducted by external consultant. Wave 2 included six projects.                        
Wave 3 of Lean training and projects occur. Trainings conducted by external consultant. Wave 3 included Cardio Followup and five other projects.                        
Wave 4 of Lean training and projects occur. Trainings conducted by S&P staff.                        
Wave 5 of Lean training and projects occur. Trainings conducted by S&P staff.                        
Advanced Lean training offered by Quality Academy                        
Lean integrated into corporate QI training institute                        

 

Phase Ramp-up Implementation Study Period 
Years 2009 2010 2011
Quarters 1 2 3 4 1 2 3 4 1 2 3 4
Case Study Data Collection           X X X        
History of QI & Concurrent QI Activities  
Parent system begins using DMAIC approach to quality improvement (QI)                        
Quality Academy created                        
Quality Academy staff visit Grand to provide overview of Lean                        
Quality Academy provides classes and sessions to all parent organization sites X X X X X X X X X X X X
Parent organization implements enterprise-wide priority projects on core measures X X X X X X X X X X X X
Introduction of Lean  
Grand in financial trouble                        
New CEO hired for medical center                        
Lean implemented formally at medical center X                      
External consultant hired for medical center X X X X                
Lean included in medical center strategic plan, which outlines operations through 2012 X X                    
Lean Training & Projects  
External consultant mentored S&P staff at medical center X X X X                
External consultant conducted Lean trainings (2009 - 2010)   X X X X X X X        
Wave 1 of Lean training and projects occur. Trainings conducted by external consultant. Wave 1 includes Hip and Knee Replacement cost and four other projects.   X X                  
Wave 2 of Lean training and projects occur. Trainings conducted by external consultant. Wave 2 included six projects.     X X                
Wave 3 of Lean training and projects occur. Trainings conducted by external consultant. Wave 3 included Cardio Followup and five other projects.         X X            
Wave 4 of Lean training and projects occur. Trainings conducted by S&P staff.             X X        
Wave 5 of Lean training and projects occur. Trainings conducted by S&P staff.                 X X    
Advanced Lean training offered by Quality Academy             X          
Lean integrated into corporate QI training institute                 anticipated 2011


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 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center. Content last reviewed November 2014. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-5.html

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