ABSTRACT
In today's healthcare economy, with reduced reimbursement and closer scrutiny of quality patient care, the concepts and terminology of Lean management are becoming invaluable to nurses, clinicians, administrators, and other healthcare staff involved in improvement. Conversely, a basic grasp of common healthcare terms is essential for process improvement specialists who aren't necessary fluent in healthcare terminology. The Lean Healthcare Dictionary: An Illustrated Guide to Using the Language of Lean Management in Healthcare is designed to bridge the gap between Lean practitioners and healthcare professionals. This comprehensive dictionary defines essential Lean and healthcare terms to help create a common language for anyone involved in Lean healthcare improvement activities. Providing quick reference to the language of Lean management in healthcare, the dictionary includes diagrams and charts that illustrate concepts and aid in understanding. Each entry in Part I provides a succinct description of a Lean term as used in a healthcare setting. Healthcare terms and acronyms that commonly arise in the course of Lean transformations are defined in Part II. The content of this dictionary is firmly rooted in the hands-on experience of Rona Consulting Group, whose principals have designed and led ground-breaking applications of Lean management in emergency rooms, operating rooms, labs, hospitals, and major medical centers
TABLE OF CONTENTS
part |105 pages
Lean Terms for Healthcare
entry |1 pages
3P
entry |1 pages
4 Ms or 5 Ms
entry |1 pages
5S
entry |1 pages
5 whys
entry |1 pages
80/20 rule
entry |1 pages
A3
entry |1 pages
A3i
entry |1 pages
A3P
entry |2 pages
A3SR
entry |1 pages
A3T
entry |1 pages
A3 thinking
entry |1 pages
A3X
entry |1 pages
Abnormality
entry |1 pages
Accountable
entry |1 pages
Activity Board
entry |3 pages
Andon
entry |1 pages
Andon Cord
entry |1 pages
Autonomation
entry |1 pages
Available Time
entry |1 pages
Average Demand
entry |1 pages
Balance Chart
entry |1 pages
Balanced Scorecard
entry |1 pages
Batch-and-Queue Production
entry |2 pages
Benchmarking
entry |1 pages
Bottleneck
entry |1 pages
Brownfield
entry |1 pages
Buffer
entry |1 pages
Capacity Planning
entry |1 pages
Catchball
entry |2 pages
Cause-and-Effect Diagram
entry |1 pages
Cell
entry |2 pages
Chaku-Chaku
entry |1 pages
Changeover
entry |1 pages
Clinical Cell
entry |1 pages
Clinical Value Stream
entry |1 pages
Coach
entry |2 pages
Common Cause Variation
entry |1 pages
Compliance
entry |1 pages
Constraint
entry |1 pages
Consulting
entry |2 pages
Continuous Flow Production
entry |1 pages
Continuous Improvement
entry |1 pages
Control Chart
entry |1 pages
Corrective Action
entry |2 pages
Countermeasure
entry |1 pages
Cross-Functional Team
entry |1 pages
C/T
entry |1 pages
Current State Map
entry |1 pages
Customer
entry |1 pages
Customer Focus
entry |1 pages
Cycle Time (C/T)
entry |1 pages
Daily Management
entry |1 pages
Defect
entry |1 pages
Demand
entry |1 pages
Deming Cycle
entry |1 pages
Downtime
entry |1 pages
Error
entry |1 pages
Error Proofing
entry |1 pages
Executive Sponsor
entry |1 pages
External Customer
entry |1 pages
External Setup
entry |1 pages
Failure Mode and Effects Analysis (FMEA)
entry |1 pages
Feeder Line
entry |1 pages
FIFO
entry |2 pages
FIFO lane
entry |1 pages
First in First Out
entry |1 pages
Five Ms
entry |1 pages
Five S
entry |1 pages
Five Whys
entry |2 pages
Flow
entry |1 pages
Flow Manager
entry |1 pages
Flow Production
entry |1 pages
FMEA
entry |1 pages
Future State Map
entry |1 pages
Gemba or Genba
entry |1 pages
Gemba Walk
entry |1 pages
Genchi Genbutsu
entry |1 pages
Genjitsu
entry |1 pages
Go/No-Go
entry |1 pages
Greenfield
entry |1 pages
Hansei
entry |1 pages
Heijunka
entry |1 pages
Heijunka Box
entry |1 pages
Hoshin
entry |1 pages
Hoshin Kanri
entry |1 pages
House of Quality
entry |1 pages
Informed
entry |1 pages
Internal Customer
entry |1 pages
Internal Setup
entry |1 pages
Inventory
entry |1 pages
Jidoka
entry |1 pages
JIT
entry |1 pages
Just in Time (JIT)
entry |1 pages
Just-in-Time (JIT) Production System
entry |1 pages
Just-in-Time (JIT) Purchasing System
entry |1 pages
Kaikaku
entry |1 pages
Kaizen
entry |1 pages
Kaizen Blitz
entry |1 pages
Kaizen Event
entry |1 pages
Kaizen Workshop
entry |1 pages
Kakushin
entry |1 pages
Kamishibai
entry |1 pages
Kanban
entry |1 pages
Kanban System
entry |1 pages
Kata
entry |1 pages
Key Performance Indicator (KPI)
entry |1 pages
Kit
entry |1 pages
KPI
entry |1 pages
Leader Standard Work
entry |1 pages
Lead Time
entry |1 pages
Lean
entry |1 pages
Lean Healthcare
entry |1 pages
Lean Management
entry |1 pages
Lean Production
entry |1 pages
Lean Thinking
entry |1 pages
Level Loading or Level Scheduling
entry |1 pages
Life-Cycle Cost
entry |1 pages
Line Balancing
entry |2 pages
Little's Law
entry |1 pages
Lot Production
entry |1 pages
L/T
entry |1 pages
Matrix Diagram
entry |1 pages
Maturity Model
entry |1 pages
Mentor
entry |2 pages
Mistake
entry |1 pages
Mistake Proofing
entry |2 pages
Mixed Model Production
entry |1 pages
Mizusumashi
entry |1 pages
Monument
entry |1 pages
Muda
entry |1 pages
Mura
entry |1 pages
Muri
entry |1 pages
Nolan Model
entry |1 pages
Non-Value-Added Time
entry |1 pages
Ohno, Taiichi
entry |1 pages
"One Less" Process
entry |1 pages
One-Piece Flow Production
entry |2 pages
One-Point Lesson
entry |1 pages
Operation
entry |1 pages
Operator
entry |1 pages
Operator Balance Chart
entry |1 pages
Pacemaker
entry |1 pages
Pareto Chart or Diagram
entry |2 pages
Pareto Principle
entry |1 pages
Patient-Oriented Layout
entry |1 pages
PDCA
entry |1 pages
PDSA
entry |1 pages
Percent Load Chart
entry |1 pages
Perfection
entry |1 pages
Pitch
entry |3 pages
Plan-Do-Check-Act (PDCA) Cycle
entry |1 pages
Poka-Yoke
entry |1 pages
Policy and Objectives Matrix
entry |1 pages
Policy Deployment
entry |2 pages
P/O Matrix
entry |1 pages
P-Q Analysis
entry |1 pages
President's Diagnosis
entry |1 pages
Process
entry |1 pages
Processing Time
entry |1 pages
Process Mapping
entry |1 pages
Process Owner
entry |1 pages
Process Village (Creating a)
entry |1 pages
Production
entry |1 pages
Production Preparation Process (3P)
entry |1 pages
Productivity
entry |1 pages
Product–Quantity Analysis
entry |1 pages
Pull
entry |2 pages
Pull System
entry |1 pages
Push System
entry |1 pages
Quality
entry |1 pages
Quality Function Deployment (QFD)
entry |1 pages
Queue Time
entry |1 pages
Quick Changeover
entry |1 pages
RACI
entry |1 pages
Red Tag
entry |1 pages
Reliability
entry |1 pages
Reorder Point
entry |1 pages
Responsible
entry |1 pages
Right-Sized
entry |1 pages
Root Cause
entry |1 pages
Safety Stock
entry |1 pages
Scatter Diagram
entry |2 pages
Scientific Method
entry |1 pages
Seiketsu
entry |1 pages
Seiri
entry |1 pages
Seiso
entry |1 pages
Seiton
entry |1 pages
Sensei
entry |1 pages
Servant Leader
entry |1 pages
Service Family
entry |1 pages
Set in Order
entry |1 pages
Setup
entry |1 pages
Setup Reduction
entry |1 pages
Seven Wastes
entry |2 pages
Shadow Board
entry |1 pages
Shewhart Cycle
entry |2 pages
Shine
entry |1 pages
Shingo, Shigeo
entry |1 pages
Shitsuke
entry |1 pages
Sigma
entry |2 pages
Silo
entry |1 pages
Single Minute Exchange of Die
entry |1 pages
Single-Piece Flow
entry |1 pages
Single-Point Lession
entry |1 pages
Six Sigma
entry |1 pages
Six Sigma
entry |1 pages
SMED
entry |1 pages
SOP
entry |1 pages
Sort
entry |1 pages
Source Inspection
entry |2 pages
Spaghetti Chart or Diagram
entry |1 pages
SPC
entry |1 pages
Special Cause Variation
entry |1 pages
Sponsor
entry |1 pages
Stakeholder
entry |1 pages
Standard
entry |1 pages
Standardize
entry |1 pages
Standard Operating Procedure (SOP)
entry |1 pages
Standard Operations
entry |1 pages
Standard Task
entry |1 pages
Standard Time
entry |1 pages
Standard Work
entry |2 pages
Standard Work Combination Sheet
entry |1 pages
Standard Work Documentation
entry |2 pages
Standard Work in Process (SWIP)
entry |2 pages
Standard Work Instruction Sheet
entry |1 pages
Standard Work Sequence
entry |1 pages
Standard Work Sheet
entry |1 pages
Statistical Process Control (SPC)
entry |2 pages
Stop the Line
entry |1 pages
Storyboard
entry |1 pages
Strategy
entry |1 pages
Strategy Deployment
entry |1 pages
Supermarket
entry |2 pages
Sustain
entry |1 pages
Swim-Lane Diagram
entry |1 pages
SWIP
entry |1 pages
Takt
entry |1 pages
Takt Time
entry |1 pages
Task
entry |1 pages
Team Charter
entry |1 pages
Team Leader
entry |1 pages
Team Member
entry |1 pages
Theory of Constraints (TOC)
entry |1 pages
Throughput Time
entry |2 pages
Time Observation Form
entry |1 pages
Toyota Management System
entry |1 pages
Toyota Production System (TPS)
entry |2 pages
Total Productive Maintenance (TPM)
entry |1 pages
Total Quality Management (TQM)
entry |1 pages
TPM
entry |1 pages
TPS
entry |1 pages
TQM
entry |1 pages
True North
entry |1 pages
Uptime
entry |1 pages
U-shaped cell
entry |1 pages
V/A
entry |1 pages
Value
entry |1 pages
Value-Added Activity
entry |1 pages
Value-Added Ratio (VAR)
entry |1 pages
Value-Added Time
entry |1 pages
Value Stream
entry |2 pages
Value Stream Loop
entry |1 pages
Value Stream Map
entry |2 pages
VAR
entry |1 pages
Visibility Walls
entry |1 pages
Visual Control
entry |1 pages
Visual Control System
entry |1 pages
Voice of The Customer (VOC)
entry |1 pages
Wait Time
entry |1 pages
Waste
entry |1 pages
Water Spider
entry |1 pages
Water Strider
entry |1 pages
WIP
entry |1 pages
Work in Process
entry |1 pages
Workshop Leader
entry |1 pages
X-matrix or X-type matrix
entry |1 pages
Yokoten
entry |1 pages
Zero Changeover or Zero Setup
entry |1 pages
Zero Quality Control (ZQC)
part II|87 pages
Healthcare Terms
entry |1 pages
ABN
entry |1 pages
Academic Medical Center
entry |1 pages
A-CAHPS
entry |1 pages
Access
entry |1 pages
Accountable Care Organization (ACO)
entry |1 pages
Accreditation
entry |1 pages
ACO
entry |1 pages
ACU
entry |1 pages
Acuity
entry |1 pages
Acute Care
entry |1 pages
ADC
entry |1 pages
Admission
entry |1 pages
Admitting Physician
entry |1 pages
Advance Beneficiary Notice (ABN)
entry |1 pages
Advance Directive
entry |1 pages
Advanced Practice Nurse (APN) or Advanced Practice Registered Nurse (APRN)
entry |1 pages
Advanced Practice Provider (APP)
entry |1 pages
Adverse Event
entry |2 pages
Affiliated Medical Staff
entry |1 pages
Affordable Care Act
entry |1 pages
Against Medical Advice (AMA)
entry |1 pages
Agency for Healthcare Research and Quality (AHRQ)
entry |1 pages
AHRQ
entry |1 pages
ALOS
entry |1 pages
AMA
entry |1 pages
Ambulatory Care
entry |1 pages
Ambulatory Care CAHPS (A-CAHPS)
entry |1 pages
Ambulatory Care Unit (ACU)
entry |1 pages
Ambulatory Surgical Center (ASC)
entry |1 pages
Ancillary Services
entry |1 pages
Anesthesia
entry |1 pages
APN or APRN
entry |1 pages
APP
entry |1 pages
ASC
entry |1 pages
Attending Physician
entry |1 pages
Average Daily Census (ADC)
entry |1 pages
Average Length of Stay (ALOS)
entry |1 pages
Balance Billing
entry |1 pages
Basic Metabolic Panel (BMP)
entry |1 pages
Behavioral Health
entry |1 pages
BMI
entry |1 pages
BMP
entry |1 pages
Board Certification
entry |1 pages
Body Mass Index (BMI)
entry |1 pages
CAHPS
entry |1 pages
Capitation
entry |1 pages
Care Coordination
entry |1 pages
Care Redesign
entry |1 pages
Case Management
entry |1 pages
Case Mix
entry |1 pages
Case Mix Index (CMI)
entry |1 pages
Catheter-Associated Urinary Tract Infection (CAUTI)
entry |1 pages
CAUTI
entry |1 pages
CCU
entry |1 pages
Census
entry |1 pages
Census Days
entry |1 pages
Center for Medicare & Medicaid Innovation (CMMI)
entry |1 pages
Center for Medicare/Medicaid Services (CMS)
entry |1 pages
Central Line (CL)
entry |1 pages
Central Line-Associated Bloodstream Infection (CLABSI)
entry |1 pages
Certified Nurse Practitioner (NP-C)
entry |1 pages
Certified Registered Nurse Anesthetist (CRNA)
entry |1 pages
Checklist Manifesto
entry |1 pages
Chief Medical Information Officer (CMIO)
entry |1 pages
Chief Medical Officer (CMO)
entry |1 pages
Chief Nursing Officer (CNO)
entry |1 pages
Chronic Care Management
entry |1 pages
Chronic Disease
entry |1 pages
CICU
entry |1 pages
Circulating Nurse
entry |1 pages
CLABSI
entry |1 pages
CLI
entry |1 pages
Client
entry |1 pages
Clinical Nurse Specialist (CNS)
entry |1 pages
Clinician
entry |1 pages
CMI
entry |1 pages
CMIO
entry |1 pages
CMO
entry |1 pages
CMS
entry |1 pages
CNO
entry |1 pages
Code Blue, Code Red
entry |1 pages
Colonoscopy
entry |1 pages
Complete Blood Count (CBC)
entry |1 pages
Consumer Assessment of Healthcare Providers and Systems (CAHPS)
entry |1 pages
Contract Physician
entry |1 pages
Coordination of Care
entry |1 pages
Core Measures
entry |1 pages
Coronary Care Unit (CCU)
entry |1 pages
Credentialing
entry |1 pages
Critical Care Unit (CCU)
entry |2 pages
Critical Pathways
entry |1 pages
CRNA
entry |1 pages
CT scan
entry |1 pages
DAMA
entry |1 pages
DEA registration number
entry |1 pages
Decubitus Ulcer
entry |1 pages
Deeming Authority
entry |1 pages
Department of Health and Human Services (HHS)
entry |1 pages
Diagnosis-Related Group (DRG)
entry |1 pages
Discharge Days
entry |2 pages
Discharge Planning
entry |1 pages
DME
entry |1 pages
DNR
entry |1 pages
Do Not Resuscitate (DNR) Order
entry |1 pages
DRG
entry |2 pages
Durable Medical Equipment (DME)
entry |1 pages
Durable Power of Attorney
entry |1 pages
ED
entry |1 pages
EHR
entry |1 pages
Electronic Health Record (EHR)
entry |1 pages
Electronic Medical Record (EMR)
entry |1 pages
Emergency Department (ED)/ Emergency Room (ER)
entry |1 pages
Emergency Medical Treatment and Active Labor Act (EMTALA)
entry |1 pages
EMR
entry |1 pages
EMTALA
entry |1 pages
EOB
entry |1 pages
ePHI
entry |1 pages
ER
entry |1 pages
ESRD
entry |1 pages
Evidence-Based Medicine or Practice
entry |1 pages
Explanation of Benefits (EOB)
entry |1 pages
Fasting Blood Sugar (FBS)
entry |1 pages
FBS
entry |1 pages
Fee for Service (FFS)
entry |1 pages
FFS
entry |1 pages
For-Profit Hospital/Health System
entry |1 pages
Gastrointestinal (GI) Endoscopy
entry |1 pages
GI
entry |1 pages
HCAHPS
entry |1 pages
HCC
entry |1 pages
Healthcare (or Health Care)
entry |1 pages
Healthcare Effectiveness Data and Information Set (HEDIS®)
entry |1 pages
Health Information Exchange (HIE)
entry |1 pages
Health Insurance Portability and Accountability Act (HIPAA)
entry |2 pages
Health Maintenance Organization (HMO)
entry |1 pages
HEDIS®
entry |1 pages
HHA
entry |1 pages
HHS
entry |1 pages
Hierarchical Condition Category (HCC) Model
entry |1 pages
HIPAA
entry |1 pages
Home Health Agency (HHA)
entry |1 pages
Hospice Care
entry |1 pages
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
entry |1 pages
Hospitalist
entry |2 pages
Hospital Value-Based Purchasing Program (VBP)
entry |1 pages
Hourly Rounding
entry |1 pages
ICD-9
entry |1 pages
ICD-10
entry |1 pages
ICU
entry |1 pages
IDS
entry |1 pages
IHI
entry |1 pages
IM injection
entry |1 pages
Independent Physician Association (IPA)
entry |1 pages
Infusion Center
entry |1 pages
Inpatient Care
entry |1 pages
Inpatient Days
entry |1 pages
Institute for Healthcare Improvement (IHI)
entry |1 pages
Integrated Delivery System (IDS)
entry |1 pages
Integrated Medical Record
entry |1 pages
Intensive Care Unit (ICU)
entry |1 pages
Intensivist
entry |1 pages
Intern
entry |1 pages
International Classification of Diseases (ICD)
entry |1 pages
Intramuscular (IM) Injection
entry |1 pages
Intravenous Line (IV)
entry |1 pages
Intubation
entry |1 pages
In Vitro
entry |1 pages
In Vivo
entry |1 pages
IPA
entry |1 pages
IV
entry |1 pages
Joint Commission, The
entry |1 pages
LAMA
entry |1 pages
LCP
entry |1 pages
Leapfrog Group
entry |1 pages
Length of Stay (LOS)
entry |2 pages
Licensed Clinical Psychologist (LCP)
entry |1 pages
Licensed Practical Nurse (LPN)
entry |1 pages
Licensed Psychologist (LP)
entry |1 pages
Licensed Vocational Nurse (LVN)
entry |1 pages
Licensure
entry |2 pages
Long-Term Care
entry |1 pages
LOS
entry |1 pages
LP
entry |1 pages
LPN
entry |1 pages
LVN
entry |1 pages
Magnetic Resonance Imaging (MRI)
entry |1 pages
Managed Care Organization or System
entry |1 pages
Medicaid
entry |1 pages
Medical Assistant
entry |1 pages
Medical Center
entry |1 pages
Medical Emergency Team
entry |1 pages
Medical Home
entry |1 pages
Medically Necessary
entry |1 pages
Medicare
entry |1 pages
Methicillin-Resistant Staphylococcus Aureus (MRSA)
entry |1 pages
Morbidity
entry |1 pages
Mortality
entry |1 pages
MRI
entry |1 pages
MRSA
entry |1 pages
National Committee for Quality Assurance (NCQA)
entry |1 pages
National Patient Safety Foundation (NPSF)
entry |1 pages
National Quality Forum (NQF)
entry |1 pages
NCQA
entry |1 pages
Near Miss
entry |1 pages
Negative
entry |1 pages
NICU
entry |1 pages
Nosocomial Infection
entry |1 pages
Not-for-Profit Hospital/Health System
entry |1 pages
NP
entry |1 pages
NP-C
entry |1 pages
NPSF
entry |1 pages
NQF
entry |1 pages
NRC Picker
entry |1 pages
Nurse Practitioner (NP)
entry |1 pages
Obamacare
entry |1 pages
Observation Care or Observation Status
entry |1 pages
Oncology
entry |1 pages
Outcomes/Outcomes Measurement
entry |1 pages
Outpatient Care
entry |1 pages
PA, PA-C
entry |1 pages
PACU
entry |1 pages
Palliative Care
entry |1 pages
Patient Assessment
entry |1 pages
Patient-Centered Care
entry |1 pages
Patient-Centered Medical Home (PCMH)
entry |1 pages
Patient Days (Census Days)
entry |1 pages
Patient Experience
entry |1 pages
Patient Safety Alert
entry |1 pages
Patient Satisfaction
entry |1 pages
Payer or Payor
entry |1 pages
Pay for Performance
entry |1 pages
PCMH
entry |1 pages
Perinatal Care
entry |1 pages
Perioperative
entry |1 pages
Peripherally Inserted Central Catheter (PICC line)
entry |1 pages
Personal Health Information (PHI)
entry |1 pages
Personal Health Record (PHR)
entry |1 pages
PHI
entry |1 pages
PHR
entry |2 pages
Physician Assistant (PA, PA-C)
entry |1 pages
Physician Extender
entry |1 pages
Physician Hospital Organization (PHO)
entry |1 pages
PICC line
entry |1 pages
PICU
entry |1 pages
Point-of-Service Plan (POS)
entry |1 pages
Population Management
entry |1 pages
POS
entry |1 pages
Positive
entry |1 pages
Post-Anesthesia Care Unit (PACU)
entry |1 pages
Post-Op
entry |1 pages
PPO
entry |1 pages
PPS
entry |1 pages
Practice Guidelines
entry |1 pages
Pre-Existing Condition
entry |1 pages
Preferred Provider Organization (PPO)
entry |1 pages
Pre-Registration
entry |1 pages
Press Ganey
entry |1 pages
Pressure Sore or Ulcer
entry |1 pages
Primary Care
entry |1 pages
Prior Authorization
entry |1 pages
Prospective Payment System (PPS)
entry |1 pages
Protected Health Information (PHI)
entry |1 pages
Provider
entry |1 pages
Public Health
entry |1 pages
Quaternary Care
entry |1 pages
Rapid Response Team
entry |1 pages
Readmission
entry |1 pages
Registered Nurse (RN)
entry |1 pages
Reportable Event
entry |1 pages
Resident
entry |1 pages
Risk Adjustment
entry |1 pages
Risk Pool
entry |1 pages
RN
entry |1 pages
Room Turnover
entry |1 pages
RTC
entry |1 pages
Safety Net Hospital
entry |1 pages
Scrub Tech
entry |1 pages
Secondary Care
entry |1 pages
Sentinel Event
entry |1 pages
Sepsis
entry |1 pages
Serious Reportable Event (SRE) or Incident (SRI)
entry |1 pages
Service Family
entry |1 pages
Service Line
entry |1 pages
Skilled Nursing Care
entry |1 pages
Skilled Nursing Facility
entry |1 pages
SNF
entry |1 pages
SRE or SRI
entry |1 pages
Staff Physician
entry |1 pages
Subacute Care
entry |1 pages
TCAB
entry |1 pages
Tertiary Care
entry |1 pages
Third-Party Administrator (TPA)
entry |1 pages
TPA
entry |1 pages
Transfer
entry |1 pages
Transforming Care at the Bedside (TCAB)
entry |1 pages
Triage
entry |1 pages
Triple Aim
entry |1 pages
Urgent Care
entry |1 pages
UTI
entry |1 pages
Utilization
entry |1 pages
Value-Based Purchasing
entry |1 pages
VAP
entry |1 pages
VBP
entry |1 pages
Ventilator
entry |1 pages
Ventilator-Associated Pneumonia (VAP)
entry |1 pages
WHO surgical safety checklist
