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Author: Elyse, PMP, CPHIMS
November 20, 2009


The main guiding principle to Lean Healthcare IT is to create the right value for our patients, colleagues, community, and physicians with minimum effort. Simply to work smarter, not harder and with a value driven sense of purpose. Everyone should be aware of how their part ties into the bigger whole.

The 5 Key Lean Principles

  1. Value -Value is determined by the customer. Viewing healthcare IT systems from the perspective of the customer, what has value and what has no value? Are you aware of how your Healthcare IT ties into the value stream?
  2. Value Stream - Once you have determined how the organization values healthcare it service, one can create a value stream map. The value stream map illustrates the process required to produce the service. Each process step should be categorized as either value-added, non-value-added but necessary, or non-value added waste.
  3. Flow - The services offered should be designed to be robustly interwoven and handed off from one step to another. Work Intake to Release/deployment. The goal here is for process to be predictable and enabling; minimal waits and queuing; no rework.
  4. Pull - Enable customer self-service. This pull ties back to the value stream concept assuring just in time delivery without in-process inventory. Have an order-driven value stream.
  5. Perfection - Employ the concept of continual process improve to identify opportunities for improvement and minimize waste.

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