104 Leveraging Lean in Ancillary Hospital Services
• Where is the high-volume equipment, like chemistry or hematology in a core labora-
tory, located? Closest to the tube system or furthest away?
• Is it batch or ow equipment?
CommuniCation
• How do we know if there is a problem?
• Is the area on plan or on schedule? The area should talk to you.
visuaL ContRoLs
• Is the area Five S’d? Is the area neat and organized?
• Are there visual controls in place?
• Are there any metrics posted?
• Is standard work posted?
LeadeRship
• What behaviors do the leadership drive? Is it obvious in the area?
• Are there audits in place?
• Did you ask people what they are measured on?
• Are people afraid of their leaders?
When we assess companies, we do this sa