TY - BOOK AU - Baker, Marc AU - Taylor, Ian AU - Mitchell, Alan TI - Making hospitals work : how to improve patient care while saving everyone's time and hospitals' resources SN - 0955147328 PY - 2009/// CY - Ross-on-Wye PB - Lean Enterprise Academy KW - EFFICIENCY KW - HOSPITALS, organization and administration KW - ORGANIZATIONAL CULTURE KW - ORGANIZATIONAL INNOVATION KW - QUALITY OF HEALTH CARE KW - TOTAL QUALITY MANAGEMENT N2 - Includes bibliographical references; For the first time Making Hospitals Work provides a practical roadmap for healthcare leaders seeking to create truly lean hospitals. It outlines a clear framework for focusing improvement activities on the most important challenges facing each hospital. It uses the same evidence based, scientific method as clinicians use to diagnose and treat medical problems to analyse and redesign the core emergency and elective patient journeys from arrival to discharge. It opens everyone's eyes to the big win-win-win opportunities to eliminate unnecessary waiting time for patients, to synchronise activities so clinical staff can spend more time caring for patients and to free up capacity by reducing length of stay and cut the overtime and agency budget. It also introduces the key new role of the value stream manager in gaining agreement on what needs to be done by whom in every department across the hospital. Every step described in Making Hospitals Work has been tried and tested in the three years' action research that led to this workbook. It is the critical breakthrough to take the next steps on the lean healthcare journey ER -