Practical Lean Six Sigma for Healthcare: Using the A3 and Lean Thinking to Improve Operational Performance in Hospitals, Clinics and Physician Group Practices
- 3h 36m
- Jayant Trewn, Rob Ptacek, Todd Sperl
- MCS Media, Inc.
- 2013
This book bridges the gap between a highly quantitative analysis of a process that requires extensive training (i.e., Six Sigma certification) and a more simplified approach that can be used and understood by the masses (i.e., Lean thinking). The goal of this book is to make the methods and tools of Lean and Six Sigma accessible to more people and provide a common sense or practical approach to problem solving and continuous improvement. This book is intended to be used by Sigma Belt Levels, Lean Senseis (i.e., teachers), Continuous Improvement Specialists, front-line managers, and supervisors of departments and work groups, and improvement team members in their efforts to improve the patient care experience while reducing waste and variation in all types of healthcare processes. The Lean Six Sigma tools and concepts are presented relative to the A3 road map to provide a definitive how-to guide to problem solving and continuous improvement (Kaizen) initiatives.
The examples contained in this book are from a wide range of hospitals, clinics, and physician group practices, and will assist team members to fully understand the tool s usage and purpose.
Throughout this book, the different improvement methodologies that organizations may already be using to meet the Joint Commission requirements are recognized and mentioned. We acknowledge that all have their benefits. It is important to select the one that fits the organization and will be widely used. The methodology should be easy to understand and follow, therefore better engaging the employees, as well as providing a visual management structure for reporting and sustaining continuous improvement initiatives. We introduce the familiar healthcare protocol for patient care and safety, the Assess, Diagnosis, Treat, and Prevent (ADTP) model to be considered as an improvement methodology. This will assist those in your facility to better understand how Lean and Six Sigma can be successfully deployed.
The examples provided throughout this publication demonstrate how a Lean or Six Sigma tool was used in a particular setting. We have presented them in this manner to provide a general understanding on how the tools can be applied in everyday (i.e., practical) healthcare services. This includes supporting key parts of the Affordable Care Act (such as EMR deployment and meaningful use) and the IHI Triple Aim initiative.
About the Authors
Todd Sperl is an enthusiastic, creative speaker and process improvement expert who looks beyond today s problems to find tomorrow s solutions. As Owner and Managing Partner of Lean Fox Solutions, Todd s vision is to improve the patient care experience from one healthcare touch point to the next. As a Master Black Belt and Lean Sensei, Todd s exceptional track record of process improvement has been based on his philosophy of total enterprise engagement in change. Todd received his BS in Psychology from the University of Wisconsin-River Falls and an MS in Industrial-Organizational Psychology from St. Mary s University in San Antonio, Texas.
Rob Ptacek is a Partner in the Global Lean Institute and President and CEO of Competitive Edge Training and Consulting, a firm specializing in leader and organizational development, and Lean Enterprise transformations. Rob holds a BS in Metallurgical Engineering from Michigan Technological University and a Masters of Management from Aquinas College. Rob has held leadership positions in Quality, Sales, and Operations Management, and has over 25 years of practical experience implementing continuous improvements in a variety of industries.
Jayant Trewn is an Industrial Engineer specializing in Quality Systems design, development, implementation, and management. Jayant has accumulated over a decade of experience working in healthcare organizations such as Spectrum Health Medical Group, Beaumont Hospitals, and Lason Systems where he built healthcare delivery process improvement programs based on Lean, Six Sigma, and PDCA concepts. Jayant has authored the book Multivariate Statistical Methods in Quality Engineering and he has been published in international journals. He holds a Doctorate degree in Industrial Engineering from the College of Engineering, Wayne State University, Detroit, MI, USA. He earned his MBA in Information Systems at Wayne State University and his Bachelor of Engineering degree from Madras University, India.
In this Book
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Managing Change
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Lean Healthcare Assessment and Gap Analysis
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Stakeholder Analysis
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Project Identification
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A3 Report
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Prepare Readiness Guide
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Charters
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Team Selection and Building
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Effective Meetings
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Project Management
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Value Stream and Process Maps
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Assess Phase Readiness Guide
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Waste Walk
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Value-Added (VA) versus Non Value-Added (NVA) Analysis
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Constraint or Bottleneck Analysis
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Demand Analysis Plots and Takt Time
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Voice of the Customer (VOC)
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Quality Function Deployment (QFD)
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Measurement System Analysis (MSA)
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Process Capability
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Charting
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Brainstorming
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Cause and Effect (or Fishbone) Diagrams
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5 Whys
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Interrelationship Diagrams
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Employee Balance Charts
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Force Field Analysis
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Impact Map
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Diagnosis Phase Readiness Guide
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Kaizen Events
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Plan-Do-Check-Act (PDCA) Process
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5S
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Visual Controls
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Mistake Proofing
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Standard Work
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Process or Work Area Layout
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Mass Customization
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Flow
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Quick Changeovers (QCO)
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Total Productive Maintenance (TPM)
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Cross-Training
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Treat Phase Readiness Guide
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Statistical Process Control (SPC)
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Visual Management
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Standard Work for Leaders
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Layered Process Audits (LPA)
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Prevent Phase Readiness Guide
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