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KAIZEN

dr. MUHAMAD MA’MUN SUKRI,


M.P.H.
BAGAIMANA BELAJAR KAIZEN
• Kaizen is very nonlinear subject
• Meloncat atau melewati satu topik ke topik
yang lainnya adalah hal yang biasa tergantung
interest dan level pengalaman individu
terhadap kaizen
BAB. I
APA ITU KAIZEN
• The word KAIZEN in translated from Japanese
in a number ways, most simply as “change for
the better”

• Breaking down the word: KAI means “change”


ZEN means “good”
KAIZEN
KAIZEN
• Ada yang mengatakan sesungguhnya kata
kaizen berasal dari China
• Di jepang pertama kali diperkenalkan oleh
toyota
KAIZEN
• Di barat Kaizen diperkenalkan oleh Masaaki
Imai pada tahun 1986 dalam bukunya “
KAIZEN: The Key to Japan’s Competitive
Succes”
• Imai menulis dengan sederhana, KAIZEN
means improvement” dan “Kaizen is
everybody’s business”
WHAT IS KAIZEN
• Kaizen does not mean change, it means
“change for better”
• Kaizen start with small changes, often smallest
posible
• Kaizen follows Plan-Do-Study-Act (PDSA) and
scientific method.
• Not punish people  continuous
improvement
What is kaizen
• Kaizen is one of two pillars of the lean
management system
• Kaizen is verry different than the old, mostly
failed, suggestion box model faster, more
tranparent, more collaborative
• People real defferentiator or advantage for an
organization
What is Kaizen
• Kaizen is about changing the way things are. If
you assume that things are all right the way
they are, you can do Kaizen. So change
something ( TaiiChi Ohno, the creator Toyota
production System)
Kaizen, PDSA, and Scientific Method
for Improvement
• Interative learning
• A succesfull change leads to a new starting
point for continuous improvement
• Improvement
• Problem solving model based on the scientific
method
PDSA
• Plan: initiating a change by understanding the
current situation and root cause of problem,
starting hypothesis
• Do: Carrying out a small-scale test, or pilot, of
the change
• Study: testing the change and its hypothesis:
gathering data, observing the changes and
outcomes
PDSA
• Act (or Adjust): Based on thos results, deciding
to accept, adopt, and spread the change, or
making adjusment (or tryingsomething
defferent)
Type of Kazen
• Three level Kaizen:
• 1. large project
• 2. mid-sized project
• 3. smaller project, daily lean
Large project
• Project sedikit tapi nilai besar
• Large issue
• Mayor improvement
• High cost
• High risk
• Top management
• Tool  PDSA, Simple thingking
Large project
• Building
• Tower baru
• Penerapan Elecctronic medical record
• Alat canggih
• dll
mid-sized project
• Departemen
• Medium issues
• Team
• Tool: PDSA, VSM, kanban, RCA dll
Smaller project
• Daily lean
• Project/Problem banyak tapi kecil kecil
• Small issue
• Individual
• Tool: kartu ide visual
intermezo
• intermezo
LEAN PADA INDUSTRI
(validated industry
average), 5 thn
DIRECT LABOR/PRODUCTIFITY IMPROVE 45-75 %
COST REDUCED 25-55 %
THROUGPUT/FLOW INCREASED 60-90 %
QUALITY (DEFECT/SCRAP) REDUCED 50-90 %
INVENTORY REDUCED 60-90 %
SPACE REDUCED 35-50 %
LEAD TIME REDUCED 50-90 %
LEAN DI RUMAH SAKIT
MENINGKATKAN REVENUE PD DEPT BEDAH
$808.000 PERTAHUN (OHIO HEALTH)
MENURUNKAN LOS 29% DAN MENGHINDARI BIAYA
KONSTRUKSI $1,25 MILLION PD EMERGENCY ROOM
( SOUTH DACOTA)
SAVED $7.5 MILLION IN PATIENT CARE
(MINNESOTA)
RS PELNI  EFISIENSI 29 % DALAM 1 THN (WWCR
DG DIR)
LEAN DI RUMAH SAKIT
REDUCED TURNAROUND TIME LABORATORIUM KLINIK
60% (NEBRASKA)
REDUCED CYCLE TIME CSSD 70% (KINGDOM GENERAL
HOSPITAL, ONTARIO)
MENURUNKAN ANGKA KEMATIAN DI ICU YG
BERHUBUNGAN DG CENTRAL LINE ASSOSIATED BLOOD
STREAM INFECTION 95% (ALLEGHRNY HOSPITAL,
PENNSYLVANIA)
MENURUNKAN WAITING TIME BEDAH ORTOPEDI
(WINCOSIN)
VIRGINIA MASON MEDICAL
CENTER
category Change (2 thn)
inventory Down 53%
productivity Up 36%
Floor space Down 41%
Lead time Down 64 %
People distance Down 44%
Product distance Down 72 %
Setup time Down 82%

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