{"id":2258,"date":"2017-10-19T12:41:24","date_gmt":"2017-10-19T16:41:24","guid":{"rendered":"https:\/\/news.med.virginia.edu\/kidsmatter\/?p=2258"},"modified":"2017-10-19T12:44:39","modified_gmt":"2017-10-19T16:44:39","slug":"quality-corner-the-lean-management-system","status":"publish","type":"post","link":"https:\/\/news.med.virginia.edu\/kidsmatter\/quality-corner-the-lean-management-system\/","title":{"rendered":"Quality Corner: The Lean Management System"},"content":{"rendered":"<p>Over the last couple of months, the Women\u2019s &amp; Children\u2019s Service Line, including the Children\u2019s Hospital, has been integrating the Lean Management System (LMS; aka \u201cThe Model Cell\u201d) throughout its inpatient units. One of the main ideas around using a LMS is improved communication throughout the service line. This allows those at the bedside to communicate to administration as well as the other way around and ensures everyone is aware of problems\/issues as soon as possible.<\/p>\n<p>How is this done? Using standard work for daily reporting is essential to improving this communication. Each unit\u2019s Unit Based Leadership (UBL) team works with the bedside team members in the morning to problem solve and \u201ccheck-in\u201d to determine if issues need to be escalated up the Help Chain. These problems are then brought to Service Line leaders at the Uber Huddle at 9:30 am in Room 7614. If problems cannot be solved at that time, the Service Line leaders bring it to the attention of others in the Situation Room (Health System Library) at 10:00 am. There other Service Line leads as well as Medical Center administration attempt to problem solve the issues in real-time.<\/p>\n<p><a href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2259\" src=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/1-300x225.jpg 300w, https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/1-768x576.jpg 768w, https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/1.jpg 960w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>But how does communication flow back to the bedside? One issue that we have heard on several occasions is that information does not routinely come back to the people who need it most. In April, each of the inpatient units (as well as the Battle Building floors) developed their own communication tree to ensure proper communication occurs rapidly and that it gets to the team members who need to know. With these communication trees, every physician, nurse, and team member of the Women\u2019s &amp; Children\u2019s Service line should be aware of solutions or issues within 48 hours (or their next shift). In this regard, you may see emails from \u201cWomen\u2019s and Children\u2019s Service Line\u201d detailing specific announcements.<\/p>\n<p>One of the first initiatives that the LMS was used was around the White Board initiative and it was widely successful. Rapid communication from the Service Line leads to the unit leaders and then to the bedside team members brought information that highlighted the renewed push to improve our White Board use. Within a couple of weeks, our use of, and completion of, the White Boards improved dramatically.<\/p>\n<p><a href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2260\" src=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/2-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/2-300x225.jpg 300w, https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/2-768x576.jpg 768w, https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2017\/06\/2.jpg 960w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>If you have any questions or concerns about communication within the Service Line, please do not hesitate to reach out to your Unit Manager or Director and\/or myself.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Over the last couple of months, the Women\u2019s &amp; Children\u2019s Service Line, including the Children\u2019s Hospital, has been integrating the Lean Management System (LMS; aka \u201cThe Model Cell\u201d) throughout its inpatient units. One of the main ideas around using a LMS is improved communication throughout the service line. This allows those at the bedside to [&hellip;]<\/p>\n","protected":false},"author":338,"featured_media":1401,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[18],"class_list":["post-2258","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-features","tag-jrs3yc"],"acf":false,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Quality Corner: The Lean Management System - Monthly Matters<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/quality-corner-the-lean-management-system\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quality Corner: The Lean Management System - Monthly Matters\" \/>\n<meta property=\"og:description\" content=\"Over the last couple of months, the Women\u2019s &amp; Children\u2019s Service Line, including the Children\u2019s Hospital, has been integrating the Lean Management System (LMS; aka \u201cThe Model Cell\u201d) throughout its inpatient units. 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