Process Improvement Work with Case Management

Question: What do Public Health and HIV Case Management Work Have in Common?
Answer: Process.

Process impacts all of each and every day. Both good and bad processes affects our home and work lives. Whether it’s waiting in line at the grocery store, making an online purchase, completing a job application, reviewing a grant, or selecting your favorite lottery ticket at the corner store. Improvements can be made to just about any process, including an application for enrollment process.

The NH Ryan White CARE Program has been leading process improvement efforts under leadership of Lean Black Belt student Melissa Richards, Quality Care Coordinator. Melissa is supported by her supervisor, Sarah McPhee, Lean Green Belt to roll out trainings and engagement with stakeholders. Melissa shares, “The value of Lean and engagement with our stakeholders is exciting and rewarding. When we first rolled out Lean, we worked with our contracted AIDS Service Organizations (ASOs) to improve the process of submitting documentation for enrollment in the NH CARE Program. This improvement led to increased satisfaction for both the Case Managers at the ASOs and for the staff at the NH CARE Program. With buy-in from the success of the first project, additional trainings have been conducted. Momentum at this ASO has helped to create further readiness among others and has enabled the NH CARE Program to begin the next iteration of teaching process improvement. By improving the knowledge of Lean and quality improvement at our ASOs, our clients will benefit from smoother processes and improved health outcomes. We are absolutely thrilled.”

The benefits of the improved work flow are being seen at the agency level, within the program, and for clients. The use of the Plan Do Check Act cycles have been pivotal for pulling out lessons learned that later inform adjustments to the process.

Congratulations to Melissa and team members on their investments with process improvement!

Elliot Health System’s Lean Journey Shared with State of NH Lean Network

On Friday, December 14, 2018 the State of NH Lean Quarterly Network Meeting was held in Concord, New Hampshire at the NH Fire Academy.

The meeting’s theme was “Lean, Culture, Leadership Support; How Do They Work Together?“.

Special guest speakers Alastair Howie, Meagan Smart, and Jess Caron walked the attendees through the Elliot Health Systems interactive Lean transformation journey.

Angela Linke, Lean Black Belt, NH Department of Transportation’s Lean Coordinator and Lean Executive Committee’s Network Coordinator shares “A number of regular attendees of the Lean Network Meetings asked that we schedule a presentation from a group who has embraced Lean in their organization. Having heard a presentation from Elliott Health System about their Lean journey, we realized that they’d be a perfect fit to present their Lean culture to the group. They did a great job showing us where they are in their journey and how they got there. Thank you Alastair and your team!”.

A3 systematic order of thinking exercise led by the Elliot Health System Process Improvement Team

Networking among Lean Coordinators                Tom Lencki of the NH State Police and Angela Linke from the NH Department of Transportation

For more information visit the State of New Hampshire’s Lean webpage at: http://lean.nh.gov/

NH Public Utilities Commission-Lean Project

The Public Utilities Commission (PUC) of New Hampshire recently embarked on process improvement projects.  The Assess Tracking Lean project demonstrates the value of co-facilitation and group effort towards contributing to a faster and smoother way to conduct business.

Jan Gugliotti, Lean Green Belt and the Lean Coordinator for PUC adds “Woohoo!  Survived my first facilitation as a new GB.” Jan shares her A3 work as a model for collaborative process improvement efforts to support the PUC’s efforts with Lean modernization practices.

PUC_Asset Tracking Project_A3

Lean Black Belts Capstones 2018!

NH State Police Lean Black Belts

 

On Friday May 11, 2018 four Lean Black Belt students from the NH Department of Safety/NH State Police presented capstone projects at the BET (Bureau of Education and Training).

Kelley Achenbach and Sgt. Rebecca Eder-Linell shared their important work on the “Tracking and Sustainment of Future Lean Events“. This work will provide foundational enhancements to the Lean work ongoing and new at the NH Department of Safety. Lt Jeff Ladieu provided a strong presentation on the “State of NH Enterprise Project Management Solution”.  Jeff’s work is pivotal to capture project work for the aspect of Lean events. Sgt. Thomas Lencki wowed the audience on “Creating a Lean Culture in State Police“.  Culture advancement for an organization is an area where continued growth and development are required.

Colonel Christopher Wagner and Roberta Witham, both founders of Lean process improvement at the NH Department of Safety were in attendance to support and offer words of wisdom. All three presentations flowed exceptionally well together. Way to go!

To follow NH State Police on social media go to https://www.instagram.com/nhstatepolice and https://www.facebook.com/NHStatePolice/.

Graduation for the Lean Black Belts occurs on 6/1/2018, stay tuned for more updates and good work!

The NH Lean Executive Committee commends the work of NH Department of Safety for their work in advancing Lean process improvement!

NH State Police use Lean 5S Approach

5S at NH State Police

Before the 5S Model was applied. Wires everywhere. Created confusion and extra steps for finding a device.

After 5S was applied. Wires are neat and tidy.

The NH State Police (NHSP) have been immersed in Lean process improvement. The NH State Police has been very successful with Lean over the last several years. Colonel Wagner and Ms. Roberta Witham are the original State Police Lean Black Belts. Currently, the NHSP have additional staff that are in the process of completing the Lean Black Belt program through the NH Bureau of Education and Training.

Recently, the units were challenges to find a way to organize their work space, files, etc.  The 5S Model uses Sort, Straighten, Shine, Standardize, and Sustain as a method to organize and neaten up work areas.

Check out photos submitted of before and after the 5S approach.

Way to go NHSP!

Next Page →