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4 months
First
Diagnosis
contact
Ecient?
17h
/
2880h
=
0.6%
ADHD investigation
4 months
First
Diagnosis
contact
Ecient?
17h
/
2880h
=
0.6%
Parents
Chat
with
Func.onal
Psychological
Medical
Concluding
Final
interview
child
inves.ga.on
inves.ga.on
inves.ga.on
discussion
diagnosis
Psychological
inves.ga.on
Final
diagnosis
Chat
with
child
Concluding
discussion
Parents
interview
Medical
inves.ga.on
Medical
inves.ga.on
Func.onal
inves.ga.on
Medical
inves.ga.on
WHAT IS THE PROBLEM?
NEW WAY OF WORKING
What is a good investigation?
Seven steps
Work together as ONE team
Parents & child perspective
Common goal = quality & speed
Common best way of working
where everyone sees the big picture
THREE WEEKS!
INVESTIGATION
PROGRESS
MANAGEMENT
BOARD
Name:
Nima
Name:
Jenny
Name:
Emil
Name:
Fanny
Name:
Emma
Start:
April
14
Start:
April
16
Start:
April
18
Start:
April
21
Start:
April
25
Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress
WHY?
Low
cost
QUESTION
1
What
is
eciency?
-
What
is
great
quality?
-
Who
owns
the
right
to
dene
quality?
ADHD investigation
4 months
First
Diagnosis
contact
RESOURCE EFFICIENCY
Start
Stop
ADHD investigation
4 months
First
Diagnosis
contact
FLOW EFFICIENCY
Process
Throughput time
Need is Need is
identified fulfilled
High
Resource
eciency
Low
Low
High
Flow
eciency
Resource
eciency
Low
High
Low
Flow
eciency
High
Two forms of efficiency
Two forms of efficiency
High
Resource
eciency
Low
Low
High
Flow
eciency
What is your focus? What do you prioritize?
High
Resource
eciency
Low
Low
High
Flow
eciency
What shall we prioritize?
RESOURCE EFFICIENCY FLOW EFFICIENCY
EFFICIENCY PARADOX
THEORETICAL EXPLANATION LITTLES LAW
#
of
open
cases
35
Eects
- #
of
cases
- #
of
hand-overs
- #
of
restarts
- Complexity
- Failures
/
mistakes
+
Overview
/
focus
Throughput .me
3 weeks 4 months
Superuous
Free
up
.me
work
Amount
of
.me
spent
per
case
Value
Two indirect effects
High
Resource
eciency
Island
thinking
Independency
Narrow
focus
IneecSveness
Low
High
Flow
eciency
Flow oriented operations strategy
High
Resource
eciency
Low
Low
High
Flow
eciency
QUESTION
1
QUESTION
2
What
is
eciency?
How
shall
we
measure
eciency?
FLOW
EFFICIENCY
BEFORE
-
How
do
we
know
that
we
RESOURCE
EFFICIENCY
are
delivering
great
quality?
ADHD investigation
%
%
%
%
%
%
%
#
#
#
#
#
#
#
Parents
Chat
with
FuncSonal
Physiological
Medical
Concluding
Diagnosis
%
interview
child
invesSgaSon
invesSgaSon
invesSgaSon
discussion
4 months
First
Diagnosis
contact
Example 1
TO DRIVE A CAR
A driver NEVER closes his/her eyes!
Name:
Nima
Name:
Jenny
Name:
Emil
Name:
Fanny
Name:
Emma
Start:
April
14
Start:
April
16
Start:
April
18
Start:
April
21
Start:
April
25
Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress Inves.ga.on progress
Process
1
2
3
4
5
6
7
8
management
Performance
management
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
QUESTION
1
QUESTION
2
What
is
eciency?
How
shall
we
measure
eciency?
FLOW
EFFICIENCY
BEFORE
PROGRESS
RESOURCE
EFFICIENCY
BEFORE
OUTCOME