iSixSigma

Brit

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  • Brit replied to the topic TIME STUDY IN FINAL INSPECTION in the forum General 15 years ago

    I used video a lot in the past as well.  Only issue I ran into was the hawthorne/halo effect. If they know they’re being taped, you might get a false sense of “speed”.  People tend to work a little harder when they’re being watched. I’d be interested to hear the response to how parts are made – to order or continuous production.
    Also – why the ne…[Read more]

  • Brit replied to the topic help required in the forum General 15 years ago

    Listen to villageidiots rely – sounds like you are too early to think about full scale six sigma.  The comments regarding efforts with well defined scopes are key.  Develop business drivers using the balanced scoercard and develop improvement efforts using lean or the DMAIC structure (again – like was said – avoid the heavy analytics at this p…[Read more]

  • Claudiac:
    Wondering which particular positions you are examining?  Additionally, are you in the U.S.?  This will help me provide information regarding onbaording, trainng and tracking.  You also may want to post the same question on the healthcare forum fro this site. 

  • If yo udoa search on this site or google, you will get a lot of returns.

  • Here are some…[Read more]

  • Brit replied to the topic discharge process in the forum Healthcare 15 years ago

    John & Anoop:
    We have the same issues that John posted and have similar goals.  In addition to the physician issue, we also had an issue with lab/radiology results ready in a timely manner.  If we are asking the docs to round earlier, the tools have to be there for them to make it happen.  If they have to wait on results, then that pushes the DC…[Read more]

  • Brit replied to the topic discharge process in the forum Healthcare 15 years ago

    You’re right – there have to be others.  If yo upass along an email address I’ll send information and hope you do the same.  I work at
    Bay Medicl Center in Panama City, FL

  • Brit replied to the topic discharge process in the forum Healthcare 15 years ago

    I would look into the hospitalist process.  Saved us about $1M a year in reduced LOS and increased capacity (filled).  Without that or gettign the docs to round earlier, the best bet is to move them from the floor once able – if not discharged, then to a different location for final paperwork or waiting.  Not many more options given JCAHO st…[Read more]

  • Brit replied to the topic discharge process in the forum Healthcare 15 years ago

    Are you in the U.S.?  If not, you might have different requirements.  U.S. patients cannot be discharged without a signed order from the physician. We do implement something called Hospitalists who can discharge a patinet and make selected rounds when the primary physician is unavailable or late.  Usually there is a phone conference between the pr…[Read more]

  • Brit replied to the topic discharge process in the forum Healthcare 15 years ago

    The reason to be concerned with discharge time is to ensure that a bed is available for a waiting patient.  So the actual discharge time might be one measure, but when the room is freed for turnover is another, maybe more important number. A patient can be moved to a discharge area/lounge if they are waiting for their conference or a final IV, e…[Read more]

  • Brit replied to the topic OR Project in the forum Healthcare 15 years ago

    We had the same preop assessment issue and localized it – saved about $600k in reduced cancelled surgeries.
    We closed our inventory system (we use Pyxis) – costs some dollars to implement, but reduced supply cost per surgery by about 18% – will pay for the system in less than 18 months.
    We are working on first surgery time, but we really don’t…[Read more]

  • Brit replied to the topic Six Sigma Quality Management System in the forum General 15 years ago

    If you are doing six sigma, then it is the means by which you achieve quality.  If you do other things with it (or instead of it), they are also encompassed in your quality philosophy.  It, or any other “system” should not be a substitute for a quality philosophy. I agree with Labowski, if your organization is not embracing quality as a part of e…[Read more]

  • Brit replied to the topic OR Project in the forum Healthcare 15 years ago

    Could you be more specific?  And what hospital are you with – just an FYI for the ret of us…

  • Brit replied to the topic Six Sigma – Rewards in the forum General 15 years ago

    I wanted to echo Quality Colorad’s post – excellent.
    To add, I think rewarding/penalizing six sigma “efforts” for the sake of making SS a part of a culture is counter-productive.  Reward can foster issues between people chosen to be on teams and those that aren’t.  In addition, retribution can cause issue between departments during cross fu…[Read more]

  • Brit replied to the topic Confidence Limits CI in the forum Healthcare 15 years ago

    Without having their individual sample data for each location, you cannot calculate the CI manually.  If you do have individual points, like in the data you posted here, you can calculate it – please see my last email to you for the calculation.
    You could take the SSI for each location and get an overall CI for all locations, but not sure that…[Read more]

  • Brit replied to the topic Lean Manufactruing in the forum General 15 years ago

    Short of redesigning the process….
    An additional option is to place cycle times to your individual steps and determine the constraint (i.e., TOC method).  Either redesign the constriant, add resources to it for faster first time yield, or implement a buffer supply.  Once completed, move to the next constraint. 

  • Brit replied to the topic Confidence Limits CI in the forum Healthcare 15 years ago

    First thing – doesn’t look like the data is normal, so your CI results will be suspect – especially if done on the computer and not choosing a proper distribution. However,
    You calculate the CI of the Mean with the variance unknown.  Any decent statistics book can show you this.  You will be using values from the t-distribution tables.  For so…[Read more]

  • Brit replied to the topic Making it stick in the forum General 15 years ago

    I can’t add much to the posts already listed – the people/change management needs are a must.
    One addition I have had to implement during the improvement stage is Poka Yoke.  When you have people-intense systems such as healthcare, and make a process change, it is sometimes necessary to look into your systems to ensure that the process can’t be d…[Read more]

  • Brit replied to the topic Project Kick-off Meeting in the forum Healthcare 15 years ago

    This article might be helpful. 
    http://europe.isixsigma.com/ library/ content/ c060308b.asp
     
     

  • Brit replied to the topic Six Sigma and the sacrifices/cost in the forum General 15 years ago

    Marlon:
    No it’s not dying.  Some companies are doing better at it than others. Some have abandoned it altogether and some are just starting up with SS.  If the process works use it, if it doesn’t, use something else.  I have seen SS succeed and fail, and it is rarely due to the DMAIC methodology or the tools used within.  The structure of any i…[Read more]

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