This was a webinar presented for AAHQ members, 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 "7/24/20 AAHQ Trillion Dollar Prescription webinar"
That's root cause analysis: What are the common patterns? Where's the Pareto principle?
Continue Reading "Root Cause Analysis in the Time of COVID-19"
Even before COVID-19, I gave my staff digital thermometers, oximeters and blood pressure cuffs to help them monitor their health. You can too. Here’s how:
“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals” and QI Macros [software].
“I don’t know about you but when I was a kid growing up and my mom needed to take my temperature we used something called a thermometer. This is actually the original box that it was in, but that’s no longer necessary right? Now we have these kind of tools which you can just buy at your local store. Once you press it and turn it on you just scan it across your head and it’ll read your temperature.
Humans, by nature, have a fear of looking bad (FOLB). And we have a fear of looking stupid (FOLS). These are slowing COVID-19 response and quality improvement. Here’s why:
Hi, I’m Jay Arthur, author of “Lean Six Sigma Demystified” and QI Macros [software].
“You’ve all probably all heard some of these acronyms that are running around like FOMO: Fear Of Missing Out. Well, I wanted to introduce you to a couple more that I’d like you to consider. FOLB: Fear Of Looking Bad.
“Now when I’ve gone out to work with companies in consulting roles, some of these managers think, “I’m supposed to be in charge of fixing everything.
People over age 55 account for 92% of COVID-19 Deaths (data from CDC). Sweden is using similar data to leave the country open for most citizens while asking seniors to stay at home. How do we reopen the economy? Self-quarantine seniors; let everyone else get back to work.
Here’s the 2019-2020 Influenza (i.e., Flu) deaths. Again, seniors are 83.5% of deaths. The flu death rate is about 1 per 1,000. COVID-19 death rate is 1-2 per 100, perhaps lower in people under the age of 55 and higher for those over age 55.
Countermeasure: Self-quarantining seniors will help flatten the curve and prevent overwhelming healthcare.
We know that Lean can collapse cycle time by 75% or more. Here’s what that means for COVID-19:
“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals” and QI Macros [software].
“If you’ve ever done any Lean projects, you know pretty much if the process is this long {gestures}, with Value Stream Mapping and Spaghetti Diagramming, you can collapse that by maybe 75%, 80%, 90%. You can actually reduce the cycle time for almost anything and do it easily.
“One of the things that is creating optimism for me is that a few years ago I worked with an aerospace manufacturing company, and typically to get a Request For Proposal through, it was 1.9 years for any new part.
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"
One of our QI Macros users offered to share his dashboard of paramedic response during the Seattle area response to COVID-19. His team transported the first COVID patient in America. As you can see, turnaround times (TAT) at the hospital averaged 30 minutes and temperatures spiked in transported patients.
Back in 2002, thousands of miles from New York City, I worked with a hospital in Oregon. I was amazed to find that they had staffing data from 9/11 about the up and down for that month. As you can see in this X Chart, absenteeism (understaffing) was lower for each of the four following days, 9/12-15, and then recovered. I have noticed this pattern with COVID-19 as well: a week of paralysis followed by a return to normal. Unfortunately, healthcare workers haven’t had the luxury of downtime when dealing with the new crisis.
So don’t be surprised if crisis and uncertainty cause you or someone you know to hit the pause button.
Continue Reading "How Crisis Affects U.S. Healthcare Workers"
If you’ve ever been sick, you know that the only thing you can do is wait it out. Here’s what we’re going to have to do:
“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals” and the QI Macros [software].
“I know all of you have had some sort of cold or flu or been sick for a while. The day before Thanksgiving in 2014, I had this really heavy cough that came from the darkest recesses of my lungs and I said, “That’s not good.” Then I felt a little worse on Thursday, and on Friday I was diagnosed as having the flu.
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