A Look at Sutter Health’s Lean Program
November 8th, 2006 by HalDave Pixley opened with a "state of the state" of the shifts that have occurred in the last year of their lean initiative. Some of those highlights:
- Willingness to experiment
- The paradigm of "self protection" is giving way to "all for one and one for all"
- Acknowledgement that the current model of project delivery may be broken
- Other owners are asking for
- Growth of P2SL as an "action learning lab"
- Participation by the state permitting agency in the P2SL
- Grass roots lean coordinators group of competitor companies to share what they've learned about lean construction
- New commercial relationships and contract forms
Learning they've observed
- New kind of leadership — from command and control to facilitation and empowerment
- "Open Kimono" communication — situation of trust and relatedness to say what needs to be said
Road ahead — reduce the waste while increasing the value
- Prototype Hospital Program
- Built-in Quality Plans
- BIM — an emphasis on people and process
- Evolving the Integrated Form of Agreement
- Target Value Design — developing standard work for design
- Deepening the implementation of Last Planner System®
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