Countermeasures 3: The A3

imageThe purpose of the A3 is to put all the relevant details of a project on one piece of paper. The A3 tells the story of the project in a clear and succinctly as possible. The term A3 comes from the size of the page, approximately 11X17 inches. Toyota developed the tool. They wanted a simple visual means of documentation that was easy to create and keep up to date. The A3 is a living document, meant to updated when changes occur. Many organizations fill them out in pencil to make it easier to change.

The A3 format varies from organization to organization. The key is to have a standard format throughout the organization. Despite the varying formats, most A3s have the following common elements:

  • Department: Deoartment who is conducting the project
  • Process Owner: The individual who will own the process when complete
  • A3 Owner: The person who is responsible for keeping the A3 up to date.
  • Last Updated: Last date the form was updated
  • Background: background and issues that lead to the project being started
  • Current State: What is happening or being done at the present time. Do we have measurable data? What are the key performance indicators (KPI)?
  • Future State: What are the goals or targets for the project? What are the KPIs we want to achieve?
  • Root Cause Analysis: What is the root cause of the problem?
  • Countermeasures: What is being done to eliminate the root cause? In this section comments should include who owns the countermeasure, state i.e.in progress, complete. Typically a PDCA form will be completed for each countermeasure. However, more complex countermeasures may require a baby A3 detailing that specific countermeasure.
  • Follow Up: Any items that need to be followed up.

The A3 tells the story of a project. Anyone who reads the A3 will know exactly. What the problem was, what was done to eliminate it, what issues, if any are still outstanding and the plan for improvement, all on a single piece of paper.

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

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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
 
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Valerie Gigolyk
Supervisor
Loewen Windows

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Ann Corrigan, RN
VP of Patient Services
Henry County Health Center

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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

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Stephen Stewart CEO
Artesian Valley Health System

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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

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Lynne Yarbrough, OR Director
Johnson Regional Medical Center

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Valerie Hangman, QI Coordinator
Providence Medical Center

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

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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


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Lois French

Investors Group

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Rob Vineberg
Regional Director General
Citizenship & Immigration Canada

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Rebecca Ricartti,
HR Director
Pacific Alliance Medical Center

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Daiva Griese
One Legacy

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Case Manager, New Directions

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Personal Banker, CIBC

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