How good are we at practicing nemawashi when we set out to create a standard hospital discharge time?
I applaud Bob Wachter’s candid post Average Time of Discharge: Why a Hospital is Not a Hilton. Here is an excerpt that really stood out to me:
I’m also prioritizing my work – though the hospital undoubtedly wants me to see potentially discharge-able patients first, that violates the first rule of triage: see my sickest patients first. Until the cloning thing gets a bit more advanced, I can’t do both.
Lean implementors can easily “side” with the management side of the house since a lot of our directives birth from value stream planning. Work with your value stream managers and process owners to uncover needs before you are in the middle of a kaizen workshop! Use feedback like Bob’s to create a solution that will meet patient needs first while complementing the business needs.