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Latest "healthcare" Posts

Reducing Patient Falls – A Case Study

The Joint Commission Journal on Quality and Patient Safety (Feb 2018) has an article entitled “Temporal Trends in Fall Rates with the Implementation of a Multifaceted Fall Prevention Program.” Ouch! I believe the story could have been told easily with quality improvement tools, so here’s how I’d go about it. First, there are a number […]

Posted by Jay Arthur in healthcare, Jay Arthur Blog, QI Macros, Six Sigma.

Hospital Costs a “Hungry Tapeworm on U.S. Economy” says Warren Buffett

I have been thinking for some time that someone would come along, start buying up hospitals and forcing them to adopt the Lean principles of Amazon and Six Sigma to achieve the “science and evidence” that Don Berwick has been challenging the IHI to adopt. http://money.cnn.com/2018/01/30/news/companies/amazon-berkshire-jpmorgan-health-insurance/index.html Warren Buffet has the money, but usually invests in […]

Posted by Jay Arthur in healthcare, Lean, QI Macros, Six Sigma.

Leveraging Healthcare IT Systems Data for Improvement

The November-December 2017 Harvard Business Review has an article about leveraging healthcare data. Authors describe healthcare productivity growth as anemic. While most healthcare organizations are using the data to monitor performance, few are using it to analyze how processes and protocols can be improved. Solution: Use IT to transform the way you deliver medical care, […]

Posted by Jay Arthur in healthcare, QI Macros, Six Sigma.

Mistakes Companies Make In Voice Mail Messages

What does your voicemail message say about your company? Here’s a look at what can go wrong.

Posted by Jay Arthur in healthcare, Six Sigma.

Why We Wait in Emergency Rooms (ER)

A study of 90,000 patients reported in the November-December 2017 HBR found that as patient volume increases, some ER doctors favored easier cases to feel more productive. This is known as task completion bias: “we gravitate toward easy-to-finish tasks to create a sense of accomplishment – even if those tasks aren’t very important.” The study […]

Posted by Jay Arthur in healthcare, Lean, QI Macros.

Are We Teaching Students the Unnecessary Things?

I’m here at the IISE (Institute of Industrial and Systems Engineers) conference in Pittsburgh. One professor had been teaching students how to use Excel to create control charts, but he was beginning to feel like that was a waste of classroom time (duh!). I beat him up a little for teaching DIY Excel stuff to […]

Posted by Jay Arthur in healthcare, Lean, Manufacturing, Service, Six Sigma, Statistics.

Top Leaders Deliver Reliably

May-June 2017 HBR discusses the results of a 10-year study of what makes CEOs great. Of the four traits, number 4, Delivering Reliably, was found to be the most powerful of the four essential behaviors. Reliable CEOs were 15 times more likely to succeed. I have found that one of the most effective ways to […]

Posted by Jay Arthur in healthcare, Lean, Manufacturing, Service, Six Sigma.

Lean Insights from “The Founder” Movie

Early in the movie, the McDonald’s brothers describe how they came up with the concept for speedy service. It’s Lean. They had too many menu items, so they decide to simplify down to burgers, fries and soft drinks. (Think Lean inventory.) They go to a tennis court and use chalk to lay out a possible […]

Posted by Jay Arthur in healthcare, Lean, Manufacturing, Service.

Quality Tool Usage at IHI 2016 Poster Presentations

I’ve been monitoring the use of quality tools at the Institute for Healthcare Improvement conference for over a decade. This year there was a slight uptick in the use of control charts, but still far below my expectations. How can healthcare hope to achieve and sustain improvements without control charts? There were over 500 posters, […]

Posted by Jay Arthur in healthcare, QI Macros, Six Sigma.

The Great Training Robbery

October 2016 HBR article, Why Leadership Training Fails-and What to Do About It, calls the $160 Billion spent on training in the U.S. the Great Training Robbery. The authors say: “Learning doesn’t lead to better organizational performance, because people soon revert to their old ways of doing things.” Unfortunately, this is true of most Six Sigma […]

Posted by Jay Arthur in healthcare, Lean, Manufacturing, Service, Six Sigma.