Improvement Insights Blog
Latest "Healthcare" Posts
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.
Continue Reading "The Economy is Sick"
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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"
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"
Webinar 2 of 3: March 5, 2020 More than 60 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, 2 of 3"
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"
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"
Webinar 1 of 3: February 12, 2020
More than 60 people signed up for this webinar, with Jay Arthur doing an overview on the IHI’s goal, and how implementing Agile Lean Six Sigma can speed an organization’s improvement process and better sustain results.
Continue Reading "IHI Trillion Dollar Checkbook Webinar, 1 of 3"
A couple of years ago, in spite of vaccinations, I got the flu and it turned into pneumonia. Here’s what I do to prevent infections.
“Hi, I’m Jay Arthur. A couple years ago, in spite of my flu vaccine and my pneumonia vaccine, I first got the flu, and then that developed into pneumonia, and then I had to spend five days in the hospital… that was not fun, all right? After that I thought, “Hmmm, maybe I should change how I do things, right? How can I keep these things that get near my nose and my mouth away from me?
Continue Reading "Mistakeproofing Flu Season"
IHI set a goal to reduce healthcare waste by 50% by 2025. Here’s how to do it with the Trillion Dollar Prescription.
“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals.” We were just out at the Institute for Healthcare Improvement conference in Orlando, Florida. [There were] like, 4500 medical doctors and nurses and CNO’s and CNMO’s and people all involved in improving healthcare quality. This is their 31st annual conference. (I can tell you based on what I was looking at on the posters, people are not really aggressively going after change…)
“The IHI announced that it’s tackling what they call the “Trillion-Dollar Checkbook.”
Continue Reading "IHI’s Trillion Dollar Aim – Reduce Healthcare Waste by 50% by 2025"