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January 8, 2014
Value
Value Stream
Flow
Pull
Perfection
1996
Process
Customer
Request
Process
Process
Customer
Receipt
First defined in The Machine That Changed the World,
James Womack, Daniel Jones, & Daniel Roos, 1990.
Function
Function
Function
Value stream
segment
?
?
I-40 option
I-70 option
10
11
Value
Stream
Define strategic
direction (what)
Heavy leadership
involvement
Value Stream
Mapping
Process
Process
Micro
Perspective
Process
Step
Step
Step
Identify the
tactical how
Heavy frontline
involvement
Metrics-Based
Process Mapping
12
Strategic
Value-stream
Perspective
Quote
Tactical
Process-level
Perspective
Design
Produce
Fabricate
Assemble
Ship
13
14
Customer
1
Information
Flow
IT-1
2
Work
Flow
1 items
3
Timeline
IT-2
Process 1
Process 2
Process 3
Process 4
Process 5
Function A
Function B
Function C
Function D
Function E
11
LT = 1 days
PT = 10 mins.
%C&A = 50%
LT = 0.5 days
PT = 5 mins.
%C&A = 75%
480mins.
240mins.
10mins.
5mins.
45 items
3
LT = 5 days
PT = 120 mins.
%C&A = 85%
10 items
LT = 2 days
PT = 30 mins.
%C&A = 99%
LT = 1 days
PT = 15 mins.
%C&A = 95%
5days
2days
480mins.
120mins.
30mins.
15mins.
15
Customer
IT interface
Standard
work
Error
proof
IT-1
Crosstrain
Process 2
Function A
5
Standard
work
Process 3
Function C
5 items
LT = 1 days
PT = 10 mins.
%C&A = 99%
Crosstrain
Modified
approvals
Process 1
1 items
IT-2
Function E
10 items
3
LT = 2 days
PT = 120 mins.
%C&A = 95%
4
LT = 0.5 days
PT = 30 mins.
%C&A = 95%
1days
2days
0.5days
10mins.
120mins.
30mins.
16
Projected
Future State
Projected
% Improvement
9.5 days
3.5 days
63.2%
180 minutes
160 minutes
11.1%
Activity Ratio
3.9%
9.5%
143.6%
30.0%
89.3%
197.7%
Metric
Total Lead Time
Total Process Time
User defined
User defined
2014 The Karen Martin Group, Inc.
17
Value Stream
Mapping
Executing
Transformation
Plan
Making
Specific
Improvements
18
4 Weeks Prior
to Mapping
Understand
Current State
Design
Future State
Develop
Transformation
Plan
Execute
Transformation
Plan
Following
Mapping
19
Accountable Parties
Logistics
Executive
Allen Ward
Sponsor
Value Stream
Nancy Little
Champion
Base-camp
Surf's Up - Room A
Location
Logistics
Dave Parks
Coordinator
Briefing
Attendees
** required
*optional
Meals
Continential breakfast & lunch
Provided
Mapping Team
Function / Title
Name
1 Sales, Director
Sean Michaels
2 IT, Director
Diana Marie
3 Finance, Controller
Dave Gerald
4 Scrum Master
Ryan Austin
Nancy Little
6 Manufacturing, Director
Ambreen Motiwala
Danny Tran
JR Hunt
Briefing
July 24, 25, & 26
Dates &
4:00-5:00 pm
Times
Contact Information
10
On-Call Support
Function
Name
2 Production Supervisor
Contact Information
Relevant Data
Agreement
Executive Sponsor
Facilitator
Signature:
Signature:
Signature:
Date:
Date:
Date:
20
Accountable Parties
Logistics
Executive
Allen Ward
Sponsor
Value Stream
Nancy Little
Champion
Base-camp
Surf's Up - Room A
Location
Logistics
Dave Parks
Coordinator
Briefing
Attendees
** required
*optional
Meals
Continential breakfast & lunch
Provided
Mapping Team
Function / Title
Name
1 Sales, Director
Sean Michaels
2 IT, Director
Diana Marie
3 Finance, Controller
Dave Gerald
4 Scrum Master
Ryan Austin
Nancy Little
6 Manufacturing, Director
Ambreen Motiwala
Danny Tran
JR Hunt
Briefing
July 24, 25, & 26
Dates &
4:00-5:00 pm
Times
Contact Information
10
On-Call Support
Function
Name
2 Production Supervisor
Contact Information
Relevant Data
Agreement
Executive Sponsor
Facilitator
Signature:
Signature:
Signature:
Date:
Date:
Date:
21
Accountable Parties
Logistics
Executive
Allen Ward
Sponsor
Value Stream
Nancy Little
Champion
Base-camp
Surf's Up - Room A
Location
Logistics
Dave Parks
Coordinator
Briefing
Attendees
** required
*optional
Meals
Continential breakfast & lunch
Provided
Mapping Team
Function / Title
Name
1 Sales, Director
Sean Michaels
2 IT, Director
Diana Marie
3 Finance, Controller
Dave Gerald
4 Scrum Master
Ryan Austin
Nancy Little
6 Manufacturing, Director
Ambreen Motiwala
Danny Tran
JR Hunt
Briefing
July 24, 25, & 26
Dates &
4:00-5:00 pm
Times
Contact Information
10
On-Call Support
Function
Name
2 Production Supervisor
Contact Information
Relevant Data
Agreement
Executive Sponsor
Facilitator
Signature:
Signature:
Signature:
Date:
Date:
Date:
22
Accountable Parties
Logistics
Executive
Allen Ward
Sponsor
Value Stream
Nancy Little
Champion
Base-camp
Surf's Up - Room A
Location
Logistics
Dave Parks
Coordinator
Briefing
Attendees
** required
*optional
Meals
Continential breakfast & lunch
Provided
Mapping Team
Function / Title
Name
1 Sales, Director
Sean Michaels
2 IT, Director
Diana Marie
3 Finance, Controller
Dave Gerald
4 Scrum Master
Ryan Austin
Nancy Little
6 Manufacturing, Director
Ambreen Motiwala
Danny Tran
JR Hunt
Briefing
July 24, 25, & 26
Dates &
4:00-5:00 pm
Times
Contact Information
10
On-Call Support
Function
Name
2 Production Supervisor
Contact Information
Relevant Data
Agreement
Executive Sponsor
Facilitator
Signature:
Signature:
Signature:
Date:
Date:
Date:
23
Configure
to order
Custom
hardware
Engineer
to order
Custom
software
New Product
Development
Both
Capital
Equipment
Golden State
Equipment, Inc.
Catalog
Spares &
subassemblies
Engineer to
order
2014 The Karen Martin Group, Inc.
24
Activity
Marketing
Sales
Customer
Sales
Reviews RFQ
Estimating
Generates quote
Sales
Approve quote
Customer
Sales
Approves PO
Customer service
EE/ME design
Customer
Approves design
EE/ME design
Software Dev
Writes code
Purchasing/Planning
Supplier (external)
Delivers materials
Production
Customer
Installs equipment
Field service
26
Accountable Parties
Logistics
Executive
Allen Ward
Sponsor
Value Stream
Nancy Little
Champion
Base-camp
Surf's Up - Room A
Location
Logistics
Dave Parks
Coordinator
Briefing
Attendees
** required
*optional
Meals
Continential breakfast & lunch
Provided
Mapping Team
Function / Title
Name
1 Sales, Director
Sean Michaels
2 IT, Director
Diana Marie
3 Finance, Controller
Dave Gerald
4 Scrum Master
Ryan Austin
Nancy Little
6 Manufacturing, Director
Ambreen Motiwala
Danny Tran
JR Hunt
Briefing
July 24, 25, & 26
Dates &
4:00-5:00 pm
Times
Contact Information
10
On-Call Support
Function
Name
2 Production Supervisor
Contact Information
Relevant Data
Agreement
Executive Sponsor
Facilitator
Signature:
Signature:
Signature:
Date:
Date:
Date:
27
1.
2.
3.
4.
5.
Understand
Current State
Design
Future State
Develop
Transformation
Plan
Execute
Transformation
Plan
29
Understand
Current State
Design
Future State
Develop
Transformation
Plan
Execute
Transformation
Plan
30
Understand
Current State
Develop
Transformation
Plan
Design
Future State
Execute
Transformation
Plan
Measurable Target
Outpatient Imaging
Allen Ward
1-Nov-12
Paul Scanner
21-Nov-12
Dave Parks
13-Dec-12
10/18/2012
10-Jan-13
Proposed Countermeasure
Exec.
Method*
Owner
10 11 12
Status
KE
Sean
Michaels
100%
Proj
Dianne
Marie
75%
KE
Ryan
Austin
50%
Reduce wait time in waiting area by 50% Balance work / level demand
KE
Dianne
Marie
50%
Proj
Dave
Gerald
50%
Proj
Dave
Gerald
25%
KE
Michael
O'Shea
100%
Proj
Martha
Allen
25%
Proj
Martha
Allen
0%
JDI
Dave
Gerald
100%
3,4
Agreement
Executive Sponsor
Signature:
Signature:
Signature:
Date:
Date:
Date:
31
Understand
Current State
Design
Future State
Develop
Transformation
Plan
Execute
Transformation
Plan
32
33
Customer Demand:
15 patients perDay
(Takt Time 1920seconds)
8 hours per day
Schedule
Appointment
Referring
Physician
Hospital
% C&A = 65 %
CT=Cycle Time
LT=Lead Time
%C&A=% Complete & Accurate
Symposium
E Pay
Excel
ADS
Internet
Meditech
Fax Order
Solutions
Waiting Room
Management
System
PACS
Check-in
Patient
(Admitting)
Prep
Patient
(Tech)
Check-in
Patient
(Imaging)
Complete
Exam
(Tech)
Transmit
Images
(Tech)
Read/Dictate
Exam
(Radiologist)
Transcribe
Report
(MDI)
Review
Draft/Sign
(Radiologist)
Print
Reports
(Imaging)
Send
Reports
(Imaging)
5 mins.
5
5 mins.
0.0833 hrs.
2 mins.
45 mins.
0.75 hrs.
1 mins.
30 mins.
0.5 hrs.
10 mins.
5 mins.
0.0833 hrs.
15 mins.
248 mins.
10
4.13 hrs.
3 mins.
365 mins.
11
6.08 hrs.
15 mins.
960 mins.
12
16 hrs.
5 mins.
110 mins.
1.83 hrs.
1 mins.
13
120 mins.
2 hrs.
1 mins.
14
LT = 32.5 hrs.
3 mins.
CT = 56 mins.
CT/LT Ratio = 2.87%
Rolled First Pass
yield = 29%
Work
Balance
Customer Demand:
15 patients perDay
(Takt Time1920 seconds)
8 hours per day
Co-locate
Schedule appt
Pre-register
Referring
Physician
Hospital
3
Lead Time = 15 days
% C&A = 85 %
Risk
Reduction
(Joint
Commision)
Symposium
E Pay
Excel
Internet
Waiting Room
Management
System
Work
Balancing
Standard
Work
35 mins.
Complete
Exam
(Tech)
20 mins.
0.583 hrs.
1 mins.
Transmit
Images
(Tech)
5 mins.
0.333 hrs.
10 mins.
Visual
Workplace
Set-up
Reduction
Prep
Patient
(Tech)
Check-in
Patient
(Imaging)
Fax Order
Solutions
PACS
Value Stream
Alignment
Pull System
(Supplies
Kanban)
Remove
Check in
and Reduce
System Access
5 mins.
Meditech
CT=Cycle Time
LT=Lead Time
%C&A=% Complete & Accurate
120 mins.
Review
Draft/Sign
(Radiologist)
420 mins.
2 hrs.
2 mins.
Batch
Reductions
Voice
Recognition
Read/Dictate
Exam
(Radiologist)
0.0833 hrs.
10 mins.
Continuous
Flow
Print
Reports
(Imaging)
2 mins.
7 hrs.
15 mins.
Rework Loop
via Fax 10% of
the time
30 mins.
0.0333 hrs.
1 mins.
10
Send
Reports
(Imaging)
0.5 hrs.
1 mins.
11
LT = 11.3 hrs.
3 mins.
CT = 43 mins.
CT/LT Ratio = 6.32%
Rolled First Pass
yield = 40%
Outpatient Imaging
Value Stream Improvement Results
Current
State
Improved
State
%
Improvement
LT
32.5 hrs
11.3 hrs
65%
PT
AR
RFPY
# Steps
56 mins
2.9%
29%
14
43 mins*
6.3%
40%
11
23%
117%
38%
21%
100%
25%
75%
Metric
Tech turnover
(annual)
* This reduction (freed capacity) enabled the client to collect $500K more in annual
revenue without incurring additional labor or equipment expenses.
Inititate Req.
Originator
31
PT = 10 mins.
C&A = 10%
Supplies
Hard Copy
Form File
File Maker
Quicken
Vendor
Website
Excel
ERP
Data Entry
Review
Budget
Review Req.
Finance
PT = 5 mins.
C&A = 60%
0.25 days
4 hrs.
PT = 5 mins.
C&A = 95%
0.5 days
5 mins.
20 Reqs
Review
Requisition
Review
5
Requisition
PT = 5 mins.
C&A = 90%
8 hrs.
PT = 5 mins.
C&A = 100%
1 days
5 mins.
10 Reqs
PT = 10 mins.
C&A = 95%
4 hrs.
PT = 15 mins.
C&A = 98%
0.5 days
10 mins.
Approve in
ERP
24 hrs.
PT = 5 mins.
C&A = 90%
3 days
15 mins.
Submit PO
to Supplier
8
63 Reqs
10
External
Supplier
Corp Purchasing
Manager
1
Admin Asst
Financial Mgr
1
8 hrs.
1 days
5 mins.
Enter
Requisition
Review
6
Requisition
IS Manager
1
1
40 hrs.
5 days
5 mins.
Sys Engineer
Supervisor
2
6
2 hrs.
Corp Purchasing
6
56 hrs.
PT = 15 mins.
C&A = 98%
7 days
5 mins.
80 hrs.
PT = 20 mins.
10 days
15 mins.
LT = 28.4 days
PT = 65 mins.
AR = 0.477%
RFPY = 4.2%
Customer Demand:
615 requisitions per y ear
PT = Process Time
LT = Lead Time
C&A = % Complete & Accurate
AR = Activ ity Ratio (PT/LT x 100)
RFPY = Rolled First Pass Y ield
Additional
IT access
Enter Req.
in ERP
Integrate Form
File with File
Maker
Originator
31
PT=30 mins.
C&A = 85%
Supplies
Requisition
Checklist
Vendor
Websites
File Maker
Cross
Training
Approval
Additional
IT access
6 hrs.
0.75 days
5 mins.
Place
Order
5
External
Supplier
PT=20 mins.
80 hrs.
PT=20 mins.
C&A = 98%
1 days
5 mins.
Dedicated
Buyers
Corp Purchasing
8 hrs.
PT=5 mins.
C&A = 90%
PT=5 mins.
C&A = 95%
0.5 days
Approve
in ERP
Dept.
Manager
1
Supervisor
4 hrs.
Auto Notify
Standard
Work for
review
Review
Req.
ERP
10 days
20 mins.
LT = 12.3 days
PT = 30 mins.
AR = 0.508%
Customer Demand:
615 requistions per year
PT = Process T ime
LT = Lead T ime
C&A = % Complete & Accurate
AR = Activity Ratio (PT /LT x 100)
RFPY = Rolled First Pass Yield
RFPY = 71%
Purchasing Process
Projected Results
Current
State
Projected
Future State
%
Improvement
28.4 days
12.3 days
56.7%
65 mins
30 mins
53.8%
Activity Ratio
0.48%
0.51%
6.3%
Rolled %C&A
4.2%
71.0%
1,590%
# Handoffs
10
50%
# IT Systems
50%
Metric
40
Available Now!
41
42