Lean Healthcare Transformation Initiative
Enrollment Status: Full/closed
About the Program
The Lean Healthcare Transformation Initiative (LHTI) got underway in 2015 when Purdue Healthcare Advisors (PHA) recruited 15 Indiana Critical Access Hospitals and Rural Hospitals and began to work with them to identify areas of “waste” or inefficiencies, and to eliminate anything that did not add value for patients. The intent of the grant work was to develop lean thinking within the organizations by applying PHA's Lean First methodology. Program Year 1 provided a foundation for improvement management and introduced improvement events; Program Year 2 utilized value stream analysis and strategic planning for a systematic approach to improvement; and Program Year 3 introduced the tools of Lean Leadership and Lean Daily Improvement (LDI).
Extending the Grant to a Fourth Year
Indiana State Office of Rural Health (INSORH) Program extended LHTI grant funding to a fourth year to help several of the Cohort 1 participants stand up their own Certified Lean Office. To be certified as a Lean Office at the basic level, the organization has demonstrated competency of team members to execute in Lean Daily Improvement, a method for making daily improvements while you work, and Rapid Improvement Events, a tool requiring a team to assemble for several days to solve more complex challenges. Certification at the advanced level denotes demonstrated competency at all levels of the Lean First methodology including the capability to deliver and execute the most complex tool a Value Stream Analysis which produces a 12-to-18-month plan to re-engineer a process from start to finish.
Five organizations demonstrated competencies in facilitating and sustaining process improvement for increased efficiency and improved patient care, and were certified lean by PHA (see photos below). The awardees have the opportunity to receive additional Lean First training and certification in 2019-2020 based on funding availability.
Forming a Second Cohort
A second LHTI cohort of five organizations was formed in 2018 with the aim of making operational their own internal lean offices. Eligibility to participate in this cohort was opened up to behavioral health organizations. Cohort 2 is working on Program Year 2 in 2019-2020.
Webinar: Lean Healthcare Transformation Initiative: A Case Study on Two Critical Access Hospitals (PHA webinar presentation for the National Rural Health Association)
Awards were announced at the initiative’s annual conference in August 2019.
Funding: LHTI is funded by the Indiana State Office of Rural Health (INSORH) Program through the Medicare Rural Hospital Flex Grant Program.
Organizations participating in Cohort 1 with Lean Offices certified in 2019 are encouraged to register for the Certified Lean Offices Sustainment Program. Organizations participating in Cohort 2 need to register for Year 2.
View a list of webinars and e-learning here.
Lean Daily Improvement helps improve chronic care management enrollment at multiple sites
Five Indiana Critical Access Hospitals demonstrate competency to receive top lean designation from Purdue
Multi-specialty healthcare provider establishes protocol to assess opioid prescriptions for older adult patients
Northeast Indiana primary care applies practice transformation tools to hit MIPS metrics
Lean Daily Improvement at Southwestern Behavioral Health helps to provide more timely care for patients with personality disorders