Browsing All Posts filed under »Process improvement«

Habits and Repetition: the Key to Learning

March 28, 2013 by

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Learning habits are an essential and critical to learning a new discipline. I am not an expert in Kung Fu, that much is clear. However, I am learning useful skills every time I step into the DOJO, which is 2-3 times per week. When I look back as a beginning white belt almost 2 years […]

Testing the Hypothesis

February 15, 2013 by

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We are entering the interesting planning phase of a 5 day workshop for the Psych Services value stream. This will be the 2nd multi-day kaizen event aimed at redesigning onsite care and security for our highest risk RED patients in the King County Jail. In reflecting back, it is fascinating to see how far we […]

A difficult but necessary phase

December 21, 2012 by

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We are 2 and a half weeks into going “live” with some considerable process changes and improvements in the psych services value stream. Despite this short timeframe, we are already beginning to see a number of significant improvements in outcomes results – just from the first event. Specifically, these improvements have better defined psych patients […]

Ready for Go-Live

November 30, 2012 by


Some time has elapsed from the last posting, but here I am back at it! There is an exciting electrifying current present now in the KCCF and RJC Intake and Receiving units. Managers and front line staff alike have demonstrated a sense of urgency as some substantial process improvements will be going live over the […]

Managing the Implementation through PDCA

November 2, 2012 by


We are now at the 30 day period following the first kaizen event in the joint Dept of Adult Juvenile Detention / Jail Health Services value stream improvement. While improvements to processes and systems have not yet been implemented, this is an exciting time as these changes will be going live in 4 weeks time […]

Aligning our Processes around the Patient

October 10, 2012 by

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The Psych Services / DAJD value stream has completed its first of several improvements aimed at aligning people, processes, materials, and information flow toward the customer, the KCCF and RCJ jail psych patients. Viewing the customer as the patient alone, as well as balancing patient requirements with DAJD and JHS stakeholder requirements for safety, security, […]

Up and Running

September 17, 2012 by

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JHS has concluded a busy week of standardizing core work processes in two areas: release planning and the daily medication pass to patients. This is an exciting time as we have spent the last several months with leaders training and understanding basic lean concepts without actual changes to operational processes. With standard work designed, we […]