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Jidoka Case Study “Mistake Proofing Primary Care” Write a report (Maximum 450 wo

by | Jun 4, 2022 | Other

 

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Jidoka Case Study “Mistake Proofing Primary Care”
Write a report (Maximum 450 words) on the above mentioned case study and the supplemental podcast “Poka-Yoke
and the Error-Free Hospital”. The report should be focused on the examination and analysis of the specific issues
presented in the case study/podcast. Grading the report will be based on the completeness of your analysis, the
clarity of your logic and arguments and the quality of your presentation. Summarizing the facts and issues already
covered in the case study/podcast, and/or exceeding the word limit, would negatively impact your grade. There are
no explicit questions that need to be answered. Your thoughts, opinions, and analysis of the facts/scenario
in the case study and podcast will be evaluated.
Note: Before you begin work on the case-study you should have:
1) Read Chapter 6 (Jidoka) of the text book “Lean Production Simplified 2nd Ed by Pascal Dennis”
2) Watched the video “Jidoka_Introduction” (posted on D2L)
3) Listened to the podcast (posted on D2L) “Poka-Yoke and the Error-Free Hospital”.
CASE STUDY: Mistake Proofing Primary Care
Each day mistakes and defects occur in health care, and they can harm patients while eroding patient
and staff satisfaction. Care teams spend valuable time fixing mistakes that could otherwise be spent
caring for patients. Mistakes and defects also add to the overall cost of care. Examples in primary care
include rooming mistakes, scheduling patients for the wrong provider, medication errors and neglected
tests and vaccines.
Virginia Mason Medical Center has been on a journey to mistake proof primary care since 2002. One
guiding principle has been to equip clinicians with vital patient information they need to care for their
patients. This lean concept is defined as “jidoka” or having the instructions and knowledge necessary to
do one’s job right the first time, at the point of care. The following improvements were designed with
input from doctors, nurses, medical assistants and customer-service representatives from Virginia
Mason’s Primary Care Department.
Encouraging preventive screenings
First, Primary Care designed new standard work in appointment scheduling to support preventive care.
Now when a patient requests an appointment, a patient services representative checks the computer to
identify any preventive tests the patient is due for and offers to schedule them right at the point of
service.
Virginia Mason also added a Health Maintenance Module to its electronic medical records to make
patients’ preventive care needs more visible. While rooming the patient, the medical assistant uses the
module to flag tests the patient is due for in the medical record. The flag becomes the first note a
physician views during the visit, which must be modified before the physician can proceed any further
with the visit.
Leveling the skills of the team
Primary Care also ensured that each health care team member was doing the right work for their skill
level, also known as level loading or “heijunka.” Several tasks that physicians previously handled were
reassigned to others. For example, now medical assistants practice to the top of their certification; their
responsibilities include going through the problem list with the patient, performing more set-up and
prescreening, reviewing medication lists, verifying allergies, reviewing test results and administering
vaccines.
PHONE (206) 341-1600 FAX (206) 341-1410 EMAIL VMInstitute@vmmc.org WEB VirginiaMasonInstitute.org 2
Planned care
Primary Care also experimented with delivering more intense care and coordination for the patient.

 

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