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Improvement Insights Blog
Latest "Agile Lean Six Sigma" Posts
Should a project take 4-16 months or 4-16 hours? Should you measure projects with a calendar or a stopwatch? I think the answer is obvious, but here’s my take on it.
“Hi, I’m Jay Arthur. Every year, we exhibit at lots of conferences with QI Macros so I get to go to presentations by all kinds of folks. Now, last year I saw a presentation by some consultants who said they’d done some research into how long Six Sigma projects take. They found Six Sigma projects take anywhere from four months to 16 months.
“I [thought], “What? How’s that possible?” That makes no sense to me, because I’ve done multimillion-dollar projects in between 4 and 16 hours.
Continue Reading "How Long Should Lean Six Sigma Projects Take?"
Posted by Jay Arthur in Agile Lean Six Sigma, Data Mining, Improvement Insights, QI Macros.
I started wondering, what would the COVID-19 pandemic look like as an improvement story. We have charts about cases and deaths. What might be the root causes and potential countermeasures? Here’s my draft Ishikawa-fishbone root cause analysis diagram and countermeasures. Root causes circled in red.
We screen for guns in luggage and knives on passengers, why not temperatures?
As of 4/12/20, NYC accounted for over a third of U.S. COVID-19 cases and almost 50% of deaths. It’s a hot zone. According to one employee, Denver General Hospital has not had a single COVID-19 patient. It’s a cold zone. What are the boundaries of the cold zone?
Continue Reading "COVID-19 Root Cause Analysis and Countermeasures"
Posted by Jay Arthur in Agile Lean Six Sigma, QI Macros, Six Sigma.
Webinar 3 of 3: April 8, 2020 More than 40 people signed up for this webinar, with Jay Arthur first doing an overview on the IHI’s goal, and then going into more detail and highlighting examples on how implementing Agile Lean Six Sigma can speed an organization’s improvement process and better sustain results.
Continue Reading "IHI Trillion Dollar Checkbook Webinar, 3 of 3"
Posted by Jay Arthur in Agile Lean Six Sigma, Data Mining, Healthcare, Webinar.
COVID-19 has slowed business for much of the nation. Here’s how you can make use of the time:
“Hi, I’m Jay Arthur, author of “Lean Six Sigma Demystified” and the QI Macros [software].
“I don’t know about you, but with this COVID virus thing going around, business has slowed a little bit, but that’s great! That gives us an opportunity to start to focus and work ON our business, not IN our business. Now is the time to start to find ways to simplify, streamline, optimize everything that you do so that when things come back on you’ll be ready for it and you’ll be faster, better, cheaper than you ever were before.
Continue Reading "Work ON your business, not IN it."
Posted by Jay Arthur in Agile Lean Six Sigma, Improvement Insights.
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“Hi, I’m Jay Arthur, author of “Lean Six Sigma Demystified” and the QI Macros [software].
“I don’t know about you, but right now, I’m staying home because of the directives around COVID-19. I know there’s a lot of people out there who have been displaced and are out of work, and now might be a good time to learn a new skill. I can tell you: being able to do some data analysis that results in problem solving is a skill that every, every, every business wants.
Continue Reading "Learn Data Analysis for Problem Solving"
Posted by Jay Arthur in Agile Lean Six Sigma, Data Mining, Healthcare, Improvement Insights, Lean, Manufacturing, QI Macros, Service, Six Sigma.
Coronavirus means that we can’t wait weeks for training and months for improvements. Healthcare has to embrace Agile Lean Six Sigma to handle an infection that could overwhelm existing care facilities. (Hint: This has nothing to do with doctors and nurses, but everything to do with the patient.) Here’s how to do it:
“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals” and the QI Macros [software]. You know, I think we’re at this place in time where we can no longer wait two to four weeks for training and four to six to twelve months for projects to get done.
Continue Reading "Agile Lean Healthcare Now"
Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Improvement Insights, Lean, Six Sigma.
Sometimes you’ll hear people say that software isn’t necessary for Quality Improvement. Let me demonstrate how much time you’re wasting if you create ONE Pareto chart by hand, instead of using software.
“Hi, I’m Jay Arthur, author of “Lean Six Sigma Demystified” and the QI Macros [software].
“If you’ve listened to any of my Insight videos or seen me present at conferences or [had me] train you in a workshop, you know that I don’t believe you can do Quality Improvement without software. We have to stop doing Quality Improvement the 20th century manual, slow way. We have to start doing it the 21st century way, and we have to start doing it quickly.
Continue Reading "Making Pareto Charts by Hand?"
Posted by Jay Arthur in Agile Lean Six Sigma, Improvement Insights, QI Macros.
Ordered a snowthrower as a wedding gift for two day delivery. Eight days later it was delivered to someone’s home (not mine). How can we mistake-proof these kinds of problems?
“One of the guys in my office is getting married this June and so I got him an early wedding gift: a snow thrower. So I ordered it from Amazon. I ordered it on Monday, it was supposed to arrive on Wednesday; two days shipping on Prime.
“Then on Wednesday I get this notice that said, “Well, it’s sort of delayed.” So then it said maybe Friday, but of course on Friday it wasn’t here, and they tried to deliver it on Saturday, of course, which is when we’re closed.
Continue Reading "Snowthrower Delivery Debacle"
Posted by Jay Arthur in Agile Lean Six Sigma, Improvement Insights, Lean, Service, Six Sigma.
At the ASQ Lean Six Sigma Conference in Phoenix this week, Katie Castree with Accumen presented an excellent improvement story about reducing over-collection of blood tubes in a hospital. Here’s the story:
Baseline: 317 extra tubes of blood collected every day (115,705/year)
93% of tubes were not used (clinicians thought it was much higher and resisted changing)
Most of the unused tubes were collected in the Emergency Department (focus on the ED, not the entire hospital).
After the countermeasure (not collecting tubes unnecessarily), extra tubes dropped from 317 per day to 118 per day saving $12,335/year and 0.27 FTEs. Over time, extra tubes dropped to only 84 per day, a 74% reduction.
Continue Reading "Reducing Blood Sample Over-Collection"
Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Jay Arthur Blog, QI Macros, Six Sigma.
Nobody wants to look bad, which can make it impossible to make improvements. Here’s why:
“One of the things I’ve learned in all these years working in Quality Improvement is nobody, but nobody, wants to look bad. With the recent coronavirus [outbreak], the doctor who found that and [leaked news] out to the world, the Chinese government tried to shut him down, tried to keep that bit of information inside because they didn’t want to look bad.
“Well, this isn’t just a Chinese or Asian thing – saving face. In any business you walk into, somebody is in charge of how things are working and they’re in charge of trying to make it better, faster, cheaper.
Continue Reading "Nobody Wants to Look Bad"
Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Improvement Insights, Lean, Six Sigma.
