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E-Folder - Measuring Lean Results In Healthcare
Over the last couple years, we have been working with Healthcare organizations to adapt Lean to their complex processes in laboratory and hospital environments. Predictably, there was much
According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
skepticism from Clinicians and administrators alike - and rightly so. They were perfectly justified in asking - 'how does a thinking that grew mainly out of the automotive industry apply to
; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.
Examples of combination products may in
Examples of combination products may in
the healthcare environment?'
The answer is, 'it applies perfectly'.
But giving an answer like that does not (and should not) convince all healthcare providers to blindly accept Lean and c
The answer is, 'it applies perfectly'.
But giving an answer like that does not (and should not) convince all healthcare providers to blindly accept Lean and c
lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.
arge forward in the process transformation.
It took a few very courageous and visionary leaders to step forward and attempt applications within their environments - even if they were still
It took a few very courageous and visionary leaders to step forward and attempt applications within their environments - even if they were still
here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
a little (or a lot) skeptical.
Within a matter of a few weeks, the skepticism faded and the results began to appear. It works! And who would have believed that in a scientific profession t
Within a matter of a few weeks, the skepticism faded and the results began to appear. It works! And who would have believed that in a scientific profession t
d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.
Combination pro
Combination pro
ere would be such a vast amount of opportunity to remove 'non-value' or waste.
The 'non-value' activities were not the people trying to do something wrong. In fact, the people were just wo
The 'non-value' activities were not the people trying to do something wrong. In fact, the people were just wo
ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
king at trying to provide the best service, both in quality and turnaround time. The barrier was the existing 'system'. It forced them to do things, which actually hindered them from provid
easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
ng their clients with the best service.
Once we applied Lean, and removed the non-value added activities, they found they were able to respond and serve their clients faster and better. In
Once we applied Lean, and removed the non-value added activities, they found they were able to respond and serve their clients faster and better. In
nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
fact, they could respond to more clients while using the same number of people and equipment. The result was higher satisfaction for the patients/clients and for the staff while lowering th
and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
ir costs to provide the service.
While none of these healthcare cases have achieved perfection - their staff have moved closer to it and they have discovered a structured and practical met
While none of these healthcare cases have achieved perfection - their staff have moved closer to it and they have discovered a structured and practical met
ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
od for attaining the level of service they and their clients desire and expect.
Here are some recent examples of typical results:
MRI processing time
20% increase in patients
Here are some recent examples of typical results:
MRI processing time
20% increase in patients
ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.
Following aspects would a
Following aspects would a
per day
Elimination of entire processing areas
Processing done in one lab instead of two without any new equipment expenditures.
Waiting Times
Found that techs in
Elimination of entire processing areas
Processing done in one lab instead of two without any new equipment expenditures.
Waiting Times
Found that techs in
dd to the challenges in developing combination products:
Which markets to tap where the combination products can do fairly well?
Which combination prod
Which markets to tap where the combination products can do fairly well?
Which combination prod
-ray areas were waiting for up to 30% of their time, now they can use their time more efficiently and service the patient faster.
Overtime
Eliminated overtime by reducing the b
Overtime
Eliminated overtime by reducing the b
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
tch sizes and creating flow.
Lead-Time
Reduced lead-time for test results from 8 hours to 2-3 hours by decreasing batches and eliminating waste.
Motion
Delivery pe
Lead-Time
Reduced lead-time for test results from 8 hours to 2-3 hours by decreasing batches and eliminating waste.
Motion
Delivery pe
tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
sonnel were spending most of their time walking (up to 50%) to deliver specimens. A new schedule significantly reduced motion waste.
Equipment Uptime
Improved equipment uptime
Equipment Uptime
Improved equipment uptime
t?
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
On average 3 pieces of equipment down per week. Now through the use of TPM, they haven't had any down time in 8 weeks.
Space Savings
Using 5S, one lab freed up enough space to
Space Savings
Using 5S, one lab freed up enough space to
ping new procedures for reviewing their safety, efficacy and quality.
Professional from academic institutions, pharmaceutical industries, health care indust
Professional from academic institutions, pharmaceutical industries, health care indust
add three more needed stations without increasing existing floor space.
Processing Improvement
One area doubled their processing volume with marginal increase in staff and has
Processing Improvement
One area doubled their processing volume with marginal increase in staff and has
y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
ustained it for the last 6 months.
Rework Elimination
Originally 66% rework - now virtually none.
These results are proof that Lean works in Healthcare and are motivating Lean
Rework Elimination
Originally 66% rework - now virtually none.
These results are proof that Lean works in Healthcare and are motivating Lean
.
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
Advisors Inc. (LEAD)® to focus their energies towards teaching and implementing Lean with the goal to transform the Healthcare sector. We are adapting the technical concepts and changing th
elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.
Companies that provide selfless information through particip
Companies that provide selfless information through particip
existing culture throughout the organizations we work with in order for them to provide better and faster care while improving the quality and decreasing the cost of providing that service
tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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