Objectives of the session
    • After the session, the trainees will be abl
      e to:
       –Understand KAIZEN can be adopted to impr
         ovement quality of care in both of developin
         g countries and developed countries
       –Understand KAIZEN can improve hospital m
         anagement; financial management, stock m
         anagement, information management etc.
       –Understand KAIZEN can improve health care 
         service provision
                                                        2
     Word of “KAIZEN” in the world
    • “KAIZEN” is now known worldwide as 
      continuous problem solving process t
      o improve working environment, proc
      ess and conditions
    • KAIZEN are adopted not only to clinic
      al setting but also several hospital m
      anagement settings in health care fa
      cilities
     Let’s go and see “actual improvements in hospital 
     management and health care services by KAIZEN
                                                        3
         Virginia Mason Medical Center
                            (U.S.A.)
     • In 2002, the hospital adopted Toyota Productio
       n System philosophies and practices to health 
       care; Virginia Mason Production System (VMP
       S): 
       –Customer first
       –Highest quality
       –Obsession with safety
       –Highest staff satisfaction
       –A successful economic enterprise
     • The hospital staff have been improving the qua
       lity of patient care with VMPS
     VMPS, Virginia Mason Medical Center: https                 4
     ://www.virginiamason.org/vmps
                  Actual improvement in 
             Virginia Mason Medical Center
      “Eliminating wasted nurses’ steps and i
      ncreasing time to care patients”
      • Nurses were able to improve th
         e flow of how they went about t
         heir day – eliminating wasted st
         eps to get necessary medical e
         quipment and supplies, and incr
         easing time spent with patients                 Care
          – Steps walked per day fell from 10,           Care
            000 from roughly 1,200
          – Time in direct patient care was inc
            reased to 90% of their time from 
            35%
          VMPS, Virginia Mason Medical Cetnter: https://www.virginiamason.org/vmps    5
                  Actual improvement in 
             Virginia Mason Medical Center
      “Faster revenue cycle”
      • The finance department i
         mproved “Days Revenue 
         Outstanding”
      • Cash deposits improved f
         rom  $471 million in 2003 
         to $794 million in 2009                                               2
                                                                                0
                                                                                 09
                                                                 20
      • Increased the revenue                                      03
         $323 million
                                                678,300,000,000 Tanzania Shilings
                                                678,300,000,000 Tanzania Shilings
          VMPS, Virginia Mason Medical Cetnter: https://www.virginiamason.org/vmps    6