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For this assignment I was able to create a value stream map (VSM) based on a quality improvement project I am currently working on to improve patient care and safety on a gynecology inpatient unit. The health care process analyzed was the practice of transferring a patient from an inpatient bed to a treatment room for a procedure then back to their room. Identifying the steps in this process was more tedious than expected but examining the flow from the patients perspective helped discover each step. Through direct observations of the transportation process as well as question and answer sessions with clinical staff utilizing the treatment room, establishing the steps became clear.
Personally, I found it easier to map the mid level steps than the high-level steps. Efforts to map the process were more difficult when determining the percentage each step was completed and also the length of time each step took. Out of the eight steps for building a VSM, identifying and evaluating the value adding (VA )and non-value adding (NVA) activities proved most challenging (Delisle, 2015). After reviewing the VSM, it was apparent that a majority of the steps were waste and non-valuable to the patient\’s care. Immediately, it was known that all waste and NVA activities must be removed from the process or improved upon. Completing the VSM calculations was simple once the VSM was created. The VSM calculations added data to support the needed quality improvements to NVA and waste activities in the process.
The VSM tool provided a visual to the effectiveness of lean practices. Principle two, lean is value creating, of the six principles of lean was apparent throughout this assignment; largely because VA activities were lacking (Toussaint & Berry, 2013). I used the LucidChart software to create the VSM finding it user friendly and easy to use. This assignment was helpful in that it highlighted which steps could be improved and which could be removed from the process.
References:
Delisle, D. (2015). Executing lean improvements: A practical guide with real-world healthcare case studies. Milwaukee, WI: Quality Press.
Toussaint, T. & Berry, L. (2013). The promise of lean in health care. Mayo Clinic Proceedings, 88(1), 74-82.
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