This book provides insight into the initial deployment of a Lean Management System across VA, the nation's largest healthcare system. The book presents the origins of VA's Lean Enterprise Transformation (LET) in its 156 medical centers. The authors detail the clinical and administrative outcomes of these efforts, as well as the formative evaluation methods used to monitor and improve the VAs LET deployment and examines how the VA strives to provide the best patient experiences for our Veterans. The book takes a comprehensive, multi-level approach, revealing how innovation in VA healthcare is occurring through narratives from leaders, administrators, physicians and staff.
Presents an enterprise-level view of Lean transformation across the nation's largest healthcare system
Features multi-level perspectives from VA leadership, executives, Lean senseis, clinicians, front-line staff, and Veterans
Details VA's methods for implementing and evaluating Lean across multiple facilities
Overviews VA's integrated technology platform developed to support metrics-sharing and continuous improvement efforts across VA facilities nationwide
Illustrates how Lean initiatives and improvements impact veterans through narratives of patient and staff experience
Foreword
Chapter 1 : Why Lean? Why VA? Why Now? Beginning Our Lean Journey Chapter 2 : Building a Foundation of Patient Safety Chapter 3 : Deploying Lean Across the Enterprise Chapter 4 : Stories of Excellence : Indy Excellence Chapter 5 : Stories of Excellence : Palo Alto Chapter 6 : Stories of Excellence : Syracuse Chapter 7 : Stories of Excellence : FHCC Lovell Chapter 8 : Evaluating Lean's Nationwide Impact Chapter 9 : Communicating Our Successes and Challenges Chapter 10 : Mapping Our Future
