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When is the time right to bid Lean goodbye?

It’s understood that politically inspired products cannot be dumped just prior to, or during a campaign in which the government team, wishing to be re-elected, is responsible for that product endorsement.

It’s understood that politically inspired products cannot be dumped just prior to, or during a campaign in which the government team, wishing to be re-elected, is responsible for that product endorsement. 

With that in mind, don’t expect the current Saskatchewan Party, to wave goodbye to the Lean initiatives and programs, even though they must have come to the realization that it can now be chalked up as a failed investment on the behalf of provincial residents.

Simply put, the attempt to transition a manufacturing model of production into a health-care environment, just didn’t compute no matter how hard John Black and Associates yelled and cajoled while promoting their particular brand of Kool-Aid. 

At first there were some limited samples of success but as the program gained momentum in the governing circle, flaws began to show up on the practicality side to the point that the subjects were beginning to question the efficiency and viability of the whole show that featured the adaptation of Japanese terms, which we suppose, were intended to lend a sort of exotic charm to the whole process. 

At the outset, the idea, as it was generally understood, was to implement Lean efficiencies, train the leaders and then have the contracted disciples, disappear as the health-care system took over. 

What happened, however, was the establishment of a provincially inspired Lean head office and a roll out of Kaizan promotion offices in the health regions. 

Now a study by the Oxford University press in association with the International Society for Quality Health Care, has released the findings of their assessments of Lean interventions on worker and patient satisfaction, health and process outcomes and financial costs. They cited nine different sources for data collection. 

The search included 22 articles of methodological quality review. 

The results? 

Lean interventions have no statistically significant association with patient satisfaction and health outcomes. 

Lean bears a negative association with financial costs, worker satisfaction and health outcomes. 

There is potential, yet inconsistent benefits, on process outcomes like patient flow and safety. 

The report’s summary concludes that while some strongly believe Lean interventions lead to quality improvements in health-care, the evidence to date simply does not support this claim. 

The report states more rigorous scientific research would be required to definitely ascertain the impact and effectiveness of Lean in health-care settings. 

So, unless this current government has statistical transparent facts to support their assertions that Lean has, in fact, brought in a new era of efficiencies worth tens of millions of dollars, it might be time to start cutting the losses and begin a methodical dismantling of the program while retaining that which was good about the process, which has gobbled up over four years of their time and talents.

In the local health region alone, the Lean program consumes nearly $500,000 a year in salaries alone, so we suspect the total budget for a Sun Country Kaizan promotion office absorbs something well north of that number.  

The question our 60,000 citizens have to ask: Is there quantitative proof that Lean is providing our health-care system with a million dollars worth of efficiencies on a yearly basis? 

And as any kid who has ever completed a homework assignment will tell you, they need to show how they arrive at their answer and reference or document the sources of their information.

As we suggested at the outset, the current government will have to ride the Lean horse into the campaign, but we suspect they finally might be willing to wave bye-bye to that mode of transportation if they are successful at the polls on April 4. 

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