Getting to Standard Work in Health Care : Using TWI to Create a Foundation for Quality Care book cover
2nd Edition

Getting to Standard Work in Health Care
Using TWI to Create a Foundation for Quality Care

  • Available for pre-order. Item will ship after September 6, 2021
ISBN 9780367462673
September 6, 2021 Forthcoming by Productivity Press
296 Pages 66 B/W Illustrations

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Book Description

Addressing the challenges involved in achieving standard work in healthcare, Getting to Standard Work in Health Care, 2nd Edition describes how to incorporate the most widely used Training Within Industry (TWI) method, the Job Instruction (JI) training module, to facilitate performance excellence and boost employee morale in a health care organization. it not only examines the JI methodology but also explains how this program is as vital and applicable in today’s health care environment as it was when it was developed to train replacements of an industrial workforce off to fight in WWII. Placing this methodology squarely within the health care paradigm, the book uses easy-to-understanding terminology to describe how this method can make all the difference in the delivery of quality health care. Supplying the foundation for successful Lean practice in health care, it clearly defines the role of standard work and training in relation to Lean health care. The updated text includes new case studies of current TWI usage in health care that demonstrates how to successfully roll out a sustainable Job Instruction initiative. Containing numerous examples of Job instruction breakdowns in health care, the book provides readers with the understanding of how to use this time-tested methodology to improve training, increase efficiency, and decrease strain in your organization.

Table of Contents

Section I: Case for Standard Work in Health Care

Chapter 1: When Clinical Best Practice Is Not Actual Practice

Chapter 2: The Challenge of Designing Standard Work

Chapter 3: Hand Hygiene Training Case Study

Chapter 4: Need for Good Instruction Skill

Section II: Job Instruction Training

Chapter 5: Four Steps of Job Instruction

Chapter 6: Breaking Down a Job for Training

Chapter 7: How to Organize and Plan Training

Section III: Job Relations Training

Chapter 8: Four Steps of Job Relations

Chapter 9: Problem Prevention Using JR’s Foundations for Good Relations

Section IV: Implementing TWI into the Working Culture

Chapter 10: Starting Out Strong with a Pilot Project

Chapter 11: Four Steps of Job Methods Improvement

Chapter 12: Integrating TWI into the Culture to Sustain Results

Conclusion: A Call to Action

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Patrick Graupp began his training career at the SANYO Electric Corporate Training Center in Kobe, Japan, after graduating with Highest Honors from Drexel University in 1980. There he learned to deliver TWI and other training to prepare employees for assignment outside of Japan. He was transferred to a compact disc fabrication plant in Indiana, where he obtained manufacturing experience before returning to Japan to lead SANYO’s global training effort. Graupp earned an MBA from Boston University during this time and was later promoted to the head of Human Resources for SANYO North America Corp. in San Diego, California, where he settled.

Graupp delivered a pilot project in 2001 to reintroduce TWI in the United States. The positive results of the pilot project encouraged him to leave SANYO in 2002 to deliver the TWI program on a wider scale throughout the United States in the same manner as he was taught in Japan. He described in his book The TWI Workbook: Essential Skills for Supervisors, a Shingo Research and Professional Publication Prize Recipient for 2007. Working with the TWI Institute of Syracuse, New York, Graupp developed standardized training manuals and materials to train and certify trainers on how to deliver the TWI modules as was done by the TWI Service during WWII. The TWI Institute has since trained hundreds of trainers across the United States and around the globe that led to his follow-up book, Implementing TWI: Creating and Managing a Skills Based Culture, that was published in October 2010.

Martha Purrier is a registered nurse with over 25 years of experience in the hospital setting. She earned a master’s degree specializing in the clinical care of patients with cancer and in the training of nurses. During the past 12 years, she has worked at Virginia Mason Medical Center in Seattle, Washington, as the director of Inpatient Oncology and IV Services. Virginia Mason adopted Lean as a management methodology in 2001 and Purrier was certified in Rapid Process Improvement Workshops in 2006. During her work in IV therapy, the team won the Mary McClinton Patient Safety award for the application of Lean methods, which produced increased safety for patients receiving central lines. In 2008, Purrier was appointed to the Kaizen Fellowship Program. She currently works as the director of Virginia Mason’s Kaizen Promotion Office and is applying TWI to health care instruction. She is a certified instructor of the TWI Job Instruction program.