Toyota can build a Lexus in 17 hours with 34 defects, and it takes Benz, Audi and BMW 57 hours with 78.7 defects (per 100 cars). Toyota, known for designing and producing high quality new models of vehicles in half the time of their competitors, are experts in reframing. The slightest change in perspective can provide dramatically different results. That fundamental reframing of the experience saw the hospital change their surgical methods to reduce motion and subsequently increase their capacity by 30% - which made them the center of excellence in geriatric surgeries. The Head of Surgery observed motion - as in the movement of hands and feet that was excessive and added to the time of clinicians during surgeries. However, it was one thoughtful Head of Surgery who reframed the experience by applying the lean method of “stand in the circle”. Many saw the problem as being a simple capacity issue, while some attributed the experience to a paucity of clinical staff. The hospital needed to operate on 30% more patients every day to clear the backlog. In a Canadian hospital over a decade ago, there was a mounting backlog of surgeries accompanied by a growing list of older patients whose end of life was arriving before they could be operated on. By Anand Nicodemus, P.Eng., Global Director Lean and CPI, Fluor CorporationĪnd Jayne Nichols, P.Eng., Lean Coach & Director, Design Engineering, Fluor Canada
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