Lean Health Care and Culture Change

No longer can health care organizations continue toimprovement project. While lean projects have a
provide services without changing the method of caredefinitive start and end implementation date change
delivery. There are so many processes involved in themanagement is on going. Change management
delivery of care that many organizations do not knoweducation doesn't have to be painful to be effective it
where to begin. Often when they do begin toneeds consistency. Consistency may mean weekly,
implement a lean philosophy the focus is on themonthly, or quarterly facilitation sessions depending
short-term project goals and not the long-term cultureupon the complexity of the change and how many
change.levels of the organization that are impacted. In other
Culture change education and management along withcases, it may mean daily reminders prior to beginning
implementing lean processes leads to project successthe workday to focus on the benefits of effective
and long-term permanent savings. That's a mouthful tochange.
say and a great deal to manage. Most lean projectsPlease remember when you are asked to participate
lead to successful completion, but work culture tendsin a lean health care project (or any lean project) to be
to slip back to old habits after the focus is movedaware of the impact on the organizations culture. If the
elsewhere in the organization. The savings slowlyproject requires culture to change, be sure to
erode back to pre-project levels or in some casesrecommend a change management plan. The
new issues develop that create additional costs.executive sponsor will be thankful you asked as will
Therefore, it is important to facilitate a changethe patients that your organization serves. Good luck!
management plan to accompany any lean process