dr. amel farrag lean six sigma in healthcare

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Dr Amel Farrag LSSMBB

Lean Six Sigma in Healthcare

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Learning Objectives

• Why Six Sigma in Healthcare • How to apply Lean Six Sigma in a hospital

setting.• How to get doctors to lead the Lean Six Sigma

implementation.• How to link training and process improvement

activities.


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How Senior Management Describes Six Sigma?

" One of the greatest management innovations of the past quarter-century and an extremely powerful way to boost a company’s competitiveness…Nothing compares to the effectiveness of Six Sigma when it comes to improving a company’s operational efficiency, raising its productivity, and lowering its costs.”

Jack Welch ) WINING )


Dr Amel Farrag LSSMBB 4

Why Hospital Strive for Process Excellence ?

Increase Process Efficiency

Errors will slow hospital growth and increase liability

Customers only allow one bad experience

People continuously think of better ways to do their jobs

There are costs associated with the bad quality

Improve Customer Experiences

Empower Employees

Fix Broken processes

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History of Six Sigma

Six Sigma was launched by Motorola in late 80s and early 90s As Quality program

Mid 90 implemented in GE .CO by Jack Welsh then to other companies like U.S. Government American Express o Hercules Allied Signal Microsoft, Johnson & Johnson

Since then many companies have embraced Six Sigma it is transmitted for healthcare industry like United Health Group , NHS , The Joint Commission .


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What is Six Sigma (6 σ)?

Sigma is a Greek alphabet letter (σ) Used to describe variability .

Sigma level Indicator of how often a process is likely to meet objectives Often expressed as 2 σ , 3 σ , 4 σ , A 6 σ process will perform to

specifications 99.9999998% of the time (2 in a billion defect rate)

Philosophy of Six Sigma All processes vary over time Six Sigma is a process for controlling that variation and continuously

improving the product or service produced


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What is Lean

“To get the right things to the right place at the right time, the first time, while minimizing waste and being open to change”

— Taiichi Ohno,

Lean is an approach that seeks to improve flow in the value stream and eliminate waste .


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Lean and Six Sigma Use Six Sigma to

-Improve process effectiveness

- Reduce variability

-Ensure hitting the target ALL the time

- Accuracy , Reduce Defects

Use Lean to

-Improve process efficiency

- Reduce number of steps in the process

-Reduce waste with Less effort

-Timeliness , Reduce NVA Steps .



Hospital Players

Hospital players

Consumer

Buyers

Outsource

Provider

Management

Contractor Hospital Players Interact Routinely

• Patient Safety Goals .•Improve Clinical Outcomes.• Increase Compliance Rates• Operational efficiency.• Improve Supply chain Labs , pharmacy. • Discharge Rates at Clinics ER / OR / ICU .• Financial Impact / Service Cost.•Increase quality Service Levels / Patient Care .• Stakeholder satisfaction Patients, Employees, Physicians

Customer Requirements in Healthcare

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Joint Commission and Six Sigma Six Sigma was adopted by The Joint Commission Center for Transforming

Healthcare

Initiating Seven large Projects :

1. The Hand Hygiene Project 20082. Improve the safeguards to prevent patients from wrong site, wrong side

and wrong patient surgical procedures 2009 3. Improving the quality of hand-off communications 20104. Reduce surgical site infections (SSI) 20105. Prevent avoidable hospitalizations 20116. Prevent falls that occur in health care facilities 20117. Improve Safety Culture 2011



Six Sigma In Healthcare • ICU hours of Care Per Patient day: Dropped from a starting point of 29.6 hours in the 1980s to 20.5

hours by 1995 and 19 hours by 2001

• The Mortality Rate from Acute Myocardial Infarction declined from 9.68 percent in 1999 to 6.3 percent in 2002

• Shortened LOS of patients with Chronic Obstructive Pulmonary Disease. This resulted in more possible patient admissions and an annual savings of $40,000 in one hospital.

• Cardiac Surgery Cost Savings: $1.1 to $2.6 million saved / year

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Which areas are Six Sigma Companies Focus?


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Where do Companies Focus?


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Where do Healthcare Focus?

Reduced medical Errors Accurate, repeated, processes Just in time and every time Meet customer and patients needs Reduce hospital cost without affecting quality of care

This why we are thinking for six sigma in Healthcare


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Six Sigma Implementation Road Map


Six Sigma Implementation Strategy

Sell top management on the benefits of Six Sigma.

Have top management communicate the hospital strategy to all staff members .

Emphasize a quality culture through communications.

Change mentality to patient center organization .

Establish data-driven improvement measurements .

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• Teach Executive Staff "Sponsors" on how to drive the hospital strategy .

• Choose and train hospital Champion ,leaders will set process measurements ,review results and be accountable .

• Choose and train Master Black Belt - A core team of experts embedded in key business areas to lead, teach and audit.

• Choose and train project managers black Belt - Business team members will deploy, collect and measure data, analyze results and make improvements.

• Provide general overview & emphasize tools to "Green Belts"Dr Amel Farrag LSSMBB

Six Sigma Training Strategy

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• Continue Six Sigma competency training across the hospital

• Establish a Quality Committee - to choose most important projects to the hospital .

• Assign Black Belts to projects based on their expertise and background .

• Create a Black Belt community across the hospital .

• Establish best practice "Centers of Excellence"


Six Sigma Training Strategy

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Examples of Six Sigma Projects in Hospitals

Process Efficiency

Clinical out come Administrative

Reducing waiting time in Radiology Department

Reducing redo after Lasik Operation

Increase quality rate in medical transcript

Decrease discharge TAT

Door to treatment TAT in acute chest pain with STEMI

Decrease Rat of invoice errors

Decrease rate of operation cancelation

Decrease Bed Sore Rat in hospitalized patient

Decrease Nursing Turnover


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Questions & Answer


dr. amel farrag lean six sigma in healthcare

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