Lean and Six Sigma
Process Excellence in Healthcare
Welcome
to SBTI's dedicated Healthcare Group.
In the past, Lean
and Six
Sigma were served to Healthcare
either with a heavy dose of
manufacturing or by conventional healthcare quality groups just
rehashing their unchanged approach as Six Sigma. This was frustrating
to everyone and lowered the return on project investment. Worse,
Healthcare organizations were turned off to the potential of Six Sigma.
Now, SBTI has
brought its considerable deployment
history to bear on an industry searching for help. We’ve
taken
our experience with 60+ major deployments across various industries and
modeled a program specifically for Healthcare. By executing dozens of
projects and enlisting the expertise of healthcare professionals, SBTI
has created the first complete portfolio of tailored process
improvement solutions for Healthcare.
Let our experienced
Healthcare Consultants help you
deploy Lean and Six Sigma in your organization using an approach
specifically designed to solve Healthcare problems.
Recently, SBTI
teamed up with the American College of
Physician Executives (ACPE) for a web lecture on integrating
Lean Six Sigma
in a healthcare organization.
The recorded web lecture can be found here
(lecture will open
in a new browser window).
How Lean and Six
Sigma Apply to Healthcare
Typically the
pressing issues facing Healthcare delivery
systems are:
- Lowering patient
length of stay;
- Improving
patient flow through the system;
- Increasing
margins (as profit or reinvestment into
the organization’s future);
- Increasing
patient volumes; and
- A restrictive
lack of resource to do all of the above
Historically, these
issues seemed insurmountable in
Healthcare using traditional approaches. But these are reasonably
straightforward goals in a Six Sigma / Lean deployment, provided the
right tools are used for the right issues.
With Six Sigma,
organizations begin with the Voice of
the Customer to capture the expectations of patients, family members,
physicians, and other customers. Six Sigma then applies facts, data,
and statistical analysis to manage, improve, and re-invent processes to
reduce variation. In an emergency department, registration, triage and
acuity assignments are standardized to assure efficient and effective
patient treatment. On a care unit, nurses collaborate with the pharmacy
to improve the accuracy and timeliness of first dose dispensing of
newly ordered medications.
Lean gives
organizations the tools to drive out waste so
that all work adds value and serves the customer's needs. In a
medication room, nurses have the supplies they need when they want them
and where they can easily find them. In a laboratory, color coded
visual indicators are introduced so technicians can quickly see what
work needs to be done, what is complete, and where things need to go
next. In both cases, patients are served more quickly and inventory
requirements are reduced.
Lean Six Sigma
Terminology Unraveled
Six
Sigma is a problem-solving
methodology with a primary focus of doing things right the first time.
Clearly, in the realm of patient safety where a simple mistake can be
life-threatening, the methodology shows its strengths.
Lean
focuses on doing things rapidly
and reducing wait times. Using Lean and a kaizen (a Lean tool) approach
is an excellent means of rapidly achieving massive reductions in
lengths of stay. Six Sigma can help resolve this, but what takes Six
Sigma 6 months to achieve can often be done in 5 days with Lean.
Lean
Six Sigma is SBTI's
ground-up
integration of Lean and Six Sigma and is undoubtedly the best approach
to resolving virtually any Healthcare process problem.
Kaizen
is a Lean tool focused
on making change in a matter of 3-5 days. By getting the process
stakeholders together and tasking them with improving the process in a
structured way, dramatic results ensue. Kaizens provide an accelerated
mechanism to achieve results. Augmenting Kaizen with the defect
reduction power of Six Sigma ensures that results are flawless and
sustained.
SBTI has introduced K-Sigma™,
a
revolutionary approach to achieving the benefits of Lean and Six Sigma
in a fraction of the time! Black Belts undergo extensive training in
fully integrated Lean and Six Sigma methodologies, and, by following a
new improved DKMAIC™ roadmap, they not only learn the tools
over
a shorter period, but they complete their project during the training
period.
Typical Lean Six
Sigma offerings involve just a 2 day
bolt-on Lean class to traditional Six Sigma. SBTI's Lean Six Sigma and
K-Sigma™ offerings, however, are ground-up full integrations
of
the quality and flow methodologies.
SBTI's Healthcare
Offerings
SBTI has a
portfolio of tailored process improvement
solutions for Healthcare. We provide answers all the way from
individuals who wish to expand their expertise through to Health
Systems who want full organization-wide deployment.
How to Begin:
Before any new
initiative, organizations must ask
themselves, "What's the best approach? Should we test it out by
starting with a specific department or problem in mind? Should we do
training first? Or, should we go straight to organization-wide
deployment?" The answer, of course, is: it depends. Organizations have
successfully deployed Lean Six Sigma using each of these approaches.
Pilot Projects
using SBTI Consultants (Master Black
Belts)
Pilot projects
targeting specific areas can serve to
prove the concept. SBTI will make available
Master Black
Belts for Hire who can lead
projects and provide necessary
technical and project management expertise. These can quickly
demonstrate the program's value to the organization and help market it
internally. If the concept is wrong for the organization, it can be
contained in a small area. But, if the concept is right, the
organization has lost significant time for deployment and results.
Training
Lean Six Sigma can
be launched in an organization by
training Green
Belts and Black
Belts. SBTI has unmatched
experience in training successful Belts
in a variety of industries and our health care curriculum is
particularly polished. Training can, and preferably should, be held on
site where access to leaders, peers, and projects is uncomplicated.
SBTI also offers Lean Six Sigma public
training courses,
however, as well as eLearning
opportunities where those
make more sense.
SBTI also provides
conversion classes to allow for a
straightforward upgrade path from Green
Belt to Belt
Black to K-Sigma™
Black Belt to Master Black Belt.
Often requested, the
conversion path allows simple lower cost entry for healthcare providers
wishing to start small and grow.
Full Deployment
The chief risks of
beginning with pilots or training are
that projects may not be well-defined and linked to the organization's
strategic goals, the right resources may not be available, and no one
is truly accountable for the success or failure of the project. In a
full deployment, leadership is committed from the outset, the business
case drives the scope of the deployment, and leaders set accountability
and expectations.
SBTI will lead your
organization through the five phases
of deployment (see Six Sigma: the First 90
Days, by Dr.
Stephen Zinkgraf, SBTI's CEO):
- Planning for Change
- Rapid Profitability
Improvement
- Long Term Growth
- Internalization
- Strategy Planning
To
learn more about the anatomy of a full
Lean Six Sigma deployment click here.
SBTI can help you
plan and execute your deployment and
provides the supporting workshops that ensure the key elements are in
place:
Results
Results vary by
type of process, but, rolled up to a
hospital or system level, it is not unusual to see savings of 3-5% of
revenues in 18 months to 2 years. Individual Six Sigma and Lean
projects can quickly see process durations cut in half and reduce wait
times by as much as 90%. Patient Satisfaction is really a symptom of
other metrics that can be targeted by the deployment. Suffice to say, a
poor performing hospital can become one of the best in less than 2
years. Read through our case studies to see how a Texas hospital went
from the 4th percentile to the 80th with just one project.
Fact Sheets
SBTI's portfolio of
offerings for Healthcare in a
downloadable form:
Healthcare Lean Six Sigma
(includes How Six
Sigma & Lean Apply, Lean Six Sigma Roadmap, Lean Six Sigma
Green
Belt, Black Belt and K-Sigma™ Black Belt)
(1.27 MB )
Lean
Six Sigma for Managed
Care (includes Introduction, How Lean & Six Sigma Apply, Lean
Six
Sigma Roadmap and Tools, Lean Six Sigma Green Belt, Black Belt and
K-Sigma™ Black Belt and Benefits)
(2.79 MB )
Healthcare Executive
& Champion
Workshop (includes Healthcare Business Process Excellence, How Lean
& Six Sigma Apply, Executive Workshop Overview, Champion
Workshop
Overview, Core Process Map and Combined Executive / Champion Workshop)
(0.97 MB )
K-Sigma™:
Accelerating Lean Six Sigma in Healthcare (includes Integrated Training
for Accelerated Results, Step-by-Step Process for Solving Healthcare
Delivery & Management Problems)
(669 KB )
Reducing Average Length of
Stay in a Minor
Treatment Center (194 KB )
Healthcare Lean-Sigma
Black Belt Training
(824 KB )
Healthcare Lean Six Sigma
Green Belt
Training (524 KB )
SBTI eLearning
(includes Customized
eLearning to Support your Implementation and Fast, Flexible Culture
Change)
Case Studies
Read what others
achieved using Lean, Kaizen and Lean
Six Sigma
Reducing
Discharged Not Final
Billed (DNFB) – A Lean Six Sigma Process
(422 KB )
A
Hospital Wide Deployment of
Lean Six Sigma (372 KB )
Medication Delivery Time - from
Order to Aware (Kaizen Event)
(260 KB )
Reducing Average Length of Stay
in a Minor Treatment Centre (Kaizen Event)
(195 KB )
Reducing
Average Length of Stay
in an Emergency Department (180
KB )
Integrating
Lean Six Sigma in
Healthcare Organizations (Web Lecture)
What Others are
Saying About SBTI
“Lean Six
Sigma challenges us as a hospital to
focus on how good we can be, forces us to understand where we are
today, and enables us to bridge the gap between the two. At the center
of all this is our driving motivation to do the best we can for
patients.”
Tom Sonderman,
MD, FACEP, Vice President and Chief
Medical Officer
Columbus
Regional Hospital
"When our hospital
embarked on using Lean and Six Sigma
methodologies to improve processes in our surgical services, there were
not a lot of health care organizations using these methodologies. That
is why it was important for us to partner with SBTI for their expertise
and guidance. Our doctors and staff are embracing the improvements we
have made which have resulted in greater efficiencies in our surgical
areas."
Doug Leonard,
President & CEO (now President,
Indiana Hospital Association)
Columbus
Regional Hospital
"Having the
supplies and equipment readily at hand to
take care of patients has been an issue among nurses at CTMC for quite
a while. Applying 5s to the Medical-Surgical Unit's two supply and
equipment rooms has taken chaos and confusion and made it into an
organized, efficient, and almost calm place. The nurses on all shifts
are thrilled with the results. This was a big win for our new clinical
manager as well. Also, the materials management department finally
feels that they can do their job effectively and now have a great
working relationship with the nursing unit. Overall, this event has
really sparked more global interest in Kaizen events and the 5s
methodology. We are finally on our way!"
Angela
Loftin, Director of Performance Improvement
Central Texas Medical
Center
“SBTI
really helped the team get focused on the
best and most cost-effective way to improve the system. We were
actually going into this process focusing on one item and were very
surprised to see something else pop up…It’s
already
working.”
Dr. Maddie
Teller-Cook, Clinical Manager, Pharmacy
Central
Texas Medical Center
“They
[SBTI] have been a wonderful partner
throughout this entire thing. They have helped us with Six Sigma
opportunities and this kaizen event. We hope to continue to use Six
Sigma, Lean, and Kaizen together as a portfolio of performance
improvement techniques to help us make our hospital a better
place.”
Gary Jepson,
President & CEO
Central
Texas Medical Center
Contact Us
For more details,
contact a Lean Six Sigma Healthcare
professional at healthcare@sbtimail.com
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