Value stream mapping

Value Stream Mapping (“VSM”) is a lean manufacturing or lean enterprise technique used to document, analyze and improve the flow of information or materials required to produce a product or service for a customer [1]. In the Emergency Department, the customer is the patient and the product is the service rendered. Central to Value Stream Mapping in the Emergency Department (“ED”) setting is its focus on the patient with analysis of activities viewed from the patient’s perspective. VSM is a strategic planning tool applicable to both service and product industries. VSM differs from the typical metrics process map in the following five ways: 1) scope, which includes an end-to-end system map, 2) perspective, which is a high level macro view…

if not eliminated. The essential thing in going lean is to eliminate the waste. “Stripped to its roots, lean focuses on decreasing waste, increasing value to the customer and a process of continuous improvement.” (Dalto, 2015) There are 8 wastes categories recognized when going lean, they are Unutilized People, inventory, motion, waiting, transporting, defects, overproduction and over processing (Sarkar, 2009). The goal for the Receiving section is to eliminate Motion, which is unnecessary…

the culture of most care centers. Shah and Ward (2007) suggest that there are five principles of lean that is value, value streams, flow, perfection, and empowerment. The first deals with an understanding value from the customer perspective, while the second defines the processes that will add value to the customer. The third involves making the flow without any delays, the fourth deals with the need for products or services to be pulled…

Fish Kill is the process in which dead or dying fish seen in a body of water. The article released by Florida LAKEWATCH says, “There are many factors that contribute to fish kill.” Some factors are a result of human interference and the environment itself causes is another cause of fish kill. This paper will address the different factors leading to fish kill as well as other information about fish kill. Fish kill can be a natural process as well as a human error, either way the result puts an…

Problem What is the aquatic health of the Nequasset lake tributaries as analyzed through chemical and biological parameters as well as physical habitat assessment? What factors, both natural and human-influenced, contribute (positively or negatively) to the health of the Nequasset lake tributaries? Background Information Weather or not we realize it, as people that (presumably) live in the Bath area, the streams that flow into Nequasset are very important to our survival. They are numerous, and…

Our task was to figure out a way to stop, or decrease, a certain situation that is affecting the water quality of a particular body of water in our neighborhood. The body of water that we will be focusing on today, will be the Foxstone Creek in Vienna Virginia. Although there are many different problems that have occurred in this creek, the problem that we noticed that is the most impactful, is the amount of erosion on the creek. Erosion is the process by which the surface of earth is being…

This laboratory experiment was conducted in Greenfield Station Genesee Creek River to determine the environment’s effect on the amount of diverse biological communities in a lotic river. Shredders are macroinvertebrates that feed on coarse particle organic material (CPOM). Macroinvertebrates usually stay in the same habitat and do not migrate, which may be due to them being trapped or frequently receiving a good source of food. They are also an essential part of the freshwater ecosystem by…

The Meramec River is located in the upper Ozark Highlands in central-eastern Missouri and spans 218 linear miles before discharging into the Mississippi River in St. Louis (Blanc 1999, Thom et al, Figure 1). This watershed is dominated by Oak-Hickory forests and karst topography; and the Meramec River follows a riffle-run pattern of stream flow (Blanc 1999, Thom et al). Before people dominated the landscape, the driving forces of nature shaped the topography and the subsequent ecosystems that…

Title: Ecological Interactions of Living Organisms in Beaver Creek Statement of the Problem: How do the organisms in Beaver Creek interact with the biotic and abiotic portions of the ecosystem? The sample was taken from Beaver Creek (a tributary of Tookany Creek) in Glenside, Montgomery County, PA. The pH of the creek was 5.5, and the stream velocity was detectable (greater or equal to walking speed). In the area of collection, the stream width was one meter and the depth was 14 cm. There…

southeast it seems apparent that most of the drainage channels would run between the depressions. An example of this would be the watershed that leads into Ives Cove. It passes underneath a trail, through a wetland area, and into a pond near the coast. The drainage channel is fed from two drumlins on both sides and a gully located above the wetland. Current developments near the shoreline seem to influence the stream direction, perhaps damaging the pond below.…