Category: Healthcare

With a robust quality improvement program in its emergency department (ED) since 1998, LDS Hospital in Salt Lake City, Utah, USA, has frequently used the routine analysis of operational data to improve its care for subsets of patients. Initiatives have successfully addressed pediatric patients with fever, acute coronary syndrome patients, endotracheal intubations and pain management, […]

Reactions from healthcare professionals to Six Sigma can vary greatly, from “It’s the most reliable approach to process improvement we’ve found,” to “It’s just one of several tools we use to solve problems,” and even “Hate it…not interested…too hard…just another management fad.” Six Sigma is probably not for everyone and it is certainly not a […]

It is time to shed some light on and refute some of the claims about the power of bar codes to deliver gains in patient safety. And, at the same time, the value of Lean and Six Sigma as significant tools in improving processes that actually can ensure patient safety needs to be reinforced. The […]

Cardiovascular disease is the leading cause of death in the United States, and more than 900,000 people annually are diagnosed with acute myocardial infarction (AMI). The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Centers for Medicare and Medicaid (CMS) have identified AMI as one of the early priority focus areas for hospital […]

When confronted by concerns of some physicians about frequent lengthy delays that they experienced admitting patients, Memorial Hermann Southwest Hospital in Houston, Texas, assembled a cross-functional Six Sigma team to identify and address any underlying issues that might be causing the delays. The business case for pursuing the project was clear. Improving bed management and […]

Little more than five years after launching an ambitious, system-wide Six Sigma improvement initiative, Virtua Health in New Jersey, USA, is now considered a high-performing healthcare organization and a model for others to follow.

What happens when an emergency department (ED) undergoes major upheaval in the midst of a Six Sigma project? Just such a situation befell a newly trained Black Belt who was working on her first project at Memorial Hermann Southwest Hospital in Houston, Texas, USA. One month into the project to reduce cycle times, the ED […]

With the demand for surgical services growing, especially with ambulatory and cosmetic procedures, hospitals continue learning that Six Sigma is a useful tool.

Improving U.S. healthcare requires a concentrated effort by physicians. The need is to break down traditional boundaries between physicians, administrators and clinicians, and work together to design safer, more effective and efficient systems.

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 a steadily increasing stream of innovation – including the advent of nuclear […]

With half a dozen years of experience, this may be a good time for the healthcare industry to revisit the question which titled a frequently cited article published in 1998, “Is Health Care Ready for Six Sigma?” The question may best be answered by examining how Six Sigma and related improvement methods have been deployed […]

The diagnostic testing center at Northwestern Memorial Hospital in Chicago is an outpatient laboratory that is kept perennially busy serving the needs of the community. Thousands of walk-in patients are seen each year, primarily for blood tests (phlebotomy) and electrocardiograms (EKGs). Although Northwestern receives acclaim for its patient care, some complaints had begun to surface […]

Six Sigma has been used extensively in improving manufacturing organizations, but only relatively recently has it been used to improve processes outside the manufacturing arena. In our book Six Sigma Beyond the Factory Floor, my co-author, Dr. Ronald D. Snee, and I examine process improvement in the rest of the economy, such as financial services, […]

The Emergency Department (ED) increasingly is becoming the sole source of medical care for many individuals. It also is often called the “gateway” to the hospital since it is the first encounter many patients have with the hospital. Thus it is the place where positive or negative perceptions of the hospital initially may be formed. […]

The quality and variability of care delivered by hospitals is highly profiled in the media today. Pick up a newspaper, turn on the television or open a healthcare trade journal and chances are there will be an article detailing the real or possible occurrence of medical errors, allegations of a hospital’s failure to comply with […]

Three years ago many best practices already were in place at LDS Hospital in Salt Lake City, Utah, USA. The hospital was providing bedside registration, advanced triage protocols, point of care testing and real time radiology. A robust and comprehensive continuous quality improvement program had been established and as a result, higher patient satisfaction scores, […]

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 of this effort, many hospitals […]

Here is a provocation: Quality practices in the pharmaceuticals industry today are what they were in other industries 15 to 20 years ago. It is time to catch up. The regulators recognize it. Pharmaceutical business leaders recognize it. Six Sigma is an opportunity for operations and quality professionals to modernize quality practices. Those who get […]

Patients who fail to show up for their exams interrupt the scheduling process and disrupt the delivery system. Healthcare facilities must control no-shows to realize process efficiencies and minimize missed revenue opportunities.

The fact that patients are not entirely safe in a hospital is not breaking news. Errors in healthcare delivery were occurring long before the 1999 report by the Institute of Medicine exposed significant gaps in the healthcare system in the United States. The institute’s report, To Err Is Human: Building a Safer Health System, found […]

A DMAIC project at New York-Presbyterian Hospital improved throughput – case start time, room turnaround time and patient prep time – in three cardiac cath labs.

As startling as the 1999 report from the Institute of Medicine was – estimating that medical errors may cause 98,000 deaths annually – a new national study indicates the problem may actually be much worse. According to the report released in July by HealthGrades, a Denver-based healthcare ranking group, the number of hospital patients who […]

Since its introduction nearly two decades ago, Six Sigma has been embraced by many organizations and industries involved in manufacturing and transactional services as a cost-effective way to improve quality and productivity. As a method to eliminate variation and defects, Six Sigma makes use of a structured approach and statistical tools to find the root […]

FMEA (failure mode and effects analysis) is a proactive tool, technique and quality method that enables the identification and prevention of process or product errors before they occur. Within healthcare, the goal is to avoid adverse events that could potentially cause harm to patients, families, employees or others in the patient care setting. As a […]