Foundational Topics & Course Descriptions

Fundamentals of Lean

This is an overview of Lean including the meaning and purpose of Lean in healthcare, key components, and systems, process improvement tools, strategies for True North Alignment, and strategies for sustaining engagement. It will include specific examples from UCSF Health departments as well as other organizations.

A3 Thinking

This is a methodical, deliberate approach for problem-solving. The framework emphasizes critical reasoning skills and uses evidence to design improvement experiments. This approach is valuable for prioritizing, planning, and communicating improvement efforts at UCSF Health. Participants practice drafting A3 thinking using individual problems, and provide coaching to others in problem-solving.

Active Daily Engagement (ADE)

This is our organizational management system that focuses on the communication of True North priorities, alignment in improvement efforts, problem-solving at the source, and working within a systems-based practice. Participants create visual management for communicating progress on key initiatives and practice coaching during Leader Rounds.

Leadership Fundamentals

This session covers fundamental, tangible leadership skills and techniques which can be immediately put into practice. The focus is on self-awareness, situational awareness, optimization of team dynamics, approach to crucial conversations and negotiation key components of change management, and establishing accountability with personal development planning. Participants will receive a personalized 5 dynamics assessment, practice leadership techniques, and receive direct coaching.

Lean and Continuous Improvement Tools

This is a comprehensive review of improvement tools. The purpose is to develop competencies in leaders responsible for prioritized improvement initiatives. It will include experiential learning using clinical simulations on topics including:

1. Value Stream Mapping

Understand value and patient-centered flow

Develop and analyze current state value stream

Apply lean concepts including kanban, quick set up for optimization of flow, improvement of quality, and elimination of waste

2. 5S and Visual Management

Understand value and patient-centered flow

Develop and analyze current state value stream

3. Standard Work

Understand the purpose, elements, and development of standardized work in order to drive sustainable improvement

4. Mistake-Proofing

Understand fundamental principles for a comprehensive mistake-proofing system

Experience a healthcare simulation in which mistake-proofing core concepts are incorporated directly into the flow of standard work