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Daily Management System of the Henry Ford Production System: QTIPS to Focus Continuous Improvements at the Level of
Richard J Zarbo1, Ruan C Varney2, Jacqueline R Copeland2
1From the Department of Pathology and Laboratory Medicine, Henry Ford Hospital, Detroit, MI. rzarbo1@hfhs.org.
Objectives:
To support our Lean culture of continuous improvement, we implemented a daily management system designed so critical metrics of operational success were the focus of local teams to drive improvements.
Methods:
We innovated a standardized visual daily management board composed of metric categories of Quality, Time, Inventory, Productivity, and Safety (QTIPS); frequency trending; root cause analysis; corrective/preventive actions; and resulting process improvements.
Results:
In 1 year (June 2013 to July 2014), eight laboratory sections at Henry Ford Hospital employed 64 unique daily metrics. Most assessed long-term (>6 months), monitored process stability, while short-term metrics (1-6 months) were retired after successful targeted problem resolution. Daily monitoring resulted in 42 process improvements.
Conclusions:
Daily management is the key business accountability subsystem that enabled our culture of continuous improvement to function more efficiently at the managerial level in a visible manner by reviewing and acting based on data and root cause analysis.
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