Going lean: Building Patient-Centered Medical Home using
LeanKit Kanban method
Maria V. Gibson, MD, PhD
Trident Family Health, Charleston, SC
Trident Family Health
• .
Method
• Why LeanKit Kanban?
• On line and Mobile Visual tool of workflow for
many projects at once available for all team
members
• Capacity to follow the progress of each project
• Capability to make quick and easy changes to
the processes and workflows forteam members
Ability to delegate tasks to different team
members
• No extensive and lengthy learning process
• Low cost
• Trident Family Health is a
Family Medicine center for
33 part time practicing
physicians and 20.000
patients visits a year.
• As a teaching center, we are
affiliated with the
Trident/MUSC Family
Medicine residency program.
LeanKit Kanban
Problem
When University Family Medicine Family center changed
ownership from academic (Medical University of South
Carolina) to corporate (HCA, Trident Health), practice faced
several challenges:
• New credentialing process
• Implementation of new EMR and a new workflows
• Meeting Residents Patients visits volume to meet RRC
requirements for graduation
• Establish effective training environment for residents in
outpatient Family practice
• Loss of Medicaid contractual agreements
• New Practice marketing and promotion
• Establishment of new processes and procedures in
conjunction with new corporate policies
• New Medicare Meaningful use reporting
How to accomplish all those goals in the shortest period
of time with minimum resources?
Objective
• Demonstrate the LeanKit Kanban method in order to
accomplish multiple goals in medical practice in a short
period of time, with minimal resources in a team work
environment.
PCMH Board
Building Practice based on
NCQA PCMH elements
LeanKit Kanban = Lean methodology+ LeanKit software +
Kanban method
Practice Processes
NCQA PCMH elements
•Lean is centered on preserving value with less work
•Kanban (かんばん(看板)?) Japanize: “signboard” or “billboard”
1.Create the board with PCMH elements
is a scheduling system for lean, developed at Toyota to
• promote improvement
2.Delegate the task card
•LeanKit transformed the Kanban method online
•LeanKit has 120,000+ total users in North America, Europe,
Latin America, the Middle East, and Asia including companies 3.Manage the detailed project
like Rolls-Royce, Amdocs, JetBlue, Glaxo-Smith-Kline,
Attachmate, Vertafore, HCA Healthcare, AOL, Spotify,
Siemens, DirecTV, NBC Universal, and the government of
Ontario, Canada use LeanKit technology.
•
www.leankit.com/
TFH LeanKit Project Board
4.Move card from To do to Doing than Done
Acknoledgments
Residents of the Trident/MUSC Family Medicine Resdency
Program for overcoming difficulties of the transition
• TFH staff for their daily support and enthusiasm
• TMC and HCAPS leadership for giving opportunities
• Reveal challenges and successes of the TFH journey of
building PCMH in 12 month.
• TFH Practice manager Diana Hall, MHA for leading the
projects