KaiNexus Education Video #3 – Eliminating Waste & NVA


Here is the third short, simple Kaizen education video from  KaiNexus.  We are embedding these videos into our web-based software, to provide short tips and hints for our healthcare users. We're also making the videos available on our YouTube Channel and our education videos playlist. Subscribe to our channel to be notified of each new one that's released.

Click here to see all of the videos through my blog or here to view them on the KaiNexus website. We also have an RSS feed and a podcast on the iTunes Store.

This video addresses the topic of identifying waste and “non value added” steps in our daily work, using that as a way of generating opportunities for improvement.

Video updated September, 2014 – View on YouTube.

You can also subscribe to via the iTunes Store and other RSS methods.

You can read more about waste and non-value-added activities in my book Lean Hospitals. See a preview of that section via Google Books  (page 31).

Approximate transcript of the video:

Video #3 – reducing NVA steps

 Hi, I'm Mark Graban from KaiNexus.

The topic   for this video is learning how to   reduce wasteful steps in a process.   These are often referred to as non-value-added steps.

Imagine a patient has a collapsed lung and what he REALLY needs is a chest tube – and yet you can't find one in the cabinet where it's supposed to be.

In the Lean framework, Value can be defined as any activity that actually meets the patient's needs – this includes activities that help identify the correct diagnosis and activity that delivers the correct treatment.

On the other hand, waste can be defined as anything that interferes with providing the best patient care in the most efficient way.

So, in our example, the value-added-step is the actual insertion of the chest tube.   The waste, or non-value-added step, is all of the time and motion required to run around to find a chest tube.

Non-value added steps are always frustrating and sometimes dangerous.   One way to find non-value-added steps in your work is to take note whenever you don't have supplies, equipment, information, or medications you need to provide care to your patient

Health care workers are experts at work arounds because they   are motivated smart people that do what ever its takes to get the job done. But, we will do better in the long run by improving our processes to eliminate these workarounds and that waste.

The next time you find yourself looking for something or taking extra steps,that's a great opportunity to stop, log into KaiNexus and enter your opportunity for improvement. We should all aim to improve the system by identifying waste or non-value-added steps so we can prevent that waste from reoccurring.


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Mark Graban
Mark Graban is an internationally-recognized consultant, author, and professional speaker, and podcaster with experience in healthcare, manufacturing, and startups. Mark's new book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation. He is also the author of Measures of Success: React Less, Lead Better, Improve More, the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean. Mark is also a Senior Advisor to the technology company KaiNexus.


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