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vi LEAN SIX SIGMA DeMYSTiFieD
Economies of Speed 40
Toyota Production System 40
The Lean Process 43
Core Ideas of Lean 43
The Lean Mindset 44
Lean versus Mass Production 45
The Seven Speed Bumps of Lean 46
The Five S’s 47
Value Stream 48
Double Your Speed! 49
Pull versus Push 50
Redesign for One-Piece Flow 51
Work Space 54
Production Floor Problem Solving 64
Get the Right-Size Machines 65
Mistake-Proofing with Color 65
Piloting Lean 67
Six Sigma and Lean 68
Lean Decision Making 69
Lean Pharmaceuticals 72
Lean Software 72
Lean Call Centers 74
The Religion of Reuse 76
Conclusions 79
Do More with Less 79
Lean for Doctor’s Office 81
The Biggest Barrier to Lean Six Sigma 83
Quiz 86
Exercises 88
Chapter 3 A Faster Hospital in Five Days 89
Goal: Accelerate the Patient’s Experience
of Health Care 90
A Faster Emergency Department (ED) in Five Days 91
Faster Door-to-Balloon (D2B) Time in Five Days 93
Imagine a Faster ED 94
A Faster Operating Room (OR) in Five Days 95
Faster Medical Imaging in Five Days 96
A Faster Lab in Five Days 98
A Faster Hospital Design in Five Days 99
A Faster Nursing Unit in Five Days 100
The Problem Isn’t Where You Think It Is 101