Lean Healthcare – Why Does It Work For Some And Not For Others?

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There has been a growth in the use of Lean in Healthcare but is it always delivering the desired returns? Experts are being brought in to support Healthcare “Lean” programmes but are they leaving the organisations with robust new processes and the competencies to deliver Continuous Improvement? We see a premium for Trusts when their imported experts successfully transfer knowledge, develop staff skills and help enhance the right culture for leading and embedding improvement and experience is already showing that the focus on simple effectiveness does not automatically lead to long term improvements or the most effective processes.

The same is true outside healthcare for organisations in manufacturing where “Lean” has its roots but where it is nowhere near as ubiquitous as many assume. Indeed, many manufacturing companies that were “going Lean” fell by the wayside on their journey and the government continues to invest heavily in helping manufacturers to implement Lean more effectively and to develop the underpinning skills that are required to embed the change.

The NHS can learn from the experiences in manufacturing, not only of those who succeeded but also of those who failed to realise benefits. Already some of the problems experienced in manufacturing are becoming evident in healthcare. For example we have seen some organisations focusing solely on ‘Rapid Improvement Events’ (i.e. the implementation of the improvements) without preparing effectively (i.e. designing the improvements) or setting up systems to maintain and embed the desired new ways of working. This (error) approach to “Lean” can convert Rapid Improvement Events into ‘Rapid Ram Raids’ where:

o Improvements quickly occur BUT are not sustained.

o New risks are introduced (i.e. patient safety).

The organisation wide outcome is a loss of inertia, misunderstanding and lack of buy-in, etc, resulting in negative staff attitudes toward “Lean”.

Learning from manufacturing – Why has Lean not always delivered?

Some key reasons why Lean has failed to embed itself in some manufacturing companies are because the organisations have failed to:

o Set out an agreed vision and plan at the start

o Understand how the whole pathway functions prior to moving to ‘Rapid Improvement Events’

o Build sufficient internal expertise and relying too heavily on external consultancy support

o Engage the team effectively and a failure to recognise the need to change attitudes (cultures) at the same time as changing processes

Whilst these same “Lean” failure modes are starting to manifest themselves in healthcare organisations, there are specific ‘failure modes’ unique to healthcare which need to be considered.

It is obvious the way that processes are organised and operated contribute to the success of healthcare organisations in delivering an effective patient experience and high quality patient care. They also create a unique pattern of patient safety risks. Some risks are more obvious (e.g. infection) whilst others are less obvious or are hidden (e.g. failure to transfer information between organisations in a timely manner) which can lead to an adverse event occurring.

Current ways of working will include risk / patient safety management … Read More

Lowes, Destroyed Home Improvement.

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Lowes, Destroyed Home Improvement.

Yeppers! It was like one of the oldest Lowes stores in Kannapolis, similar to the one on Jake Alexander Boulevard in Salisbury. The time for moving came in the 2000s when Lowes moved to a new store on Dale Earnhardt Boulevard, west of the Exit 60 interchange with I-85 in Kannapolis. When the older store was vacated, a mattress store had a brief time in the old building before deciding to close up shop altogether. And the old Lowes remain vacant, after 2 stores either moved and closed. Improving Home Improvement in this vacant old building? No! Destroyed Home Improvement, in the old Lowes, in the K-Town.

Posted by yadkinnewswatch on 2017-06-05 00:12:06

Tagged: , Lowe’s , Lowes Home Improvement , former , lowes hardware , improving home improvement , Dale Earnhardt Boulevard , Kannapolis , North Carolina … Read More

Importance of Hiring a Professional Roofing Contractor

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Many people try to do their own home repairs. It is easy to look at instructions and videos online and try to tackle a repair themselves. When it comes to roof repair and replacement, however, hiring a roofing professional is worth it.

A professional roofer has years of experience. No video can give you the knowledge the comes from years of training and practice. A professional roofer also knows about the materials and tools needed to get the job done correctly. Roofing is more complex that it initially seems and missing a small point can lead to problems later. An experienced roofer will also know where to look for the root of the problem, what caused the leak or damage in the first place. A professional roofing company will be licensed and insured. New roofs installed by a professional roofing company come with warranties. DIY projects can’t get help for faulty work or materials.

Climbing up on a roof is dangerous work. Falls from roofs are a common occurrence. A professional roofer has been trained in the proper way to move materials to the rooftop and has all the safety equipment and experience needed to get the job done safely.

Repair or replacing a residential roof is a big job. It can take a professional roofing crew two or more days to finish a home. A DIY job will take much longer as it lacks the proper tools, equipment, know-how, and man power. A DIYer will need to look up instructions and refer to reference materials while a professional already knows how to get the task completed. Not only is getting it done quickly more convenient, but the roof is exposed during the process, which can result in further or developing problems.

Doing it yourself, as opposed to hiring a professional contractor doesn’t save as much money as it might seem. Roofing companies can get materials at a discounted rate so they get better quality materials for the dollar. A DIY project will most likely require purchasing new tools. There are long term costs resulting from mistakes, improper materials and installation. Professionally roofed homes have fewer maintenance costs in the long run.

If there is a possibility you will be selling your home in coming years, hiring a qualified professional roofer adds value to your home. In addition to design and curb appeal, a home inspector will recognize a professionally installed roof. Warranties will transfer to the new owner and they will also have access to the information on the roof’s materials and construction. These things give potential buyers peace of mind therefore making your home more desirable.

Before you climb onto your roof, consider all the benefits of hiring a professional roofing contractor to get the job done right.… Read More

Different Kinds of Career Paths in Plumbing

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Plumbing is one career area that is both diverse in the types of job tasks and the job areas where plumbers can be found working. When most people think of plumbers, they think of professionals that deal with broken water pipes and blockages in the sewer lines. However, there is much more involved in the plumbing industry which has resulted in many types of plumbing career paths that people can pursue as professional plumbers.

Today, there are more plumbing opportunities available in a wide variety of business areas where both male and female plumbers can be found working. For instance, plumbers can be found working in large construction companies, home renovation companies, as government contractors, and in national plumbing chains.

The job functions of plumbers will vary according to the type of plumbing career and the particular business sector. For instance, commercial plumbers can be found repairing and managing waste systems and water systems in commercial buildings and properties, government facilities, and large buildings in the process of being constructed such as business buildings, apartment buildings, and large buildings designed for shopping malls, hotels…etc.

Another career area where plumbers can work is municipal governments in the municipality’s large waste management system. As well, plumbers will work in conjunction with building and home inspectors by inspecting plumbing systems to make sure they are in top working condition and safe. They can also be found working with home contractors to determine where to lay plumbing pipes for such devices as washing machines, dishwashers, pools, and wells. As well, many plumbers will operate their own plumbing business which is very rewarding.

Plumbers have the option of specializing in a number of specific career areas such as pipe-layers, pipe-fitters, sprinkler-fitters, and steamfitters. Their tasks will include installing and working on various pipe systems. For instance pipe-layers will lay pipes for drainage, water, sewer, or gas systems. Pipe-fitters will work with low pressure and high pressure pipes that are used for commercial purposes such as central air conditioning or heating. Steamfitters work with pipes that carry substances such as gases that are in an extremely high-pressure state. Sprinkler-fitters install automated sprinkler systems in buildings such as office buildings and apartment building as part of a fire alarm system. Plumbers can also have a career in the Air Force where they can utilize their plumbing skills and education to install and maintain water, waste water and gas systems.

Plumbers have always served an important role in society, not only in keeping our home plumbing systems safe and in good working order, but they also play an important role in commercial and governmental organizations. Many plumbing career opportunities will require undertaking intensive education and training to become certified as a professional plumber. A career as a plumber is challenging and financially and personally rewarding. Plumbing is one career area that offers many opportunities for those seeking a financially, challenging, and rewarding career. Whether it is a home, commercial, or another organization that requires the skills of a … Read More

Just Real Construction1

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Just Real Construction1

With over 10 years experience in the construction industry, Just Real Construction is the Brooklyn general contractor to call for your next renovation or construction project.Operating from 1349 East 38th street, Brooklyn NY 11234, Just Real Construction specializes in both residential and commercial construction. We offer quality painting, kitchen and bathroom remodeling, basement refinishing, room additions, installation of interior and exterior doors – including French doors – and full historical renovations. Just Real Construction provides plumbing services, flooring installation, including all types of hardwood, laminate, tile and carpeting. We can fix your windows – whether it is replacement windows for broken or damaged windows or complete new window installation with energy-efficient dual-paned windows. The bottom line is there is no job too large or too small for Just Real Construction – from installing hardwood, laminate, tile or carpeting flooring in one room or the entire house; creating your drinkitchen or bathroom; or a Brooklyn brownstone renovation – we will help you every step of the way to design your ultimate dream home.

Our design team works with customers to choose flooring, appliances, floor layout, texturing, fixtures and cabinetry. From the design phase straight through to completion, Just Real Construction offers quality workmanship and attention to detail, ensuring a completed project that exceeds the dreams and expectations of the customer. For a full list of services, please visit www.brooklyn-contractors.net.For quality construction in Brooklyn, NY and the surrounding areas- call Just Real Construction. You’ll have complete peace of mind when Just Real construction is on the job – we’re fully licensed, bonded and insured, and we offer a 100% satisfaction guarantee on all workmanship in addition to the manufacturer’s warranty on all building materials.Call 646-319-3470 today for a free estimate. Just Real Construction serves New York City (Manhattan, Brooklyn, Queens, Long Island) and the surrounding areas for all your general contracting and construction needs.

Posted by Just Real Construction1 on 2011-08-15 20:42:04

Tagged: , kitchen remodeling , hardwood flooring , painting , interior decoration , interior design , general contractor , Electrician , Window Installation , Exterior door installation , kitchen renovation , kitchen cabinets , tile installation , hardwood floors , home renovation , basement remodeling , basement finishing , wood floor repair , basement refinishing , molding , lighting installation , painting house , home interior painting , plastering , kitchen countertops , Brooklyn , NY , NYC. … Read More

Eight Little Things Not to Forget When Building a New Home

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Building your own home can be exciting yet nerve racking experience. Paying attention to detail throughout the construction process will help streamline the process and increase your ultimate satisfaction with the home. Here are eight little things not to forget when building your new home.

Ample High Performance Lighting – Be sure to install ample high output energy efficient lighting in high use areas. This rule absolutely applies to kitchens and bathrooms. If installing recessed lighting, be sure to several lights through out the kitchen or bathroom to avoid shadows. Chandeliers, track lighting, fluorescent lights or under cabinet light will all work fine. Just be sure to install plenty of them in high use areas.

Insulate Your Garage – Most builders only install insulation within interior walls of the home that face the outside of the house. Generally, builders do not insulate the exterior walls of your garage. Forget this tip and your garage will be hotter in the summer and colder in the winter. Have your builder insulate the exterior facing walls of your garage before the drywall is installed. Better yet, do it yourself to save some money.

Electrical Outlets Under Eaves – If you like to install lights during the holiday season on your roof line, be sure to install electrical outlets under the eaves to simplify installing the lights. Also be sure to install a switch to turn the lights on or off from inside your home near the front entrance. When you are up on that ladder on a blustery winter day, you will be thankful you can just plug the lights in with minimal extension cords and flip the lights on or off with a switch from inside your home. Speaking of holiday lights, install an outlet near the mantel of your fireplace too.

Double Coaxial Connections in Wall Jacks – Given the popularity of high definition televisions and digital video recorders, be sure to run two coaxial cables into each wall jack where you may want a TIVO or DVR unit. This will allow you to record one show and watch another simultaneously. Forget and you will need to drop that second coaxial line later which can be very tricky after drywall is installed.

Gas Line In Utility Room – Even if you plan to use an electric clothes dryer, it may be prudent to install a gas line into your utility room to allow for a gas clothes dryer in the future. Although gas prices are on the rise, if you have a large family and do many loads of laundry each week it may be cheaper in the long run to use gas. If you do not add a gas line in the utility room, an electric clothes dryer will be your only option.

Seal Your Garage Floor – Consider sealing your garage floor before moving into the home. Concrete sealer is available in do-it-yourself kits that will protects your garage floor from deterioration caused by road salts and prevent stains … Read More