Identifying Muda or Waste

imageMuda is the Japanese word for waste. In LEAN, we refer to any activity that does not add value to the customer but adds cost as waste or muda. There are eight types of waste: defects, motion, waiting, confusion, processing, over production and transport.

Eliminating waste is not the objective for continuous improvement. Waste is an indicator of a root cause. LEAN strives to eliminate the root cause of the waste. When we look at any organization, we find waste everywhere. When waste is eliminated, we save time and money, allowing us to better serve our patients, residents and their families. That results in increased HCAHPS scores, patient satisfaction scores, employee satisfaction, and profitability.

The Eight Mudas

Muda or Waste



Defects Work that has errors or mistakes Billing errors, medication errors, lab errors, incomplete paper work
Motion Unnecessary movement that adds no value to a process Looking for missing files, excess movement of people or supplies because of poor layout
Waiting Time that adds no value to a process while waiting for an essential input Waiting for a physician in the ER,   waiting for someone to come to  a meeting waiting for lab results.
Confusion employees who aren’t sure exactly what they are supposed to do. Unclear medication instructions, two people doing the same job in different ways.
Processing Activities that add no value to a process that the customer pays for. Paperwork
Overproduction Unnecessary work Electronic medical records and paper charting
Inventory More material on hand than necessary Overstocked supplies, unavailable necessary supplies
Transport Unnecessary movement of people and material Movement of patients from ER to lab for a test then back to the lab



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

"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
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
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

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