Thursday, August 13, 2009


Last week, I learned a new acronym for remembering the 7 deadly wastes of manufacturing, WORMPIT. It certainly provides a more vivid image of “deadly” wastes than the acronym TIM WOOD, wouldn’t you agree?

Over Production
Rework (defects)
Processing (over or excess)

Worms have long been a symbol of decay and death. In nature, worms are attracted to decaying organic matter and dead vegetation. If the environment is also dark and damp, you don’t have to wait long and soon the worms will appear.

Using WORMPIT to help describe 7 deadly wastes may bring to our minds many images of something dead. Our businesses will most certainly face the same fate where wastes are allowed to exist in our processes.

If our business processes are full of waste, don’t allow it to become a WORMPIT. We should change the environment, by shining a bright light on all our problems. We must look for all the wastes and work to remove them every day. To begin, “all you need to do is follow the worms”.*

*(Lyrics from “Waiting for the Worms” by Pink Floyd – Another Brick in the Wall, Part 3).

Friday, August 07, 2009

The 7 Flows of Healthcare

1. The flow of patients
2. The flow of clinicians
3. The flow of medications
4. The flow of supplies
5. The flow of equipment
6. The flow of information
7. The flow of process engineering

Tuesday, August 04, 2009

The 7 Flows

“All problems can be solved by looking at and understanding the 7 flows.” Chihiro Nakao

In the book, Lean Thinking, authors James Womack and Daniel Jones, outlined lean thinking in terms of focusing on clearly specifying “value”, lining up all the value creating activities along a “value stream”, making value “flow” smoothly at the “pull” of the customer in pursuit of “perfection”. Following these deceptively simple concepts, many of us struggle on the path to becoming “Lean” as we constantly get stuck in the muck of waste, status quo and egocentric leadership.

Let’s look at just the concept of flow. Sounds easy enough to understand, right? Most of us know what is meant by flow and what is not flow. Flow is going down the highway at full speed with little or no traffic whereas getting stuck in a bumper-to-bumper traffic jam is not flow.

But how do we make value “flow” smoothly?

Many years ago, I was taught by one of my Japanese sensei, Nakao-san, the 7 flows in manufacturing.

1. The flow of Raw Material
2. The flow of Work-in-process
3. The flow of Finished goods
4. The flow of Operators
5. The flow of Machines
6. The flow of Information
7. The flow of Engineering

We must first observe each of these flows to gain full understanding. In our observation, take notes and sketch out the seven flows as we see them. It is very important not to skip this step and actually sketch out the seven flows regardless of our artistic skills. Why do you think it is important for us to sketch them?

As we are sketching the seven flows, what are some of the things we should be observing?

To help us think more of flow, here are just a few things to look for while in gemba.

Raw material, WIP and Finished Goods Flow
What is the standard work? What are the locations and distances? What are the container types and sizes? What are the packaging materials and what do we do with it? Are there any machine cycle times? How is the transfer of material accomplished? What are the conveyors, carts, forklifts being used?

Operator Flow
What is the standard work and operator’s cycle time (determine pace of the line slowest to fastest). What are the operator’s body movement..arms, hands, head, eyes, legs and feet . Observe the “go gets” of operators getting things to do their tasks.

Machine Flow
What is the machine cycle time? What are the set up requirements? What is the machine process and is it right sized only for what is required? Are there unused features in the machine? What steps are required to operate the machine? What are the requirements of properly maintaining the machines? Are the machines purchased or in-house built? Observe the machine wastes (collection, disposal, size and shape, recycle coolant).

Information Flow
Observe the transfer of information. What information is needed? What is the path of information? What are the decisions made by the operator? How many decisions are made by the operator? What does the operator do when a problem occurs or has a question? How does information of problems get passed on? Who responds to the operators needs? What information is on production control boards, production schedules, kanbans, manufacturing plans, etc?

Engineering Flow
What is the tooling required? What are the process controls and quality checks? Are there “go-nogo” gages? Observe any hanedashi devices (means the mechanisms to automatically eject a part from the machine to free up the operator to only load the machine).

Can you think of other items in observing the seven flows?

In each of the seven flows, observe the stops, the hesitations, the delays, the re-dos. We should also consider all seven flows working in harmony to improve flow. From these detailed observations of the 7 flows and our gained understanding of the process, we will see how to make value flow smoothly.