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No matter what you do or what you say, there’s a hidden “metamessage” back to yourself.
What metamessages have you told yourself about Lean Six Sigma?
Continue Reading "What are You Secretly Telling Yourself About Lean Six Sigma?"
Posted by Jay Arthur in Improvement Insights, QI Macros, Six Sigma.
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 of tables (i.e., spreadsheets of performance data) like the one below.

The first year, 2003, had only 200 falls because they started measuring in July. The first full year of measurement was 2004.
It would be easy to turn these into control charts, but the authors chose a boxplot with a trend line of predicted falls.
Continue Reading "Reducing Patient Falls – A Case Study"
Posted by Jay Arthur in Healthcare, Jay Arthur Blog, QI Macros, Six Sigma.
I fell in love with Lean Six Sigma almost 30 years ago…but it takes some work to stay in love with Lean Six Sigma.
Are you willing to do what it takes to make Lean Six Sigma your Valentine?
Continue Reading "Have You Fallen In Love With Lean Six Sigma?"
Posted by Jay Arthur in Improvement Insights, Lean, QI Macros, Six Sigma.
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.
Warren Buffet has the money, but usually invests in “well-run” companies, not ones in trouble. An estimated half of all hospitals are in financial trouble (often because of the lack of Lean Six Sigma).
Bezos and Amazon have the operational efficiency needed in virtually all healthcare environments.
Dimon has a big bank.
They are all worried about the quality of healthcare and the rising costs.
Continue Reading "Hospital Costs a “Hungry Tapeworm on U.S. Economy” says Warren Buffett"
Posted by Jay Arthur in Healthcare, Lean, QI Macros, Six Sigma.
I started using TurboTax to do my taxes years ago. I used to gather up my 1099s and W-2 and everything else and spend a whole day doing my taxes. Your taxes may not be as complicated as mine, but think of these forms as “work in process” (WIP). I was doing them in a big batch just before the filing deadline.
Then I started using a Lean approach. Whenever a W-9 or 1099 arrives in the mailbox, I input it into the software. By mid-March when the business taxes are finished, everything is in and my taxes are ready to file.
Continue Reading "Using Lean to Do Your Taxes"
Posted by Jay Arthur in Lean, QI Macros.
Are you wasting time in Six Sigma on unnecessary steps?
Here’s how to kick start your improvement efforts.
Continue Reading "Are You Wasting Time in Six Sigma?"
Posted by Jay Arthur in Improvement Insights, Lean, Six Sigma.

If you’ve used QI Macros for any length of time, you’ve undoubtedly run across something you had questions about. Let us clue you in to a secret weapon: The QI Macros search box.
Located on the top right corner of every page of the QI Macros website, this can come in handy if you’ve got questions
- Show Process Change: If you’ve got a chart of your process before and after you changed a process that affected the results, how do you show that? Input “show process change” into the QI Macros search box and one of the results will be this video.
Continue Reading "Your Friend, The QI Macros Website Search Box…"
Posted by Jay Arthur in Jay Arthur Blog.
People sometimes hesitate to tackle the Big Hairy Audacious Problems (BHAP) using Six Sigma. They start with something trivial. Trivial problems have limited data. The BHAP problems have better, more detailed data.
Tackle the Worst First!
Continue Reading "Six Sigma Triage"
Posted by Jay Arthur in Improvement Insights.
If you’re not getting the results you want from Six Sigma, there might be a problem in the development of your projects.
Here are some of the mistakes I see in Six Sigma projects.
Continue Reading "More Six Sigma Project Mistakes"
Posted by Jay Arthur in Improvement Insights, Six Sigma.