In the Cox Monett ER, charge nurses Julia Eden and Margaret Kleiboeker check the patient tracking board, which offers an at-a-glance view of work under way in the department. The board was recently expanded to include more details about what tests have been ordered and which are complete. The changes were one part of a lean project aimed at coordinating care in the department.
Muda: A Japanese term for an activity that is wasteful and doesn’t add value.
Gemba walk: When leaders examine first-hand how work is done on the front lines. They’re visiting “gemba,” or “the real place” in Japanese.
Value stream: All the steps in a process of producing or delivering a product or service. Value streams are mapped to show the flow of information and work in the process. How work is carried out at the beginning of a lean project is defined on a current state map while a goal for how processes could be improved is spelled out in a future state map.