Lean production compared with patient-focused care


 Patient-focused care

Respect for people
- the client
- the employee

Focus on the patient
The employee – be seen, skills development, correct work content

Identify the client’s needs Care plan (standardized) – individual plan of operations.
Get to know your process. Get to know your patient
- “Why is the patient here?”
Reports/rounds/internal forum/….
Create value for the patient
End waste!
“Right person in the right place”/Plan and allocate based on needs and priorities. Receptionist.
Concrete goals – can be expressed in practice. Concrete care work
Create cells Care-focused team, including inter-professional team and patient. Self-planned, self-governing based on care program and care plan (standardized or individual)

Even out the flow, cut off the peaks.
Five focuses: Sort/Structure/Order/Standardize/Create habits

Divide up care work throughout the whole day and night, allocating personnel, tasks, routines and structures with a focus on the patient and the holistic view of the work.

Continuous improvements

The right thing from me.

Pull the string!

All medical care personnel are responsible to improve and work according to established guidelines (National Board of Health and Welfare 2005:12)

Breakthrough method (Plan, Do, Study Act or PDSA)

Compare. Examine the source of why things went wrong.

Event analysis

Don’t be afraid to say STOP!

4 P-pyramid

- philosophy
- process
- people/partner
- problemsolving


Long-term goals
Pilot projects
“Those who don’t comply must pay”
Cultivate leaders with burning enthusiasm
Leaders should know the nitty gritty
It takes time



A “living” care philosophy -
Why am I here, for whom, concrete goals.

Teamwork – limited number of patients.
Plan/allocate in the team, based on patient focus.
Structures in care processes and the organization.


Present leadership “walking around”.
Leaders should know their operations.
Focus on operations >focus on the individuals.
(However, there are rarely sanctions in care and nursing)