Lean Healthcare Summit Presentation Abstracts

Plenary sessions:

Transforming healthcare delivery using lean principles

Presenter: Dr John Toussaint, Catalysis, USA

This presentation will provide the framework for successful lean healthcare transformation  with examples from around the world. Changing leadership behaviors is the hardest part. This starts with understanding the core principles upon which the lean method is based. Many people believe lean is simply a tool set. We know it takes more than tools to build a culture of continuous improvement. The presentation will cover behavior change but also the “secret sauce” of lean which is the management system required to sustain improvement.


Lean in light of the postmodern challenges of health care

Presenter: Dr Stefan Metzker, Spital Mannedorf Hospital, Switzerland

Postmodernism – the time we live in – is characterised by an accelerating pace of change, failing single-dimensional long-term strategies, and increasing pressure on any kind of margins, to mention just a few. It is essentially a reaction to the failure of rationalism and leads to a high level of uncertainty – a state many organisations find themselves in these days. Some have figured out that new ways of management and leadership are required to be able to adapt to these challenges. How can the Lean Toyota Production System help hospitals to adapt to these new challenges better and provide the best care for our patients? The presentation is about why a more system-orientated interpretation of Lean has become a logical answer to today’s challenges in healthcare and for hospitals in particular.

Lean at Hollard: The Journey Thus Far

Presenters: Francois de Jager, Malcolm Davidson and Gerda Lewis, Hollard Insurance

The team will be discussing lessons learnt in their Lean Transformation journey to date that may be applicable to the health care industry.  Some of the key themes will include: lessons learnt in getting started, coaching for problem-solving and implementing a full-blown lean management system.

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Improvement work in the Western Cape Department of Health

Presenters: Dr Stephanus Fourie, Director: Specialised Services Support, Western Cape Health

The Western Cape Department of Health has implemented a number of lean and improvement projects over the last few years. There has been various levels of success with these projects and important lessons were learned. Recently, the Department established the Collaborative Healthcare Improvement (CHI) initiative. We wish to share some of our vision and experiences to date with this initiative.


Breakaway sessions:

Lean Leadership in Healthcare – Dr John Toussaint and Dr Stefan Metzker 
This breakaway session is aimed at senior management and lean leaders. It will be in the form of a discussion with these two lean healthcare leaders.

Our Province’s experience with lean management – Dr Heather Tuffin, Western Cape Health and Gauteng Health (facilitators to be confirmed)
Western Cape Health and Gauteng Health will share their lean journeys so far.

Reality Lean: watch this space – Western Cape Department of Health – Dr Heather Tuffin
Books we read about Lean are subject to “Survivor Bias”, where the book is written because that organisation has succeeded in their Lean transformation efforts (as opposed to those who don’t write about their complete failure to transform). Somewhere in chapter 7, one paragraph assures us that “the transformation was not without its problems and failures, so please don’t think this is straight or easy task, it took us [fill in the blanks] years to get to where we are”, or something along those lines, but we don’t get a sense of the blood, sweat and tears, the “recalculating” along the way.

As the newly formed Collaborative Healthcare Improvement office, we are at the beginning of our Lean journey. Rather than wait until years down the line to publish our success story (or not!), we want to let you in right from the start, to watch and learn with us as we go. We will share what we are doing, why we’ve chosen certain routes, the alternatives we’ve debated, all BEFORE we know how it turns out. In the true spirit of Plan, Do, Study, Act (PDSA), we’ve put our predictions out there, and would like to invite you to learn with us.

Lean and Lean Leader Coaching – Gauteng Department of Health – Gladys Bogoshi, Grey Dube and Elon Mathipa
Gauteng Department of Health is eight months into an experiment supported by Catalysis, a healthcare improvement centre in the USA. The experminet is led by Dr John Toussaint and Kim Barnas, senior executives at Catalysis with the primary emphasis being coaching at CEO and senior leadership team level within the healthcare facilities. This presentation will focus on the experiment and progress so far, which also includes the existing lean improvement work that the Department has been implementing over the past three years with Lean Institute Africa, including rapid improvement projects, rolling out lean in hospitals, mentoring and coaching.

Introduction to Lean Thinking – Rose Heathcote
Curious about Lean Thinking? Wondering what it entails and how it can help you meet your goals for excellence in Healthcare? Join Rose Heathcote for an interactive Introduction to Lean Thinking where she will share with you the key principles in a practical setting. Following a quick simulation activity, you will learn the basic elements coupled with real-life Healthcare examples.