Introduction In their case study, Bohmer and Ferlins (2008) presented the transformational change that occurred at Virginia Mason Medical Center (VMMC) since adopting the Toyota Production System (TPS) and tailoring it to create the Virginia Mason Production System (VPMS). The authors followed a structured way of presenting the case by outlining the need for change at VMMC, the strategy that Kaplan followed to transform VMMC, and the results achieved due to this change. The authors started by providing a history of how Virginia Mason began and the state of Virginia Mason that called for change. They also shared the vision that Kaplan created to help VMMC get out of the crisis it was facing and the strategies that were followed. …show more content…
Reduction of the travel distance of parts by 77%, or 70 miles.
Inventory cut in half
Lead time decreased by 53%, or 708 days
Productivity increased by 44%
A saving between $12 million and $15 million in budget capital
Reduction of utilized number of square feet by 24%
Need for Organizational Change at Virginia Mason Medical Center
Driven by the financial losses in 1998 and 1998, competition on “Pill Hill”, and declining staff morale, VMMC established a set of goals to achieve its vision of becoming the industry’s quality leader. And to become the quality leader, VMMC needed to focus on the patient, work in a team environment, and embrace change. Kaplan was the person in charge of implementing change at VMMC to achieve that vision. To do so, he needed a system that focused on quality and the Toyota Production System (TPS) was the perfect fit for this organizational change. Previously, VMMC utilized systems such as Total Quality Management (TQM) and Six Sigma. However, TQM was not generating the result that VMMC was seeking, and Six Sigma allowed a defect rate, which was not acceptable at VMMC since “safety and perfection are paramount,” as administrative director Christina Saint Martin noted. In the healthcare world, Dr. James Bender explains that “no one should die because of something we could prevent (Bohmer & Ferlins, 2008).”
Both systems, TPS and VMMC, share similar goals when it came to putting the customer first, focus on
Implementing change among all organizations is necessary to achieve success; within the health care industry change is constant and it is the role of management teams to assess, plan, implement and evaluate change to ensure satisfaction. Considering this among the other aspects of running a successful organization it is essential to ensure that there is minimal resistance and familiarity to change. Demands of the consumers and staff as well as regulations are continuously changing. The responsibility of managers is to successfully lead these inevitable changes.
TPS was not the first production model to be imported into the health-care delivery organizations. For decades hospitals had tried several management models drawn from production industries such as Total Quality Management (TQM) and Six Sigma. VMMC has previously utilized TQM in the 1990s, but the concepts had failed to gain traction.
There were three principal meetings that led to the adoption of the Constitution of the United States, and only two Virginians attended all three. The meetings were the Mount Vernon Conference of 1785, the Annapolis Convention of 1786 and the Philadelphia Convention in 1787. James Madison was one attendee, and he is well known as the Father of the Constitution and our fourth President. George Mason was the other, yet his name does not spring to mind. Does George Mason deserve the accolade "Founding Father?" This paper will explore the political life of Mason and attempt to answer the question affirmatively.
Total Quality Management is a process that strives for complete satisfaction internally and externally. There are two popular methods used in today’s organizations, The Toyota Production System and the Six Sigma model. Toyota created its management system over the course of three decades. It is also known as lean manufacturing, which is in regards to limiting the amount of waste produced. This is not just physical waste but includes the management of time throughout the process, for example time waiting, conveyance,
Steven E. McCall Jr. is a History Instructor at Valdosta State University. This is also where he received a Master of Arts in History. He is also the Past Master of a Masonic Lodge in Valdosta, Georgia, Moody Lodge No. 719. He also has a strong curiosity in Antebellum American History and more specifically, Anti-Masonry in 1830s New York. All these attributed combined is what drove him to write this article (28).
Employee empowerment, teamwork, process control, continuous improvement, customer focused management, and statistical methods and techniques are instrumental in successfully implementing total quality management (TQM) (Evans, & Lindsay, 2007). These concepts as well as many others such as; Deming’s 14 Points and Theory of Profound Knowledge are key components to the BEHS training symposiums.
Various methodologies exist for the integration of quality improvement strategies into performance improvement measures. With concepts of total quality management (TQM) and quality improvement (QI) being introduced to health care organizations; administrators have had to decide which methodology is right for the organization. There are numerous methodologies: Six Sigma, Lean, and Customer Inspired Quality. Each has its own pros and cons. A key component of quality improvement is the technology that gathers and compares the data that the quality improvement measure
An organization risk manager and quality manager are continually seeking useful ways on minimizing risks to the organization and promoting better care of the patient. Risk management is the series of actions that is put forward to identify and address the issues to avoid the possibility of loss or injury. “Moreover, even when a risk-management plan creates barriers to access, a careful discussion of those barriers can lead to strategies to reduce them” (Meltzer, 2007, pg. 2). Quality management oversees the development of a product or service and ensures that it’s functioning or performing in the best possible manner with the least waste of time and effort. These departments are critical in recognizing and protecting a company loss. Many health care professionals not easily persuaded that quality can improve even though the result is not good
Hospitals are on continuous mission for quality improvement; utilizing new technology, techniques, and research on what works and what does not, as well as persistently training new personnel and meeting the needs of patients. Still, hospitals are devoted to quality improvement but follow different courses, which support increasing observance to treatment etiquette and improve patient outcomes. Hospitals make the most of different approaches and models of quality improvement, such as the use of Lean, Six Sigma (Johns Hopkins Medicine, 2008/2016), and the PlanDo-Study-Act (Ibach, 2009) models for improvement. Usually quality improvement efforts are a five step process which
Through customer focus, the LTC organization with understanding must put the patient first by finding new ways for improvement through effective thinking to provide a culture of safety and quality that inheres to good medical outcome that is defect-free (Griffith, Sept/Oct 2017). With the use of the Lean Six Sigma process, the LTC organization must, through change management, make continuous improvement by measuring and analyzing the processes of delivery of care by staying mindful and vigilant in preventing unsafe conditions that pose the risk of defects (Griffith, Jan/Feb
The prevailing paradigm in health care can usually be summed up in one word. In the 1970s and 1980s, the word was evidence; in the first decade of the 21st century, the word was quality. The paradigm shift from the efficiency frontier to a value frontier is occurring in healthcare. A value frontier is the linking of quality and efficiency data to identify optimum levels of healthcare performance. (Harrison, 2010) Thus the value considers not only efficiency but also quality. Continuous Quality Improvement (CQI) is the idea that no service or process is perfect and that an organization must continually strive to eliminate errors from its system to get closer to perfection. (Harrison, 2010) This requires assessment of processes and setting standards to monitor the quality of the system. Value should always be defined around the customer, and in a well-functioning health care system, the creation of value for patients should determine the rewards for all other actors in the system. (Porter, 2010)
In early 1990’s, Teradyne experienced a major change in leadership with the new CEO Alex D’Arbeloff. Alex grew interested in the risk of losing Teradyne’s competitive edge due to quality and reliability concerns. Although D’Arbeloff believed the team was exceedingly competent, he believed there were major operating problems regarding reporting and performance measurements. To minimize these problems, D’Arbeloff embraced total quality management (TQM). After 5 years of intensive effort, TQM principles were embedded into most aspects of work at the company and resulted in noticeable improvement in manufacturing quality and customer service. However, the engineering organization was resisting TQM because of the resulting late and over budget projects.
Healthcare providers strive to improve service quality by implementing various quality management programs. Customers tend to seek for higher quality of care when choosing treatments, providers, and health plans. For healthcare organizations that desire to provide high quality care and compete in the global market, choosing a quality management program to implement is critical for performance and efficiency. Many studies have been conducted to analyze the effectiveness of such programs. Lean, Six Sigma and Total Quality Management (TQM) are three programs that will reviewed by three different case studies in efforts to understand them and to compare and contrast their capabilities.
This is a case study analysis on Nissan Canada Inc. (NCI) and its plan to move from a “make to stock” to a “make to order” process and the implementation of NCI’s Integrated Customer Ordering Network (ICON). Involved in the implementation of ICON, NCI is faced with several challenges in the conversion of its outdated ordering process to Manugistics, an Enterprise Resource Planning (ERP) system. (Hunter, 2007)
The President Ralph Larsen has realized that Wengart has some major problems with the quality however he is focusing on the profitability instead of the longevity of the company. He needs to have the team focus on improving the quality problem or the company’s profits will continue to decrease. Larsen in the effort to improve the quality has decided to seek out help from an OD practitioner who suggests to Ralph to implement Top Quality Management (TQM). Larsen feels that this should be easy to implement and hands it off to Kent Kelly the Vice President. He feels that the TQM program was a matter of common sense (Brown, 2011, p. 365).