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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"
Posted by Jay Arthur in Agile Lean Six Sigma, Data Mining, Healthcare, Improvement Insights, Lean, Manufacturing, QI Macros, Service, Six Sigma.
These are uncertain times. What’s the best way (both psychologically and as a group) to get though this? By you continuing to do what you do, whether it’s writing, coding, or continuing to improve the quality of the processes around you.
(And just to be clear, when I say, “Go out and do what you do,” I don’t mean to literally “go out” if you don’t have to… it’s just an expression. Please continue to take whatever steps are necessary to keep yourself and the people around you safe.)
“Hi, I’m Jay Arthur, author “Lean Six Sigma for Hospitals” and the QI Macros [software].
Continue Reading "What do we do? Do what you do."
Posted by Jay Arthur in Improvement Insights, Lean, Six Sigma.
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"
Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Improvement Insights, Lean, Six Sigma.
Ordered a snowthrower as a wedding gift for two day delivery. Eight days later it was delivered to someone’s home (not mine). How can we mistake-proof these kinds of problems?
“One of the guys in my office is getting married this June and so I got him an early wedding gift: a snow thrower. So I ordered it from Amazon. I ordered it on Monday, it was supposed to arrive on Wednesday; two days shipping on Prime.
“Then on Wednesday I get this notice that said, “Well, it’s sort of delayed.” So then it said maybe Friday, but of course on Friday it wasn’t here, and they tried to deliver it on Saturday, of course, which is when we’re closed.
Continue Reading "Snowthrower Delivery Debacle"
Posted by Jay Arthur in Agile Lean Six Sigma, Improvement Insights, Lean, Service, Six Sigma.
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"
Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Jay Arthur Blog, QI Macros, Six Sigma.
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"
Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Improvement Insights, Lean, Six Sigma.
Some companies are discovering Agile methods for implementing Lean Six Sigma. Over 50 years of research into how cultures adapt, adopt and reject change can explain why Agile works and why it accelerates Lean Six Sigma adoption.
“I recently did a video about how Christus Health and Novartis and Underwriters Laboratories were all using Agile methods to implement Lean and Six Sigma with one day (sometimes two day) training classes that created Yellow Belts focused on making improvement. I got to thinking about that a little bit, and it turns out that there’s over 50 years of research into how cultures adopt, adapt and reject change.
Continue Reading "Agile Hacks for Making Lean Six Sigma Sticky"
Posted by Jay Arthur in Agile Lean Six Sigma, Improvement Insights, Lean, Six Sigma.
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.”
Continue Reading "Management By Control Chart"
Posted by Jay Arthur in Agile Lean Six Sigma, Improvement Insights, Lean, QI Macros, Six Sigma.
Many people take Six Sigma classes but only do one project. “One and Done” as it’s known in the trade. Make a resolution to start making improvements every month! Here are my suggestions.
“Hi, I’m Jay Arthur. It’s 2020, and last week I suggested that you go out and learn one new tool in the QI Macros every month. Now I’m also going to suggest that you set a New Year’s Resolution to make one improvement a month as well.
“Set a goal to do one improvement every month and by the end of the year, you’ll have made 12 improvements and dramatically reduced the amount of waste and rework and lost time and overtime and everything else that is involved in your world, right?
Continue Reading "2020 New Year’s Resolution Part 2 – Improve"
Posted by Jay Arthur in Improvement Insights, Lean, QI Macros, Six Sigma.
Many people tell us that they have QI Macros, but they don’t know how to use it. Make a resolution to learn how! Here are my suggestions.
“Hi, I’m Jay Arthur and… it’s 2020. How did that happen? A new year; a new decade. Seems like just yesterday everybody was worried about Y2K. Somebody out there is thinking, “What’s Y2K?” That was a thing that happened back in the year 2000… you probably forgot all about it, but I’ve been at this for over twenty years now in the software field around Quality Improvement, so I’ve seen a lot of things.
Continue Reading "2020 New Years Resolution Part 1 – Learn One Tool Per Month"
Posted by Jay Arthur in Improvement Insights, Lean, QI Macros, Six Sigma.
