Local Lean Publication with Kate McGovern, MPA, Ph.D.

Posted by Heather Barto on March 4th, 2019

The Public-Sector Journey to Lean written by former New Hampshire Bureau of Education and Trainings (BET) professor, Kate McGovern offers a walk through the many contributions made to process improvement efforts. The book details vignettes and in-depth perspectives on the unique work of government.

Kate McGovern, MPA, Ph.D., Trainer, Professor

The book celebrates the accomplishments and challenges of New Hampshire’s Lean work. Kate’s book walks readers through the tough fight of muda (waste) in times of muri (overburden). The story affirms the creativity and diligence of our Lean practitioners, documenting multiple countermeasures to muri, and the innovations on the New Hampshire approach.

Heather Barto’s innovative Lean Wrap-Around Services Model for the Department of Health and Human Services is discussed, as well as the leadership provided in Department of Safety by Commissioner John Barthelmes, Colonel Chris Wagner, Roberta Witham and Sgt. Tom Lencki, and the camaraderie and commitment of those serving in the Lean Executive Committee (LEC).

While crediting remarkable accomplishments of Lean practitioners, the book urges action by elected and administrative officials. A public policy parable is used to illustrate the challenges in New Hampshire, while Vermont’s program is described as an exemplar.

The story closes with a series of recommendations designed to bring the initiative to the strategic level. The book is dedicated to Sam McKeeman who provided the hands-on Lean training model for the New Hampshire BET. Graduates of Sam’s training formed the core of New Hampshire’s movement for continuous improvement in public service, whereby there today much growth still happening.

Kate will be providing a presentation and signing copies of “Public-Sector Journey to Lean” at BET’s Coffee & Conversation on Wednesday March 20, 2019. A 20% discount code is offered towards the purchase Public-Sector Journey to Lean.

For more information on New Hampshire’s Lean efforts visit http://lean.nh.gov.

Dartmouth-Hitchcock Value Institute Offers Conference

Posted by Heather Barto on February 15th, 2019

Health Care Quality Conference: Tools and Takeaways for Your Journey

Saturday, May 4, 2019

7 am to 4:30 pm

Auditorium H, Dartmouth-Hitchcock Medical Center

Register here

Use this special promo code to save $100 on registration: QCNHLN-100

Description:

Whether your team or organization is just beginning to implement quality improvement projects or you’ve been engaged in such work for years, this conference promises to offer tools and techniques that can be beneficial no matter where you are in your journey to improve quality.

Yellow Belt training is also available pre-conference on May 2-3 at a discounted price.

Keynote speakers and their topics include:

  • Robert Shumsky, PhD, Professor of Operations Management; Faculty Co-Director, Master of Health Care Delivery Science Program, Tuck School of Business at Dartmouth Patient Flow
  • Paul Batalden, MD, Active Emeritus Professor, The Dartmouth Institute; Active Emeritus Professor of Pediatrics and Active Emeritus Professor of Community and Family Medicine, Geisel School of Medicine at Dartmouth Co-Production of Health Care

Other topics include: 

  • 5S Visual Management & Continuous Survey Readiness
  • Community and Critical Access Hospitals: Supporting Quality Improvement Work
  • Strategy Deployment
  • High Reliability Principles
  • Standard Work
  • Lab Lean Journey
  • Tools and Takeaways Q & A Session

To learn more and to register by April 22, visit: https://www.dartmouth-hitchcock.org/classes_events/eventdetail/55656960467

Process Improvement Work with Case Management

Posted by Heather Barto on February 1st, 2019

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!

Building the Lean Bench at NH Lottery Commission

Posted by Heather Barto on January 9th, 2019

At  the New Hampshire Lottery Commission, not only are we building the Lean bench by adding 2 Green Belts and 12 Yellow Belts, we are also piloting our own grassroots mentoring program for supervisors.  The NH Bureau of Education and Training is a great partner in training and it’s up to us as an agency to follow up with discussions about what we’ve learned and how to put what we’ve learned into practice.

 Facilitator and mentor of the group, Edie Chiasson, who also serves as the NH Lottery Commission’s Lean Coordinator notes, “In addition to my role as a mentor for Lean initiatives and lifelong learning, I have a responsibility to help prepare the next generation for the challenges they will encounter. It is a critical component of succession planning for any organization.”

 Program participant, Travis Emerson states, “The S.T.A.R. program has allowed us an opportunity to collaborate, sharing ideas and best practices across departmental boundaries. We are learning from each other which improves our performance as leaders and supervisors.”

 The mentoring program is titled S.T.A.R. (Supervisors That Are Resources).  Our pilot group (see photo) meets weekly, with a strict time limit of 30 minutes, to explore various topics.  If more than 30 minutes is needed to discuss a topic, it is continued at the next meeting. Topics can come from a BET training session (from Lean, CPM, CPS, Foundations of Supervision, etc.), from a book (any Lean, Management, or Leadership book), or current challenge (morale, motivation, inspiration, etc.).  To date the group has explored:  Team dynamics – The Five Dysfunctions of a Team, Employee appreciation and inclusion – How to be a Dream Manager, Emotional Intelligence – The Five Components of Emotional Intelligence at Work, Leaders paying it forward – Step Up and Lead; Puzzles – How to approach putting pieces together; Managing Up – Managing is not just one way; and Leaders are responsible for outcomes – Extreme Ownership.  

 The program is an immediate success with participants learning from each other. Inevitably, everyone leaves the meetings feeling inspired and eager to get back to work with their teams. It sets a positive tone for the day!

 

Pictured left to right: Travis Emerson – Lean Green Belt; Edie Chiasson – Lean Black Belt/mentor, Tonya Walsh – Lean Yellow Belt, Carmela Nolin – Lean Yellow Belt, Tiffani McIntosh – Lean Green Belt

Congratulations to the NH Lottery Commission on their Lean advancement!

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

Posted by Heather Barto on January 3rd, 2019

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/

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