Lean

1. Essence

1.1. creating value

1.2. Eliminating waste

1.2.1. waiting

1.2.2. overproduction

1.2.3. defects

1.2.4. unused human potential

1.2.5. overprocessing

1.2.6. inventory

1.2.7. transportation

1.2.8. excess motion

2. Different approaches of process management

2.1. TQM

2.2. Six Sigma

2.3. TOC

2.4. BPR

2.5. TPS

2.6. AM

2.7. HMS

2.8. QRM

3. strengths

3.1. increased pt satisfaction

3.2. Systems thinking

3.3. Decreased length of hospital stay

3.4. decreased waiting time

3.4.1. pt more tolerant for waiting times

3.5. Attention for staff contribution towards succes

4. weaknesses

4.1. Not much research on lean success in HC setting

4.2. complex process

4.3. team approach necessary

4.4. No systematic approach to organisational change and improvement

5. History

5.1. 1908: Inter changable parts

5.1.1. Motive:

5.1.1.1. Process managment

5.1.1.2. Process improvement

5.2. 1930: PDCA: E.Deming

5.3. 1960: Toyota: Customer driven

5.4. 2002: Lean in HC-sector

6. Motive

6.1. Process management

6.2. process improvement