LEAN FOR FRONTLINE MANAGERS IN HEALTHCARE An action learning programme for frontline healthcare managers






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Are you ready to

challenge the status quo

and transform your




An action learning programme for frontline healthcare managers

Green Belt


6 days



Leading sustainable transformational change by leveraging the power of lean healthcare

The Healthcare sector is following the lead of the manufacturing industry more and more and adopting Lean as a continuous improvement methodology. Lean’s powerful tools have been adopted to address varying healthcare issues from wound care to reducing queues, to accessing services quicker, and has a proven track record in allowing healthcare providers deliver an improved service using available resources.

This Programme is designed for frontline managers in healthcare charged with delivering improvements to their services within constrained resources. The programme is specifically designed as a practical, tutor led course, to ensure that the benefits of Lean can be applied within the organisation within the shortest timeframe possible.

The Programme participant will be introduced to the key concepts of Lean Six Sigma methodologies, techniques and leadership skills required to effect real and sustained improvements to their service. Each stage of the Lean Six Sigma D-M-A-I-C framework; Define, Measure, Analyse, Improve and Control, will be worked through using real problems from within the course participants’ organisations. The training focuses on utilizing the most common Lean Six Sigma and Change Management tools in the execution of medium complexity projects.

How is the Programme delivered?

This Programme is delivered over 6 days in a practical, action learning tutor led style. Each training day is delivered by an MCO Lean Facilitator. The style of training is participatory, harnessing the knowledge and expertise of the Programme participants to deepen the learning experience.

Programme participants must bring real projects to work through during the course and in addition keep a learning journal.


This 6 day Programme will comprise three modules of 2 + 2 + 2 days, over a three month period (this can be tailored to suit your organisation’s requirements). Approximately 30 - 40 additional hours are required outside workshop hours. Participants are required to attend all six days, without exception.

Who should attend?

This Programme is relevant for front line management staff responsible for driving service improvement in day-to-day operations. It will equip frontline staff with the tools and techniques required to identify, plan, apply and maintain improvement projects. Following completion of this Programme, individuals will possess the skills necessary to lead improvement projects and work with Lean Six Sigma Black Belts on complex projects, and to lead transformation programmes within a Healthcare setting.

Entry Requirements:

•Management role within organisation

•Suitable project to complete during training

You must be:

 committed to additional work outside of workshops (2 – 4hours per week)

 a critical thinker

 a good communicator and a strong ability to work on own initiative

 strong competence in English language

 competence in Microsoft Office suite

please contact our head office for information on fees

Programme Output

Working through the 5 stage DMAIC process, each Programme participant will complete a change project for their own organisation and produce a programme for transformational change. .

If you always think the




thought, you’ll always

get what you’ve always

got – the same old,

same old ideas








Introduction to Lean Six Sigma –  what is Lean Six Sigma?  a brief history of Lean Six Sigma  why introduce Lean to a healthcare

organisation?  what are the benefits?  why does Lean succeed or fail?  project selection techniques Defining your project:

 Understanding key Lean concepts of processes, flow, value, pull and perfection  Problem statements – understanding the

issue in terms of scope, location, timeframe and quantification

 Developing the project Business Case  Stakeholder Analysis – who’s who and how to

engage with and how to influence the people important to helping you deliver a successful project

 Project Management – getting to grips with your project programme

 Managing Expectations – ensure a common understanding of the project and process being addressed at all levels of the organisation

 Identify, through consultation, your customer expectations, requirements and experiences of your service to date

 Outline the high-level process steps  Understanding the individual roles and their


 Understanding team dynamics & negotiating change

 Milestone review with Project Champion and Sponsor

Measuring current performance:  Understanding metrics and data

 Go to the Gemba and observe the process as it happens

 In consultation with the process experts, map the process to determine the “As-Is”  Detect and recognise bottlenecks and

variability within the process and understand how these effect service to your customer  Identify metrics and data necessary to

analyse the process in detail  Prepare and implement data collection


 Distinguish waste from value

 Determine how the process is performing currently

 Milestone review with Project Champion and Sponsor


As-Is Process Map, Data Collection Techniques, Waste Analysis, Spaghetti Maps, First Pass Graphical Analysis

Analyse – What is going wrong in the process?

 Identify critical factors for an efficient and effective service

 Understanding “defects”

 Utilise root cause analysis to determine the reasons why “defects” are occurring  Detect the drivers of variation

 Analyse data gathered in the Measure phase to identify relationships between process variables

 Examine and graphically analyse data to determine focus & prioritize root causes  Verify identified root causes using pilot


 Milestone review with Project Champion and Sponsor


Root Cause Analysis, 5 Whys, Detailed As-Is Process Map, Value Stream Map, Data Analysis


This course will assist participants in accelerating their transformation agenda in a sustainable manner.


Having completed this six day Programme, participants will have

A strong understanding of the concepts of Lean Six Sigma

Understand how utilisation of DMAIC can deliver sustainable process improvement

The ability to select and apply DMAIC methodologies and tools most applicable to the selected project Ability to participate and lead in process improvement teams that apply Lean Six Sigma tools & techniques

Employ project management techniques to plan and manage project programme and implementation

Understand the roles within Lean Transformational Programmes Develop Business Case for Lean improvement projects

Apply team selection theories in forming real project teams

Lead multi-disciplinary teams through project

Recognise the power of data – understand data collection methods, analysis and required presentation to achieve project goals

Influence and lead their colleagues and peers using effective communication techniques

Ability to present project results in a cohesive, accessible and persuasive format m m m m m m m m m m m m


6 day course, action

learning facilitator led








Improve – What solutions can be implemented?

 Harness creative thinking to develop solution options

 Solution selection techniques to ensure solutions address the project goals and objectives

 Assess the risks of the proposed solution implementation and identify a risk reduction strategy

 Develop practical implementation plans  Use Piloting and Simulation to determine

effectiveness of proposed solutions  Employ change management techniques to

engage stakeholders and overcome resistance

 Milestone review with Project Champion and Sponsor


Brainstorming, Priorisation, Solution Screening & Selection, FMEA, Poka-Yoke, Piloting & Simulation, Stakeholder Influence Strategies, To-Be Process Map, 5S, Training Plans

Control – Sustaining the improvements  Verify solutions have been implemented

effectively and ongoing controls are inherent within processes

 Monitor and review results routinely to ensure process is stable

 Devise feedback mechanisms for the teams  Validate improvement results & the final

financial impact

 Formulate control plans to ensure ongoing process measures are in place

 Ensure solutions are standardised  Implement a handover to process owners Toolkit:

Control Plans, KPI’s, Communication Plans, SOP’s, Standard Work Charts, Process Dashboards, Project Report, Closure Action Log


 Report out to Project Champion including a comparison of results with original objectives  Presentation preparation using powerpoint  Poster presentation (optional)

 Presenting Skills


senior healthcare managers executive level personnel clinicians

senior clinical managers and

anyone responsible for creating change and leading transformation programmes in a healthcare setting

have a minimum of 5 year’s managerial experience or experience as a Consultant

please contact our head office for information on fees m m m m m m


Participants will receive a 4D

Academy Training Certificateon successful completion of the course.


MCO Projects Ltd.


122 Capel St.

Dublin 1

t: +353 1 8870630








  1. www.mco.ie