Process Mapping
A
simple
approach
to
improvement
by
making
a
process
visible
An
article
by
Dr.
Mike
Bell
C.Sci.,
C.Chem.,
F.R.S.C.
Simple
Improvement
Ltd.
[email protected]www.simpleimprovement.co.uk
www.simpleimprovement.co.uk
[email protected] !
Page 1 of 11
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
Process
Map
-
Money
from
the
Cash
Machine
The
initial
sequence
of
steps
involved
getting
the
cash
out
of
the
machine
before
the
card
was
returned.
Most
people
were
focussed
on
the
money,
so,
once
they
had
the
notes
in
their
hand,
they
turned
away,
leaving
their
card
still
in
the
cash
machine.
Simply
by
reversing
the
order
of
those
two
steps
solved
the
problem
-
people
had
to
remove
their
card
before
they
got
their
money.
www.simpleimprovement.co.uk
[email protected] !
Page 2 of 11
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.
1.1
The
30,000
foot
view
It
is
best
to
start
with
a
high
level
map
of
your
process.
Ed
Zunich
deJines2
this
as
the
30,000
foot
view;
i.e.
imagine
that
you
are
in
a
plane
cruising
at
30,000
feet
and
are
looking
down
a
the
ground
below.
You
can
see
a
town
all
the
way
down
there
but
can
only
see
the
general
topography,
not
the
detail.
But
this
view
allows
you
to
focus
on
the
big
picture,
how
the
town
is
laid
out,
where
the
railway
is
and
the
river,
the
main
roads
etc.
It
is
really
important
to
get
this
overview
before
descending
into
the
detailed
view.
Start
by
drawing
out
the
30,000
foot
view
for
your
process.
Initially,
you
need
to
limit
the
map
to
only
4-7
steps.
Almost
everyone
is
tempted
to
add
additional
detail
but
it
much
better
to
restrict
the
steps
to
7
at
the
most
(less
than
4
shows
you
very
little).
As
a
general
rule,
the
best
people
to
map
and
improve
a
process
are
the
people
working
in
that
process
(not
the
managers
or
supervisors).
There
are
only
3
symbols
used
in
a
simple
process
map
or
Jlowchart
An
oval
to
signal
the
start
and
stop
of
the
process
A
rectangle
for
each
process
step
A
diamond
for
a
decision
Ed Zunichs PPI (Practical Process Improvement) program, see www.ppiresults.com and
www.simpleimprovement.co.uk
2
See PPI 2020 p96 by Ed Zunich for more information on flowcharts
www.simpleimprovement.co.uk
[email protected] !
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...
30,000
foot
Flowchart
-
Eggs
for
Breakfast
1.2
The
500
foot
view
Once
you
have
completed
the
30,000
foot
view,
it
is
time
to
tackle
the
more
detailed
view,
the
500
foot
process
map.
The
concept
is
that
you
strap
on
your
parachute
and
jump
out
of
the
plane,
descending
down
to
the
500
foot
level.
Now
you
can
see
a
lot
more
detail.
You
can
see
the
houses
in
the
town,
the
streets,
the
intersections,
the
cars,
some
people
etc.
Having
gained
the
overview,
you
can
now
understand
how
people
would
get
to
the
railway
station
or
cross
the
river.
However,
it
is
critical
to
stay
at
the
500
foot
level
and
not
to
descend
down
to
the
1
foot
view,
where
the
level
of
detail
is
overwhelming.
Continuing
the
analogy,
this
would
be
like
crashing
down
in
your
parachute
into
a
small
forest
on
the
edge
of
town,
where
you
literally
could
not
see
the
wood
from
the
trees.
Usually
the
folk
who
know
the
process
can
map
the
30,000
view
while
sat
in
a
training
or
meeting
room,
after
all
it
is
only
4-7
steps.
However,
once
you
descend
into
the
detail,
mapping
becomes
much
easier
if
the
team
goes
and
walks
the
process,
talking
to
the
individuals
involved
in
running
it
and
tries
to
Jind
out
how
things
actually
operate.
The
idea
is
to
map
the
process
as
it
is
currently,
warts
and
all,
not
how
we
would
like
them
to
be
or
the
sanitised
version
written
into
the
standard
operating
procedure.
Once
all
of
the
information
has
been
collected,
get
the
team
together
around
a
large
empty
wall
space
and
have
plenty
of
Post-it
notes
to
hand.
Mapping
at
the
500
foot
level
takes
quite
a
bit
of
time,
so
it
may
be
necessary
to
break
it
down
into
sections
and
give
the
team
plenty
of
breaks.
www.simpleimprovement.co.uk
[email protected] !
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.
500
foot
Flowchart
-
How
to
Boil
Eggs
for
Breakfast
There
are
a
couple
of
ways
to
move
from
the
30,000
foot
view
down
to
the
500
foot
level.
You
could
just
map
the
entire
process
at
500
feet
or
you
could
map
each
of
the
30,000
foot
steps
at
500
feet.
Both
ways
work,
but
you
may
Jind
one
better
in
one
situation,
whereas
the
other
approach
works
in
a
different
process.
Using
Post-it
notes
allows
changing
between
the
two
without
too
much
additional
work.
Taking
photos
at
regular
intervals
allows
you
to
look
back
and
see
how
the
Jinal
view
developed.
1.3
Deployment
Flowcharts
It
can
be
useful
to
transfer
your
500
foot
basic
Jlowchart
onto
the
swimlanes
of
a
deployment
chart.
This
adds
a
little
more
complexity
but
does
give
a
different
and
often
useful
view.
Select
the
parties
responsible
for
the
steps
in
the
process;
this
can
be
individuals,
departments
or
even
including
the
supplier
and
customer.
Draw
lanes
for
each
grouping,
either
horizontally
or
vertically,
and
simply
move
the
task
into
the
correct
lane.
Joining
the
tasks
together
shows
the
Jlow
of
the
work
from
one
area
of
responsibility
to
another.
Here
is
a
supply
chain
for
apples
mapped
using
a
deployment
Jlowchart..
www.simpleimprovement.co.uk
[email protected] !
Page 5 of 11
Deployment
Flowchart
-
Apple
Supply
Chain
1.4
RACI
Charts
A
further
layer
of
detail
can
be
obtained
by
drawing
up
a
RACI
chart,
showing
who
is
Accountable,
Responsible,
Consulted
or
Informed.
First,
list
the
tasks
down
the
side
of
the
page,
mirroring
the
order
from
the
500
foot
Jlowchart.
Then
along
the
top
of
the
page
list
all
the
possible
job
functions
involved
in
the
process,
including
suppliers,
customers
and
management,
as
appropriate.
Completing
the
RACI
chart
should
be
done
as
a
team
activity
and
does
take
some
time.
For
each
task
the
team
needs
to
decide
who
is
Accountable
(one
person
only,
the
buck
stops
here),
Responsible
(who
actually
does
the
task,
can
be
several
people),
Consulted
(prior
to
the
task
being
done)
and
Informed
(told
speciJically
about
the
task,
everyone
gets
general
information).
This
can
be
a
very
valuable
exercise
in
building
team
consensus
and
clarity
around
the
work
they
do.
At
the
end
of
this
process
mapping,
everyone
will
have
a
clear
overview
of
the
process
(30,000
foot
Jlowchart),
the
detailed
steps
(500
foot
Jlowchart)
and
the
responsibilities
of
all
roles
(deployment
Jlowchart
and
RACI
chart).
www.simpleimprovement.co.uk
[email protected] !
Page 6 of 11
2. Aim
of
the
System
The
mapping
exercise
gives
a
good
picture
of
how
the
processes
are
operating
at
the
moment
,
the
warts
and
all
view,
and
provides
an
excellent
starting
point
for
process
improvement.
Every
system
should
have
an
aim;
i.e.
what
is
it
trying
to
achieve.
Write
this
down
in
simple
terms
that
everyone
can
understand
(avoiding
nonsense
terms
such
as
shareholder
value
or
customer
excellence
etc.).
Then
get
the
team
to
assess
the
process
against
this
aim.
If
this
is
the
Jirst
time
the
end
to
end
process
has
been
mapped,
it
will
look
like
a
mess.
Do
not
worry,
all
processes
get
this
way
over
time
simply
through
entropy.
It
is
no-ones
fault,
so
do
not
be
tempted
to
criticise
individuals.
Look
at
the
convoluted,
tangle
Jlow
as
an
opportunity
for
improvement
2.1
Strategic,
Core
and
Support
Up
until
now,
we
have
considered
only
a
single
process.
However,
an
organisation
should
look
at
all
their
processes
and
see
how
they
link
and
interact,
to
ensure
correct
prioritisation
of
limited
improvement
resources.
Also,
any
gaps
or
overlaps
in
the
processes
become
obvious.
It
is
helpful
to
categorise
the
processes
and
into
Strategic,
Core
or
Support.
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.
www.simpleimprovement.co.uk
[email protected] !
Page 7 of 11
Doctor defines
test
Request for patient
information
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
30,000
foot
Flowchart
-
Urgent
Blood
Testing
The
variation
in
the
delivery
time
of
the
blood
sample
to
the
testing
lab
is
between
18
and
128
minutes.
Highlighting
this
variation
so
visually
on
the
process
map
makes
it
easy
for
process
teams
to
see
these
improvement
opportunities.
Therefore,
the
recommendation
is
that
all
process
maps
should
show
this
time
variation,
where
possible.
But
remember
that
process
maps
represent
the
current
state,
so
go
to
the
work
area
and
capture
the
actual
times
(not
some
idealised
timings
from
an
SOP).
Talk
to
the
people
carrying
out
the
process,
explain
what
you
are
doing
and
ask
them
to
record
the
times
for
you
(standing
with
a
clipboard
and
a
stopwatch
will
make
anyone
nervous!).
It
is
often
easier
to
add
the
times
to
the
30,000
Jlowchart
by
adding
up
all
the
individual
times
from
the
500
foot
chart.
Value
Added
Work
and
Waste
In
addition
to
the
timings,
each
step
should
be
marked
as
value
added
(green)
or
waste
(red).
The
concept
of
the
7
Wastes
comes
from
the
Toyota
Production
System
(TPS)
and
is
a
fundamental
part
of
lean
thinking.
An
easy
way
to
remember
all
7
is
to
use
the
acronym
TIMWOOD
Transport
involves
moving
things
or
information
around.
This
could
be
blood
test
samples
in
a
hospital,
or
loaves
of
bread
in
bakers
or
electronic
customer
orders.
Reducing
this
waste
can
be
achieved
by
moving
work
areas
closer
together
or
reordering
steps
in
a
process.
Inventory
is
found
not
just
in
the
warehouse,
but
also
in
desk
drawers,
computers
and
all
the
way
through
any
process.
As
a
general
rule
of
thumb,
everyone
stores
excess
inventory.
And
someone
will
insist
thatit
is
counted,
re-valued
and
obsolete
items
disposed
off.
The
customer
does
not
want
to
pay
for
this.
Motion
is
a
people
waste.
It
involves
walking,
turning,
reaching
for
things
and
while
many
of
these
movements
may
seem
small,
they
add
up
to
something
very
signiJicant
over
a
day
or
a
week
or
even
a
year.
The
concept
www.simpleimprovement.co.uk
[email protected] !
Page 8 of 11
is
to
supply
what
ever
it
is
that
people
need
in
a
process
directly
to
their
Jingertips.
Waiting
hardly
needs
any
explanation.
But
remember
that
it
is
most
often
not
the
people
that
wait,
they
are
very
busy,
but
material
and
information
waits.
Overprocessing
is
doing
too
much
and
usually
a
sign
of
lack
of
trust
in
a
process.
Incoming
goods
tests
are
done
even
though
the
sample
was
made
by
another
part
of
the
company
and
they
did
a
test
before
despatch.
The
form
has
5
signatures
for
approval.
A
manager
has
to
release
this
particular
batch.
Overproduction
is
making
too
much
or
making
something
too
soon.
This
is
the
worst
waste
of
all
because
it
generates
many
of
the
other
wastes.
If
more
is
produced
than
is
needed
right
now,
then
you
have
to
move
it
somewhere
and
store
it
and
probably
count
and
test
it.
However,
this
is
probably
the
hardest
one
of
the
7
Wastes
for
people
to
accept.
How
can
it
be
a
problem
to
get
ahead,
do
things
early
because
we
will
need
them
later?
Defects
are
things
that
the
customer
does
not
want
and
generates
rework
or
scrap
very
expensive
in
any
process.
For
a
step
to
be
value
added,
it
must
pass
all
three
of
these
tests
1.
The
customer
is
willing
to
pay
for
it
2.
The
item
being
worked
on
physically
changes
3.
It
is
done
right
the
Jirst
time
Here
is
the
urgent
hospital
blood
process
map
at
the
500
foot
level
and
the
quantity
of
steps
coloured
red
show
the
amount
of
waste
in
this
process
and,
hence,
the
opportunity
for
improvement.
Y
Sample request
form (paper)
Pholobotomist
available?
Attach sample
tube to form
Take blood
sample
Porter
available?
N
Other samples
ready?
N
Y
Find nurse to take
sample
Sample urgent?
Find sample
container
Put out tanoy call
for porter
Apply label to
sample and form
Print bar code
identifying labels
Receptionist logs
sample into lab
computer
Place samples in
reception bucket
Take lift to
basement
Analyst exits lab to
check for samples
Urgent and nonurgent samples
enter lab
Check samples
against computer
Check which test
is required
Separate out
urgent samples
Collect other
samples and
paperwork
Wait for lift
(no samples by
stairs)
Take samples
down to lift
Y
Wait for analyst to
collect samples
Wait for analyst to
collect samples
Y
Centrifuge
required?
Centrifuge sample
Sample results
wait for checking
Take sample
result print out for
authorisation
Print off results
from LIMS
Results recorded
in LIMS computer
Remove sample
tubes from
analyser
Lab Supervisor
checks results and
signs print out
Lab Supervisor
updates LIMS
Approved print off
put into out-tray
Analyst moves
print off to
reception out-tray
Porter
available?
Run blood test
Prepare sample
and inject into
analyser
Collect batches of
similar samples
Porter carries print
out back upstairs
Test result goes
into ward in-tray
Test results wait to
be picked up
Nurse takes test
results and goes
to find doctor
Test results
entered into
patient record
Nurse leaves ward
to check in-tray
N
Put out tanoy call
for porter
Key
Call lab to clarify
results
Waste
Results clear?
Value Added
Clinical decision made
based on test results
Doctor checks
results
500
foot
Flowchart
-
Urgent
Blood
Testing
www.simpleimprovement.co.uk
[email protected] !
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
5.
Step
by
Step
Guide
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
www.simpleimprovement.co.uk
[email protected] !
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 [email protected]
www.simpleimprovement.co.uk
[email protected] !
Page 11 of 11