countermeasures 1: Introduction to Countermeasures

imageThe journey to becoming a LEAN organization stars with hoshin kanri, setting the organization’s long term goals and driving them down into the organization of o the departmental level. Departments develop specific, measurable key performance indicators (KPI) that benchmark the departmental goals and track them daily on their gemba board.

If KPI are not being met, various LEAN tools are employed to determine the root cause of the problem. This can be the most difficult part of the process. Determining root cause is the key to eliminating waste or muda, otherwise we are just creating more muda. This is measured in rework and failed efforts in trying to solve the problem. Once the root cause has been determined, countermeasures must be developed to eliminate the root cause of the problem.

It is important that the organization standardizes on the problem solving models used throughout the organization. Standard work is a LEAN principle. When everyone uses the same processes, it makes solution easy to implement across organizations because people understand the processes used in developing and implementing the solution. It is important that everyone in the organization is familiar with these processes and feels empowered to use them.

There are two effective LEAN problem solving processes that can be implemented that will help us determine root cause, develop a countermeasure and ensure it is effective. The first is the PDCA four step model: Plan, Do, Check, Adjust. It is a simple process that delivers results.The second model is the A3. The A3 is generally used for more complex problems. It has the entire story of the problem and its solution on one page.

In subsequent articles we will go into each model in greater detail.

What Others Have Said…

Michael developed a LEAN program for our hospital. This involved training both managers and front line staff in LEAN and its application in every department. Two LEAN projects were conducted in an effort to reduce inventory. There was a reduction of $135,000 in pharmacy inventory and $200,000 reduction in OR inventory."
Richard E. D’Alberto, FACHE
President & Chief Executive Officer
Laurens County Hospital

"Michael is a great speaker. He is inspirational and knows his trade."
Lynn Yarbrough
OR, JMRC

"Great quality- appreciate his openness to field question on the spot"
Rita Jones
CEO, Dundy County Hospital

"Michael is an outstanding, knowledgable speaker, keeps the flow going an involve the audience well."
Stephen Stewart
CEO, Artesian Valley Health System

"I like the process in implementation"
Brad Langdorf
VP Clinical Services, Community Hospital

“Michael is an excellent speaker. Content is exciting and educational.”
Mollie Heisel
Human Resource Coordinator
Brown County Regional Health Care
 
“Very good; usable; informative; real; encouraging”
Valerie Gigolyk
Supervisor
Loewen Windows

“Without your personality, coaching and spirit, we wouldn’t have made it so far.”
Ann Corrigan, RN
VP of Patient Services
Henry County Health Center

“We are utilizing the information on a regular basis. It has been exciting to see this growth.”
Pat Hales , Director of Quality and Educational Services Misericordia Health Center

“Excellent speaker- funny yet seriously important to improve our daily lives.”
Rebecca Ricartti, HR Director
Pacific Alliance Medical Center

“Michael is fantastic. Keeps the learning Entertaining and interesting.”
Stephen Stewart CEO
Artesian Valley Health System

“Great. Enjoyed the session.”
Curtis Hawkinson CEO
Community Memorial Healthcare

“Very clear and concise presentation. Always includes stories that make you think.”
Heather Greenwood, Med Tech
CHI St. Alexius Health

“Michael is a great presenter and presented he content in a manner that made it interesting and useful.”
Lynne Yarbrough, OR Director
Johnson Regional Medical Center

“Knowledgeable and energetic.”
Valerie Hangman, QI Coordinator
Providence Medical Center

I was impressed by the content and the clarity of the speaker.”
Jennifer Russell
Government of Manitoba

“Excellent quality, excellent information & keeps his agenda enthusiastic and timely.”
Terri Davis, RN
Providence Medical Center

“Dynamic speaker who leads the group to discover the answers for themselves.”
Jeff Dolan
Canada Cases Ltd.

“Mike is inspirational. A Great Motivator.”
Glen W. Buckler
President
Two Small Men with Big Hearts


“You have to see Michael Bayer’s presentation.”
Lois French

Investors Group

“Excellent speaker with an important message”
Rob Vineberg
Regional Director General
Citizenship & Immigration Canada

“Excellent speaker- funny yet seriously important to improve our daily lives.”
Rebecca Ricartti,
HR Director
Pacific Alliance Medical Center

“Fantastic! My cheeks hurt from laughing so much, yet I also gained so much knowledge too! Thanks!”
Daiva Griese
One Legacy

“Excellent, worthwhile. It was as good as it gets.”
Stephanie Bloodworth
Case Manager, New Directions

“Fantastic speaker. Great for any industry.”
Ron Farmer
Personal Banker, CIBC

Subscribe to Our Newsletter

Subscribe to our mailing list

* indicates required