Implementing the Lean Daily Management System: Optimising workforce engagement, communication and continuous improvement

Mr Raymond Kopeshke1

1Mater Hospital Brisbane, South Brisbane , Australia

Background: The Lean Daily Management System (DMS) is a framework that has been designed to help organisations and teams sustain improvement and achieve their goals.   In 2017, Mater Brisbane adopted this framework and through an array of initiatives, have improved organisational communication and the ability to deliver healthcare more effectively to our patients.

Methods: This project was undertaken using the A3 improvement methodology. Extensive collaboration and benchmarking between allied health departments and focus group discussions was completed to help tailor and embed the DMS at a departmental level.

Results: The uptake of the DMS resulted in a redesign in how teams collaborate and make decisions in relation to clinical capacity and demand, identify and address problems and risks, generate improvement ideas, recognise achievements and monitor key performance indicators (KPIs). The implementation of daily team huddles and visual boards has been pivotal to the success of the DMS.

Conclusion: Effective implementation of the DMS has positive impacts on team communication, clinical decision making, KPI awareness and identification of problems/risks and subsequent  improvement ideas.


Ray Kopeshke graduated as an Occupational Therapist from the University of Queensland in 2004. He commenced working at Mater Hospital Brisbane in 2005 and continued until 2008, when he then travelled overseas and worked in the UK, predominantly at King’s College Hospital in London. Ray eventually returned to Brisbane in 2011 and was fortunate enough to re-commence at Mater Hospital Brisbane.   Between 2011 and 2020, Ray worked clinically in neurosciences and fulfilled both clinical leader and team leader roles within the Occupational Therapy Department. In 2018 Ray completed  a Diploma in Management and Leadership  through Mater Education and received top prize in his cohort. In 2020, Ray was appointed as the Director of Occupational Therapy at Mater Hospital and considers it an incredible privilege to serve the team that he has been part of for so many years. Today’s presentation on Daily Management Systems, draws from his initial interest that was sparked following its implementation at Mater and Ray has undertaken several initiatives in evolving its application within Occupational Therapy and Allied Health to help optimise workforce performance, engagement and continuous improvement.    


Print Friendly, PDF & Email
Recent Comments