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It helps teams distinguish value-adding activities from waste (Muda), improving patient experience and service efficiency. The guide explains the value stream concept, the rationale for mapping current and future states, and practical steps such as defining scope, identifying the customer, and walking the process to capture the real workflow.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/value-stream-mapping-toolkit-guide-introduction/244370/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/value-stream-mapping-toolkit-guide-introduction/244370.png","ImageObject",442,249,{"name":88,"@type":89},"Ezra","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-19","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is a Value Stream Map and what does it measure?","Question",{"text":109,"@type":110},"A Value Stream Map is a specialised process map that documents and analyses the flow of materials and information. It depicts crucial steps and quantifies the time taken for each step and for the entire process.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How do you identify value-adding versus non-value adding steps?",{"text":114,"@type":110},"Value is defined by whether an activity improves the patient’s health, wellbeing, and experience, and whether it is done correctly the first time. Steps that do not accomplish this are considered waste (Muda), though some non-value adding steps may be necessary to meet regulations.",{"name":116,"@type":107,"acceptedAnswer":117},"What are the key steps to build a Current State Map?",{"text":118,"@type":110},"Start by identifying the value stream and defining the start and end of the scope. 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It is a visual tool that depicts all crucial steps within a process and quantifies the time taken to perform each step and for the whole process to be completed. This allows you to analyse the map to see which steps add the most value to the customer, (in healthcare, your customer is usually the patient) .  \nValue to the patient is defined any activity which improves the patients’ health, wellbeing and experience (Institute of Innovation and Improvement, 2007) . The customer should be satisfied with it and the step within the process must be performed correctly the first time. Examples of activities that add value to the patient are time with a clinician within an outpatient clinic or on a ward round, having treatments, having a test performed etc…Anything that does not accomplish this is non-value adding and is considered waste. Waste is known as Muda in Japanese. See our TIMWOODS Toolkit Guide here for more information. There are also essential non-value adding steps that are necessary within a process but do not necessarily add value to a patient e.g. , filling in paperwork to ensure regulations are met.  \nValue stream mapping is an effective approach when investigating pathways that flow through the healthcare system. Improving the flow of patients can have a positive impact on the efficiency of services as well as patient and staff experience.  \nWhat is a value stream?  \nA value stream is a series of steps within a process that a piece of work that passes through from beginning to end. These steps can be value adding or they can be waste which includes waiting and delay. Each piece of work within a process is called a value object. For example, if the patient was waiting for an x-ray the value object is the x-ray. A value stream map allows you to see the journey of the value object, as it passes along the value stream.  \nRationale  \nUsing a value stream map is helpful to understand and improve how value is created within a process and how that value is delivered to the customer. Mapping the current and future state map can help you to:  \n• Visualise the flow of materials and information within processes.  \n• Identify and eliminate waste within processes  \n• Streamline the value adding activities of processes after the waste has been identified and removed.  \n• By involving stakeholders, you can agree on the current state and how you want your process to look in the future and agree an action plan together.  \n• Focus on the needs of the customer (Patient, staff etc…)  \n• Continuously improve your processes.  \nBackground  \nValue Stream Mapping is a core tool in Lean methodology and has been applied to several industries including healthcare where there are repeatable steps and handoffs within a process. It was created to visualise the flow of materials and information that is needed to produce a product or develop and deliver a service. Value stream maps were made popular through the book Learning to See (Rother & Shook, 1999).  \nHere is a list of the symbols that are used on a value stream map:  \n\n| Symbol | Name |\n| --- | --- |\n| | Process step |\n| | Pull |\n\n\n| | Push |\n| --- | --- |\n| | First in, First Out |\n| | Suppliers |\n| | Work Cell |\n| | Inventory |\n| | Electronic Information Transfer |\n\nWhen to use  \nValue stream maps should be used to understand the patients’ experience and expectations of the service, reduce wastes within a process, increase efficiencies by optimising the use of resources such as equipment, staff, and inventory. Value stream maps are particularly useful when investigating patient flow through a system e.g. initial referral to the final outcome.  \nHow to use  \nWhen creating a process map, start by mapping the current state – this is how the process is working now and shows the r","cbCaivbamvibFU1r","https://ap.wps.com/l/cbCaivbamvibFU1r","pdf",438392,"English","# Toolkit Guide - Value Stream Mapping\n## Introduction\n## What is a value stream?\n## Rationale\n## Background\n## When to use\n## How to use\n## Current State Map","[{\"question\":\"What is a Value Stream Map and what does it measure?\",\"answer\":\"A Value Stream Map is a specialised process map that documents and analyses the flow of materials and information. It depicts crucial steps and quantifies the time taken for each step and for the entire process.\"},{\"question\":\"How do you identify value-adding versus non-value adding steps?\",\"answer\":\"Value is defined by whether an activity improves the patient’s health, wellbeing, and experience, and whether it is done correctly the first time. Steps that do not accomplish this are considered waste (Muda), though some non-value adding steps may be necessary to meet regulations.\"},{\"question\":\"What are the key steps to build a Current State Map?\",\"answer\":\"Start by identifying the value stream and defining the start and end of the scope. Then identify the customer, walk the process using a Gemba walk, and map the information and workflow based on what is actually observed.\"}]","Value Stream Mapping Toolkit Guide - Introduction | PDF",1789216614]