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Balanced scorecard

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  • #25295

    Jose
    Participant

    Some expert in Six Sigma that could help me.  I would like to know If there some research of the application of Six Sigma Balance Scordcard in a Hospital. One more question, The Culture of a Country ( for example: Japan ) is an factor to take into account for the application of Six Sigma ?.Thanks so much.Jose   

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    #60862

    Rodrigo Carrillo
    Member

    HelloHave you read the book from Praveen Gupta? maybe he’s the best person to answer your first question. I’m a consultant of Balanced Scorecard en we do have experience in Hospitals but in the strategic management way (not 6 sigma performance). Maybe I can help if you have some specific question.About the culture, I think is not a show stopper but you need to do some adujstments in order to move the organization forward.Regards…

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    #60865

    Pai
    Participant

    What is Balanced scorecard about ??, can you tell me in detail about this concept .If you have a live project  explaining the concept of balanced scorecard can you please mail me [email protected]

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    #60866

    Rodrigo Carrillo
    Member

    Balanced Scorecard is a methodology to manage the strategy of a company, it helps to connect between the good ideas and its implementation in the organization. It has been misunderstood as a series of metrics arranged to manage the company, but it’s all about strategy and a cultural change to start thinking in what is importat over what is urgent.I’m going to look for a case, but I can recommend you the http://www.bscol.com page (official consulting firm from Norton and Kaplan). 

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    #60867

    Dr. Eugene Jacquescoley
    Participant
    #60871

    Brit
    Participant

    I have structured our Six Sigma effort to focus on the balanced scorecard in two parts of the system. First, our project selection process is driven by the four pillars.  Secondly, each of our projects requires that at least one of the 4 pillars are satisfied after a proejct is completed.  I challenge our teams to move past the obvious advantages of a project like dollars or time and look, additionally, to expalining benefits to the employee’s development and customer satisfaction (internal and external).  Another hospital with balanced scorecard success is the Babtist system out of Pensacola, Fl and Birmingham, Al (I think).

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    #60881

    Vivek
    Member

    Hi….
    I too have had some experience with Performance measurement and scorecards but yet to get to grips with the Balance scorecards….can you give me details on the book by Praveen Gupta please ?
    Also could you give me a sample of a balanced scorecard that you have made perhaps for a particular dept say Critical care or OR ?
    Thanks……
     

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    #60883

    Rodrigo Carrillo
    Member

    Hello.
    The book from Paveen Gupta is “Six Sigma Business Scorecard”, I stronlgy recommend it. About Balanced Scorecard, is often seen as a measurments table or a nice way to arrange al your operative metrics. Instead, BSC is a Startegic Management tool, it helps to link your corporate strategy into the operation and the lower levels from the company, it helps to create a cultural change for everybody to think for the important things instead of the urgent all the times.
    Due to the confidentiality of information where I work, I’m not able to share case studies but, I can recommend you the bscol.com page, which is the company created by Kaplan and Norton, there you can find presentations and deeper information about BSC.
    Hope this helps.
    Regards…

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    #60955

    Harsha
    Participant

    Hi,
    I am working in a healthcare industry as a Strategy Management Executive.  I shall be implementing BSC in the organization by setting up an Office of Strategy Management.
    You said you are a consultant and yu have some experience in application of BSC in a Hospital.  Please let me know what are your experiences and how do you set the performance measures.
     
    I will very much enriched if you can share and give references to.  I have tried implementing BSC during my dissertation of the college.  And the whole thing got stuck up since ther “scorecard based Performance appraisal system” that i had designed was never implemented.
    regards,
    Harsha
     
     

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    #60956

    Rodrigo Carrillo
    Member

    Hello.
    I’m a consultant but no experience in health care industry, I work on a residencial found project.
    My recommendation would be:  Look at the BSC as a strategy management methodology instead of an arrange of measurements, this way, you will need to know the company strategy, their strategic goals and finally establish indicators to that goals (no more than 1.5 per goal).
    You may want to read Nortn and Kaplan book (Strategy Maps) to find out how to translate the strategy in to clear goals, indicators and initiatives.
    Hope this helps…
    Rodrigo

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    #60957

    Harsha
    Participant

    Thank you very much.  Am yet to catch hold of the book-“Strategy Maps” by the two legends.  I am a great fan of the “BSC” bool already.  Also, there is another book, “HR Scorecard”.  Even that is excellent.  Gotta get in touch with the academics and case studies continuously.
    Well, in my small experience to implement BSC, involving the core management group in the “Vision/Mission” discussion, coming out with strategies, creating Strategy maps, identifying SBUs, and developing scorecard based performance appraisal are the foundation stones in order.
    What are the most difficult issues to be addressed according to you in implementing BSC?

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    #60958

    Al andaluz
    Participant
    #61351

    Dr. J.P Pattanaik
    Participant

    Hello,
    I am a Management student of Hospital Administration and also holds Green Belt level in Six-Sigma. The concept is verymuch applicable. But we need to identify the process very selectively. We have taken such initiatives and it really gives result. For specific queries I may be contacted.

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    #61353

    Khushwinder Singh
    Participant

    It is difficult to apply the Six sigma to al the processes in healthcare. It is beneficial to have a LEAN culture instead to have positive outcomes for your service line management. TQM has not been found to be successfully implemented in healthcare, but concept of LEAN culture is on the way in development in many healthcare organisations esp. in the Pacific-Northwest.

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    #61354

    BritW
    Participant

    Actually – Lean Six Sigma is maybe the best way to go.  However, I have seen successes in all areas of healthcare with Six Sigma, as I have with TQM and Lean.  It is not difficult to apply these concepts to healthcare processes – I’d be hard pressed to find even one.  Anyone who says one thing won’t work is spreading hogwash.

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    #61376

    Dr Suresh Menon
    Participant

    Could someone give me details and how one can apply lean or 6 sigma pertaining to Hospital operations and processes.My email ID is [email protected]

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    #61379

    Carolyn Pexton
    Participant

    Dr. Menon,
    I would be glad to share information with you as to how tools like Six Sigma and Lean have been applied to address a variety of issues in the hospital environment. There are many articles on this site, and there is also a new book coming out in April entitled “Improving Healthcare Quality and Cost with Six Sigma”. If you let me know if there is a specific area you are interested in I might be able to point you to a relevant publication. If you’re asking about Six Sigma for hospitals in general and how they might get started, there are a number of paths to take. Some have chosen to start small with a project focusing on reducing ED wait time, for example, and others have decided to implement Six Sigma across their organizations through internal training and projects. Here is just one example of a project focused on improving bed management – http://healthcare.isixsigma.com/library/content/c060301a.asp.

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    #61380

    Dr Suresh Menon
    Participant

    Dear Carolyn Pexton,
                                     Thank you very much for your kind information. My idea on 6 sigma application to healthcare has always been that it can only be applied to the processes in regards to administrative area.Do you or anybody have an idea on application of 6 sigma in the clinical line. That is to apply 6 sigma principles on clinical side,like treatment ,standardisation of practices and surgeries etc. Would someone be kind enough to forward the some of the processes that have already come on to the discussion board on problematic areas of hospitals in regards to increasing value time for the patient and also something on patient satisfaction. What would be some of the parameters or quality indicators in departments like general medicine and surgery or other specialities when one applies the 6 sigma principles. I would be grateful for all the help. My email ID is
    [email protected]
     
    Dr Suresh Menon

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    #61381

    Carolyn Pexton
    Participant

    There have been many clinical Six Sigma projects including initiatives aimed at reducing medical errors–I will send you a couple articles as examples. Hospitals are using Six Sigma to reduce surgical site infections and bloodstream infections, eliminate medication errors, reduce pressure ulcers and address ventilator-associated pneumonia. Any initiative instantly becomes more complex, however, when you are talking about changing physician behavior and preferences.  A project that focuses on altering a particular surgical technique, for example, would be problematic and Six Sigma might not be the right approach.  As one physician noted, “Evidence-based medicine tells us what is needed to improve clinical outcomes, but Six Sigma provides a road map of how to get there.” There is a place for both in the effort to improve healthcare.

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    #61382

    BritW
    Participant

    Please do an article search on this site and google.  You will find many Lean Six Sigma applications to clinical areas. Some examples:

    Reducing Infection Rates
    Decreasing Medication Errors
    Improving Medication Reconciliation
    Decreasing Patient Throughput
    Improving Door to PCI time for AMI’s
    Increasing accuracy/outcomes of Cath procedures
    Decreasing OR Turnaround Times
    Decreasing Fall Rates
    Improving SCD and IV Accuracy
    among others…

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    #61426

    SS
    Member

    Dr. Suresh Menon: Yes I believe 6 sigma principles can be applied to clinical side,l ike treatment ,standardisation of practices and surgeries etc.
    Doc we are very comfortable with the DMAIC methodology for SS deployment. If you can identify a particular area of work, we would be more than happy to work out a roadmap and support you in data analysis. The starting point is for you to pick out the best problem for the study?

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