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@LeanOnMyself

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@niklas_modig

This Is Lean - Resolving the Efficiency Paradox


More than 200 000 copies sold
Translated into 14 different languages
One of the most sold lean books of all time
www.thisislean.com
ADHD investigation

Parents Chat with Func.onal Psychological Medical Concluding Final


interview child inves.ga.on inves.ga.on inves.ga.on discussion diagnosis

WAITING WAITING WAITING WAITING WAITING WAITING

4 months

First
Diagnosis
contact Ecient?
17h / 2880h = 0.6%
ADHD investigation

Parents Chat with Func.onal Psychological Medical Concluding Final


interview child inves.ga.on inves.ga.on inves.ga.on discussion diagnosis

WAITING WAITING WAITING WAITING WAITING WAITING

4 months

First
Diagnosis
contact Ecient?
17h / 2880h = 0.6%
Parents Chat with Func.onal Psychological Medical Concluding Final
interview child inves.ga.on inves.ga.on inves.ga.on discussion diagnosis
Psychological
inves.ga.on

Final
diagnosis

Chat with
child

Concluding
discussion

Parents
interview Medical
inves.ga.on

Medical
inves.ga.on

Func.onal
inves.ga.on
Medical
inves.ga.on
WHAT IS THE PROBLEM?
NEW WAY OF WORKING
What is a good investigation?
Seven steps
Work together as ONE team
Parents & child perspective
Common goal = quality & speed
Common best way of working
where everyone sees the big picture

THREE WEEKS!
INVESTIGATION PROGRESS MANAGEMENT BOARD








Name: Nima Name: Jenny Name: Emil Name: Fanny Name: Emma
Start: April 14 Start: April 16 Start: April 18 Start: April 21 Start: April 25

Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress

WEEK"1" WEEK"2" WEEK"3"


1" 2" 3" 4" 5" 6" 7"

WEEK 1 WEEK 2 WEEK 3


1 2 3 4 5 6 7

OBS! All names are made up and pictures found on Google!


NEW WAY OF WORKING OUTCOME
What is a good investigation? Five times faster
Seven steps Good and stable quality
Work together as ONE team Great experience
Parents & child perspective Reduced stress
Common goal = quality & speed Increased employee satisfaction
Common best way of working More than 100% increase in
where everyone sees the big picture productivity

THREE WEEKS! HOW IS THIS POSSIBLE?


Beating the trade-off
High quality

WHY?

Low cost
QUESTION 1
What is eciency?

- What is great quality?
- Who owns the right to dene quality?
ADHD investigation

Parents Chat with FuncSonal Physiological Medical Concluding


Diagnosis
interview child invesSgaSon invesSgaSon invesSgaSon discussion

WAITING WAITING WAITING WAITING WAITING WAITING

4 months

First
Diagnosis
contact
RESOURCE EFFICIENCY

Start

Value adding time Resource


=
Available capacity Efficiency (%)

Stop
ADHD investigation

Parents Chat with FuncSonal Physiological Medical Concluding


Diagnosis
interview child invesSgaSon invesSgaSon invesSgaSon discussion

WAITING WAITING WAITING WAITING WAITING WAITING

4 months

First
Diagnosis
contact
FLOW EFFICIENCY

Value adding time

Process

Throughput time
Need is Need is
identified fulfilled

Value adding time


= Flow efficiency (%)
Throughput time
Two forms of efficiency

High
Resource eciency
Low

Low High
Flow eciency
Resource eciency
Low High

Strategy to increase resource eciency

Low
Flow eciency
High
Two forms of efficiency
Two forms of efficiency

High
Resource eciency
Low

Strategy to increase ow eciency

Low High
Flow eciency
What is your focus? What do you prioritize?

High
Resource eciency
Low

Low High
Flow eciency
What shall we prioritize?
RESOURCE EFFICIENCY FLOW EFFICIENCY

LONG THROUGHPUT TIME SHORT THROUGHPUT TIME

HIGH WASTE LOW


CAPACITY CAPACITY
UTILIZATION UTILIZATION

EFFICIENCY PARADOX
THEORETICAL EXPLANATION LITTLES LAW
# of
open cases

35
Eects
- # of cases
- # of hand-overs
- # of restarts
- Complexity
- Failures / mistakes
+ Overview / focus

Throughput .me

3 weeks 4 months

Superuous
Free up .me work Amount of .me
spent per case
Value
Two indirect effects

High
Resource eciency Island thinking Independency
Narrow focus IneecSveness

Customer focus Dependency


System focus EecSveness
Low

Low High
Flow eciency
Flow oriented operations strategy

High
Resource eciency
Low

Low High
Flow eciency
QUESTION 1 QUESTION 2
What is eciency? How shall we measure eciency?

FLOW EFFICIENCY BEFORE - How do we know that we
RESOURCE EFFICIENCY are delivering great quality?
ADHD investigation
% % % % % % %
# # # # # # #

Parents Chat with FuncSonal Physiological Medical Concluding
Diagnosis
% interview child invesSgaSon invesSgaSon invesSgaSon discussion

WAITING WAITING WAITING WAITING WAITING WAITING

4 months

First
Diagnosis
contact
Example 1
TO DRIVE A CAR
A driver NEVER closes his/her eyes!

A driver has PERFECT control of the progress


ALL THE TIME in order to be able to make
instant micro adjustments.
Example 2
TO PLAY FOOTBALL
EVERYONE:
1. Has same knowledge & rules
2. Plays on the same pitch & ball 89:30
3. Sees everything that happens 5 SCORE 1
4. Gets informed about + / -
5. Follows the progress of the game
EVERYONE: EVERYONE:
1. Has same knowledge & rules 1. Has different knowledge & rules
2. Plays on the same pitch & ball 2. Plays of different pitches
3. Sees everything that happens 3. Sees only their game / ball
4. Gets informed about + / - 4. Is not informed about + / -
5. Follows the progress of the game 5. Only cares about how many times
he/she has kicked a ball

Not one click away one LOOK away!


- Example 3 -
THE ADHD INVESTIGATION
INVESTIGATION PROGRESS MANAGEMENT BOARD








Name: Nima Name: Jenny Name: Emil Name: Fanny Name: Emma
Start: April 14 Start: April 16 Start: April 18 Start: April 21 Start: April 25

Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress

WEEK"1" WEEK"2" WEEK"3"


1" 2" 3" 4" 5" 6" 7"

WEEK 1 WEEK 2 - Adjust? WEEK 3


1 2 4 5 6
- Why? 7
3
- AHA!
- Improve!
OBS! All names are made up and pictures found on Google!
- SUMMARY -
PROGRESS MANAGEMENT
PROGRESS BEFORE OUTCOME
Control the progress of fullling the need of your customers

Process
1 2 3 4 5 6 7 8
management

MON TUE WED TUR FRI

Resource Control the progress of


management uElizing your resources

Control the progress of


reaching your goals

Performance
management
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
QUESTION 1 QUESTION 2
What is eciency? How shall we measure eciency?

FLOW EFFICIENCY BEFORE PROGRESS
RESOURCE EFFICIENCY BEFORE OUTCOME