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Table of Content
1. Introduction ........................................................................................................................ 1
A. First case study: Applying Lean Principles and Kaizen Rapid Improvement Events
in Public Health Practice ........................................................................................................ 2
3. Conclusion ......................................................................................................................... 7
4. Reference ........................................................................................................................... 8
5. Appendices ......................................................................................................................... 9
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List of figures
Figure 1: Tool board as a Poka Yoke device[4] ........................................................................ 5
List of tables
Table 1: Intangible and tangible results ..................................................................................... 3
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1. Introduction
In this modern era, manufacturing has evolved considerably since the advent of
industrial revolution. In current global and competitive age, it is very important for
organization to have manufacturing practice which is lean, efficient, cost-effective and
flexible. World Class Manufacturing is a collection of concepts, which set standard for
production and manufacturing for another organization to follow. Japanese manufacturing is
credited with pioneer in concept of world-class manufacturing[1].
For this assignment, the students are needed to identify and investigate the examples
of kaizen that was successfully carried out to improve any of the area including quality,
safety, culture, processes, leadership, technology, organization, productivity and others. The
students must explain clearly about the problem statement, the approach used, and the impact
of the kaizen based on the examples.
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2. Research result
A. First case study: Applying Lean Principles and Kaizen Rapid Improvement
Events in Public Health Practice
I. Problem statement
This case study describes a local home health and hospice agency’s effort to
implement Lean principles and Kaizen methodology as a rapid improvement approach
to quality improvement. The agency created a cross-functional team, followed Lean
Kaizen methodology, and made significant improvements in scheduling time for
home health nurses that resulted in reduced operational costs, improved working
conditions, and multiple organizational efficiencies.
In this case study, the approach used is the Kaizen Event or rapid
improvement event that one of the most successful lean tools, which typically require
4 to 5 consecutive days of improvement work focused on empowering frontline staff
and utilizing their knowledge to create more effective and efficient processes[3]. They
are using kaizen methodology as their approach for major problem-solving activities
and changed their culture.
2
listed the wasteful items on their map. The team identified 3 areas to focus
improvements:
1. The quality of the information coming into the agency’s intake staff
2. Issues and delays faced by the staff in the field who service patients
3. Reducing time required making daily assignments so nursing staff could see
patients sooner
Also, on the last day, the team began preparing for a future Kaizen event,
including a “5S” which are sort, set-in-order, shine, standardize, and sustain
approach, and overall workplace organization for their home health medical supply
room and storage area. Over the next 90 days, the team met regularly to finalize
pending items from the Kaizen[3].
After the success of its first project, the company began incorporating Lean on
a regular basis and Kaizen events are now regularly used for problem solving. The
company has adapted the Kaizen approach to meet its needs by setting aside a half
day for project definition, a Gemba walk, debriefing waste, mapping the process,
brainstorming improvement ideas, and creating a list of Plan-Do-Study-Acts to test. In
the weeks that follow, they work on testing ideas and small changes. The team meets
again for another half day to review outcomes and revisit discussions on adjustments
or next steps.
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B. Second case study: Total Productive Maintenance (TPM) Implementation in
A Machine Shop
I. Problem statement
4
Figure 1: Tool board as a Poka Yoke device[4]
5
Table 2: Analysis from fish bone diagram[4]
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III. The impact of kaizen
The goal of the any TPM program is to improve productivity and quality along
with increased employee morale and job satisfaction. Earlier preventive maintenance
was considered as non-value adding process, but now it is essential requirement for
longer life cycle of machines in an industry. TPM is an innovative approach to
maintenance that optimizes equipment effectiveness, eliminates breakdowns, and
promotes autonomous operator maintenance through day-to-day activities involving
the total workforce. One of the concepts from the TPM is kaizen which give an impact
towards the Overall Equipment Effectiveness that improved from 63% to 79%
indicating the improvement in productivity and improvement in quality of product[4].
3. Conclusion
Regarding the first case study, it describes a local home health and hospice agency’s
effort to implement Lean principles and Kaizen methodology, which resulted in reduced
operational costs, improved working conditions, and multiple organizational efficiencies.
This shows that the kaizen methodology gave a big impact towards the company in a long-
term period in most of the aspects. This case study suggests that Lean improvement and
kaizen methods may be one effective approach for public health agencies to optimize their
resources and improve in the area of quality.
Then for the second case study, it focuses on the improvement area of processes,
quality and productivity by implementing one of the pillars of TPM, kaizen in a phased
manner is leading to continuous improvement of the company. There is also the analysis of
the data before and after implementation of the pillar. Overall equipment effectiveness (OEE)
is taken as a measure of success of the pillars of the TPM’s implementation.
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4. Reference
[1] “World Class Manufacturing - Meaning and its Principles.” [Online]. Available:
https://www.managementstudyguide.com/world-class-manufacturing.htm. [Accessed:
04-Apr-2019].
[5] “It is our ‘ Continuous Improvement System ’ Founded in TPM What is World Class
Manufacturing ? WCM is a mindset based on a continuous.”
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5. Appendices
A. Individual Assignment Rubric
Scale 1 2 3 4 5
Self
Criteria Poor Acceptable Excellent Mark
Review
Writing is
Writing is well
disorganized, Writing is found
Format organized and
unfocused to the to be in
covered relevant to
main theme and accordance with the course
Organizati (CO1) disconnected. course 3
requirements and
on Not following the requirements topics for
required format and have some discussions.
of presentation. focus on
Each sub-topic is
discernible clear and well
theme and structured.
supporting
details.
Writing lacks
Excellent writing
clear sentences
Writing and paragraphs. Writing skills skills in the use of
are somehow words and prefect
Language Deficiencies in 3
clear and grammar.
(CO1) good
paragraphs Sources of
grammatically skill
are well reference are well
witting.
structured. cited with complete
Less explanation of
grammar tables and figures
mistakes
Able to make use
of all relevant and
Adequate available
use of resources
Inadequate use resources effectively
of resources
Receptive to Receptive to new
Not receptive to some new ideas ideas, critics,
Lifelong new ideas and and partially able suggestions and
Utilization Learning unable to utilize to act able to act
them accordingly 10
of autonomously
Lack of interest Show interest Show strong
resource (CO4) interest and
and curiosity in and curiosity
s acquiring new curiosity in
in acquiring
knowledge new acquiring new
Not many knowledge knowledge and
resources and expanding it to
explored expanding it new horizon
Inadequate or no through new through
citation of resources resource
resources utilization utilization.
9
Adequately Many
cite all resources
references explored
Sources of
reference are
well cited with
complete
explanation
of tables and figures
Total 100
Note: This case study will be given an overall grade of 10% marks (CO1 – 1%, CO2 – 8%, CO4 – 1%)
of the course.
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