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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“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.
More than 60 people signed up for this webinar, with Jay Arthur demonstrating how to use some of the useful features of QI Macros, as well as some of the new features introduced in recent releases of the software.
Some attendees were familiar with the software and already use it, some had only begun to use it; all were interested in learning new ways that QI Macros can help them with their Agile Lean Six Sigma and Quality Improvement efforts. (You can hear him answering questions and comments typed in by webinar attendees.)
If you saw a feature demonstrated in the webinar that might have been added to QI Macros after the version you’re using (for instance, the Templates Wizard, the Fixed Limit indicator or the automated Process Change Wizard), you may need to purchase an upgrade to bring your QI Macros to the current version.
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.
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.
More than 50 people signed up for this webinar, with Jay Arthur demonstrating how to use some of the useful features of QI Macros, as well as some of the new features introduced in recent releases of the software.
Some attendees were familiar with the software and already use it, some had only begun to use it; all were interested in learning new ways that QI Macros can help them with their Agile Lean Six Sigma and Quality Improvement efforts. (You can hear him answering questions and comments typed in by webinar attendees.)
If you saw a feature demonstrated in the webinar that might have been added to QI Macros after the version you’re using (for instance, the Templates Wizard, the Fixed Limit indicator or the automated Process Change Wizard), you may need to purchase an upgrade to bring your QI Macros to the current version.
How big is your Fix-it Factory?
“I talked to a contractor at a building site and he told me, “I get paid to do it the first time, but I don’t get paid to do it the second time (to rework things),” so he’s very much focused on doing it right the first time.
“I think we’d all say that, but if you look at most companies, they all have a giant Fix-it Factory, fixing this, that and the other thing. Those people are being paid to fix things that shouldn’t have been broken to begin with. Or to trash the things they can’t fix.
My career was dipped in various management methods such as MBO and MBWA. Recently I read a new term: Management by Spreadsheet (MBS). Maybe there’s a better way.
“When I was working at the phone company we had a variety of management fads. I think first there was MBO, or “Management By Objectives.” Of course, that assumed that you know what your objectives were. We had MBWA, “Management By Wandering Around,” so the management team was wandering around all the time and just getting in our way. Recently I saw a different phraseology and I kind of liked it: MBS, which stands for “Management By Spreadsheet.”
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