Improving Care Delivery Through Lean: Implementation Case Studies

Phase	Ramp up				Implementation
Years	2000-2003				2004-2007
Quarters	'00	'01	'02	'03	'04	'05	'06	'07

Case study data collection
History of QI & concurrent QI activities	X	X	X	X	X	X	X	X
Cultural Transformation Initiative commenced	X
Consulting firm partnership forged		X
Quality Improvement Toolkit introduced, Six Sigma launched		X
Introduction of Lean			X
Negative operating margin			X
New chief operating officer hired			X
Lean initiated, added to LHC's quality improvement toolkit			X
Lean training & projects						X	X	X
Horizon Hospital and related processes						X	X	X

Phase	Study period
Years	2008				2009				2010				2011
Quarters	1	2	3	4	1	2	3	4	1	2	3	4	1	2	3	4

Case study data collection								X	X	X	X	X	X	X	X
History of QI & concurrent QI activities	X	X	X	X	X	X	X	X	X	X	X	X	X	X	X	X
Cultural Transformation Initiative commenced
Consulting firm partnership forged
Quality Improvement Toolkit introduced, Six Sigma launched
Introduction of Lean
Negative operating margin
New chief operating officer hired
Lean initiated, added to LHC's quality improvement toolkit
Lean training & projects	X	X	X	X	X	X	X	X	X	X	X	X	X	X	X	X
Horizon Hospital and related processes	X	X	X	X	X	X	X	X	X	X	X	X	X	X	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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