1. What approach should Hirsch take with Metropolis? Why?
2. Create a list of 5 risks with the approach you recommend for Hirsch?
3. Take your top 2 risks and discuss how Hirsch could best mitigate each of them?
4. [Unrelated to the case] List three project management tools discussed in the additional readings and videos for Module 12 that you could see using within your future role. Provide a few bullet points for each describing what the tool is and how it works, and provide an example situation in your future role where you would potentially use it.

Nancy Lea Hyer Brad Hirsch Karen A. Brown Implementing LEAN Operations at Caesars Casinos In December 2014, Brad Hirsch stood on the gaming floor of the Harrah's Metropolis Casino and Hotel in Metropolis, Illinois. Hirsch had assumed the position of Senior Vice President and General Manager at this Caesars Entertainment property in mid-2014. Caesars' culture was strongly oriented toward optimizing the customer experience. This history, coupled with increased competitive pressures and new corporate financial goals for 2015, had generated the motivation to intensify improvement efforts at the Metropolis facility. Hirsch had successfully led employee-centered initiatives to apply LEAN1 operating principles in three of the company's casinos in Tunica, Mississippi. He believed that what he learned from those experiences would be applicable at the Metropolis location, but wondered if he should consider a modified approach that could potentially produce results more quickly with the help of a team of internal experts. In 2014, Caesars Entertainment, based in Las Vegas, Nevada, was the world's most geographically diversified provider of casino entertainment. With 68,000 employees worldwide, it operated 50 casinos in the U.S., Egypt, England, South Africa, and Canada, under the names Harrah's, Caesars, Rio, Flamingo, Paris, Bally's, Horseshoe, and London Clubs International. Its largest concentration of properties was in Las Vegas, where nine of its casinos occupied 1.25 miles on or near Las Vegas Boulevard, commonly known as The Strip. In 2013, the company had net revenue of $8.6 billion U.S. Caesars had developed an industry-leading loyalty-card program, introduced sophisticated customer-service measurement systems, and had been the first to apply LEAN process-improvement concepts to casino operations. (For more on LEAN principles, see Appendix A.) As Hirsch thought about the challenges that lay ahead for LEAN implementation aimed at customer-service enhancement and operational effectiveness at the new Harrah's Metropolis Casino and Hotel, he reflected on his previous experience in Tunica. LEAN Implementation at Caesars in Tunica, Mississippi At the end of 2008, Tunica, Mississippi, located about a 45-minute drive south of Memphis, Tennessee, was the fourth-largest gaming market in the world with more than $1 billion in annual revenue. Three of Tunica's nine casinos were owned by Caesars. These three generated $545 million in revenue and accounted for 50% of the Tunica market. Over 4,000 employees worked across the three Caesars properties, delivering hospitality and entertainment services to 8,000,000 guests annually. In late 2008, the economic environment for the Caesars Tunica casinos was a serious concern. First, the U.S. macroeconomic collapse of the Great Recession had led to reduced customer spending on entertainment. As a consequence, casinos in the region experienced declines in revenue, and competition for market share was intense. Beyond the impetus for improvement inspired by macroeconomic challenges, all Caesars-owned properties embraced customer service as an essential element of the corporate operating strategy, and strove to continuously increase customer satisfaction as gauged by rating scores. Every week, Caesars surveyed a random sample of recent customers for each property. Survey respondents assigned scores of A, B, C, D, or F for various dimensions of their Caesars experience (staff helpfulness, staff friendliness, speed of service, and other metrics). Data showed that moving a customer from a B to an A score resulted in up to a 12% increase in customer 1 Caesars Entertainment capitalized the word "LEAN" to emphasize its role as a systematic program and distance it from any connotations associated with a more narrow view that might suggest downsizing. Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. 2 A11-14-0014 spending. On a quarterly basis, weekly service-score data were averaged and used as a factor in determining staff bonuses. The higher the percentage shift of B scores to A scores, when compared to the same quarter the prior year, the higher the bonus for team members. At the end of 2008, the Caesars Tunica leadership team sought to deliver more conversions from B to A scores, both to increase customer loyalty in a hypercompetitive landscape, and to maximize team-member bonuses and enhance employee satisfaction. Members of the Tunica executive team recognized that to reverse the declines in revenue and challenges to profitability, and improve service scores and market share, would require engaging the entire organization. However, one challenge was the absence of a consistent and systematic problem-solving approach through all layers of the 24-hour, 7-day a week business. As one associate observed, "If your supervisor is passionate about casino cleanliness, casino cleanliness becomes your top priority. But your next supervisor, or the supervisor of the next shift, might focus on a completely different aspect of the customer experience." Hirsch recognized that LEAN, with its easy-to-understand tools and concepts, could generatea consistent and focused approach to process improvement for all layers of the business. Kaizen Events as the Organizing Framework for Implementing LEAN at Caesars Tunica, Mississippi, Casinos In December 2008, Hirsch was appointed Regional Director of LEAN for the three Caesars casinos in Tunica. He and the executive team saw the urgency for change, and knew they had to make the right improvements and sustain them. Hirsch generated a Regional LEAN Team by recruiting two experienced, high-potential leaders from the casino operations in Tunica, each with a passion for process improvement. The team agreed to orchestrate the LEAN rollout around a series of kaizen events. These were intensive five-day workshops involving employees from multiple functions and levels working together to identify and improve target processes.2 For example, an early kaizen event focused on improving hotel operationsfrom check-in to check-out. The kaizen team included a department manager, bellhop, housekeeper, front desk clerk, supervisor, information-technology associate, and a gaming-floor employee. The department manager's participation ensured that she understood the work undertaken during the kaizen week and would be prepared to lead the follow-up activities that grew out of the event. An initial challenge was that, to some casino employees, the word lean implied cutting jobs. To address this challenge, members of the executive team consistently communicated that the goals of eliminating waste via LEAN efforts were to improve the customer experience, increase process effectiveness, teach problem-solving tools, and improve employees' work environmentsnot to cut personnel. Sharing this message was important, but Hirsch and his team knew they simply had to start conducting kaizen events so individuals would SEE that jobs were not being eliminated. As Hirsch explained, "We thought our behavior would speak louder than our words, and it did." The five-day kaizen workshopseach of which followed a similar structure (see below)yielded immediate, tangible improvements and laid the foundation for post-event efforts to establish a LEAN culture throughout the organization. During calendar year 2009, Hirsch and his team staged 63 five-day kaizen events. These events resulted in improved customer-service scores and $3 million in documented savings. Each five-day workshop included a set of activities intended to build knowledge, engage participants, solve problems, and develop solutions. Kaizen Day 1 Every kaizen event began with education about LEAN concepts. A major component of this education was teaching employees to recognize waste (or, in Japanese, muda). Hirsch and his team used a memorable acronym for teaching waste recognition that seemed to resonate through the entire organizational hierarchy DOWNTIME (defects, overproduction, waiting, not engaging people, transportation, inventory, motion, and extra processing). At each kaizen event, the facilitator explained DOWNTIME using examples from the casino environment. 2 C. Marchwinski and J. Shook (Editors), Lean Lexicon: A Glossary for Lean Thinkers, Fourth Edition (Cambridge: The Lean Enterprise Institute, Inc., 2008, p. 41.) Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. A11-14-0014 3 - Defects: Defects are mistakes that result in items being scrapped or reworked. Delivering a drink to a customer with ice when the customer has requested no ice is a defect. Checking a guest into a hotel room with the incorrect bed type (i.e., two queen-size beds instead of a king-size bed) is a defect. In both situations, wasteful rework is required and the customer is left with a poor impression. - Overproduction: This is production in excess of what the customer requires. Customers in one restaurant were sometimes served water with three lemon slices. Most customers were satisfied with a single lemon slice. As Hirsch explained, "Customers write us all the time to tell us what they love about our casinos in Tunica, but occasionally getting additional lemons in their ice water is not a cause for customer delight." Producing three times as many lemon slices as necessary was waste because it consumed money and time without creating additional value for the customer. - Waiting: Waiting-time waste occurs when employees are idle or when customers must wait for service. Time spent waiting adds no value to the product or service. If a gaming table runs out of a particular dollar-value betting chip, the table-games supervisor signals for a chip replenishment. Chip replenishment is a time-consuming process that, because of regulatory standards and asset protection protocols, requires supervisor verification, travel to and from the cashier cage where money and chips are held, and engaging a security guard to oversee the transport. During portions of the process, patrons and employees sometimes must wait to resume gaming activity, which affects profitability of gaming operations. Similarly, if a hotelroom attendant cannot finish cleaning a room because sheets or towels from the laundry aren't delivered on time, the attendant may be forced to wait. This yields non-value-creating payroll expense and a delay in room readiness for customers. - Not Engaging People: Organizations incur waste when they don't routinely ask employees, "What would you change that would make your job easier nd allow you to better serve customers?" Prior to the introduction of LEAN methods, the majority of tactical process changes occurred as a result of a top-down approach. Although some of these top-down solutions produced improvement, they did not always achieve their highest potential. Without immediate feedback from the employees actually doing the work, managers could not fully appreciate delivery-system challenges. For example, employees in one area struggled to transport food carts across deep-pile carpeting in corridors, resulting in relatively long transport times and employee fatigue. During a kaizen event, the employees who had experienced this performance obstacle greatly appreciated having their voices heard. - Transportation: This is the waste of resources, time, and effort involved in moving items and tracking their locations. Damage and non-value-added payroll expense are always a risk when items are transported, and transportation adds to process throughput time. Moving food, for example, does not add to its value. One kaizen team tracked the life of a beer and discovered that a beer could be put into storage in up to five different locations before being acquired by the beverage server for delivery to customers. Limiting transportation frees employees for higher-value work, and, in the hospitality industry, can also help protect product quality. - Inventory: Inventory waste is incurred when material on hand exceeds current demand. Excess inventory costs money, takes up space, can generatea safety hazard, and becomes obsolete when customer requirements change. Inventory is, in essence, dead moneymoney has been spent on something that is doing nothing to generatecustomer value. An examination of one of the Tunica warehouses revealed multiple pallets of boxes of paper used to print vouchers for customers cashing out from slot machines. Each month, a team ordered approximately $10,000 worth of slot paper, regardless of current inventory levels. This order level had historically enabled the property to have the right quantity of slot paper on site. However, as business levels declined for casinos in the Tunica region and slot volumes became more variable, a six-month supply of slot paper accumulated in the Caesars Tunica warehouse. - Motion: Any movement that does not add value to the product or service represents waste of motion. In a food-service area, bottles of water were stored in a large tub-like container of ice (rather than a refrigerator) to keep them cold. Servers incurred waste of motion every time they reached into the container, withdrew a cold bottle of water, grabbed napkins from a nearby dispenser, and dried off the bottle before placing it on a tray to deliver it to a customer. Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. 4 A11-14-0014 - Extra Processing: Extra processing occurs when unnecessary, non-value-adding work is performed. For years, as part of the property's security protocol, a security guard used a metal-detecting wand to scan bags of trash coming out of the casino's cash-counting room to ensure that coins were not being smuggled out. This practice continued after the casino eliminated all metal coins from operations. No one questioned the protocol to wand the trash because it was always done this way and was assumed to be a regulatory necessity. D-O-W-N-T-I-M-E proved an effective analytical tool to help front-line personnel see the various types of waste in work processes. In addition, Day 1 training also introduced several LEAN tools. Participants learned about value stream mapping, spaghetti diagrams, 5S, Five Whys, one-piece flow processing, the pull discipline, and the basic problem-solving approach (i.e., define the problem, seek out root causes, identify potential solutions, test them, keep what works, repeat). With an understanding of these LEAN principles and tools, the teams were ready to improve their own processes. At the end of Day 1, each team agreed on the processes that would be the focus of the week's kaizen improvement efforts. The selected processes presented the greatest opportunities to improve customer service and reduce waste. Kaizen Day 2 During the second morning, participants mapped the work processes targeted for improvement. Team members engaged in what was called a gemba3 walk, in which they went to where the work was done, made notes on what they individually saw, and gathered data about each process step. Then they jointly generated a large, wall-display value stream map of the process using sticky notes and simple symbols (see Exhibit 1 for an example). The afternoon of Day 2 was devoted to a waste walk. Armed with a sheet that listed the types of waste and using the DOWNTIME rubric, each participant observed a segment of the process and recorded every waste he or she identified. In some cases, team members counted how often a particular waste (e.g., walking to retrieve a forgotten item) occurred and timed the duration. This information helped teams to understand the effects of the waste on the business. After completing their observations, team members met to share their waste discoveries, recording each waste on a separate sticky note. A typical kaizen team identified between 60 and 80 points of waste in the target process. As part of the waste walk, a team member equipped with a copy of the area layout would follow a specific person or product, drawing a line from start to finish every time the person or product moved to a new location. The result, called a spaghetti diagram, often provided compelling evidence of the motion and transportation waste inherent in the current way work was done. Exhibit 2 shows the spaghetti diagram of sandwich production developed as part of a kaizen event focusing on kitchen operations. In the afternoon of Day 2, team members categorized wastes by moving each pink sticky note into the appropriate quadrant on a wall-mounted matrix (see Exhibit 3). Specifically, the team determined whether a waste would be easy or hard to remove and whether removing the waste would have a large or small effect on (1) 3 Gemba (also translated as genba) is the Japanese term for "actual place" and is often used to refer to the location where work occurs. Exhibit 1. Value Stream Map of Hotel Operations Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. A11-14-0014 5 safety, (2) quality, (3) delivery, (4) inventory, or (5) productivity and cost. These were the five key dimensions on which all areas were evaluated. Wastes that appeared in the top left (easy to remove, large impact) quadrant (circled) were the first targets of opportunity for the remaining days of the kaizen event. At the close of Day 2, the kaizen team presented the work it had done so far to the property's executives. The team shared its value stream map, waste-prioritization matrix, and other analyses. This meeting had three goals. First, the exchange of information at the meeting helped ensure that senior leaders recognized the goal of the kaizen event, understood the analyses the team had performed, and supported the direction the team was headed. Second, the checkpoint meeting provided an opportunity to seek senior executives' assistance in removing barriers the team anticipated (e.g., the need to purchase equipment, or a request for help in rearranging a workspace). Third, the department manager's involvement in the kaizen team's presentation helped ensure his or her commitment to the changes the team was developing. Kaizen Day 3 On Day 3, the team identified the root cause of each waste in the easy-to-remove, large impact quadrant of the matrix generated in Day 2. In seeking out root causes, kaizen teams relied heavily on the Five Whys lean tool. This technique involves asking why five (or more) times whenever a problem or waste is encountered. For example, a team observed that buffet attendants routinely polished clean silverware. When queried, the area's supervisor noted that over a typical 24-hour period, about four hours of employee time was spent polishing clean silverware. Applying the Five Whys to this waste of motion, the team asked and answered the following series of questions: Why are attendants spending four hours a day polishing clean silverware? - Because the silverware has spots that generatean unacceptable presentation on the dining table. Why does the silverware have spots on it? - Because the silverware comes out of the dishwasher with spots on it. Why does the dishwasher leave spots on the silverware? - The dishwasher doesn't hold a consistent temperature during one of the phases of the cleaning cycle. Exhibit 2. Spaghetti Diagram of Sandwich Production Exhibit 3. Waste Prioritization Matrix Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. 6 A11-14-0014 Why is one phase of the cleaning cycle not holding a consistent temperature? - One portion of the current preventive maintenance protocol is not consistent with what the manufacturer suggests in the dishwasher's operating manual. How can we remedy the situation? - Revise the preventive maintenance protocol to make it consistent with the manufacturer's guidelines. Based on this analysis, team members revised and adopted new preventive maintenance practices, and continued to evolve them over time. Kaizen Day 4 Day 4 was devoted to try-stormingproposing and testing possible remedies to root causes of problems identified the prior day. For example, the team investigating the waste of motion in polishing clean silverware agreed to commit to better pre-wash procedures, and to institute routine preventive maintenance to clear obstructions in the dishwasher tubing before they could affect the rinse water temperature. Preventive maintenance design and scheduling were among the lean solutions frequently called upon to remove waste from processes during kaizen events. In another example, the team examining kitchen processes try-stormed options for arranging kitchen equipment and supplies to reduce the time and motion involved in preparing sandwiches. Exhibit 4 shows the spaghetti diagram of sandwich production in the revised kitchen layout (as contrasted with Exhibit 2). Locating together the items needed for sandwich production (an example of work-cell creation) vastly streamlined the time and motion required. Another LEAN tool used by almost every team in the try-storming phase was 5S, a term referring to principles for creating a visual work environment that is easy to understand, execute, and maintain. The concept was originally drawn from five Japanese words: seiri, seiton, seiso, seiketsu, and shitsuke. These have been translated into numerous S-words in languages around the world. In English, the 5S are typically expressed as sort, set in order, shine, standardize, and sustain. 1. Sort: "If in doubt, throw it out" is the phrase that best describes this first S. Sift through everything that has accumulated in the workplace and identify what is needed. Eliminate unnecessary or out-of-date items. 2. Set in Order: "A place for everything and everything in its place" describes the set-in-order concept. Assign essential items to specific locations and clearly mark these locations. The objective is for anyone to be able to find anything at any time quickly, and for it to be obvious when things are not in their proper place. 3. Shine: Clean and inspect the workplace. After sorting and setting in order, houseclean thoroughly to ensure that everything is clean, neat, and functioning properly. 4. Standardize: Standardize means to generateand enforce policies and procedures that make 5S a daily practice, not a one-time activity. This typically entails assigning responsibilities and putting in place policies such as a daily five-minute shinea brief period each day devoted to cleaning and ordering the workplace. 5. Sustain: Sustain means to institutionalize the above 4S's throughout the entire organization so that 5S develops deep roots.4 Training, communication, ongoing measurement, and promotion of 5S are essential building blocks of sustain. 4 P. Dennis, Lean Production Simplified (New York: Productivity Press, 2007, p. 35). Exhibit 4. Spaghetti Diagram of Sandwich Production after Try-Storming Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. A11-14-0014 7 In applying 5S at Tunica, teams began by removing everything from the area under study and placing each item into one of three piles: (1) items that were definitely needed and used, (2) items about which the team was not sure of the need, and (3) items that were definitely not needed. Items in the not-needed pile were discarded or repurposed. Items in the definitely needed pile were set in orderplaced in a designated area. Next, the team turned to the not-sure-of-the-need pile. Having just set in order the definitely needed items, teams were able to take a fresh look at items in the not-sure-of-the-need pile. Teams often concluded that much of the not-sure pile could be discarded or repurposed. A kaizen event in the buffet kitchen applied 5S to the dry-goods storage area, where inventory was not systematically organized (see Exhibit 5, left side). Retrieving a specific item might require a lengthy search, and items, once located, could potentially have passed their expiration dates. Further, duplicate items might be ordered if the on-hand item could not be located quickly. The kaizen team studying the dry-goods storage area discarded $8,000 worth of unused inventory, established dedicated storage locations for the items that remained, marked the maximum inventory levels with tape on the wall, and used eye-level labels with pictures to show what went where (see Exhibit 5, right side). The effort simplified ordering and increased the speed with which items could be retrieved for use in serving customers. To address the inventory challenge of slot paper described earlier, the kaizen team dedicated a lined-off space in the warehouse for the boxes of slot paper and generated a visual two-bin system. Two stacks of slot paper, each of which represented a two-week supply, were located side-by-side. Team members placed a strip of tape on the wall indicating the maximum height of the stacked boxes of paper. They added clear signage that reminded warehouse personnel to withdraw boxes from only one stack at a time until it was depleted. Depletion of the first stack triggered an order timed to arrive before the second stack ran out (see Exhibit 6). This system eliminated unnecessary orders and reduced the annual inventory investment by $60,000. And, because warehouse workers had been part of the kaizen team that developed this solution, they readily embraced the new work procedures. Through the application of simple tools, such as 5S, a kaizen event typically eliminated anywhere between 25%-90% of the waste observations. This was a powerfully motivating and rewarding exercise for employees who were able to see that they could immediately remove obstacles and improve frustrating aspects of their work through the kaizen process. Exhibit 5. Before and After 5S in Main Kitchen Dry-Goods Storage Exhibit 6. 5S Two-Bin System Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. 8 A11-14-0014 Kaizen Day 5 On the morning of the last day of a kaizen week, the team presented its work to the property executive team and managers. Team members shared their value stream maps, waste analysis and try-stormed solutions, and described the follow-on improvements they planned to make, but could not complete, in the five-day kaizen event window. These action items identified, but not yet implemented, were captured in the area's Kaizen Newspaper, which was posted in the work area and became part of the daily-management metrics board (see Exhibit 9). The presentation on the last day was informative for senior leaders, and it also allowed them to recognize kaizen team members for their hard work and reinforce the cultural shift taking place. Post-Kaizen Pillars The week-long kaizen events provided the foundation for creating a LEAN culture. Solidifying the gains and maintaining momentum to truly transform the organization required more than these week-long events, however. Caesars Tunica's House of LEAN (see Exhibit 7) relied on three post-kaizen pillars: standard work, key performance indicators, and a focus on daily problem solving reinforced through gemba walks. Standard Work Every kaizen event resulted in new ways of performing routine work activities, and each new work process was documented with easyto-follow instructions that included pictures and listed the tools required (see Exhibit 8). This standard work became the prescribed and repeatable way of performing the task. Key Performance Indicators: The Daily-Management Metrics Board Measurement played an essential role in keeping areas accountable for maintaining and extending the improvements made during the kaizen event. "You get what you measure," as the management adage holds. After each kaizen event, employees in the work area developed a set of key performance indicators (KPIs) that were consistent with the company's overall operating objectives of safety, workplace organization (5S), quality, delivery, inventory, and productivity-cost. These indicators (one or two per objective) were tracked on a KPI Board posted in each area and updated on a daily basis. Performance was coded as red (below expected performance) or green (at or exceeding expected performance). In addition to the key metrics, the visual board also displayed the name of the individual responsible for maintaining the board, the list of ongoing improvement efforts generated during the most recent kaizen week, and the area's standard work SOPs (standard operating procedures). The board documented barriers to service the team had identified and described countermeasures the team had developed for removing or overcoming these barriers. For example, a barrier to service quality for one team was insufficient training on the new standard work, which had been developed during the kaizen event. To address this, the team planned additional training. Exhibit 9 shows the standard board format adopted throughout the organization. Daily Problem Solving, Gemba Walks, and Executive Engagement The KPI Board became the focus of daily problem solving. At a designated time each day, area team members gathered around the board to discuss performance, report barriers, share improvement ideas, and decide on next steps. Once a week, representatives from Tunica's executive team conducted gemba walks to observe processes and hear from process teams about their ongoing improvement efforts. In each process area, the team and executives Exhibit 7. Tunica's House of LEAN Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. A11-14-0014 9 gathered around the area's KPI Board to discuss red metrics and the status of countermeasures. The team also shared the progress it was making in addressing the to-do items identified during the most recent kaizen event and requested support, where needed, from managers and executives. This ongoing engagement of top-level leaders was essential to sustaining momentum. The company CEO, who had encouraged Tunica to develop a LEAN culture, followed the efforts of the program closely, participated in gemba walks while on site, and personally called employees to thank them for their improvement efforts. Exhibit 8. Standard Work Exhibit 9. KPI-Indicator Board Standard Format Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. 10 A11-14-0014 LEAN Results in Tunica In a little over a year, Hirsch and his team had conducted over 60 kaizen events, and more than 400 employees had invested over 14,000 hours5 in the effort. Further, all 34 company vice-presidents and directors had participated in kaizen events. Service scores had improved in areas across the businesses, and many areas reached the required three percent shift from B to A scores needed to maximize employee service bonuses. Moreover, waste elimination had generated documented annual cost savings of $3 million. After witnessing these positive results and seeing evidence of support from the top, departments began asking for kaizen events and employees requested opportunities to participate on kaizen teams. Managers and employees alike viewed the effort as an effective way of instilling a continuous improvement mindset in the organization. An IT manager observed, "Having done a few kaizen events, I continue to see that this is a true employee engagement tool." An accounting clerk who participated in a kaizen event noted, "It was great to be considered an equal participant and to have input on big decisions that affect our work and department." One of the team's cooks commented, "LEAN ought to be a way of life here." And a table games supervisor said, "I wish these kaizens had been implemented a long time ago. It would have made our jobs easier." A janitorial team member offered this perspective: The LEAN program is a fantastic idea. It made my job a whole lot easier and less stressful. The LEAN two-bin system eliminated the time I had to spend unnecessarily counting inventory each day. I also feel more valuable to the property because I now play a role in ensuring my co-workers get what they need to keep our property clean. I still can't believe our CEO took the time to call me on my cell phone to ask me about LEAN and congratulate me on our success. Reflections on the Tunica Experience Reflecting on the successful effort at Tunica, Hirsch was cognizant of several important lessons. One was the vital role of senior leaders. Without their support, Hirsch knew the effort would have faltered. Their engagementfrom participating in kaizen events, to routinely leading gemba walkswas key in demonstrating to the organization that LEAN was real and here to stay. Still, he observed, there were some leaders, primarily at the middle-management level, who were at times slower to adopt new operating practices or embrace the LEAN cultural shift. In many cases, these managers were fearful of departing from long-standing operational practices they personally designed, and thus were more inclined to defend. Furthermore, some managers could tend to feel that a decision to abandon an existing process was a sign that senior leaders lacked confidence in their technical expertise. Hirsch and the other members of the Regional LEAN Team recognized, early on, the challenge resistance to change could present and how it must be addressed to move the organization forward. Another challenge within the organization was obtaining the financial support to make physical changes (e.g., moving equipment) to implement kaizen recommendations. Physical changes sometimes required the kaizen event leader to seek higher-level approval for the release of funds above a department's current repair and maintenance budget. Initially, obtaining additional financial support was a challenge because the senior leadership team sought to maintain expense discipline throughout the business. However, once the kaizens began to yield tangible benefits, much of the hesitation to fund infrastructure changes diminished. The Tunica experience also convinced Hirsch that the shock-and-awe implementation philosophy Caesars casinos embraced had been effective. The team designed the kaizen events to be lightning fast and generate immediate results that would convince the rest of the organization that the initiative had merit. Hirsch observed: "Our regional leadership team wanted to make it so big that our team members could feel the earth tremble with operational improvements. This occurred as a direct result of how the Tunica team began to embrace the intense kaizen spirit and the support we received in areas from the senior leadership team to Facilities to IT and everyone in between. Everyone played a part." 5 Based on the assumption that 400 employees engaged in at least one five-day kaizen event in which they invested about 36 hours (4.5 eight-hour daysevents concluded at noon on Friday): 400 employees * 4.5 days * 8 hours/day = 14,400 employee hours. Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. A11-14-0014 11 At the beginning of the LEAN initiative, Hirsch and his leadership team thought planning and executing the kaizen events would be the most difficult aspect of implementation. In reality, this had been fairly straightforward and extremely energizing for Hirsch's team and workshop participants. What proved especially challenging was sustaining the gains after a kaizen event. "We were constantly fighting the headwind to go back to the way things had been done before." It seemed to be human nature to drift backward to pre-LEAN behaviors. The post-event emphasis on development of standard work, the use of KPI boards to monitor performance, and the daily problem solving and gemba walks had helped to maintain momentum. Follow-up training also played an important role. According to Hirsch: "Our Human Resources training team did a great job designing and executing training for all team members affected by process changes stemming from kaizen events. In a 24/7 business, this proved to be a very good countermeasure to help with team member buy-in and continuing support." However, Hirsch acknowledged that all of these efforts required significant commitment and time. Hirsch believed the organization had generated innovation around, and embraced, the grand objective of creating a culture where problem solving, waste removal, and customer service improvement were ongoing parts of everyone's job. Onward to Metropolis The Metropolis, Illinois, casino was opened in 1993 and initially located on the Ohio River along the border between Illinois and Kentucky.6 Caesars acquired the facility in 2000 and had operated it since then under the Harrah's nameplate. In addition to the riverboat that originally housed the casino, the site also included a convention center, several restaurants, and a 258-room hotel. In a typical year, Harrah's Metropolis hosted more than 600,000 visitors. In November 2014, Harrah's Metropolis Casino was relocated from the riverboat to the former convention center space adjacent to the original land-based hotel. The new facility was a significant strategic capital project aimed at improving the casino's competitive position with a state-of-the art gaming floor, increased entertainment offerings, expanded food and beverage amenities, and improved accessibility and comfort for customers. The new single-level gaming floor featured more than 800 slot machines, 23 table games, a World Series of Poker room, new restaurant, entertainment lounge, and three new bars. Increasing competition was an important factor in Caesars' decision to invest almost $9 million to relocate and renovate the Metropolis casino. The previous two years had seen the growth of competing gaming options in both Illinois and Kentucky. In Illinois, recently passed legislation permitted certain enterprises (bars, restaurants, truck stops, and fraternal organizations such as the Knights of Columbus or Elks Club) to operate video-gambling machines. By one estimate, there were more than 15,000 such machines in enterprises across the state by the end of March 2014. 7 In Kentucky, so-called Instant Racing8 allowed bettors to place wagers on previously run horse races using a slot machine-like device.Despite issues around its legality,9 instant racing was gaining in popularity.The Caesars management team recognized that the Harrah's Metropolis property needed to be seen by patrons and potential patrons as offering an entertainment experience that went well beyond the video-gambling options readily available in other venues. The Harrah's Metropolis executive team also knew that non-gaming hospitality was becoming increasingly important in the casino industry. Casinos in Las Vegas were experiencing well-documented increases in customer non-gaming spending, and Harrah's Metropolis patrons indicated a strong desire to enjoy additional non-gaming experiences during their trips. Taking steps to ensure that the organization efficiently delivered hospitality service that customers scored as A-level promised to have a positive effect on the bottom line. But what was the best way to make this happen? 6 Metropolis (population 6,500), located in southern Illinois, was considered part of the Paducah, Kentucky, Metropolitan Statistical Area (population 100,000). 7 Kurt Erickson, "Video Gaining: Illinoisans Get a Piece of the Action," Illinois Issues, June 2014. http://illinoisissues.uis. edu/archives/2014/06/videogaming.html (accessed October 25, 2014). 8 A race was randomly selected from a library of more than 50,000 races without identifying information such as location, racetrack, horses running, or jockey. Based on limited racing-sheet information, the player placed a bet. The video ran and the outcome was revealed. 9 http://www.kentucky.com/2014/02/20/3099342_kentucky-supreme-court-sends-instant.html?rh=1. Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. 12 A11-14-0014 Hirsch believed that an organization-wide process-improvement effort could contribute to the financial success of Harrah's Metropolis. As he walked the new casino floor, he saw opportunities to eliminate wastefrom excited patrons waiting for big jackpot payouts, to execution of inventory management for the new restaurant. Although any one improvement might seem trivial, ignoring these small wastes could lay the organization open to death by a thousand small cuts. The Harrah's Metropolis executive team had delivered a successful construction project and opening, and the move to the new location seemed an ideal time to make a renewed push for continuous operational improvement. One thing that puzzled Hirsch, however, was the best approach to take. The initiative he led in Tunica had demanded significant time commitments from all levels of the organization. An alternative for Metropolis was to deploy a small group of highly skilled process-excellence experts who were experienced in the application of LEAN principles and tools. These individuals would be charged with improving internal processes and procedures, although all employees would be expected to contribute improvement ideas through various means (employee focus groups, suggestion systems, and other avenues). This approach could offer a more efficient route to ongoing improvement because it would not take employees away from their work responsibilities for extended periods of time. With expertise-based process improvement, Hirsch's team would not have to train line employees to analyze and improve processes. He believed the cost and time involved would be significantly less than at Tunica. The resource challenges associated with leading a single property also argued for a more top-down approach at Metropolis. At Tunica, Hirsch had access to regional resources from three properties, enabling him to borrow employees from other facilities to cover the work responsibilities of those participating in kaizen events. That would not be as easy at Metropolis, with only 600 employees and a single facilityhigh-involvement kaizen event activities could result in insufficient coverage of key service areas. A dedicated team of LEAN experts would take the load off of employees and keep services running. On the other hand, he remembered how energizing it was for employees to be involved in making their own work better. As Hirsch scanned the gaming floor, he wondered what his next steps should be. Authorized for use only in the course Health Administration Management Program at Fanshawe College taught by Corrine Rahman from 9/1/2022 to 12/31/2022. Use outside these parameters is a copyright violation. A11-14-0014 13 Appendix A: Background on LEAN Concepts LEAN management, adapted in the West from the Toyota Production System, is a philosophy of continuous improvement that seeks to increase the competence with which an organization's processes can deliver value to customers. Its core aim is to eliminate waste that occurs in the form of waiting, rework, excess production, and so forth. Womack and Jones in their seminal book, Lean Thinking, describe the essence of lean in five key principles.1 These principles, which originated in manufacturing contexts, had been successfully translated to the service sector. 1. Determine what the customer wants. Begin by understanding what the customer values in the product or service. 2. Eliminate waste from the value stream. Determine how value is currently delivered to customers by studying the value stream and identifying and eliminating wasteful steps and activities. 3. Wherever possible, use continuous flow. After eliminating wasteful activities, with the steps that remain, keep the work flowing, without delay, from step to step. This involves locating successive operations in close proximity (a concept associated with work cells) to produce items or serve customers one at a time, with each item or customer passed immediately to the next step without interruption or delay. In manufacturing contexts, this is known as one-piece flow. Continuous flow eliminates the delays and inventory associated with producing in large batches, where the entire batch is completed at one step before any of the items in the batch move to the next step. The concepts apply just as easily to services: customers flow seamlessly from one step to the next without delay, and do not find themselves inventoried in long queues or waiting areas. 4. Use pull (not push) to govern how material flows between steps. Where continuous flow is not possible, let customer demand govern how much and when to produce. Individual supplier steps should produce only what is required to replenish what has been used by the consuming step. In some service settings, pull is a given because customers (e.g., patients, legal clients, restaurant patrons, casino guests,) can't be processed in advance of their arrival or expressed desire for the service. But, in more production-oriented activities such as restaurant services, pull implies accumulating food supplies at levels that meet demand, avoiding the waste of spoilage or the risk of serving unfresh food to customers. 5. Manage toward perfection: Continuously improve every process. In LEAN parlance, a value stream is all the steps required to finish product or service from beginning to end. Although LEAN has traditionally been applied to the transformation of physical goods, value streams exist in any productive effort. A customer's journey inside a casinofrom arrival to departureinvolved many different value streams, each of which delivered a product or service experience: valet parking, hotel check-in, food and beverage services, gaming, housekeeping operations, retail activities, spa services, and so on. Each of these value streams was a potential target of opportunity where waste could be identified and eliminated with the objectives of improving the customer experienceand the organization's profitabilityby delivering a product or service better, faster, and at lower cost. 1 J. Womack and D. Jones, Lean Thinking: Banish Waste and GenerateWealth in Your Corporation (New York: Free Press, 2003). Authorized