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- Sustaining Improvement by Building a Quality Mindset
- A common problem encountered in Lean, Six Sigma and TQM implementation is performance deterioration after the completion and handover of a breakthrough improvement. This can happen despite installation of control mechanisms to monitor ongoing performance. In the case study presented in this paper, a financial services company with a national...
- White papers
- Florida Hospital's Message to Physicians About Six Sigma
- Concerns about the quality of healthcare in the United States have escalated during the past decade. The failure of effective and efficient processes within healthcare has led to an unsafe environment, staggering numbers of medical errors by omission and commission, and countless near misses. As healthcare and the system that...
- White papers
- Driving Change at Alaska Health System - A Case Study
- The innovative spirit of Alaska's Providence Health System led the leadership team at Providence to seek new management methods that would help it improve both the quality of patient care and the financial future of the organization. Evidence from other hospital initiatives convinces health system Chief Executive Officer CEO to...
- Case studies
- A Successful Pain Management Initiative at LDS Hospital
- Pain is one of the major symptoms that cause patients to seek emergency medical care. Not surprisingly, studies have shown a correlation between pain relief and patient satisfaction. Some studies also have indicated that perceived waiting time is the most important variable contributing to patient satisfaction. Thus, while the complexities...
- White papers
- Eight Keys to a Successful Implementation of PACS
- The Canadian government unveiled a plan in 2001 to create an interoperable Electronic Health Record EHR for half of the country's population by 2009. The plan is aimed at increasing healthcare efficiency, hereby helping to address Canada's critical human resource shortages and potentially saving billions of dollars annually. As part...
- White papers
- Increasing Cath Lab Capacity Through Six Sigma
- Healthcare organizations implementing Six Sigma are finding no shortage of opportunities for applying this approach and many are reaping substantial benefits in terms of cost, quality and productivity. One area increasingly targeted in past years has been the cardiac catheterization lab, which is generally a high-volume, challenging and complex environment...
- White papers
- Reducing Avoidable Cancellations on the Day of Surgery
- Since surgical services generate considerable revenue, its growth is frequently listed among the strategic objectives for many hospitals. This paper talks about Deaconess Hospital in Evansville, Indiana, USA, that had experienced surgical growth of 7 to 10 percent for two years and expected this trend to continue due to the...
- White papers
- Choosing Kaizen to Overcome Challenges in ED Project
- What happens when an Emergency Department ED undergoes major upheaval in the midst of a Six Sigma project? A Kaizen is a directed effort that applies Lean principles to assess a value stream, identify sources of cost and waste, and reduce those sources, all within a short time frame. Lean...
- White papers
- Power of Lean in the Laboratory: A Clinical Application
- Improvement ideas are frequently considered in most organizations, but it is all too rare that these ideas are pursued and implemented. Lean offers a powerful set of tools to address this issue. Born in the automotive industry, Lean focuses on eliminating waste (non-value-added activities) throughout a process. Reducing or eliminating...
- White papers
- Coronary Artery Bypass Grafts: Health Care Six Sigma Breakthrough Case Study
- Six Sigma, 6s, is nothing more, and nothing less, than the use of science to solve problems. Scientific evidence that a breakthrough medical solution is genuine is statistical evidence. Though altruism and evidence influence medical treatments, economic pressure drives improvement. Multi-million dollar savings created by "beating heart" or "off-pump" coronary...
- White papers
- Integrating Six Sigma With Lean & Work-Out in Healthcare
- Since waste and inefficiency can creep into virtually any process, the concept of 'Muda' in Lean terminology and variation in the Six Sigma vernacular are equally applicable to healthcare systems and services. A successful Lean Six Sigma project delivers a streamlined process by helping to identify and eliminate work required...
- White papers
- Six Sigma...Without the Pain: How Healthcare Providers Can Effectively Integrate Six Sigma Into CQI
- The case for adopting Six Sigma in healthcare organizations has more to do with managing the politics and power of quality improvement than applying advanced statistical problem solving tools. For example, in the few hospitals that have successfully deployed Six Sigma, the biggest benefit has been the adoption by the...
- White papers
- Applying Six Sigma to Improve Diagnostic Imaging
- The paper begins with the fact that since the discovery of X-rays in 1895, the field of diagnostic imaging has undergone dramatic changes. Within a year after its introduction, the application of X-rays to diagnosis and therapy had already become an established part of medicine. The decades to follow produced...
- White papers
- Ideas for Achieving Higher Reliability in Healthcare
- Without providing an in-depth analysis of HRO High Reliability Organizations theory and all its complexities, a high reliability organization can be broadly defined as one that experiences fewer than normal accidents despite an inherently "risky" environment. The Institute for Healthcare Improvement proposed this definition of reliability in healthcare: The...
- White papers
- Improving Financial Services Through TQM: A Case Study
- The work described in this case study was undertaken in a young, rapidly expanding company in the financial services sector with no previous experience with Total Quality Management TQM. The quality project began with a two-day introductory awareness program covering concepts, cases, implementation strategies and imperatives of TQM. The program...
- White papers
- Reducing IT User Downtime Using TQM - A Case Study
- This Information Technology IT case study was done during the implementation of Total Quality Management TQM in a financial services company with several hundred computers and computer users in multiple locations throughout India. The results have widespread applicability and in particular are aimed at organizations with large computer networks, IT...
- White papers
- Quality in the Balance: Six Sigma - A Socio-Technical System
- Six Sigma, Total Quality Management TQM and its variants are now widespread in American business. Yet many executives raise serious questions about the value. Fortune magazine, The Wall Street Journal and Business Week have all presented examples of serious failures. Several recognized Six Sigma companies have experienced financial troubles. On...
- White papers
- Pull System Speeds Up Work Flow and Project Cycle Time
- In most organizations today, the tendency is to push as many projects into a pipeline as possible. This is true whether the projects deal with customer requests, designing new services or products, or improving operations (with Black Belt projects, for instance). Pushing excess work into a process clogs the process...
- White papers
- Improving Staff Scheduling at Providence Health System: An isixsigma Case Study
- As with most hospitals, labor is the largest budget expense at the Providence Alaska Medical Center PAMC in Anchorage. When Providence Alaska Medical Center discovered it was above the 75th percentile of the national average in labor costs, it began a Six Sigma project to improve its process for scheduling...
- Case studies
- Focus on Employees to Improve Healthcare Bottom Line
- The attitude of employees affects the bottom line of any organization, especially such labor-intensive institutions as healthcare facilities. Employees who support the goals of their place of employment work harder and smarter and have better relations with customers. Patients and clients who have a positive interaction with employees are more...
- White papers
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