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Green Belt for Healthcare

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  • #25518

    healthsigma
    Participant

    Is there any certification as six sigma green belt specially desgined for healthcare industry?
     

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    #61595

    qualitycolorado
    Participant

    Healthsigma, Good afternoon!
    I have not seen a Green Belt specifically for Healthcare, though that does not mean that one does not exist.
     
    Is there a reason you are looking for a Healthcare-specific one?  Have you found some deficits with the GB options that you currently have available to you?
     
    Best regards,
    QualityColorado

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    #61596

    healthsigma
    Participant

    Well, there is no deficit with the options I have but I think a green belt tailored to healthcare would be good.
    Since this is a good place to find out, I thought I should post here and find out.

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    #61597

    BritW
    Participant

    Most deficit I have found is in the trainig examples.  For hose who have been in healthcare their whole life, it’s hard to translate some of the manufacturing examples into healthcare.  Nurses or others spend more time wondering what an ingot is or how a bottling process works then actually learning the tool.  For those of us who have been in many industries, it’s important to realize the learning process and have examples “close to home”.
    I too have found little healthcare specific training.  I think GE’s consultant wing does it, but not sure of others.  Ours is in-house.

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    #61598

    ASQ Healthcare GB training
    Participant

    ASQ offers a GB training for healthcare

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    #61599

    Carolyn Pexton
    Participant

    GE Healthcare does offer Green Belt training for healthcare and other services through its Performance Solutions consulting group.

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    #61600

    Healthcare MBB
    Participant

    In response to your question on “certification as six sigma green belt specially designed for healthcare industry”: Johns Hopkins Medicine offers a Lean Sigma Green Belt Certification through their Lean Sigma Prescription for Healthcare program.The course combines Lean methodology with Six Sigma tools and utilizes health care examples, addressing exactly what a previous poster noted: many health care professionals prefer not to have to relate manufacturing examples to health care.A Green Belt Certification option is available for those who complete the class and meet other requirements. 

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    #61601

    GeJay BB
    Participant

    I completed my training with BMG and I have beeen in healthcare for 15 + yrs. Our Healthcare company built a GB and BB methodology specifically for heaalthcare that we currently teach. I don’t think there is any quick answer. I found a lot of value in learning the tools with various different industries. It gave me a broader perspective in undestanding all the tools. Some tools fit into healthcare perfectly and others you have to struggle to make it fit. When we provided all healthcare examples in the methodologies it did not help with the understanding of the tools in all cases. Which makes me wonder if it really makes a difference. It seems to me it might be better to have a balance of HC and other industry examples. So when you actually start using the tools you can get “out of the box” with your thinking in using them for your own projects within HC.
    My thoughts for what they are worth

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    #61602

    BritW
    Participant

    There is not a tool in lean six sigma that can’t be used in healthcare.
    DOE is tough due to cost issues, but most idustries have that issue.

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    #61603

    GeJay BB
    Participant

    I did not say there were tools that could not be used in healthcare. People tend to struggle to make them fit in a healthcare setting. All the tools can be used, but depending on the type of project it can be a difficult to make it fit.
    Britw you are saying lean six sigma I would agree there is not a tool in the lean six sigma tool box that can’t be used. Correct me if I am wrong but DOE is not a lean six sigma tool. Its a six sigma tool.
    Lean six sigma is lean tools used under the DMAIC frame work  (5S, Waste, Setup reduction, pull vs push, Kanbans etc). DOE is not one of those tools. As a matter of fact the Lean Six sigma toolbox uses basic statistics

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    #61604

    sixsigmadeewana
    Member

    are we sounding like six sigma lawyers here? :)

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    #61605

    BritW
    Participant

    As far as I  implement Lean Six Sigma, I do not outlaw any quality or lean tool.  Lean Six Sigma encompasses all the tools in both so that an organization can tackle any problem, especially ones that aren’t calssified as classic flow or quality.  Lean Six Sigma is not just lean tools under the DMAIC framework – you are leaving out a large amount of power by limiting your toolbox.
    Some stuff that will help and might support my opinion:
    Any reputable Lean Six Sigma Certification such as the ASQ Lean Six Sigma Black Belt cert (does include DOE by the way)
    Lean Six Sigma:  Combining Six Sigma Quality with Lean Production Speed – Michael George
    Lean Six Sigma Pocket Toolbox – George, Rowlands, Price, Maxey (doesn’t have DOE but does have ANOVA, Hypothesis Testing, Regression, etc.)
    Lean Six Sigma Demystified – Arthur
    If you need others, let me know.
     
     

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    #61608

    Lean MBB trainer
    Participant

    Geejay,
    My current Lean Six Sigma training provides the basics of DOE. I agree with Britw that the tool is not easy to use in healthcare, but at a minimum it allows the discussion of the differences between causation and correlation. The Gage R&R, by the way, is also a simple DOE.

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    #61611

    GeJay BB
    Participant

    I never said you could not use a DOE in healthcare. My statement was that some tools are harder fits than others. The main point of my posting is if it is why call it Lean Six Sigma when you are using all the tools of the six sigma methodology. To me that is Six Sigma. Maybe its a difference in location, but from the companies that we researched for Lean six sigma methodologies They had Lean tool under the DMAIC frame work. The course work had some 6 sigma tools but not a lot. The focus was about eliminating waste Value added vs Non value added. Some statistics but not a lot measures of central tendacy and histograms and box plots…..

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    #61612

    BritW
    Participant

    Lean Six Sigma will use the tools of both – depending on the problem being addressed.

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    #61613

    Lean MBB trainer
    Participant

    Your observation about “waste” is interesting because rework due to defects, i.e. quality issues falls under the umbrella of both lean and six sigma. Also, both lean and six sigma are products of the US consulting business as is the idea of “lean six sigma”. The value stream map is hte product of a Scottish thinker. As we all know, the statistical tools were developed independent of six sigma (Tukey, E. Pearson, Galton etc.), the principles of waste reduction are the product of Ohno’s thoughts. Finally, the value stream map is the product of the work of Womick, and his Lean Enterprise Institute is the institution that developed the framework for value stream mapping. In the end, I believe that we are talking semantics here. I definitely agree that DOE (Ronald Fisher’s inventions and further developed by his students Box etc.) is difficult to implement in any service industry. As any social psychologist can tell you, experimentation in the context of human interaction requires its own set of checks and balances. What we are dealing with primarily are problem solving techniques that require an organizational deployment strategy, no matter if you are deploying lean, six sigma or lean six sigma. At this point in time, there is no clear cut dividing line between them in the practice of organizations.

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    #61614

    Lean MBB trainer
    Participant

    Just to underscore the problems with labelling various current approaches to the improvement of operations here is the original coinage of the term “lean”:
    “… undertake a detailed study of the new Japanese techniques, which we subsequently named “lean production”, compared with the older Western mass-production techniques …” (Womack, J.P., Jones, D.T. and Roos, D. (1990). The Machine That Changed The World: The Story of Lean Production. Harper Perennial, p. 4).
    The difficulty of even using the term DMAIC as an umbrella for lean and six sigma can be found in the original publication of Harry and Schroeder (2000). “There are eight fundamental steps or stages involved in applying the Breakthrough Strategy to achieve Six Sigma quality in a process, division, or company: These eight phases are Recognize, Define, Measure, Analyze, Improve, Control, Standardize and Integrate. The four core phases (MAIC)  … are described here. Chapter 7 addresses each of the eight phases in greater detail” (p. 22).
    In its original form Harry and Schroeder state (p. 13): “It’s important to understand that Six Sigma is a performance target that applies to a single critical-to-quality characteristic (CTQ), not to the total product.
    Current deployments of Six Sigma, Lean or Lean Six Sigma all suffer from the same issue: Their meaning has evolved over time and it is simply impossible to put a correct label on the implementation of these evolving methodologies and views on the practice of current organizations.

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    #61615

    Lean MBB trainer
    Participant

    A final quote pertains to the merger of Lean Six Sigma. It was a product of Michael George who merged the two concepts in his book: Lean Six Sigma: Combining Six Sigma Quality wiht Lean Speed. “People could easily grasp the need for Lean Six Sigma and its fundamental truth: quality improves speed and speed improves quality” (Lean Six Sigma for Service, p ix). With George’s book on Lean Six Sigma for Service you have the merger of “Lean” (Womack) and “Six Sigma” (Harry and Schroeder) into “Lean Six Sigma” in the context of services, i.e. financial services, healthcare services etc.
    So, DOE is not even marginally involved with the concepts of either “Six Sigma”, “Lean”, or “Lean Six Sigma”. It simply is an effective tool to “explains variation” (causally) in support of defect reduction, speed improvement or whatever purpose you want to use it for.

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    #61617

    BritW
    Participant

    In short:
    No matter what you call it, don’t limit the tools you use to some improvement nameplate.

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    #61619

    Lean MBB trainer
    Participant

    Britw: :-)))))). From what I can tell you are doing a heck of a job at your company. Good luck!

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    #61621

    GeJay BB
    Participant

    Good information Lean MBB Trainer. Even with the information you provided some still need to try and make their points heard. Your posting re-inforces there is no one standard methodology regardless of how you look at LSS, SS, or Lean. Different companies use different tools and call it one of the 3. It is obvious my comments have been and continue to be taken out of context people who feel validated as an expert. When in fact we are all experts, that is why we all are certified in SS and Lean.  Either way all tools can be used in all environments. Some are more difficult to transition into healthcare that are easy to use manufacturing. That doesn’t mean you should not actively assess to see if you should use the tool. To me it means you shouldn’t force the tool just because you have it in your box. I have vice-scrips in my tool box. Should I use them on every bolt that I run across or should I use my socket wrench. I should attempt to use the wrench and come back with the vice scrips if the bolt the wrench doesn’t work. As a certified BB you need to recognize when you should use one tool as opposed to others. Its hard to recreate the same conditions on patients when trying to take things from an art to a science. You have the physician variation that you deal with. Doctors (at least the ones I have worked with) are reluctant to use their patients and their practice for these changes. You need the literature reviews to support the changes that you want to make.

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    #61622

    Lean MBB trainer
    Participant

    Gejay, I think that we are in full agreement with each other. Have a great day.

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    #61624

    BritW
    Participant

    Good response…
    To me it means you shouldn’t force the tool just because you have it in your box.
    That was a point I wanted to make as well –
    In addition, people should not discard tools because they are not in their box.  If you need vise grips, you should get them, not force a fix using a less effective tool.

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Viewing 23 posts - 1 through 23 (of 23 total)

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