| Phase | Ramp up | Implementation | ||||||
|---|---|---|---|---|---|---|---|---|
| Years | 2000-2003 | 2004-2007 | ||||||
| Quarters | '00 | '01 | '02 | '03 | '04 | '05 | '06 | '07 |
| Case study data collection | ||||||||
| History of QI & concurrent QI activities | X | X | X | X | X | X | X | X |
| Cultural Transformation Initiative commenced | X | |||||||
| Consulting firm partnership forged | X | |||||||
| Consulting firm toolkit introduced, Six Sigma launched | X | |||||||
| Introduction of Lean | X | |||||||
| Negative operating margin | X | |||||||
| New chief operating officer hired | X | |||||||
| Lean initiated, added to quality improvement toolkit | X | |||||||
| Lean training & projects | X | X | ||||||
| Project 1: Bed flow value stream | X | |||||||
| Project 2: Outpatient electronic health records | ||||||||
| Project 3: Surgeons' preference cards | ||||||||
| Project 4: Horizon—Lean Hospital and related processes* | X | X | ||||||
| Project 5: Outpatient medical records and patient flow | X | |||||||
| Phase | Study period | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Years | 2008 | 2009 | 2010 | 2011 | ||||||||||||
| Quarters | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 |
| Case study data collection | X | X | X | X | X | X | X | X | ||||||||
| History of QI & concurrent QI activities | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| Cultural Transformation Initiative commenced | ||||||||||||||||
| Consulting firm partnership forged | ||||||||||||||||
| Consulting firm toolkit introduced, Six Sigma launched | ||||||||||||||||
| Introduction of Lean | ||||||||||||||||
| Negative operating margin | ||||||||||||||||
| New chief operating officer hired | ||||||||||||||||
| Lean initiated, added to quality improvement toolkit | ||||||||||||||||
| Lean training & projects | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| Project 1: Bed flow value stream | X | X | X | X | X | X | X | X | ||||||||
| Project 2: Outpatient electronic health records | X | X | X | X | X | |||||||||||
| Project 3: Surgeons' preference cards | X | X | X | X | X | X | X | |||||||||
| Project 4: Horizon—Lean Hospital and related processes* | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| Project 5: Outpatient medical records and patient flow | X | X | ||||||||||||||
*This project was studied as part of the case study, and findings have been included throughout this report. The project is not described in detail within the text.
Note: Shading in a cell, denoted here by an X, indicates that the relevant activity (row) commenced or continued during the time period (column).
