Improving Healthcare Quality and Cost With Six Sigma

The Definitive Six Sigma Guide for Healthcare: Methodologies, Tools, and Metrics Rising costs are making healthcare unaffordable for millions, and 100,000 people die every year due to medical error. Healthcare must change–dramatically. Many leading healthcare institutions are discovering a powerful toolset for addressing both quality and cost: Six Sigma. In this hands-on, start-to-finish guidebook, four leading experts introduce Six Sigma from the unique standpoint of the healthcare professional, showing exactly how to implement it in real-world environments. Drawing on their unsurpassed experience, the authors offer step-by-step methodologies, tools, and metrics–all thoroughly adapted to the unique realities of healthcare. They demonstrate how to utilize Six Sigma’s Define, Measure, Analyze, Improve, and Control (DMAIC) process to address even the most challenging problems. They also offer realistic guidance on rolling out Six Sigma initiatives that deliver rapid and sustainable value. The authors show Six Sigma at work in every area of the hospital: clinical, radiology, surgery, ICU, cardiovascular, laboratories, emergency, trauma, administrative services, staffing, billing, cafeteria, even central supply. You'll learn why Six Sigma can produce better results than other quality initiatives, how it brings new rigor and discipline to healthcare delivery, and how it can be used to sustain ongoing improvements for the long term. Coverage includes · Adapting Six Sigma methodology, tools, and measurements for healthcare · Designing more successful experiments · Rolling out your Six Sigma initiative successfully · Case studies from every area of the hospital, from the ICU to billing · Six Sigma templates modified fully for the healthcare environment Comprehensive and user-friendly, this book will be indispensable to everyone concerned with quality or cost: administrators, managers, physicians, and quality specialists alike. Where Six Sigma is already in use or being considered, it will serve as a shared blueprint for the entire team. Contents Foreword xx Introduction xxi Part I: The Need for Cutting Costs and Improving Quality in Healthcare 1 Chapter 1 Trends in the Healthcare Industry 3 Chapter 2 Excellence (Benchmarks) and Improvement Challenges in the Healthcare System 21 Chapter 3 Applicability of Six Sigma in Healthcare Organizations 31 Part II: Methodology, Tools, and Measurements 59 Chapter 4 The Healthcare Opportunity 61 Chapter 5 Six Sigma Methodology 77 Chapter 6 Understanding Problems: Define, Measure, and Analyze 89 Chapter 7 Solving Problems: Improve and Control 129 Part III: Benefiting from Six Sigma 161 Chapter 8 Case Study Introduction and Profiles 163 Chapter 9 Clinical Case Studies 181 Chapter 10 Operational Case Studies 203 Part IV: Rolling Out and Sustaining Six Sigma 239 Chapter 11 Implementing a Six Sigma Culture 241 Chapter 12 Lean Six Sigma in Healthcare 373 Chapter 13 The Road Ahead 401 Part V: Appendixes 431 Appendix A PMBOK Tools and Techniques 433 Appendix B The Six Sigma Body of Knowledge 437 Appendix D Total Six Sigma Tools Self-Evaluation Form 445 Appendix D Additional Resources 451 Appendix E The Man I Want To Be! 453 Index 455

Improving Healthcare Quality and Cost with Six Sigma

Business & Money

Trusko, Brett

Management & Leadership

Ft Press

The innovation infrastructure and master plan described in this book offers a detailed and comprehensive approach to one of the most difficult and challenging problems facing entrepreneurs involved in innovation at any scale enterprise: the problem of how to govern your organization’s innovation initiatives in the middle of turbulent change. Progress in any field requires the development of a framework, a structure that organizes the accumulating knowledge, enables people to master it, and unifies the key discoveries into a set of principles that makes them understandable and actionable. For starters, successful innovation requires an integrated design process, beginning with integration in the design of the enterprise, the design of the product, along with the design and implementation of new technologies. Such an integrated design effort requires good collaboration and management of the design framework, and should be supported by efficient knowledge management techniques and tools; If innovation is to help a business grow and improve its competitiveness, it is also important to plan the innovation carefully. This book provides a holistic, multidisciplinary framework that will enable your organization and its leaders to take a strategic approach to innovation. The framework combines non-traditional, creative approaches to business innovation with conventional strategy development models. The framework model brings together perspectives from many complementary disciplines: the non-traditional approaches to innovation found in the business creativity movement; multiple-source strategy consulting; the new product development perspective of many leading industrial design firms; qualitative consumer/customer research; future-based research found in think tanks and traditional scenario planning; and organizational development (OD) practices that examine the effectiveness of an organization’s culture, processes, and structure. Though some ideas may just "fall from the sky" or "come out of the blue", an organization should also have a strategic vision of how the business and the enterprise will successfully develop. It should not just wait for the innovation to arrive arbitrarily, but rather proactively plan for innovation incorporating market trends, the competitive landscape, new technology availability, and changes in customer preferences and trends in order to create a flexible in-house innovation process. Such an enterprise will also pro-actively manage the knowledge supply chain that supports innovation, as outlined in this book #7 of Management Handbook for Results series. The framework outlined in this handbook consists of a well-integrated cohesive set of practices that inspires imaginative innovation teams to look beyond the obvious and explore a broad range of possibilities to identify significant opportunities and make informed decisions about the most promising paths to pursue. The goal is to create a shared vision for growth, along with defining pragmatic action plans that bridge from the future back to the present, while attempting to align the organization around the requirements for success.

The Framework for Innovation: A Guide to the Body of Innovation Knowledge (Management Handbooks for Results)

Voehl, Frank

Harrington, H. James

Fernandez, Rick

Economics

Productivity Press

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