VALUE STREAM MAPPING

IN THE OFFICE

MAKIGAMI PROCESS MAPPING

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We acknowledge with thanks the permission granted by

www.makigami.info

To use their proprietary material for making this presentation

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MAKIGAMI

Makigami literally means: 'Roll of Paper' in Japanese. But it is also the 'Action Script' to the Ninja (who holds this as roll of paper in front of him)

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A Makigami Process Map

MAKIGAMI

Basically it consist of 4 area's: 1. Activities performed by different parties 2. Documents/media used in communication 3. Time-analysis 4. Identified problems

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Purpose: The Makigami process map, visualizes the current process in offices, laboratories, hospitals: Any place where the 'product' is not directly visible or physical.

Makigami Process Mapping is used to analyze and visualize any 'business' process and is very suitable to use in environments, where processes are usually not transparent

The Makigami Process Map also can be used to improve the investigated process by designing a future state map after taking away the identified losses.

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The Makigami Process Mapping steps are described in a manner that the steps can be used separately if needed.

Step Function

0 Birds eye view

1 Preparing Makigami Process Mapping

2 Making the Process Map

3 Making a deep loss-analysis

4 Designing a loss-free Future State Process Map

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Expected benefits of the Makigami Process Mapping

Issue Improvement

Throughput time 50% - 90% faster

Transfers 90% less

Output errors 90% - 100% less

Value added time If the time stays the same, quality of output goes drastically up. For the same output, the VA time sometimes can go down 25% or more.

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Treatment of lumbosacral radicular syndrome (LRS, 'Hernia')

from an average 107 days to 14 days!

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The process starts with the visit at a neurologist and ends when the patient is correctly being treatedThe team came up with more than 10 meters of analysis éach! Although involved in the process on a daily basis, they where flabbergasted about the complexity of such a 'regular, standard treatment'. On average a patient is 'on the way' for 107 days, with fluctuations between 37 and 270 days.

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Making the Makigami Map

Discussing the future state

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In the teams participated: •hospital manager, •manager neurosurgery, •floor manager, •nurses, •secretaries, •department assistants, and •neurosurgeons.

None of them had knowledge of the whole process, most were even not aware of parts of the process.

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They all firmly believed it should be possible to go through the whole process in between 4 to 14 days, depending the route it would take.