Insights Tagged as Healthcare

Improvement Insights Blog

Posts tagged "Healthcare"

FOLB – Fear of Looking Bad

Humans, by nature, have a fear of looking bad (FOLB). And we have a fear of looking stupid (FOLS). These are slowing COVID-19 response and quality improvement. Here’s why:

Hi, I’m Jay Arthur, author of “Lean Six Sigma Demystified” and QI Macros [software].

“You’ve all probably all heard some of these acronyms that are running around like FOMO: Fear Of Missing Out. Well, I wanted to introduce you to a couple more that I’d like you to consider. FOLB: Fear Of Looking Bad.

“Now when I’ve gone out to work with companies in consulting roles, some of these managers think, “I’m supposed to be in charge of fixing everything.

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

Stop Projecting the Past Into the Future

If COVID-19 has taught us anything, it’s that we can’t keep doing things the same old way. The status quo isn’t working for us anymore. We have to stop projecting the past (the way we’ve always done it) into the future. The future doesn’t have to be an endless rerun of the past.

“Hi, I’m Jay Arthur, author of “Agile Process Innovation” and QI Macros [software]. Here’s my Improvement Insight for this week: Stop projecting your past into your future.

“Way too many people do this, right? We start thinking, “Well, we’ve always done it that way so we have to always do it that way.”

Posted by Jay Arthur in Improvement Insights.

Cholera and COVID-19 Hot Spot Detection and Quarantine

There are COVID-19 hot spots and cold spots. How do we keep the cold spots open and detect and quarantine warming spots? Maybe statistical process control can help.

  denver covid case rate

“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals” and QI Macros [software].

“Back in the mid 1800s there was a cholera outbreak in London, and John Snow (not of Game of Thrones, but Dr. John Snow) said, “I think there’s a pattern here.” He went out and figured out that everybody who had cholera was getting water from the Broad Street pump. Back then, there was no indoor running water so you had to take your pail, go out to the pump and get your water for your home or your business or your restaurant.

Posted by Jay Arthur in Improvement Insights, Six Sigma.

How Crisis Affects U.S. Healthcare Workers

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.
2001 hospital staffing downturn

So don’t be surprised if crisis and uncertainty cause you or someone you know to hit the pause button.

Posted by Jay Arthur in Healthcare, Jay Arthur Blog, Lean, QI Macros.

The Economy is Sick

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.

Posted by Jay Arthur in Healthcare, Improvement Insights, QI Macros.

Agile Lean Healthcare Now

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.

Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Improvement Insights, Lean, Six Sigma.

Nobody Wants to Look Bad

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.

Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Improvement Insights, Lean, Six Sigma.

IHI Trillion Dollar Checkbook Webinar, 1 of 3

Webinar 1 of 3: February 12, 2020

More than 60 people signed up for this webinar, with Jay Arthur doing an overview on the IHI’s goal, and how implementing Agile Lean Six Sigma can speed an organization’s improvement process and better sustain results.


Posted by Jay Arthur in Agile Lean Six Sigma, Data Mining, Healthcare, Webinar.

Mistakeproofing Flu Season

A couple of years ago, in spite of vaccinations, I got the flu and it turned into pneumonia. Here’s what I do to prevent infections.

“Hi, I’m Jay Arthur. A couple years ago, in spite of my flu vaccine and my pneumonia vaccine, I first got the flu, and then that developed into pneumonia, and then I had to spend five days in the hospital… that was not fun, all right? After that I thought, “Hmmm, maybe I should change how I do things, right? How can I keep these things that get near my nose and my mouth away from me?

Posted by Jay Arthur in Healthcare, Improvement Insights, Lean.

IHI’s Trillion Dollar Aim – Reduce Healthcare Waste by 50% by 2025

IHI set a goal to reduce healthcare waste by 50% by 2025. Here’s how to do it with the Trillion Dollar Prescription.

“Hi, I’m Jay Arthur, author of “Lean Six Sigma for Hospitals.” We were just out at the Institute for Healthcare Improvement conference in Orlando, Florida. [There were] like, 4500 medical doctors and nurses and CNO’s and CNMO’s and people all involved in improving healthcare quality. This is their 31st annual conference. (I can tell you based on what I was looking at on the posters, people are not really aggressively going after change…)

“The IHI announced that it’s tackling what they call the “Trillion-Dollar Checkbook.”

Posted by Jay Arthur in Agile Lean Six Sigma, Healthcare, Improvement Insights.