Tools

How-To Guide: Do a Waste Walk

Taking a waste walk with your team is a good way to get started on performance improvement.

The first step is to educate your team about the different kinds of waste, using the "8 Types of Waste" tool.

Then follow the step-by-step instructions to complete a walk. Finish by targeting elements of your workflow or workspace that can be streamlined.

Working to Put Herself Out of a Job

Submitted by Laureen Lazarovici on Tue, 10/06/2015 - 17:47
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sty_Hank45_Working Out Job
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This UBT consultant gets results--and looks forward to the day her teams don’t need her anymore.

Communicator (reporters)
Sherry Crosby
Editor (if known, reporters)
Tyra Ferlatte
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UBT Consultant Charisse Lewis with key members of the Baldwin Park critical care team, Clinical Operations Director Felipe Garcia and Sheryl Magpali, RN, a member of UNAC/UHCP.

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Working to Put Herself out of a Job
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UBT consultant looks forward to the day her teams don't need her anymore
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When one of her teams is able to leap over the roadblocks in its path with the grace of an Olympic hurdler, Charisse Lewis finds herself out of a job.

As a UBT consultant for the Baldwin Park Medical Center in Southern California, it’s an occupational hazard that she looks forward to—again and again. Like coaches everywhere, she enjoys seeing her teams take what they’ve learned and make it their own.

“I do a lot of mentoring,” says Lewis, who acts as coach, counselor and head cheerleader for her facility’s 68 unit-based teams, nudging them past milestones on the Path to Performance, the five-stage “growth chart” UBTs use to measure success. “I’m teaching teams how to function without me.”

For example, she recently helped a team of critical care nurses advance from Level 1 to Level 4 by using an array of strategies from team-building activities to involving union representatives. Another team advanced to Level 4 in part because she coached the management co-lead, who was new to Kaiser Permanente, in how to manage effectively in a partnership culture.

A team to help teams

Lewis doesn’t work alone. She’s part of Baldwin Park’s UBT Strategy Group, a SWAT team of union members and managers who target at-risk teams. That team’s goal is to help UBTs excel so they can drive performance to provide the best service, quality, affordability and job satisfaction. Low-performing teams, says Lewis, tend to suffer from poor communication, paltry trust and a lack of transparency.

“It’s hard to get past that stuff,” she says. “They flounder there. They don’t trust each other and it’s hard to be a team.”

Part of Lewis’s talent in helping turn teams around is her skill in assessing stumbling blocks and getting teams engaged with the right resources. She draws on her experience as an LMP coordinator, trainer and improvement advisor to nuture her teams.

“I don’t like to stare at that elephant in the room,” says Lewis. “If it’s a contract issue, then we need a contract specialist. If it’s an HR issue, let’s make sure that HR is involved. I like to address the problem and get the team’s leaders involved, from both labor and management.”

Tops in Southern California

Her approach speaks for itself. Baldwin Park has the highest percentage of high-performing teams in Southern California: Of 68 teams at Baldwin Park, 88 percent are at Levels 4 and 5 on the Path to Performance.

Her passion, integrity and ability to help others overcome their differences and work together to improve member and patient care has earned her praise from LMP leaders throughout Southern California—but Lewis, in turn, credits her success to the many people who support her efforts.

“I have the support of the regional LMP office, and I have a strong support system at the medical center,” she says. “It makes my job easier.”

Take action to improve communication

If you are inspired to improve your team’s communication, just like the ones in Baldwin Park did, here are the next steps for you to take:

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Fishbone Diagram Examples

Submitted by tyra.l.ferlatte on Wed, 10/08/2014 - 14:55
Format
Running Your Team
fishbone examples

Interested in using the fishbone diagram tool in your performance improvement project? These examples of what a filled-out diagram looks like will help you understand how to use the tool.

Non-LMP
Tyra Ferlatte
Tool landing page copy (reporters)
Fishbone Diagram Examples

Format:
2 PDFs

Size:
8.5" x 11" 

Intended audience:
Frontline teams and co-leaders

Best used:
Download a blank fishbone diagram template, and then take a look at these filled-out examples to help you understand the kind of information you will want to brainstorm with your team.

 

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Waste Walk: Instructions

Submitted by anjetta.thackeray on Mon, 04/14/2014 - 11:24
Tool Type
Format
Running Your Team
tool_WasteWalk_instructions_final

Stretch your legs and your mind with an exercise to root out waste in your workspace and or your workflow. Follow this step-by-step guide to making your team's Waste Walk a success.

Non-LMP
Non-LMP
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Waste Walk Instructions

Format:
PDF

Size:
8.5” x 11”

Intended audience:
Level 2 and higher unit-based teams

Best used:
UBT consultants and UPRs can use these instructions to guide teams on finding projects that solve for affordability. Allow 1½ to 2 hours for the full exercise.

Use with:

 

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Waste Walk: 8 Types of Waste

Submitted by anjetta.thackeray on Mon, 04/14/2014 - 11:20
Tool Type
Format
Running Your Team
Topics
tool_TypesofWaste

Look at your work areas and workflows in a new way. These categories will help teams root out waste and solve for affordability.

Non-LMP
Tyra Ferlatte
Tool landing page copy (reporters)
Waste Walk: 8 Types of Waste

Format:
PDF (color and black and white)

Size:
8.5” x 11” (two-sided)

Intended audience:
Level 2 and higher unit-based teams

Best used: Download and share this introduction to performance improvement with team members as a guide to the common types of wasted resources that diminish care and service. 

Use with:

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PICK Your Priorities

Submitted by tyra.l.ferlatte on Thu, 01/02/2014 - 13:52
Tool Type
Format
Running Your Team
hank38_pickchart

The PICK chart tool is used to help teams prioritize their performance improvement work.

Non-LMP
Tyra Ferlatte
Tool landing page copy (reporters)
PICK helps teams prioritize performance improvement work.

Format:
PDF

Size:
8.5" x 11" 

Intended audience:
UBT sponsors, consultants and co-leads

Best used:
The tool helps determine which projects to focus energy on first—starting with work that has high impact and is relatively easy to do. Use the four categories to help a team set priorities.

 

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PPT: Presentation Guidelines

Submitted by Paul Cohen on Tue, 09/10/2013 - 15:25
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ppt guidelines for LMP_ppt

Quick tips, in six slides, for better PowerPoint presentations.

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Non-LMP
Tool landing page copy (reporters)

Format:
PowerPoint

Size:
8.5" x 11"

Intended audience:
Anyone who creates PowerPoint presentations in their work to support unit-based teams and performance improvement

Best used:
This six-page deck provides LMP Communications' suggestions for presentation design, structure and approach. Find templates, tips and ideas for effective presentations.

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Teams That Created a Culture to Get Results

Submitted by Laureen Lazarovici on Mon, 07/08/2013 - 16:15
Tool Type
Format
Running Your Team
ppt_virtual UBT fair_team culture for results

Presentations from three UBTs that successfully created team cultures and achieved strong results. They were presented at a June 24, 2013 virtual UBT fair.

Laureen Lazarovici
Tool landing page copy (reporters)
Creating a UBT Culture

Format:
PPT

Size:
39 slides 

Intended audience:
UBT co-leads, sponsors, UBT consultants, improvement advisors

Best used:
This PPT features presentations from three teams on creating a UBT culture: Rancho Cordova eye surgery team, Sunnyside (Northwest) emergency department and Northwest regional laboratory. Use to learn how three teams used UBT and performance improvement tools to create a team culture and get results.

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Fish Out Your Root Cause

Submitted by cassandra.braun on Thu, 05/30/2013 - 12:36
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Tool Type
Format
Running Your Team
tips_fishbone_diagram_PITool and ED-1899

These step-by-step instructions and template will walk you through using a fishbone diagram to determine the root causes for problems in a system.

Jennifer Gladwell
Tyra Ferlatte
Tool landing page copy (reporters)
Fish Out Your Root Cause

Format:
PDF and Word document

Size:
8.5" x 11"

Intended audience:
Level 2 and higher unit-based teams

Best used:
These step-by-step instructions and template will help your team use a fishbone diagram to tease out the root causes for problems in a system.

Note: Download the PDF version to print out and use in meetings. Use the Word template if you'd like to fill the tool out on the computer.

You may also be interested in:

 

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UBT Fair Poster Template

Submitted by anjetta.thackeray on Thu, 08/25/2011 - 00:04
Tool Type
Format
Topics
tool_UBT_Fair_Poster

This template helps you create posters and fliers to publicize UBT fairs.

Non-LMP
Tool landing page copy (reporters)
UBT Fair Poster Template

Format:
Word document

Size:
8.5" x 11" 

Intended audience:
Frontline employees and stakeholders

Best used:
Use this fill-in-the blanks template to promote your UBT fair. Fill out template and download customized poster or flier to hand out at meetings or post on bulletin boards. Add details such as day, time and location and any special guests and activities planned for the fair. Post fliers in breakrooms, union halls and other places where frontline employees gather.

For more tools, please visit the How-To Guide: UBT Fair in a Box.

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