Recommended Lean Reading

A Lean Guide to Transforming Healthcare: How to Implement Lean Principles in Hospitals, Medical Offices, Clinics, and Other Healthcare Organizations

 

Thomas Zidel

 

Well-researched and well-written, A Lean Guide to Transforming Healthcare demonstrates the application of lean principles to the current healthcare environment. Offering a practical and sound understanding of the concepts and application for lean and the principles of Six Sigma melded with an insider's familiarity with healthcare delivery, the guide is designed for hands-on use. Applied properly, the defined practices will help eliminate the delays, overcrowding, and frustration associated with the existing care delivery system. It will allow clinicians to spend more of their time caring for patients and improve the quality of care these patients receive.

 

A3 Problem Solving for Healthcare: A Practical Method for Eliminating Waste

 

Cindy Jimmerson

 

The A3 process is a way to look with "new eyes" at a specific problem identified by direct observation or experience. It offers a structure that begins by always defining the issue through the eyes of the customer.

 

In A3 Problem Solving for Healthcare Cindy Jimmerson explains an essential tool borrowed from the Toyota Production System, which is an extension of work identified with the well-known Value Stream Map. She offers an easy-to-learn problem-solving method that can be used in every aspect of healthcare to identify, understand, and improve processes that don't support workers in doing their good work.

 

• In this compelling book you get: The expertise of a recognized industry expert in Lean principles

• A practical, easy-to-use workbook

• Concepts illustrated with numerous A3s in various stages of development

• Explanation of how to extend the VSM philosophy to a more focused perspective

• An extensive exploration of the A3 problem-solving tool in healthcare — the first book to do so

 

Through case studies and actual A3s, this book illustrates the simplicity and completeness of the A3 tool and its applications to regulatory documentation as well as activities of daily work.

 

 

Discharge Planning Handbook for Healthcare: Top 10 Secrets to Unlocking a New Revenue Pipeline

 

Ali Birjandi; Lisa M. Bragg

 

Hidden opportunities to improve profits in the healthcare industry abound in the area of discharge planning. Based on 25 years of experience, Birjandi and Bragg show hospital administrators and directors how they can tap into new revenue using the Six Sigma DMAIC model (Define, Measure, Analyze, Improve, and Control). The book’s step-by-step implementation strategy highlights five concepts: redefining the whole idea of discharge planning, focusing on the right metrics, augmenting re-design with lean concepts, applying a practical approach to improvement, and creating a results-oriented culture. The book includes a comprehensive case study, as well as a spreadsheet that can be used to track success.

 

Lean Administration: Case Studies in Leadership and Improvement

 

AME's Target Magazine has a well-established reputation for detailed case studies of companies adopting lean strategies. These case studies are now available in a well-organized Enterprise Excellence Series, to tap the ongoing desire for information about what other companies are doing to implement lean.

 

To satisfy the growing interest in applying lean to non-manufacturing operations, this first volume of the series covers the implementation of lean to administrative and office applications.

 

• Highlights include: Practical, in-depth description of lean office implementations, most of which have not been described in other publications.

• Responds to reader desire for real-world lean office information.

• Case Studies are categorized in three areas: Leadership, Organization and Training; Improving Processes; and Lean in Healthcare, making it easy to track down the type of information desired.

 

 

Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction

 

Mark Graban

 

Drawing on his years of working with hospitals, Mark Graban explains why and how lean can be used to improve safety, quality, and efficiency in a healthcare setting. After highlighting the benefits of lean methods for patients, employees, physicians, and the hospital itself, he explains how lean manufacturing staples such as Value Stream Mapping and process observation can help hospital personnel identify and eliminate waste in their own processes, effectively preventing delays for patients, reducing wasted motion for caregivers, and improving the quality of care. Additionally, Graban describes how Standardized Work and error-proofing can prevent common hospital errors and details root cause problem-solving and daily improvement processes that can engage all personnel in systemic improvement. A unique guide for healthcare professionals, this book clearly elaborates the steps they can take to begin the proactive process of lean implementation.

 

 

Paradox and Imperatives in Health Care: How Efficiency, Effectiveness, and E-Transformation Can Conquer Waste and Optimize Quality

 

• Shows why hospitals and medical groups must break free of a business as usual mentality

• Exposes the waste in health care and applies the economic concepts of efficiency and effectiveness to redirect resources

• Explains proven processes for performance improvement that can be borrowed from other industries

• Looks at internal transformation as a necessary precondition for meaningful health system reform

• Highlights leadership’s strategic role in restructuring organizational responses to the new imperatives of the medical marketplace

 

 

Most hospitals, health systems, and other provider organizations in the United States are facing real financial peril. Mounting receivables from high-deductible health plans, financially challenged consumers, continuing cuts in Medicare, and a precarious economic environment suggest that real health care revenue has peaked. With operating costs increasing and critical investments in infrastructure—both physical and virtual—not being made, health care providers must find new ways to survive.

 

In their groundbreaking collaboration, Paradox and Imperatives in Health Care, award-winning authors Jeffrey C. Bauer and Mark Hagland explain why providers must draw upon internal resources to increase net revenue and provide the quality of care that payers and consumers are demanding. Through numerous case studies, the authors show how pioneering health care organizations are using performance improvement tools—including lean management, Six-Sigma, and the Toyota Production System—to produce excellent services as inexpensively as possible. This book challenges health care leaders to change their status quo mentality and to put their organizations on a positive path… while redirection is still possible.

 

About the Authors

 

Dr. Jeffrey C. Bauer is a nationally recognized health futurist and medical economist. He is a Chicago-based partner in the management consulting practice of ACS Healthcare Solutions (Dearborn, MI). In his numerous publications and presentations, he forecasts the future of health care and describes practical, creative approaches to improving the health care delivery system.

 

Dr. Bauer has published more than 150 articles, books, Web pages, and videos on health care delivery. He speaks frequently to national audiences about key trends in health care, medical science, technology, reimbursement, information systems, public policy, and creative problem-solving. Dr. Bauer is often quoted in the national press and writes regularly for periodicals that cover the business of health care. For details, visit www.jeffbauerphd.com.

 

Mark Hagland is a nationally respected independent health care journalist. He has been recognized for the quality of his writing in a variety of areas and has won numerous awards in recognition of his achievements. He writes regularly for Healthcare Informatics, the Journal of AHIMA, Biotechnology Healthcare, Behavioral Healthcare, AuntMinnie.com, and other prominent publications in health care. He covers a wide range of topics and issues pertinent to the industry.

 

 

VSM for Lean Healthcare

 

Not Yet Published

 

Transformative Quality: The Emerging Revolution in Health Care Performance

 

Mark Hagland Chicago, Illinois, USA

 

# Provides readers with a clear, historical, conceptual, and practical framework for understanding why transformative quality and transparency matter

# Presents 11 case studies highlighting innovative approaches to health care delivery

# Shows how technology is being used to make gains in transparency and quality

# Defines the challenges facing American health care into the future

 

A new book from Mark Hagland, co-author of Paradox and Imperatives in Health Care, the critically acclaimed volume that is dramatically reshaping the way we think about health care in America.

 

“Mark Hagland provides the how-to details for health care executives who are ready to lead meaningful supply-side responses to the growing demand for safe and error-free medical services. Our previous book made the case for transformation and introduced structural approaches for getting started on the road to success. His new book provides detailed instructions for completing the journey. ... It shows how theory has been put into practice by some of the best delivery organizations in the world.”

 

--Jeffrey C. Bauer, PhD, Partner, Futures Practice Affiliated Computer Services Healthcare Solutions, Chicago,

 

Transformative Quality:The Emerging Revolution in Health Care Performance shows readers the way forward in the gargantuan task of transforming health care quality in America. Always interesting and informed, national award-winning journalist Mark Hagland demonstrates how pioneering organizations are combining new tools with a new way of thinking to reinvent the way we deliver health care services in this country. Through exceptionally well-documented case studies, this insightful volume —

· Puts the current journey towards industry-wide quality transformation into an understandable context for executive, board, and policymaking audiences

· Explores how performance improvement methodologies borrowed from other industries, including Six Sigma, Lean management, and the Toyota Production System are transforming care delivery processes and administrative operations nationwide

· Examines the strategic role that information technology will play in the transformation of clinical care quality and patient safety

 

The case studies contained in this book document the surprising strides being made by pioneering hospitals and health systems, advances that have the potential to transform the delivery of health care in the United States. Offered in a context that frames the current state of health care quality in this country, they are indispensable reading for anyone working in the trenches to improve that quality.

 

Governance for Health Care Providers: The Call to Leadership

 

David B. Nash Jefferson Medical College, Philadelphia, Pennsylvania, USA

William J. Oetgen Maryland Health Care Associates, L.L.C., Waldorf, Maryland

Valerie P. Pracilio Jefferson Medical College, Philadelphia, Pennsylvania, USA

 

# Provides essential information to health care professionals serving on nonprofit boards as trustees

# Covers the most important issues confronting modern nonprofit boards in the health care sector

# Fills a major gap in the education of health care professionals

# Looks at the future role of health care boards

 

Medical professionals who serve on the boards of private, nonprofit institutions often do so with much more diligence than knowledge. Very little material exists to cover the range of issues that are so vital at a time when health care institutions face patient overloads, budget shortages, and calls for reform. Written by leading health care advocates and authorities, Governance for Health Care Providers: The Call to Leadershipprovides health care board members with a comprehensive, thoughtful, and disciplined review across areas that are critical to contemporary health care governance.

 

Covers a full range of inter-related topics from staff compensation to the practitioner board member’s role in the recruitment and stewardship of donors

 

Readily accessible and exceptionally well-organized, this resource provides essential materials needed by physicians, nurses, and other health care professionals to fulfill their expanded and often unanticipated responsibilities as trustees. It helps define the functions of board members and summarizes the problems that they are most likely to face. The book covers finance, compliance, funding, and strategic planning issues, and also examines legal duties, current trends in quality, conflicts of interest, corporate structure, and governance best practices.

 

Designed to help the practitioner board member find his or her place at the table, this volume is an indispensable guide for all medical institution boards, providing a comprehensive overview of the key components of board oversight and presenting recommendations to prepare for governance in a future that promises rapid change.

 

Compliance for Coding, Billing & Reimbursement, 2nd Edition: A Systematic Approach to Developing a Comprehensive Program

 

Duane C. Abbey Abbey & Abbey Consultants, Inc., Ames, Iowa

 

Get Reimbursed without Running Afoul of Conflicting Medical Reimbursement Regulations

 

While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications.

 

Compliance for Coding, Billing & Reimbursement, 2nd Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resourcecoversstatutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships.

 

# Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program

# Discusses numerous types of compliance issues for all type of healthcare providers # Offers access to online resources that provide continually updated information

# Cuts through the morass of terminology and acronyms with a comprehensive glossary

# Includes a CD-ROM packed with regulations and information

 

In addition to offering the most recent and salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.

 

The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods

 

Nadia Grunden

 

# Provides case studies describing how Toyota-based methods and tools work in a healthcare environment

# Compiles more than 5 years of experiments in several healthcare facilities in the Pittsburgh region and beyond

# Describes the simple, very specific, steps that these facilities have taken to fix their systems – offering solutions to real problems confronting workers in every day settings

# Describes setbacks as well as successes, and shows how problems were resolved

 

America’s healthcare system needs to change. Not only does our country spend 16 percent of its gross domestic product on healthcare, but despite spending more than other industrialized countries, our general health lags behind. While we have plenty of data identifying where healthcare in America falls short, we’ve precious little practical, hands-on information about how to fix it.

 

InThe Pittsburgh Way to Efficient Healthcare, Naida Grundenprovides a ingenious and optimistic look at how principles borrowed from industry can be applied to make healthcare safer, and in doing so, make it more effective and less costly. The book is a compilation of case studies from units in different hospitals around the Pittsburgh region that successfully applied industrial principles to the benefit of patients and the satisfaction of employees.

 

The Pittsburgh Way to Efficient Healthcare is written for all healthcare stakeholders – from clinicians to insurers to employers to those who have the greatest stake in healthcare quality improvement, the patients.

 

About the Author

 

Naida Grunden has been a business and technical writer for over 25 years, specializing for the past six years in health and medical writing for the Pittsburgh Regional Health Initiative. She writes the PRHI Executive Summary newsletter, a publication she founded in 2001 (www.prhi.org). Her work has appeared in publications as varied as the Joint Commission Journal on Quality and Patient Safety and Air Line Pilot magazine.

 

Ms. Grunden received the 2006 Challenge Award from the American College of Clinical Engineering for her article on the VA wheelchair work in Biomedical Instrumentation and Technology magazine.

 

Ms. Grunden completed her B.A. in English at California State University, East Bay, and her secondary English teaching credential at California State University, San Francisco. She lives in Bellingham, Washington. Visit her website at www.NaidaGrunden.com.

 

Consumer Directed Health Care: A 360 Degree View

 

Kim Slocum KDS Consulting LLC

 

With three decades of experience in a variety of healthcare, pharmaceutical, and biotechnology firms, respected healthcare consultant, Kim Slocum applies a uniquely broad viewpoint to the U.S. healthcare crisis. He discusses how the system has evolved and debunks various myths that continue to persist. Exploring potential solutions, he balances many diverse and conflicting factors, including the movement to make healthcare more patient-centered and the growing trend to transfer significant portions of financial risk to patients via high-deductibles. Slocum closes the book by discussing what a successful consumer-directed system might look like and what steps would be required to make it happen.

 

Understanding A3 Thinking: A Critical Component of Toyota's PDCA Management System

 

Durward K. Sobek II. Industrial Engineering, Montana State University, Bozemont,

Art Smalley President, Art of Lean, Inc.

 

# Demonstrates how dynamic A3 Thinking can positively impact corporate culture

# Explains why the A3 report is especially effective tool when implemented in conjunction with a PDCA-based management philosophy

# Provides a number of examples as well as some very practical advice on how to write and review A3 reports.

 

Notably flexible and brief, the A3 report has proven to be a key tool In Toyota’s successful move toward organizational efficiency, effectiveness, and improvement, especially within its engineering and R&D organizations. The power of the A3 report, however, derives not from the report itself, but rather from the development of the culture and mindset required for the implementation of the A3 system. In other words, A3 reports are not just an end product but are evidence of a powerful set of dynamics that is referred to as A3 Thinking.

 

In Understanding A3 Thinking, the authors first show that the A3 report is an effective tool when it is implemented in conjunction with a PDCA-based management philosophy. Toyota views A3 Reports as just one piece in their PDCA management approach. Second, the authors show that the process leading to the development and management of A3 reports is at least as important as the reports themselves, because of the deep learning and professional development that occurs in the process. And finally, the authors provide a number of examples as well as some very practical advice on how to write and review A3 reports.

 

Easier, Simpler, Faster: Systems Strategy for Lean IT

 

Jean Cunningham

Duane Jones

 

# Winner of the 2008 Shingo Award for Excellence in Manufacturing Research, this compelling book fully explains— Steps your company should take with regard to information systems as it implements lean

# Changes that will be required in your company’s information system to make it a partner with, rather than a barrier to becoming a lean manufacturer and ultimately a lean enterprise

# Opportunities that will arise during a lean transformation that will allow an information systems team to eliminate waste and apply lean principles in its own operations

 

For your lean transformation to be successful, your IT system must support it!

 

To enhance and sustain its lean journey, a company must implement information systems that fully support and enhance the lean initiative. In Easier, Simpler, Faster: Systems Strategy for Lean IT, Jean Cunningham and Duane Jones introduce the case study of an actual lean implementation involving the IT system of a mid-size manufacturer, highlighting the IT challenges that the manufacturer faced during the lean transformation.

 

This book will provide you with a broader vision as well as a path to what a lean system environment will look like for your company.

 

Freedom from Command and Control: Rethinking Management for Lean Service

 

John Seddon

 

# Practical, in-depth descriptions of cultural issues in a lean transformation, written in a conversational, easy-to-read style.

# Invaluable case studies demonstrating systems style management

# Articles categorized by specific area provides easy reference

# Suggestions for applying Toyota principles to service organizations

 

"Command and Control is failing us. There is a better way to design and manage work - a better way to make work work - but it remains unknown to the vast majority of managers."

 

An adherent of the Toyota Production System, John Seddon explains how traditional top-down decision making within service organizations leads to managers who are detached from employees and remote from operations. He demonstrates that decision-making based on purpose-related measures (such as putting customers first and improving services) can help managers reconnect with operations, see waste, and exploit opportunities for improvement. Through extensive case material, he differentiates between command and control and systems thinking and illustrates how the latter leads to improved service, revenues, and staff morale. He also posits that the service industry is fundamentally different from manufacturing, and shows how Toyota production principles must be transformed for application in service organizations.

 

The Lean Office: COLLECTED PRACTICES AND CASES

 

The Lean Office: Collected Practices and Cases is a compilation of articles previously published in the Productivity Press newsletter, Lean Manufacturing Advisor. These articles discuss lean implementations in non-manufacturing operations, from design to processing invoices to customer service. Most articles are written in the form of case studies.

 

Highlights include

# Practical, in-depth description of lean implementation, written in a conversational, easy-to-read style

# A large quantity of case studies unavailable from any other single source

# Responds to your desire for real-world lean office information

 

Value Stream Management for the Lean Office: Eight Steps to Planning, Mapping, & Sustaining Lean Improvements in Administrative Areas

 

Don Tapping MCS Media

Tom Shuker Lean Concepts, LLC

 

# A complete case study that highlights the applications of lean in an office environment

# A thorough overview of basic lean concepts

# Methods for identifying the administrative activities that need improvement

# The eight-step process for removing waste and reorganizing workflow for cost effective, efficient operations # Guidelines and checklists to help direct and maintain lean improvements # A comprehensive lean assessment tool for administrative areas

# Definitions of common lean terms and concepts

 

Bring Lean Improvements to the Administrative Areas of Your Organization!

 

Extending their eight-step process to the realization of a lean office, Tapping and Shuker use a customer service case studyto illustrate the effectiveness of the value stream storyboard.This popular volume provides organizations with a proven system for implementing lean principles in the office. In addition to providing a thorough overview of basic lean concepts, this book details methods for identifying the administrative activities in need of attention. To address these, it applies the eight-step process for removing waste and reorganizing workflow. Accompanying the book is a CD containing a lean assessment tool, a storyboard template, charts, a team charter, and worksheets.

 

BONUS CD! Along with this book you receive a CD containing a lean assessment tool, a storyboard template, useful charts, a team charter, forms, reports, and worksheets!

 

Flow in the Office: Implementing and Sustaining Lean Improvements

 

# Teaches you how to bring the best of lean into all of your office activities

# Demonstrates how to leverage the assets that you already have – honing them and bringing them to bear in support of your business strategy

# Explains how to initiate an office kaizen event where office automation is a key component

 

Apply Lean Manufacturing Principles and Tools to Your Office Environment!

 

For many years, lean initiatives have generated staggering improvements on the shop floor. Currently, however, many managers and business leaders want these lean benefits incorporated into non-traditional environments such as service and transactions. This bookshows you how to efficiently translate and transition lean manufacturing principles into the office.

 

InFlow in the Office, Carlos Venegas confirms that the competitive advantage will go to those who manage information and knowledge most effectively and efficiently. It is not enough to be a lean manufacturer - you need to be a lean business, and that includes your back office, your front office, and your corner office.

 

The author translates the language of Lean Manufacturing into the language of Lean Office Flow, bringing bits, bytes, and conversations into the concrete world of process improvement.

 

5S FOR THE OFFICE: Organizing the Workplace to Eliminate Waste

 

Thomas Fabrizio

Don Tapping

 

# Provides detailed step-by-step implementation on how to apply 5S to your office activities.

# Includes forms, worksheets, and photos that will allow you to "see" the value of 5S, thereby increasing sustained support of the implementation. The accompanying CD contains blank versions of many of the worksheets that appear throughout the book. The worksheets on the CD, however, are interactive - the user can electronically enter and save information right on the particular form.

# Can be used as a training and implementation manual.

 

Although office and administrative activities are usually 60 percent of the production costs in most manufacturing organizations, these areas often get excluded during lean initiatives. To achieve lean, office activities must fully support shop floor manufacturing operations to eliminate waste. The adoption of 5S throughout all office and administrative functions is the first step to increase efficiency.

 

In 5S for the Office: Organizing the Workplace to Eliminate Waste, Tom Fabrizio and Don Tapping bring the concepts of the 5S System -- effective tools for the elimination of waste on the shop floor -- into the office environment. The activities at the heart of 5S for the Office (organizing, ordering, cleaning, standardizing, and sustaining all of these) are completely logical. They are the basic rules for managing any effective workplace. However, it is the systematic method with which the 5S system approaches these activities that makes it unique.

 

This book is a blueprint for building a Lean foundation for your office

 

Readers of this book can immediately apply the concepts of 5S to their office and administrative activities, resulting in the elimination of waste, reduced production costs, and increased profits.

 

To introduce the 5S system and sell its use to executives as well as workers, consider purchasing—

 

5S System: An Introduction DVD Catalog no. PP5934, Adhering to the principle of efficiency that defines this revolutionary and proven system, this video succinctly explains what is involved, who should participate, and what it will take to get started.

 

The Kaizen Event Planner: Achieving Rapid Improvement in Office, Service, and Technical Environments

 

Karen Martin

Mike Osterling

 

# Highlights the key success factors for holding Kaizen Events in non-manufacturing environments

# Provides readers with a CD containing a set of interactive, Excel-based tools, which are very useful for planning and executing Kaizen Events and conducting post-event follow-up

# Introduces Metrics-Based Process Mapping - a tactical-level mapping tool that enables process designers to make effective, data-based decisions regarding waste elimination - and measure the success of their improvement efforts

 

A practical how-to guide, this book takes readers through the ins and outs of planning and executing Kaizen Events in non-manufacturing settings and conducting post-event follow-up to sustain the changes made. The authors provide methods and tools to help build a motivated workforce and lay a foundation for continuous improvement. It is especially designed to assist continuous improvement professionals and leadership within the office areas of manufacturing, the service sector, and knowledge-worker environments Readers will learn how to effectively scope the activity, engage the right people, and facilitate events with measureable results..Their clear, concise presentation allows beginners and experienced practitioners to venture into non-manufacturing environments with comfort and ease. An accompanying CD provides immediate access to a number of Excel-based tools

 

The Complete Lean Enterprise: Value Stream Mapping for Administrative and Office Processes

 

Beau Keyte

Drew Locher

 

# Discussions on office waste.

# Assessing the current state of the office.

# Definitions and discussions of office performance metrics.

# Functional lean perspectives. # Designing and achieving your future state office.

# Case studies representing two levels (altitudes) of mapping. The first level is the main case study discussed throughout the book; an appendix presents the second level.

# Examples of companies applying lean thinking in the office throughout the book.

 

Toyota Production System: Beyond Large-Scale Production

 

Taiichi Ohno

 

In this classic text, Taiichi Ohno -- inventor of the Toyota Production System and lean manufacturing -- shares the genius that sets him apart as one of the most disciplined and creative thinkers of our time. Combining his candid insights with a rigorous analysis of Toyota's attempts at lean production, Ohno's book explains how lean principles can improve any production-oriented endeaver. A historical and philosophical description of just-in-time and lean manufacturing, this work a must read for all students of human progress. On a more practical level, it continues to provide inspiration and instruction for those seeking to improve efficiency through the relentless elimination of waste.

 

Creating a Lean Culture: Tools to Sustain Lean Conversions

 

# Highlights: Distinguishes the much-discussed, abstract concept of "lean culture" from the concrete, implementable practices of lean management.

# Describes and illustrates 4 key principles of lean management: leader standard work; visual controls; daily accountability process, and discipline.

# Shows how visual controls bring process focus to life, tie in lean's requirement for highly disciplined execution, and make leaders' new jobs far easier to explain, model and evaluate.

# Moves beyond models and theories of lean management to show how to implement the daily practices that are the key to implementing and sustaining a lean transformation. Lots of case examples, figures and photographs.

 

The TWI Workbook: Essential Skills for Supervisors

 

• The TWI Workbook will teach readers:

• A method, which works every time, for showing people how to learn to do jobs correctly, safely, and conscientiously

• How to break down jobs for instruction so that learners get just the right information to master jobs fully in a short amount of time

• A method of analyzing jobs for the purpose of improving them, which focuses on making the best use of resources

• How to discover, develop, and implement improvement ideas through a series of questions

• A method for handling "people problems" which ensures that supervisors take decisive and proper action

• How to develop sound relations with people that creates good performance and preemptively prevents problems