What Can Your GI Services Learn from Toyota?

1 Standardize each procedure room.; 2 Improve patient and provider flow.; 3 Free nurses from room turnover.; 4 Instantly communicate room status.; 5 Stop pushing and start pulling.; 6 Increase doctors' efficiency.; 7 Improve scheduling.; 8 Small-batch lab results.; 9 Segregate admission and recovery.; Not done yet; Boeing; Center; Free; Freeing; GI; GI/endo; GI/endoscopy; Improve; Included; Increase; Instantly; Japan; Keeping; Lab; Mason; Mason Medical Center; Medical Center; Production System; Recovery; Results; Segregate; Small-batch; Standardize; Stop; System; Toyota Production System; Toyota's; U-shaped; Virginia Mason; Virginia Mason Medical Center; accompanying; achieve; actively; adapted; added; addition; adjacent; admission; admit; admitted; anticipate; area; arrival; arrive; asked; average; back; backlog; batches; began; benefit; block; blue; bottleneck; case; central; chance; changing; chatting; clean; cleaning; clinic; communicate; compared; completely; complex; concentrate; concept; consecutively; continuous; costs; counted; created; creating; day; days; decrease; defects; delivered; department; departments; determine; direct; dirty; discovered; discussed; distance; distribute; doctors; document; dramatic; draws; drew; duties; easily; easy; eliminate; eliminates; emergent; end; entire; equipment; everyday; executive; extra; feet; final; find; finished; five-chair; floor; flow; focus; foreign; freed; gains; gaps; gastroenterology; green; health; helped; hours; improved; improvement; improvements; included; increased; increasing; information; ink; instituted; interventional; items; kaizen; lab; layout; lead; leader; leadership; learn; light; located; locked; made; management; margin; means; measured; medication; member; method; minutes; morning; moving; muda; narcotics; needed; net; normal; number; nurse; overschedule; paper; part; passed; pathology; patient; patients; pending; percent; person; physician; place; planned; planning; poka-yoke; post-procedure; printed; printing; procedure; procedures; process; processed; product; provide; provider; pulls; pushing; quality; quarter-mile; quickly; ready; reconfiguration; recovery; red; redesigned; reduce; reduction; relieve; reports; researching; reserve; result; resulted; resulting; results; revenue; role; room; rooms; routes; same-day; satisfied; saved; schedule; scheduling; screening; searching; short; signals; significant; single; slots; smaller; solution; specific; spend; spent; staff; start; started; status; steps; store; studied; suite; supplies; supply; system; team; techs; tells; test; therapeutic; time; times; trip; turn; turnover; turnovers; unexpected; urgent; vision; visits; wait; walk; walking; waste; week; white; words; work; world; years; yellow