Profit = Price - Cost. TAKT Time Map Capacity Tables. Total Productive Maintenance. Visual Control. Poka-yoke (mistake proofing) Kanban.

Transcription

1 GPS MUDA MUDA Cost Reduction By Eliminating Waste Just-in-Time Profit = Price - Cost GPS Depth Study NVA/VA- Functions/Mgrs Quality Cost Delivery Safety Measures Morale TAKT Time Map Capacity Tables Autonomous R e d e p l o y m e n t Jidoka (human automation) Setup Reduction Changeover Multi-process Operations Standard Operations Heijunka (Leveling) Continuous Flow Total Productive Maintenance Poka-yoke (mistake proofing) Kanban Visual Control Andon Maintenance Module 13 RPIW Kaizen Kaikuku 3P Prod Prep 7 Flows Factory Product/Patient Quantity Analysis 7 Flows Medicine 4 No s Sorting Simplifying 5S Sweeping Standardizing Self Discipline 7 Wastes Value Stream Mapping ONE PIECE FLOW TAKT TIME PULL PRODUCTION Global Production System , John Black and Associates LLC (modified from Hiroyuki Hirano, Productivity Press). Committed Leaders 1

2 Autonomous Maintenance: Key Points The four types of maintenance are: 1. Preventative maintenance. 2. Predictive maintenance. 3. Breakdown maintenance. 4. Autonomous maintenance. Equipment operators share the responsibility for the performance and health of their equipment. Autonomous maintenance is an eight-step process. 2

3 Equipment and Machines are an Integral Part of Healthcare 3

4 Types of Maintenance Preventive Maintenance: Daily activities designed to maintain basic equipment conditions. Predictive Maintenance: Detects equipment deterioration through condition-based analysis. Speed reduction, vibration analysis, lubricant contamination, etc. Breakdown Maintenance: Corrects equipment deterioration after the occurrence of a breakdown. Autonomous Maintenance: Equipment operators accept and share responsibility with maintenance for the performance of their equipment 4

5 8 Steps to Implement Autonomous Maintenance Consumables Equipment Maintenance Equipment Lubrication Visual Management Eliminate Contamination and Simplify Energy Awareness Establish a Baseline Critical Cleaning is Inspecting 5

6 To Establish the Baseline Condition of a Used Car Check for body damage. Look for leaks. Check tire wear. Vibration. Observe the gauges. Listen for vibrations and noises. Check for unusual odors. 6

7 Establish a Baseline: Determine the Condition of your Crash Cart Is the cart free of: Dirt / Dust. Faulty wheels. Missing items. Expired items. Is the cart difficult to: Move. Inspect. Reach. Clean. Can you identify the following? Safety hazards. Go-no-go points. Items in need of maintenance. 7

8 Cleaning is Inspecting Q: Do you wash your car by hand or in a car wash? 8

9 Simplify Simplify equipment for easy and safe cleaning, inspection, and maintenance. 9

10 The Five Whys EKG Machine Ask Why? five times. What can the answers tell you? You still have to take action! IV Pump 10

11 Abnormal? Unknown? Normal? How would you know what the normal operating range is? How would you know if there were problems developing? 11

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13 Autonomous Maintenance Summary Autonomous Maintenance is a partnership between equipment operators and maintenance personnel who share responsibility for the performance and health of the equipment. 13