Monthly Metrics Report, HCA's Tool for Measuring the Success of Lean
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1 Monthly Metrics Report, HCA's Tool for Measuring the Success of Lean Ken Kulaga and Natasha Moore Hospital Corporation of America October 18, 2017 CAPTURE AND LEVERAGE THE LEAN ADVANTAGE
2 Hospital Corporation of America (HCA) 2
3 Hospital Corporation of America (HCA) 3
4 Hospital Corporation of America (HCA) Design & Construction department 51 people 7 focus on improving capital productivity Construction project mix 20% greenfield projects 31% renovation projects 49% bolt-on projects Current projects funded and under construction 300+ projects $3.2B 4
5 Hospital Corporation of America (HCA) 5
6 Hospital Corporation of America (HCA) 6
7 HCA s Lean Journey Early Years Long-term relationships with select group of designers and builders Standardization of overall design Sourcing agreements 7
8 HCA s Lean Journey Recent Years 8
9 HCA D&C: Changing the Way Healthcare is Built Traditional performance measurement in the construction industry hasn t supported improved productivity. Changing our delivery model requires new approaches to measuring efficiency and effectiveness. 9
10 C A P T U R E A N D L E V E R A G E T H E L E A N A D VA N TA G E HCA D&C: Changing the Way Healthcare is Built Traditional performance measurement in the construction industry hasn t supported improved productivity. Changing our delivery model requires new approaches to measuring efficiency and effectiveness. 10
11 C A P T U R E A N D L E V E R A G E T H E L E A N A D VA N TA G E Project in California ( ) Early Design Involvement (EDI) Involvement of designers, engineers, general contractors, and major trades from the very beginning of the project Challenge Define EDI measurements Determine impact EDI has on the project How do you know if Lean/EDI is working? 11
12 C A P T U R E A N D L E V E R A G E T H E L E A N A D VA N TA G E Benchmarking = Staple of Healthcare Industry 12
13 Search for Key Performance Indicators (KPIs) 13
14 Measurement = Business Case for Lean 14
15 Activity vs. Results 15
16 Driven by Data: Monthly Metrics Report A project level tool used to set project cost, schedule, quality and productivity goals. A complete visible project performance dashboard of leading and lagging indicators tracking actuals versus targets. A data collection method to provide program feedback regarding the impacts of changes to how we build (example: modular components). Data feed for program-level gap analysis, statistical trend analysis, and better strategic decision making. Project delivery model uses data and analytics to drive improved performance. 16
17 Driven by Data: Monthly Metrics Report 17
18 MMR KPIs 18
19 MMR KPIs 19
20 MMR KPIs 20
21 MMR KPIs 21
22 MMR KPIs 22
23 MMR KPIs 23
24 Driven by Data: Monthly Metrics Report 24
25 Driven by Data: Monthly Metrics Report KPIs that provide the entire project team a high-level yet insightful view of the health of the project from design through completion of construction Tool to articulate project goals and to determine how intentional application of Lean strategies impacts the project Real-time project-specific business case for Lean to the HCA D&C department as well as to all the trade partners who make HCA D&C projects possible 25
26 Riverside Project MMR 26
27 MMR: Improving Overall Project Performance Standardization Prefabrication Early alignment of Trades 27
28 Leveraging Scale using Data Driven Program Management MMR is a tool for program-level trend evaluation and decision making. 28
29 Program-Level MMR More than a report Catalyst for target-setting, action, and application of levers of change Owner s quest to achieve predictable outcomes throughout the company (scale of 150+ hospitals) using a continuous improvement cycle 29
30 Three Key Insights Measuring impact of lean practices in design and construction projects requires discipline You need to start with a small group of people committed to doing what is otherwise hard to do Once implemented, lean metrics become a powerful catalyst for changes in behavior 30
31 Questions 31
32 Contact Information Ken Kulaga, Natasha Moore, 32
33 In the spirit of continuous improvement, we would like to remind you to complete this session s survey in the Congress app! We look forward to receiving your feedback. Highest rated presenters will be recognized.
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