Healthcare – Page 7 – Lean Six Sigma Moneybelt

Improvement Insights Blog

Latest "Healthcare" Posts

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 training courses. If you don’t apply what you’ve learned immediately to reducing delay, defects and deviation, the learning is lost in 72 hours.

That’s why my Lean Six Sigma workshops focus on solving real problems using existing data. Once people connect the methods and tools to results, it’s hard to go backward.

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

Why Six Sigma Fails

Over the last 25 years, I’ve gotten to see Six Sigma failures and successes. But in spite of all of the belts trained and investments made, why isn’t product and service quality any better? Why is there so much hassle? Why aren’t more customer experiences hassle-free? I’ve developed a mental list of the most common types of failures. Here’s my fishbone diagram for Six Sigma failures. I’d encourage you to develop your own.

six-sigma-failures-fishbone

80% of the businesses in the U.S. are service businesses, yet Six Sigma training is extensively focused on the manufacturing factory floor. It takes too long to teach people everything they might need to know to solve all of the problems they might ever encounter.

Posted by Jay Arthur in Healthcare, Manufacturing, QI Macros, Service, Six Sigma.

How is a Hospital Like a Car Dealership?

I got a call from a QI Macros customer who works at  a luxury car dealership. Customers were upset because their cars were spending too long in the shop. The dealership tracked the length of stay of every car, the symptoms and barriers to getting the car done when expected.

I was struck by the similarities between what he was describing and a hospital. Patients come in, get diagnosed, treated, admitted and eventually discharged. This is the same problem as the maintenance shop.

I asked if the maintenance department had information about the type of problem, missing parts, age of the car and so on.

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

Most Valuable Career Skills

This month’s issue of Money Magazine discusses the 21 Most Valuable Career Skills. At the top of the list, statistical analysis increasing pay by 6.1%. Right behind statistical analysis is Data Mining at 5.1%. It’s incredibly easy to learn these two skills using QI Macros and Six Sigma.

Also on the list, Customer Service Metrics (4.3%). I have found that the written comments in customer service systems can be easily analyzed using the QI Macros Word Count tool to identify the most common type of call or complaint. Then simple root cause analysis can reduce or eliminate those calls.

Business analysis (3.8%) is easy with QI Macros Control Chart Dashboards.

Posted by Jay Arthur in Healthcare, Lean, Manufacturing, QI Macros, Service, Six Sigma.

ASQ 2016 Quality Tool Usage in Poster Presentations

At this years American Society for Quality World Conference in Milwaukee, winning teams improvement projects were displayed in posters in the exhibit hall. As I did at IHI in December, I took a stroke tally of the types of tools used. Like IHI, the vast majority of tools were line and bar charts, which are the dumbest charts on the planet. Only a few teams out of 36 used control charts, Pareto charts, histograms or fishbones.
asq 2016 quality tool usage

Shouldn’t quality improvement stories should be told with tools of quality, not simple line and bar charts? Shouldn’t we be using charts that went to college and took statistics?

Posted by Jay Arthur in Healthcare, Manufacturing, QI Macros, Service, Six Sigma.

Color Kanban for Hospitals

Almost every hospital storage room I’ve seen uses one color of kanban storage bin. This makes it harder to find what you want unless you know where it is. What if hospitals used colored kanban bins for the their two-bin kanban system (one in use, one for backup)? Red for blood; yellow for urinary, blue for respiratory? Wouldn’t that make it much easier to find needed supplies?colored kanban storage bins hospital

Colored kanban storage bins for hospital supplies

Posted by Jay Arthur in Healthcare, Lean, Service.

IHI 2015 Poster Use of Quality Tools

In his speech Sunday at IHI, Don Berwick called for everyone to “recommit to improvement science” (step 5 in ERA 3 of healthcare transformation).

He sounded annoyed with the lack of use of Lean Six Sigma tools and methodologies.

I understand his frustration. I was there in 2006 when he asked everyone to “pledge allegiance to science and evidence.”

Over the years, I’ve done a stroke tally of the quality tools used in IHI poster presentations.

I gave each poster one checkmark for each type of tool used.

IHI-2015-poster-use-of-tools

Sadly, even with all of the emphasis on control charts, Pareto charts and other tools of quality, they are used rarely in poster presentations.

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