Process Mapping: A Simple Approach To Improvement by Making A Process Visible
Process Mapping: A Simple Approach To Improvement by Making A Process Visible
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Process Mapping
A simple approach to improvement by making a process visible
1.
What
is
Process
Mapping?
All
work
can
be
described
as
a
series
of
individual
tasks
or
steps.
The
point
of
mapping
these
steps
is
to
make
them
visual,
making
the
connections
and
feedback
loops
obvious,
with
the
aim
of
improving
the
overall
process.
If
you
cant
describe
your
work
as
a
process,
you
dont
know
what
you
are
doing
W.
Edwards
Deming
Mapping
a
process
simply
entails
drawing
a
box
for
each
step
and
connecting
the
boxes
to
show
the
Jlow
of
the
work.
An
example
makes
it
easier
to
see;
when
cash
machines
were
Jirst
introduced,
the
banks
Jigured
out
quite
quickly
that
it
was
costing
them
lots
of
money
to
replace
lost
cards.
Looking
at
a
process
map,
it
is
obvious
where
the
problem
was
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The
majority
of
organisations
need
nothing
more
complicated
than
a
basic
process
map.
Although
there
are
many
more
sophisticated
variants
out
there,
this
article
will
stick
to
the
process
mapping
within
the
Practical
Process
Improvement
(PPI)
program
and
based
on
these
principles1
Logical
simplicity
Practical
tools
and
methods
Involve
everyone
Process
maps
become
useful
in
driving
improvement
when
they
are
simple
and
visual,
allowing
everyone
to
understand
them
and
see
possible
ways
to
do
things
better.
In
my
experience
it
is
best
to
start
with
a
simple
map
that
everyone
can
follow
and
use
that
to
build
on
successive
layers
of
detail;
e.g.
value
stream
maps
show
not
just
the
process
steps
but
the
material
and
information
Jlow,
along
with
the
people
required
at
each
stage.
Jumping
straight
to
a
complex
map
(and
most
people
do
not
understand
value
stream
maps),
misses
the
opportunity
to
involve
everyone
and
beneJit
from
their
ideas
for
improvement.
And
you
will
Jind
only
a
few
cases
where
the
additional
complexity
is
needed.
Keeping
process
maps
simple
leads
to
the
best
improvement
ideas.
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Page 3 of 11
Here
is
a
simple
example
of
a
30,000
foot
process
map,
showing
how
to
boil
a
couple
of
eggs
for
breakfast...
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Page 4 of 11
Here
is
a
500
foot
view
of
the
same
eggs
for
breakfast
process
that
was
shown
at
30,000
feet.
There
is
a
lot
more
detail,
but
not
so
much
that
the
process
is
hard
to
follow.
This
type
of
view
is
commonly
used
in
procedural
training,
particularly
for
workers
new
to
a
process.
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Page 5 of 11
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Page 6 of 11
An
organisation
would
have,
typically,
between
5
and
10
processes.
If
you
come
up
with
less
or
more
than
that,
it
might
be
worthwhile
revisiting
the
list.
3. VariaKon
All
processes
exhibit
routine
variation.
It
does
not
take
the
same
amount
of
time
to
get
to
work
each
day,
due
to
the
weather,
slow
vehicles,
road
works,
trafJic
lights
and
a
whole
host
of
other
possible
reasons.
Therefore,
the
commuting
time
is
variable.
And
this
is
true
for
all
the
processes
that
we
use
at
work.
It
is
very
useful
to
capture
and
show
this
variation
on
the
process
maps
and
we
do
this
by
recording
the
times
for
each
step.
For
example,
the
time
to
approve
a
document
can
be
1
hour
but
sometimes
takes
3
days.
This
highlights
an
opportunity
for
improvement.
What
do
we
need
to
change
to
ensure
that
document
approval
always
happens
in
one
hour?
This
is
an
example
from
a
PPI
project
team
looking
at
urgent
blood
tests
from
an
Accident
and
Emergency
ward
(Currently,
urgent
blood
tests
take
too
long).
Looking
at
the
30,000
foot
Jlowchart
we
can
see
immediately
where
some
of
the
issues
are.
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Page 7 of 11
Doctor defines
test
Boundary
Sample request
form
Specimen drawn
from patient
6-9 mins
3-8 mins
10-90 mins
Deliver specimen
to lab
18-128
minutes
Total
67-300 mins
Results received
in ward
Lab testing
30-65 minutes
Boundary
Clinical decision based
on test results
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Pholobotomist
available?
Attach sample
tube to form
Take blood
sample
Porter
available?
N
Other samples
ready?
N
Y
Sample urgent?
Find sample
container
Apply label to
sample and form
Receptionist logs
sample into lab
computer
Place samples in
reception bucket
Take lift to
basement
Check samples
against computer
Separate out
urgent samples
Collect other
samples and
paperwork
Take samples
down to lift
Y
Wait for analyst to
collect samples
Y
Centrifuge
required?
Centrifuge sample
Sample results
wait for checking
Take sample
result print out for
authorisation
Results recorded
in LIMS computer
Remove sample
tubes from
analyser
Lab Supervisor
checks results and
signs print out
Lab Supervisor
updates LIMS
Analyst moves
print off to
reception out-tray
Porter
available?
Prepare sample
and inject into
analyser
Collect batches of
similar samples
Test results
entered into
patient record
N
Put out tanoy call
for porter
Key
Waste
Results clear?
Value Added
Clinical decision made
based on test results
Doctor checks
results
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Page 9 of 11
4. Metrics
It
is
critical
to
measure
the
performance
of
your
processes,
to
check
that
everything
is
running
well
or
to
track
improvements.
KPIs
are
preferable
to
KRIs
KPI
-
Key
Performance
Indicators
give
information
in
real
time
about
the
process;
e.g.
new
sales
orders
for
export
KRI
-
Key
Results
Indicators
give
information
about
how
things
ended
up
and
are
often
an
amalgamation
of
several
different
factors;
e.g.
proJit
Gather
lots
of
Post-it
notes
and
book
a
meeting
room
with
plenty
of
free
wall
space
Assemble
a
team
of
people
who
are
familiar
with
the
process
Outline
the
mapping
process
and
the
three
symbols
used
DeJine
the
aim
of
the
system
(this
could
be
the
Mission
Statement
for
the
organisation)
Prioritise
the
processes
to
map
at
500
foot
level
(this
can
take
a
lot
of
time)
Add
the
times
to
the
Jlowcharts
and
mark
the
value
add
and
waste
steps
(green
and
red,
respectively)
DeJine
metrics
for
each
process,
preferably
KPIs
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Page 10 of 11
Remember
that
the
aim
of
making
a
process
visible
to
everyone
is
to
drive
improvement.
Therefore,
the
Jinal
stage
is
to
identify
problems
within
the
process
maps
and
establish
project
teams
to
solve
those
problems.
6.
Mistakes
Made
Too
detailed,
too
early
-
start
with
the
30,000
foot
view,
in
4-7
steps,
and
do
not
move
on
until
you
have
agreement
that
this
represents
the
process
Mapping
what
you
want
to
see
-
it
is
critical
that
the
process
map
represents
the
current
situation,
not
some
idealised
view
or
what
is
written
in
the
procedure.
So
talk
to
the
people
involved,
get
their
input
as
to
what
really
happens.
It
is
impossible
to
map
a
process
correctly
from
a
meeting
room
(you
might
get
away
with
this
at
the
30,000
foot
level,
but
not
at
500
feet)
Leaving
Post-it
notes
on
the
wall
and
assuming
that
they
will
still
be
there
in
the
morning.
Post-its
are
not
sticky
and
have
a
habit
of
falling
off,
so
take
plenty
of
photos
at
every
stage
in
the
mapping
Creating
an
electronic
version
of
the
maps
and
failing
to
post
these
where
people
can
see
them
-
anything
in
a
computer
is
hidden
Failing
to
drive
improvement
-
process
mapping
takes
time
to
complete,
but
this
will
be
wasted
unless
the
maps
are
used
to
highlight
areas
for
improvement
and
action
is
taken
7.
Summary
Keep
process
mapping
simple
and
visual
and
it
can
be
a
catalyst
for
improvement
in
any
organisation,
any
work
environment.
It
is
probably
the
best
way
to
engage
a
team
and
make
sustainable
improvements.
All
a
leadership
team
has
to
do
is
map
the
process
at
30,000
feet
and
ask
their
teams
to
map
the
detailed
view
at
500
feet.
Reviewing
the
results
and
deJining
the
areas
of
opportunity
are
made
much
easier
by
the
simple
view,
meaning
that
beneJits
can
be
realised
very
quickly.
A
small
investment
of
time
can
afford
incredible
results.
Dr. Mike Bell runs Simple Improvement Ltd. a continuous improvement training
and coaching business based in Scotland. He uses Ed Zunichs Practical
Process Improvement (PPI) program to help organisations establish a simple
continuous improvement system where they can realise quick results and build
an in-house capability to train and coach their own staff.
www.simpleimprovement.co.uk or e-mail at info@simpleimprovement.co.uk
www.simpleimprovement.co.uk
info@simpleimprovement.co.uk !
Page 11 of 11