Leveraging Lean in the Emergency Department: Creating a Cost Effective, Standardized, High Quality, Patient-Focused....pdf

Leveraging Lean in the Emergency Department: Creating a Cost Effective, Standardized, High Quality, Patient-Focused....pdf


Emergency departments have become the new primary access point into the healthcare system for a significant portion of the population. As a result, emergency departments are notorious for their long wait times, questionable quality of care, and poor reimbursement. By adopting Lean manufacturing concepts, hospitals can turn the emergency department into a valuable service for the hospital and the community it serves. This is a how-to' book for a Lean implementation, combining Lean tools and concepts as applied to the emergency department.

Charles Protzman: In November of 1997, Charles Protzman formed Business Improvement Group, LLC (B.I.G.). B.I.G. is located in Baltimore, Maryland and specializes in implementing Lean thinking principles and the Lean Business Delivery System - LBDS (trademark pending). Charles has over 31years experience in Materials and Operations Management. He spent 13 1/2 years with AlliedSignal, now Honeywell, where he was an Aerospace Strategic Operations Manager and the first AlliedSignal Lean Master. He has received numerous special-recognition and cost-reduction awards. Charles was an external consultant for DBED's Maryland Consortium while he was with AlliedSignal. He had input into the resulting World Class Criteria document and assisted in the first three initial DBED World Class Company Assessments. Charles is an international Lean consultant and has taught students in Lean Principles and Total Quality from all over the world. He has spent the last 18 years implementing successful lean product line conversions, kaizen events, administrative business system improvements (transactional lean) across the U.S. He is following in the footsteps of his grandfather, who was part of the Civil Communications Section (CCS) of the American Occupation. prior to Deming's 1950 visit to Japan. C.W. Protzman Sr. surveyed over 70 Japanese Companies in 1948. Starting in late 1948, Homer Sarasohn and C. W. Protzman Sr. taught top executives of prominent Japanese Companies an 8 week course in American Participative Management and Quality techniques in Osaka and Tokyo. Over 5,100 top Japanese executives had taken the course by 1956. Many of the lessons we taught the Japanese in 1948 are now being taught to Americans as "lean principles". The lean principles had their roots in the U.S. and date back to the early 1700s and later to Taylor, Gilbreth and Henry Ford. The principles were refined and expanded by Shigeo Shingo and Taiichi Ohno at Toyota. Modern day champions, are Norman Bodek, Jim Womack, and Dan Jones. Charles participated in numerous Benchmarking and Site visits including a two-week trip to Japan in June 1996 where he worked with Hitachi in a kaizen event. He is a Master facilitator and trainer in TQM, Total Quality Speed, Facilitation, Career Development, Change Management, Benchmarking, Leadership, Systems Thinking, High Performance Work Teams, Team Building, Myers Briggs Styles Indicator, Lean Thinking, and Supply Chain Management. He also participated in Baldridge Examiner and Six Sigma Management Courses. He was an Assistant Program Manager during "Desert Storm" for the Patriot missile-to-missile fuse development and production program. Charlie is a co-author of the Shingo winning book Leveraging Lean in Healthcare: Transforming Your Enterprise into a High Quality Patient Care Delivery System with George Mayzell, MD and Charles Protzman and is the lead author of The Lean Practitioner Handbook with Fred Whiton, Joyce Kerpchar, Christopher Lewandowski, Steven Stenberg, and Patrick Grounds. George Mayzell, MD, MBA, FACP, FACHE is a board certified internist and geriatrician with over 10 years of patient care experience and over 19 years of administrative health industry experience. He is currently the System CMO and Chief Integration Officer for Adventist Health in Hinsdale, Illinois. Previously, Dr. Mayzell was the Chief Executive Officer of Health Choice, LLC. Health Choice is one of the Mid-South's leading physician hospital organizations, serving the needs of more than 518,000 health plan members through contracts with over 100 employers, insurance companies, and third-party administrators and 1500 physicians through Metro Care Physicians. One of his projects was to create an Accountable Care Partnership and an innovative system of patient focused care. Prior to Health Choice, LLC, he was senior vice president and chief patient care officer at Methodist Le Bonheur Healthcare. Methodist is a seven hospital system with over 1600 licensed beds in Memphis, TN. He was responsible for patient care operations and oversight of regulatory readiness for the system. He, also, served as chief medical officer (CMO) for Methodist Germantown Hospital. In addition to being a past faculty member at the University of Florida, Dr. Mayzell also worked at Blue Cross Blue Shield of Florida where he was directly involved with medical management activities, including disease management, utilization review, appeals and grievances, case management, pharmacy benefits, pay for performance, and Medicare risk. Dr. Mayzell received his medical degree from New Jersey medical and his MBA from Jacksonville University. Dr. Mayzell is the co- author of Leveraging Lean in Healthcare, a Shingo winning book and coauthor of Physician Alignment: Constructing Viable Roadmaps for the Future. He also writes a bi-monthly article for Healthcare News. Joyce Kerpchar, PA-C has over twenty-eight years of healthcare industry experience and currently serves as the Director of the Institute for Surgical Advancement at Florida Hospital Orlando, which is part of the Adventist Health System, an acute-care, tertiary hospital caring for more than 1.5 million patients a year. She joined Florida Hospital in 2001 and spent over five years as a senior consultant implementing Lean across the eight campuses in a variety of clinical departments, is a Six Sigma Black Belt and is a certified MBTI instructor. She began her career as a board certified physician's assistant in cardiovascular and thoracic surgery and primary care medicine. Prior to joining Florida Hospital, she held a variety of administrative positions in healthcare related industries, which included managed care operations and contracting for a PruCare/Prudential Healthcare who served 200,000 members in nine counties in Central Florida, Product Management for Avio Corporation, a provider of information technology for ambulatory healthcare organization, and was a partner in a consulting firm which specialized in business and market entry strategy for high tech start-ups. Ms. Kerpchar is passionate about leveraging Lean in healthcare processes, to eliminate waste and reduce errors, to improve the overall quality and reduce the cost of providing healthcare. She is a co-author of the Shingo winning book Leveraging Lean in Healthcare: Transforming Your Enterprise into a High Quality Patient Care Delivery System with Charles Protzman and George Mayzell and co-author of The Lean Practitioner Handbook with Charles Protzman, Fred Whiton, Christopher Lewandowski, Steven Stenberg and Patrick Grounds.


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