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Lean Management: What is it?
Sean Jackson, DMA
Chief Information Officer
University of Virginia School of Medicine & University Physicians Group
sean.jackson@virginia.edu
What is Lean?
The relentless pursuit of value through the
strategic elimination of waste.
Two Foundations of Lean
• Respect for People
• Continuous Improvement
– Deliver Value
– Eliminate Waste
How Lean Aligns with our Values
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Respect: To recognize the dignity of every person
Integrity: To be honest, fair and trustworthy
Stewardship: To manage resources responsibly
Excellence: To work at the highest level of performance, with
a commitment to continuous improvement
Pursuing Value
Value is specified by a Customer and is created by a Producer.
Successful Producers solve Customer problems by providing
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what customers want
when they want it
where they want it
at an appropriate and acceptable level quality
cost effectively
and do so while improving safety, quality, delivery, and cost continuously
Three Behaviors
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Go see (Go to the Gemba): Go to where the work is done to see things
with your own eyes. Visit the point where value is actually being created;
verify the situation.
Ask why: What is the problem? What are possible countermeasures? Why
is one countermeasure the best?
Show respect: Assign clear responsibility for every process & problem–
ask questions about people’s work.
Three Classes of Waste
• MURA, unevenness
• MURI, overburden
• MUDA, wasteful activity
How the wastes interact
Muri
Overburden
Muda
Wasteful Activity
Capacity
(Excess Capacity)
Demand Over Time
Types of Muda
Transportation
Inventory
Motion
Waiting
 Harm
 Confusion
Over processing
Overproduction
Defects
Unused Employee Creativity
Value Stream Map
Special type of flow chart that depicts the flow of:
– Inventory
– Information (and Decisions)
In a way that allows you to identify waste and
helps you to eliminate it.
Value Stream Mapping
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1
Customer
Analyze
Value
Specification
2
Process 1
Process N
…
in
out
tasks
Work Backwards
Putting it all Together
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Identify the customer(s)
Work with the customer(s) to
specify value
Set context, Start/End Points
Make the work visible
Go to where value is created
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Observe directly and ask questions
with respect
Map the value stream
Identify, prioritize, and remove
waste
Design the Future State
Automate, Optimize, Leverage
Partnerships
Thank you!