Topic outline

  • General

  • Topic 1

    Module 1: What is LEAN thinking?

  • Topic 2

    Module 2: Change management

  • Topic 3

    Module 3:  Implementing LEAN

  • Topic 4

    What next?

    There are many online resources available which cover the topics included in this course. The best starting point is to google key terms such as “Lean”, “Six Sigma” and “Continuous Improvement”. “Health” can be added as an additional term to narrow down the result list. For specific topics search on the key words title from each eg Failure Mode Effects Analysis (FMEA).

    The NHS in the United Kingdom has produced a series of resources under the title “The Productive Ward”. These are available from their website. The NHS has also produced a box set of printed handbooks under the title “Releasing Time to Care” which covers the same material. These will be available through DHB libraries.

    The following thesis is recommended as a New Zealand case study:
    Lean Thinking in New Zealand Emergency Departments by Gareth Rees

    The following publications are recommended. Your local or DHB library will be able to interloan these:

    “The Toyota Way: 14 Management Principles from the World's Greatest Manufacturer” by Jeffrey K. Liker

    “Out of the Crisis” by W. Edwards Deming

    “Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction” by Mark Graban

    “The Toyota Way to Healthcare Excellence: Increase Efficiency and Improve Quality with Lean” by John R. Black

    “The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods” by Naida Grunden

    • Topic 6


      Course Subject Matter Expert: Paul Hebberd

      LEAN Consultant: Phyllis Meier, RN, MSN

      The Ministry of Health would like to thank the staff of Starship Hospital for their input into the development of this course.