Phoenix Arizona

Cost: $750 single day
$1200 for 2 days
$1700 for 3 days
This course will introduce the participant to valuable but simple tools for analyzing, understanding and redesigning work processes.  Opportunities to reduce wasted patient and worker time, dissatisfaction and errors will become apparent.  An understanding of applying these tools to healthcare and the many environments in which they can succeed will be explored.  Participants will come away with a new way to look at work and be prepared to evaluate whether this is a good fit for their organization.
Lecture and practice: 8:30am-3:30pm
  • Overview, why TPS/Lean for healthcare
  • Value Stream Mapping (VSM)
You will learn about and create:
    • a current state map of a work process
    • a future state map
    • a future state plan
  • How to use VSMs for understanding work processes, improving those processes, planning new processes and communicating your new understanding to others


Value stream mapping allows you to see, through direct observation, all the steps in the request and delivery of a specific product or service.  It documents time and motion, and unlike a flow chart, exposes when nothing is happening to move the process along.  This enables you to recognize opportunities to reduce waste and delays and to standardize processes that support workers in doing their good work. Value stream mapping is a refreshing and objective approach to reducing waste and confusion, involving the people doing the work. This is a view of a work process from 10,000 feet.
Lecture and practice:  8:30am-3:30pm  
  • Overview, TPS/Lean approach to solving specific problems in the course of work
  • A3 problem solving and report writing
  • You will learn:
    • How to identify problems that can be addressed using the A3 process
    • How to create an A3 report for problem solving and reporting
    • Ways to use the A3 process as a management tool
    • Communication of improvements using the A3 process


The A3 is an objective, pencil and paper tool designed to solve small specific problems.  It defines the current condition and looks at the root cause of the issue.  The A3 also guides the user to define clear steps to implement changes and builds accountability.  All work done on A3s is validated with the staff and encourages communication between workers and departments.  A3s are a simple and effective way to truly understand the way work happens now and how it can be redesigned effectively.  This is a view of a work process under a microscope. 
The workshop includes all course materials, the reVIEW© Workbook, continental breakfast, lunch and snacks at break.
Lecture and practice : 8:30-2:30
This optional day can be added to the previous two or attended independently.
The content of the program includes discussion around:
  •  The role of the Lean Leader
  •  Tying TPS/Lean to your strategic plan
  • Projects or Culture?
  • Choosing where to start TPS/Lean in your organization
  • Lean education
  • Developing a coaching structure in your organization
  • Measuring and maintaining the gains
  • Building sustainability from the start


You can attend any day individually but if you are new to Lean, days 1 and 2 are best experienced together.
Each Participant will receive the reVIEW© Workbook
($42) at no charge and a 15% discount on purchases of A3 Problem Solving for Healthcare, Productivity Press, 2007, NYC.

Continental breakfast and break refreshments will be provided each day.

Questions? Call Christa at (406) 258-6535 (8-4 Mountain Time)