A Tool Box for Healthcare Problem Solving

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "A Tool Box for Healthcare Problem Solving"

Transcription

1 Lean Six Sigma A Tool Box for Healthcare Problem Solving Alexis Keeler, Black Belt Director Process Engineering Berkshire Medical Center Pittsfield, MA Agenda What is Lean Six Sigma Six Sigma vs. Lean What the Difference? Lean Overview Six Sigma Overview The Berkshire Health Systems Lean Six Sigma Journey Pick a Partner Project Selection Criteria Prioritization Matrix Building Winning Teams (Tollgates/Check Ins) Build a Critical Mass Organizational Change Certification & Participation Project Success Geographic Pt Assignment Denials How we engage employees Employee Portal Front line participation 1

2 Why Lean Six Sigma SIPOC LEAN Staffing to Demand Reduction of Waste/Non-Value Added Process Steps Data Driven SIX SIGMA Lean Superficial Depth of Analysis An inch deep and a mile wide Finding out very little about many things Very Deep Few Number of problems investigated Many 2

3 Six Sigma Superficial Depth of Analysis An inch wide and a mile deep Finding out very much about a few things Very Deep Few Number of problems investigated Many Why Lean Six Sigma Why do both Lean & Six Sigma? Improve the way we do things not just to generate cuts/savings Create immediate savings through elimination ofwaste using Lean & hard wiring improved processes with Six Sigma 3

4 Getting at What the Customer Really Needs/Wants. Customer Need/Wants 4

5 Customer Need/Wants 3 Months Later Customer Need/Wants 5

6 Customer Need/Wants Customer Patient Focused 6

7 Customer Patient Focused Customer Patient Focused 7

8 Customer Patient Focused Lean 8

9 8 Categories of Waste (Remember acronym DOWNTIME) 1. Defects mistakes, rework, etc. 2. Over-production generating more than what is needed 3. Waiting idle time 4. Non-utilized Talent/People not tapping into the talents, ideas and creativity of staff 5. Transportation excessive movement of materials and people 6. Inventory incorrect quantities, too much, too little, outdated 7. Motion looking for information, materials, people, equipment 8. Extra processing steps that don t contribute or add value Patients and Waste Transport Patient Arrives Evaluation Waiting Transport Procedure Transport Waiting Radiology Transport Discharge Unserved Patient Time Served Patient = Value Added Time = Non-Value- Added Time and WASTE 9

10 Patients and Waste = Improved Patient Experience Lean Success 447 Ideas = $5.5 Million Dollars in Savings (Additional revenue generating ideas being pursued) 10

11 Six Sigma Why Six Sigma Data Driven Decisions 99% is not good enough for our Patients 11

12 Why Six Sigma 99% Quality (2.8 ) 5000 incorrect surgeries per week No electricity for 7 hours per month 200,000 wrong prescriptions per year 20,000 lost articles in mail per hour Two short or long landings at Chicago O Hare per day Unsafe drinking water for 15 minutes per day Why Six Sigma 99% Quality (2.8 ) % Quality (6 ) 5000 incorrect surgeries per week 1.7 incorrect surgeries per week No electricity for 7 hours per month No electricity for 1 hour out of 34 years 200,000 wrong prescriptions per year 68 wrong prescriptions per year 20,000 lost articles in mail per hour 7 lost articles in mail per hour Two short or long landings at Chicago O Hare per day One short or long landing in five years Unsafe drinking water for 15 minutes per day Unsafe drinking water for one minute every seven months 12

13 New Set of Tools What s wrong with our current tool set? Sometimes we can identify It s broken We want to fix it We know what good/great would looks like We might even have LOTS of good idea on how to fix it But..we just don t know where to start DMAIC Project Methodology D M A I C Define Measure Analyze Improve Control Rapid Cycle Testing Using Lean Concepts 30 Day 60 Day 90 Day Project Closure Hardwiring using Control Plans 13

14 BMC s Lean Six Sigma Timeline Lean Waste Walk Six Sigma Wave II Six Sigma Wave II Six Sigma: Wave I How we got started 1. Brought back a success story from a conference. 2. In line with senior leaderships data driven, evidence based decision making process. 3. Select the right partner for your organization. 1. Lynne Sisak, 4. Select Projects & Candidates 14

15 How we got started How we got started 15

16 Wave 1 Six Sigma Projects Wave 1 Six Sigma Projects Green Belt Projects Endoscopy Turn Around Time ED Ready Status to Admit Outpatient Rehab 3 Day Eval Operating Room Inventory Outpatient Lab Reg. Arrival to Stick 11am Discharge 5 West Post Op Resp. Failure BFS Cardiology Wave 2 Six Sigma Projects Wave 2 Six Sigma Projects Black Belt Projects In Patient Lab Utilization Pre Surgical Process DC to Dropped Bill Days Pt. Flow Geographic Assignment Green Belt Projects Hl Help Desk kturn Around dtime Med Rec (Updated Med List) OR Turn Around Time Denials Discharge Process Pressure Ulcers Pharmacy Waste 16

17 Wave 3 Six Sigma Projects Wave 3 SixSigmaProjects Sigma Green Belt Projects Reduce Test/Procedure Times for M.I. s Reduce Expired Items in OR Decrease ED Arrival to DC Home Time Increase Case Cart Accuracy Reduce Patient Room Turn Around Time Reduce In Patient Radiology Costs Decrease Late Discharges 4 West Decrease ED Arrival to Provider Time (Fairview Hospital) A few Examples Geographic Patient Assignment Eligibility gb Denials as 17

18 Geographic Patient Alignment Lack of geographic alignment of hospitalist, housestaff, nursing, case management, pharmacy and patients impairs teamwork, care coordination and communication. Lack of teamwork leads to more adverse events, higher cost and longer length of stay. The current rate of patients on the wrong geographic unit is 27.49%. Our team facilitated improved geographic alignment through four sequential and additive interventions including: 1. Better adherence through intent to discharge 2. Early discharge order 3. Relocation of observation patients to Telemetry 4. Night huddle between hospitalist and supervisor. These changes were associated with improved geographic alignment of teams from a baseline of 27% of pt s placed on wrong geographic unit to % over the 30 day measurement periods. This improved geographic alignment was associated with a decrease in Medicine geometric LOS from a baseline of 5.5 days to 4.3 days. The decreased LOS was associated with a cost reduction of $158,196 during the project period. Geographic Patient Alignment 5 West Reopened 5 South closed over weekend 18

19 Eligibility Denials After analysis, two specific areas in denials management were targeted for improvement. First, denials for eligibility issues in BMC s Emergency Department (ED) were averaging $108,470 in gross revenue per month. Second, of the Blue Cross / HMO Blue coordination of benefit denials that were re paid, the average time to do so was days. Subsequent to process implementations and improvements, latest data demonstrates that denials for eligibility in BMC s ED were at $97,494 in gross revenue per month and the average time to re pay Blue Cross / HMO Blue coordinationofof benefit denials was reduced to days. Financial data indicates that if the current ED eligibility denial rate is maintained, approximately $20,500 in yearly net revenue would be prevented from being denied on first claim and there is the potential for ~$22,000 in additional yearly gross revenue. Eligibility Denials 19

20 Eligibility Denials How we got started 5. Begin to Create a Critical Mass. 20

21 BHS Karate Team? Six Sigma Project Team Process Owner & Executive Champion Yellow Belts (Managers) Green Belt Black Belt MBB How we got started 6. Go for the Culture Change 21

22 Get Info/Involved Get Info/Get Involved 22

23 Questions 23

SIX SIGMA IN HOSPITAL AND HEALTH CARE MANAGEMENT

SIX SIGMA IN HOSPITAL AND HEALTH CARE MANAGEMENT SIX SIGMA IN HOSPITAL AND HEALTH CARE MANAGEMENT Competition in health care sector are forcing healthcare organizations to look for new ways and means for improving their processes. This for improving

More information

Sanford Improvement Making Lean Work in Healthcare

Sanford Improvement Making Lean Work in Healthcare Sanford Improvement Making Lean Work in Healthcare David Peterson Enterprise Director of Continuous Improvement Outline/Agenda Office of Continuous Improvement Who are we and what do we do? History/Journey

More information

BEGINNING THE LEAN IMPROVEMENT JOURNEY IN THE CLINICAL LABORATORY

BEGINNING THE LEAN IMPROVEMENT JOURNEY IN THE CLINICAL LABORATORY BEGINNING THE LEAN IMPROVEMENT JOURNEY IN THE CLINICAL LABORATORY Author: Jason A. Coons, Program Manager, TechSolve Abstract Lean is an extremely powerful tool in identifying and eliminating waste. The

More information

Understanding Value & Waste

Understanding Value & Waste Understanding Value & Waste Objectives 1. Define Value Stream 2. Examine the value streams in healthcare 3. Define Value Added (VA) and Non-Value Added (NVA) 4. Learn the 7 wastes 5. Identify the 7 wastes

More information

Understanding Value & Waste

Understanding Value & Waste Understanding Value & Waste Objectives 1.! Define Value Stream 2.! Examine the value streams in healthcare 3.! Define Value Added (VA) and Non-Value Added (NVA) 4.! Learn the 7 wastes 5.! Identify the

More information

2013 Virginia Mason Medical Center

2013 Virginia Mason Medical Center Objectives Recognize the challenges to Ambulatory Clinic Flow Apply Lean Tools and Methods to Improve Clinic Flow Describe the benefits of Team Based Care A Day in the Life of a Primary Care Provider The

More information

Srikanth (Sri) Poranki, Ph.D., CSS-Black-Belt Director, Performance Improvement Dept. Quality & Patient Safety UHSH

Srikanth (Sri) Poranki, Ph.D., CSS-Black-Belt Director, Performance Improvement Dept. Quality & Patient Safety UHSH Srikanth (Sri) Poranki, Ph.D., CSS-Black-Belt Director, Performance Improvement Dept. Quality & Patient Safety UHSH 3 Agenda Need for Lean in Healthcare Lean at UHS Lean & Green Questions McGlynn EA, Asch

More information

Lean at Denver Health: Saving Lives, Saving Money, Saving Jobs

Lean at Denver Health: Saving Lives, Saving Money, Saving Jobs Lean at Denver Health: Saving Lives, Saving Money, Saving Jobs Phil Goodman Director, Lean Systems Improvement Denver Health Denver, Colorado Denver Health Patients Denver Health cares for approximately

More information

Applying Six Sigma at 3M

Applying Six Sigma at 3M Applying at 3M David Osten Copyright 3M 2002-2003 P r e s s u r e S e n s i t i v e T a p e C o u n c i l 3M Company Vision & Values To be the most innovative enterprise and the preferred supplier. Values

More information

Lean and Six Sigma Healthcare Fad or Reality. Vince D Mello President

Lean and Six Sigma Healthcare Fad or Reality. Vince D Mello President Lean and Six Sigma Healthcare Fad or Reality Vince D Mello President TODAY S DISCUSSION About Lean Methodologies Application benefits and outcomes About Six Sigma Key learning's QUALITY FUNDAMENTALS Function

More information

Lean Test Management. Ban Waste,Gain Efficiency. Bob van de Burgt Professional Testing

Lean Test Management. Ban Waste,Gain Efficiency. Bob van de Burgt Professional Testing Lean Test Management Ban Waste,Gain Efficiency Bob van de Burgt Professional Testing 1 I will show you differently! 2 Agenda - Lean Manufacturing - Lean Six Sigma - Roadmap to Lean Test Management - Conclusions

More information

A Six Sigma Approach to Denials Management

A Six Sigma Approach to Denials Management A Six Sigma Approach to Denials Management Betsey Kennedy, Performance Engineer Stanly Regional Medical Center Albemarle, NC Agenda Overview & Background About Stanly Regional Project History Six Sigma

More information

GE Capital. Driving change and continuous process improvement. how-to

GE Capital. Driving change and continuous process improvement. how-to Driving change and continuous process improvement Process improvement or PI involves applying tools and techniques to help a company achieve its goals Characteristics Aligned around what customers value

More information

Improving Healthcare at. Lean Six Sigma

Improving Healthcare at. Lean Six Sigma Lean Six Sigma in Healthcare Improving Healthcare at Presbyterian Healthcare Services Using Lean Six Sigma Learning Objectives Why we need to improve our processes What is Lean Six Sigma Why do we need

More information

Re-Engineering Lean Care Management and Automation in a Value-Based World

Re-Engineering Lean Care Management and Automation in a Value-Based World Re-Engineering Lean Care Management and Automation in a Value-Based World Jerry Green Kristy Sanders March 30, 2016 Housekeeping 1. Using the control panel Use the control panel on the right side of your

More information

UTILIZAÇÃO DA LEAN METODOLOGIA. Desmistificando Aplicações Reais Para CME. Apresentado por John Kimsey

UTILIZAÇÃO DA LEAN METODOLOGIA. Desmistificando Aplicações Reais Para CME. Apresentado por John Kimsey UTILIZAÇÃO DA METODOLOGIA LEAN Desmistificando Aplicações Reais Para CME Apresentado por John Kimsey STERIS LEAN CME SIMULATION SAO PAULO, RIO, PORTO ALEGRE 2 STERIS LEAN CME SIMULATION SAO PAULO, RIO,

More information

Office Efficiency Improving Office Processes and Task Analysis

Office Efficiency Improving Office Processes and Task Analysis Office Efficiency Improving Office Processes and Task Analysis Contents Office Efficiency... 3 Office Efficiency Aim... 3 Sample Office Efficiency Aims... 3 Key Efficiency Measures... 4 Balance Supply

More information

Lean Six Sigma In Education

Lean Six Sigma In Education Lean Six Sigma In Education October 1, 2009 Please Make a Name Tent and Place It In Front Of You What is Lean Six Sigma Methodology to Solve Problems Through a Process Approach Way to Improve Processes

More information

7/17/2012. Welcome! Topic: Lean Six Sigma How Can it Help Your CSSD? Facilitators: Diane Koch 3M Susan Flynn 3M

7/17/2012. Welcome! Topic: Lean Six Sigma How Can it Help Your CSSD? Facilitators: Diane Koch 3M Susan Flynn 3M 3M Sterile U Network 3M Sterile U Web Meeting July 19, 2012 Lean Six Sigma How Can it Help Your CSSD? Today s meeting times: 9:00 a.m., 11:00 a.m. and 1:00 p.m. CST 1 To hear audio, call 800-937-0042 and

More information

Transforming Patient Flow, Improving Patient Care

Transforming Patient Flow, Improving Patient Care Transforming Patient Flow, Improving Patient Care Transformation by Design (TbyD) Dr. Peter Nord, VP, CMO, Chief of Staff Thelma Horwitz, Director, Quality and Process Improvement Heidi Hunter, Quality

More information

*Explain strategies that support utilization management in a health care setting.

*Explain strategies that support utilization management in a health care setting. Deborah Cutts, Chief Quality Officer 1 Chris Rovinski-Wagner, Coach Captain Discuss utilization management in the context of variation in health care delivery. Explain strategies that support utilization

More information

Solutions for Improving Clinic Flow and Reducing Delays. Assessing Existing Clinic Flow Creating Flow Stations Unscheduled Patient Arrivals

Solutions for Improving Clinic Flow and Reducing Delays. Assessing Existing Clinic Flow Creating Flow Stations Unscheduled Patient Arrivals Solutions for Improving Clinic Flow and Reducing Delays Assessing Existing Clinic Flow Creating Flow Stations Unscheduled Patient Arrivals Table of Contents Page 1. Assessing Existing Clinic Flow: Defining

More information

Applying Clinical Service Redesign in the GPLO Role

Applying Clinical Service Redesign in the GPLO Role Applying Clinical Service Redesign in the GPLO Role Fiona Merkel PPO Clinical Access and Redesign Unit Health Services and Clinical Innovation Division Session Outline Clinical Service Redesign (CSR) Methodology

More information

Using Lean to Improve Research Application Processes at University of Iowa, 2008 to Present

Using Lean to Improve Research Application Processes at University of Iowa, 2008 to Present Using Lean to Improve Research Application Processes at University of Iowa, 2008 to Present Sabi Singh Assistant VP University of Iowa Healthcare Jeff Vande Berg Lean Management Engineer The University

More information

Body of Knowledge for Six Sigma Green Belt

Body of Knowledge for Six Sigma Green Belt Body of Knowledge for Six Sigma Green Belt What to Prepare For: The following is the Six Sigma Green Belt Certification Body of Knowledge that the exam will cover. We strongly encourage you to study and

More information

Electronic Records / Clinical Information Systems (CIS) and Global Markets. November 2014

Electronic Records / Clinical Information Systems (CIS) and Global Markets. November 2014 Electronic Records / Clinical Information Systems (CIS) and Global Markets November 2014 What is a Clinical Information System (CIS)? A Clinical Information System supports the integrated delivery and

More information

Lean and Quality Improvement. Quality Improvement Unit Regina Qu Appelle Health Region

Lean and Quality Improvement. Quality Improvement Unit Regina Qu Appelle Health Region Lean and Quality Improvement 101 Julie Johnson, Director Quality Improvement Unit Regina Qu Appelle Health Region Lean and QI 101 Lean - part of a comprehensive approach to improvement in healthcare What

More information

Process Improvement Program Project Process

Process Improvement Program Project Process Process Improvement Program Project Process 1 P a g e 12/3/2014 The Process Improvement Program is part of the City of Fort Lauderdale s FL 2 STAT Approach to Exponential Improvement. Its objective is

More information

Dallas Center for Performance Excellence (CPE) Executive Summary

Dallas Center for Performance Excellence (CPE) Executive Summary Dallas Center for Performance Excellence (CPE) Executive Summary Publication Date: January 8, 2015 The Center for Performance Excellence (CPE) is a continuous improvement initiative commissioned by the

More information

Journey to Excellence

Journey to Excellence Journey to Excellence Kevin W. Sowers, MSN, RN, FAAN President, Duke University Hospital 2 Agenda Introduction to Duke Medicine Call to Action: The Jesica Santillan Story Duke University Hospital s Journey

More information

Waste Walk. Observation Training. LEAN Training 2010. Ruan C. Varney, CT, CQE, SSBB. Henry Ford Production System

Waste Walk. Observation Training. LEAN Training 2010. Ruan C. Varney, CT, CQE, SSBB. Henry Ford Production System Waste Walk Observation Training Ruan C. Varney, CT, CQE, SSBB Objectives To be able to identify: A detailed & clear understanding of the process Road blocks or waste Flow of information/products Defective

More information

Intro Intr duction Lean Office Montana Manufacturing Extension Center Module 1 - Lean Office Overview

Intro Intr duction Lean Office Montana Manufacturing Extension Center Module 1 - Lean Office Overview present Introduction to Lean Office Module 1 - Lean Office Overview Montana State University 2009 Understanding Lean Definition of Lean: The identification and removal of waste! Lean principles, evolved

More information

Lean Healthcare Metrics Guide

Lean Healthcare Metrics Guide Lean Healthcare Metrics Guide Lean Metrics Guide Page 1 This Lean Metrics Guide is a resource to help organizations understand and select metrics to support their implementation of Lean and Six Sigma two

More information

Annex 15-A: W. Edwards Deming 14 Points for Quality

Annex 15-A: W. Edwards Deming 14 Points for Quality Annex 15-A: W. Edwards Deming 14 Points for Quality 1. Create constancy of purpose for improvement. 2. Improve constantly and forever. 3. Adopt the new philosophy. 4. Cease dependence on mass inspection.

More information

Lean Thinking in Healthcare WESTERN STATES MEETING JUNE 26-27, 2014

Lean Thinking in Healthcare WESTERN STATES MEETING JUNE 26-27, 2014 Lean Thinking in Healthcare WESTERN STATES MEETING JUNE 26-27, 2014 Outline Implementing Lean In Healthcare What is Lean? Why Lean? Lean Principles and Concepts Spotlight on two lean applications: Clinical

More information

INCITO CONSULTING GROUP 8 R E A S O N S W H Y L E A N M AT T E R S M AY 2 7, 2 0 1 5

INCITO CONSULTING GROUP 8 R E A S O N S W H Y L E A N M AT T E R S M AY 2 7, 2 0 1 5 INCITO CONSULTING GROUP 8 R E A S O N S W H Y L E A N M AT T E R S M AY 2 7, 2 0 1 5 QUICK INTRODUCTION (THANK YOU!) 2 2015 Incito Consulting Group 6/2/2015 ISIDRO IZZY GALICIA PRESIDENT & CEO San Francisco,

More information

Readiness for Lean/Six Sigma Key success factors for integrating Lean/Six Sigma in a Healthcare setting

Readiness for Lean/Six Sigma Key success factors for integrating Lean/Six Sigma in a Healthcare setting Readiness for Lean/Six Sigma Key success factors for integrating Lean/Six Sigma in a Healthcare setting D. Junell Scheeres, MA, BS, CSSBB VHA s Integrated Delivery Team SHS 2005 Conference Co-Chair jscheere@vha.com

More information

TPMG. Lean. Transformation In Healthcare. Consulting. Improving patient outcomes and satisfaction while driving down the cost of care!

TPMG. Lean. Transformation In Healthcare. Consulting. Improving patient outcomes and satisfaction while driving down the cost of care! TPMG Consulting Lean Improving patient outcomes and satisfaction while driving down the cost of care! Transformation In Healthcare Service Description: Excellence in Healthcare Delivery TABLE OF CONTENTS

More information

Continuous Improvement Workshop: Kinexus Kaizen in Action

Continuous Improvement Workshop: Kinexus Kaizen in Action Continuous Improvement Workshop: Kinexus Kaizen in Action Introductions Josh Cosner Director of Quality Kinexus ü IT Background ü Been with Kinexus 6 years ü Internal Consultant ü Lead Kinexus Kaizen Program

More information

Transforming Healthcare Leaders Pursuing Perfection

Transforming Healthcare Leaders Pursuing Perfection Transforming Healthcare Leaders Pursuing Perfection Embracing a Culture of Process Improvement and Value Driven Outcomes: What is Lean in Healthcare? University of Utah Health Care J. Michael Rona September

More information

What do ACO s and Hospitals want from SNF s and CCRC s

What do ACO s and Hospitals want from SNF s and CCRC s What do ACO s and Hospitals want from SNF s and CCRC s Presented to the Institute of Senior Living, April 11, 2013 A Division of Kindred Healthcare 1 Assessing the match: What hospitals and ACO s currently

More information

Achieving REAL. by Joyce Sherman

Achieving REAL. by Joyce Sherman by Joyce Sherman Achieving REAL "Six Sigma to the Rescue," declared the title of a June 2002 article in the Technology Section of Health Care Finance. Almost four years later, has Six Sigma helped healthcare

More information

Six Sigma in Healthcare Industry : Some Common Barriers, Challenges and Critical Success Factors

Six Sigma in Healthcare Industry : Some Common Barriers, Challenges and Critical Success Factors Six Sigma in Healthcare Industry : Some Common Barriers, Challenges and Critical Success Factors Professor Jiju Antony Director, Centre for Research in Six Sigma and Process Improvement Caledonian Business

More information

Study of Productivity Improvement Using Lean Six Sigma Methodology

Study of Productivity Improvement Using Lean Six Sigma Methodology International Review of Applied Engineering Research. ISSN 2248-9967 Volume 4, Number 1 (2014), pp. 33-38 Research India Publications http://www.ripublication.com/iraer.htm Study of Productivity Improvement

More information

Overview of Lean at URMC

Overview of Lean at URMC Overview of Lean at URMC Agenda Introduction to Lean at URMC Strategy for Lean at URMC Understanding Waste Introduction to Tools & Techniques 1 Healthcare, As It Is Currently Delivered in The US, is Unsustainable

More information

Using Six Sigma Concepts to Improve Revenue Cycle

Using Six Sigma Concepts to Improve Revenue Cycle Using Six Sigma Concepts to Improve Revenue Cycle Presented by Joseph Koons, MHSA, FHFMA, CRCE-I Managing Director, Revenue Cycle Centra Health Lynchburg Virginia March 4, 2014 Agenda Introduction to

More information

THE POTENTIAL OF LEAN THINKING IN HEALTHCARE

THE POTENTIAL OF LEAN THINKING IN HEALTHCARE THE POTENTIAL OF LEAN THINKING IN HEALTHCARE Daniel T Jones Chairman Lean Enterprise Academy UK Background LEA has helped many organisations get big benefits from following Toyota in using Lean thinking

More information

Introduction to Lean Healthcare

Introduction to Lean Healthcare Introduction to Lean Healthcare Presented by: Steve Lockwood, CITEC Business Advisor / Lean June 2013 1 What is Lean Lean Enterprise is a systematic approach to identifying and eliminating waste (non-value-added

More information

Sentara Healthcare EMR: Our Journey. Bert Reese, CIO and Senior Vice President

Sentara Healthcare EMR: Our Journey. Bert Reese, CIO and Senior Vice President Sentara Healthcare EMR: Our Journey Bert Reese, CIO and Senior Vice President Sentara Healthcare 123-year not-for-profit mission 10 hospitals; 2,349 beds; 3,700 physicians on staff 10 long term care/assisted

More information

Hospital Based Transitions of Care Program. Dr Jeffery Liles, MD FHM. Providence Health Care

Hospital Based Transitions of Care Program. Dr Jeffery Liles, MD FHM. Providence Health Care Outcomes and Applications of a Hospital Based Transitions of Care Program. Dr Jeffery Liles, MD FHM Medical Director Care Management Providence Health Care -Importance of D/C planning and transitions of

More information

Lean for Law: Legal Process Improvement Checklist

Lean for Law: Legal Process Improvement Checklist Lean for Law: Legal Process Improvement Checklist Resource type: Checklist Status: Maintained Jurisdiction: USA A Checklist of the key steps to take for improving or Leaning out legal processes at a law

More information

Decreasing 30 day Readmissions on a Medical Surgical Telemetry Unit

Decreasing 30 day Readmissions on a Medical Surgical Telemetry Unit Decreasing 30 day Readmissions on a Medical Surgical Telemetry Unit Presented By: Dr. Micah Beachy, Rickelle Collins and Nicole Turille Context As part of healthcare reform, hospitals are being challenged

More information

SEPAC October 21, 2014 Philadelphia, PA. Health Care Today: How Supply Chain Can Lead Julie Blatnik, BSN, CNOR

SEPAC October 21, 2014 Philadelphia, PA. Health Care Today: How Supply Chain Can Lead Julie Blatnik, BSN, CNOR SEPAC October 21, 2014 Philadelphia, PA Health Care Today: How Supply Chain Can Lead Julie Blatnik, BSN, CNOR Health Policy Hospital Readmission Reduction Program Accountable Care Organizations Hospital

More information

Care Management Can We Do It Better?

Care Management Can We Do It Better? Care Management Can We Do It Better? Wilma Acosta, Associate Director Protiviti, Inc. Alex Robison, Managing Director Protiviti, Inc. Agenda I. Care Management Challenges II. Compliance Case Studies Intermittently

More information

Keeping the Reimbursement Train on Track

Keeping the Reimbursement Train on Track EXECUTIVE BRIEFING Keeping the Reimbursement Train on Track By Kelley Blair MA, vice president at Craneware Professional Services and Linda Corley, MBA, CPC, corporate compliance officer, Dell Services

More information

A Better Discharge Process: Using Lean Six Sigma and Multidisciplinary Collaboration to Improve Patients Experience:

A Better Discharge Process: Using Lean Six Sigma and Multidisciplinary Collaboration to Improve Patients Experience: A Better Discharge Process: Using Lean Six Sigma and Multidisciplinary Collaboration to Improve Patients Experience: A Love Story Mike Sawin, BSN, RN Nurse Manager 10W Stephanie Sargent, MHA, RN, Lean

More information

Operational Excellence using Lean Six Sigma Amit Dasgupta

Operational Excellence using Lean Six Sigma Amit Dasgupta Operational Excellence using Lean Six Sigma Amit Dasgupta Amit Dasgupta 1 Contents Introduction to Operational Excellence Deployment Practice Our Services Amit Dasgupta 2 Operational Excellence using Lean

More information

Transforming the Business of Healthcare

Transforming the Business of Healthcare The Source for Breakthrough Transforming the Business of Healthcare Superior Quality. Sustainable Results. Our organization. Our services Juran Healthcare has developed methods to enable your hospital

More information

Using Lean Six Sigma to Accelerate

Using Lean Six Sigma to Accelerate Using Lean Six Sigma to Accelerate CMMI Implementation Briefers: Diane A. Glaser Michael D. Barnett US Army LCMC SEC CMMI Coordinator Communication Software ASQ SSGB Engineering Support Division MTC Technologies,

More information

Creating the Lean and Efficient Medical Practice

Creating the Lean and Efficient Medical Practice Click to edit Master title style Creating the Lean and Efficient Medical Practice Chris Calderone M-CEITA / Altarum Institute March 5, 2014 3/5/2014 1 1 M-CEITA Services Meaningful Use Stage 1 Support

More information

Lean Work Cell Design:

Lean Work Cell Design: Lean Work Cell Design: Taking the Lessons of Cellular Manufacturing into Service Organizations Dr. Lars Maaseidvaag MoreSteam.com Agenda Welcome Introduction of MBB Webcast Series Ellen Milnes, MoreSteam.com

More information

Using Lean/6 Sigma Methodology to Facilitate Medical Home Implementation

Using Lean/6 Sigma Methodology to Facilitate Medical Home Implementation Using Lean/6 Sigma Methodology to Facilitate Medical Home Implementation Timothy Quinn, MD, MBA President, MercyCare Community Physicians The MercyCare System MercyCare Community Physicians is a physician-led

More information

PERSPECTIVES ON LEAN SIX SIGMA IN HEALTHCARE: WE, THE PATIENT LEAN SIX SIGMA IMPROVES PATIENT CARE QUALITY AND BUSINESS PERFORMANCE

PERSPECTIVES ON LEAN SIX SIGMA IN HEALTHCARE: WE, THE PATIENT LEAN SIX SIGMA IMPROVES PATIENT CARE QUALITY AND BUSINESS PERFORMANCE PERSPECTIVES ON LEAN SIX SIGMA IN HEALTHCARE: WE, THE PATIENT LEAN SIX SIGMA IMPROVES PATIENT CARE QUALITY AND BUSINESS PERFORMANCE We, the Patient With all the recent articles, papers and conferences

More information

Lean Sigma Tools in the Hiring Process

Lean Sigma Tools in the Hiring Process Lean Sigma Tools in the Hiring Process Executive Summary Talent Acquisition today as an activity fraught with risks Did we hire the right person, the right skills, the right fit?- and has the maximum impact

More information

CASE STUDY: LEAN SIX SIGMA TRANSFORMATION IMPLEMENTATION

CASE STUDY: LEAN SIX SIGMA TRANSFORMATION IMPLEMENTATION CASE STUDY: LEAN SIX SIGMA TRANSFORMATION IMPLEMENTATION Client: Intervention: Multi-National Manufacturer of Components for Electronic and Electrical Products Performance Excellence Transformation Based

More information

ASHP Professional Development Section Advisory Group. Professional Development Opportunities for Informatics Pharmacists

ASHP Professional Development Section Advisory Group. Professional Development Opportunities for Informatics Pharmacists ASHP Professional Development Section Advisory Group Professional Development Opportunities for Informatics Pharmacists Introduction Many opportunities exist to help informatics pharmacists gain the knowledge

More information

Information Technology Report to Medical Executive Committee

Information Technology Report to Medical Executive Committee July 9, 2013 z Information Technology Report to Medical Executive Committee Contents 1 Physician Optimization Update 2 Direct Email Protocol Project 2 Patient Portal 2 Cerner PowerChart Ambulatory EHR/PM

More information

LEAN: 5s in Human Resources

LEAN: 5s in Human Resources LEAN: 5s in Human Resources Brandon Reynolds Human Resources Analyst Flagler Hospital, Inc. 2013 Agenda Mission Statement Problem Statement Lean Definitions The Process What is Flagler Hospital s Mission

More information

Sigma (σ) is a Greek letter used to represent the statistical term standard deviation

Sigma (σ) is a Greek letter used to represent the statistical term standard deviation July 1, 2014 Sigma (σ) is a Greek letter used to represent the statistical term standard deviation Standard deviation is a numerical value that represents the measure of the average variability between

More information

Lean Six Sigma Consulting

Lean Six Sigma Consulting Lean Consulting A Joint Initiative between Lean International Board & Latitude 12 About Lean Lean and, together known as Lean, is a set of widely used Leadership and Management tools and techniques that

More information

Capacity Strategy: The Science of Improving Future Performance

Capacity Strategy: The Science of Improving Future Performance GE Healthcare Capacity Strategy: The Science of Improving Future Performance Brian Dingman Bree Theobald Jennifer Jefferson In these uncertain times, planning for the future is more difficult than ever.

More information

INDUSTRY PERSPECTIVES. Chris McDonald, Regional Vice President, Delta Locum Tenens. As many talented physicians adopt locum

INDUSTRY PERSPECTIVES. Chris McDonald, Regional Vice President, Delta Locum Tenens. As many talented physicians adopt locum INDUSTRY PERSPECTIVES Locum Tenens Industry Growing; Where do You Stand on the Spectrum? Chris McDonald, Regional Vice President, Delta Locum Tenens the 2nd Quarter 2015 July 14 - June 15 According to

More information

Engaging Touch Free Practices Carolinas HealthCare System - A Case Study on Automation in the Revenue Cycle

Engaging Touch Free Practices Carolinas HealthCare System - A Case Study on Automation in the Revenue Cycle Engaging Touch Free Practices Carolinas HealthCare System - A Case Study on Automation in the Revenue Cycle Elizabeth P. Staas, Recondo Technology Katie Davis, Carolinas HealthCare System Who we are Elizabeth

More information

Web&ACTION Program: Improving Patient Flow Getting Started

Web&ACTION Program: Improving Patient Flow Getting Started Web&ACTION Program: Improving Patient Flow Getting Started Session 3: Overview of the Key Components of an Administrative System Concept Design: A System for Hospital Flow Administrative System *Bed management

More information

Improving ED Flow through the UMLN II

Improving ED Flow through the UMLN II Improving ED Flow through the UMLN II Thomas Jefferson University Hospital Philadelphia, PA 957 beds, XX ED beds www.jeffersonhospital.org/ Thomas Jefferson s emergency department (ED), located in Center

More information

Example Summary of how to calculate Six Sigma Savings:

Example Summary of how to calculate Six Sigma Savings: Example Summary of how to calculate Six Sigma Savings: Six Sigma calculations are based on current period actual activity vs. prior period actual activity. Reported Six Sigma Direct Savings must therefore

More information

Accountable Care Organizations: What Are They and Why Should I Care?

Accountable Care Organizations: What Are They and Why Should I Care? Accountable Care Organizations: What Are They and Why Should I Care? Adrienne Green, MD Associate Chief Medical Officer, UCSF Medical Center Ami Parekh, MD, JD Med. Director, Health System Innovation,

More information

LEAN 101 CRASH COURSE. Presented by Jacob McKenna and Seaver Woolfok

LEAN 101 CRASH COURSE. Presented by Jacob McKenna and Seaver Woolfok LEAN 101 CRASH COURSE Presented by Jacob McKenna and Seaver Woolfok Introductions Name Company Position Expectations Favorite Movie Instructors Background: Jacob McKenna has been involved with Lean manufacturing

More information

Lean Overview. Larry Cote President, Lean Advisors, Inc. Presented by: Copyright 2014 Lean Advisors, Inc.

Lean Overview. Larry Cote President, Lean Advisors, Inc. Presented by: Copyright 2014 Lean Advisors, Inc. Lean Overview Presented by: Larry Cote President, Lean Advisors, Inc. Copyright 2014 Lean Advisors, Inc. Lean Overview Agenda Overview of Lean Lean Methodology/Approach Challenges of Lean Red Flags of

More information

Scenario 1. Scenario 2

Scenario 1. Scenario 2 From the 10 coaching scenarios below, practice at least three within your group of three. Each group member should practice being the coach. Next, construct your own coaching scenario that reflects an

More information

A DISCUSSION ON LEAN, 3P DESIGN IN HEALTHCARE, AND THE LEAN LEADER

A DISCUSSION ON LEAN, 3P DESIGN IN HEALTHCARE, AND THE LEAN LEADER A DISCUSSION ON LEAN, 3P DESIGN IN HEALTHCARE, AND THE LEAN LEADER Stephen J Grose, CHFM Kaizen Fellow and Former Virginia Mason Administrative Director of Support Services May 16 th, 2014 Oregon Society

More information

Lean Six Sigma Leads Xerox

Lean Six Sigma Leads Xerox LEAN Lean Six Sigma Leads Xerox SNCE 2003, XEROX HAS FOCUSED ON NTEGRATNG LEAN SX SGMA CORPORATEWDE. By Arthur Fornari, Xerox Lean Six Sigma, and George Maszle, Xerox Lean Six Sigma and Business Support

More information

Welcome to the acute medical unit. A patient guide

Welcome to the acute medical unit. A patient guide Welcome to the acute medical unit A patient guide Contact us AMU 1 (green) 023 8120 6496 AMU 2 (purple) 023 8120 5127 AMU 3 (pink) 023 8120 8609 Please note, confidential information cannot be communicated

More information

Lean @ Concord Hospital ASQ Meeting May 2013. http://www.concordhospital.org

Lean @ Concord Hospital ASQ Meeting May 2013. http://www.concordhospital.org Lean @ Concord Hospital ASQ Meeting May 2013 http://www.concordhospital.org About Us Mission & Values Charitable Organization: we exist to meet the health needs of individuals within the communities we

More information

The Two Key Criteria for Successful Six Sigma Project Selection Advantage Series White Paper By Jeff Gotro, Ph.D., CMC

The Two Key Criteria for Successful Six Sigma Project Selection Advantage Series White Paper By Jeff Gotro, Ph.D., CMC The Two Key Criteria for Successful Six Sigma Project Selection Advantage Series White Paper By Jeff Gotro, Ph.D., CMC Introduction Encouraged by the results of Six Sigma deployment at Motorola, AlliedSignal

More information

Improving Medical Equipment Availability at Barnes-Jewish Hospital

Improving Medical Equipment Availability at Barnes-Jewish Hospital Improving Medical Availability at Barnes-Jewish Hospital by Laurie Wolf and Nancy Sigillito special acknowledgement to Cathy Powers (Clinical Nurse Specialist) for directing this project and Barb Sacakli

More information

CHALLENGES IN PROFESSIONAL REVENUE CYCLE PRACTICE MANAGEMENT

CHALLENGES IN PROFESSIONAL REVENUE CYCLE PRACTICE MANAGEMENT CHALLENGES IN PROFESSIONAL REVENUE CYCLE PRACTICE MANAGEMENT Agenda Organizational Overview Analytics The CBO Story CBO PM Blank Measure it, Manage it Communication ORLANDO HEALTH Healthcare Leader in

More information

6 SIGMA TRAINING & CERTIFICATION

6 SIGMA TRAINING & CERTIFICATION www.sixsigmaonline.org 6 SIGMA TRAINING & CERTIFICATION refresh your thinking Online Training & Certification...in your home or in your office Our courses are designed for individuals whose schedule demands

More information

High Rehospitalization Rates: Evaluation and Impact

High Rehospitalization Rates: Evaluation and Impact High Rehospitalization Rates: Evaluation and Impact May 29, 2009 Denise Remus, PhD, RN Chief Quality Officer, BayCare Health System BayCare Health System BayCare is the largest full-service, community-based

More information

Applying Lean Six Sigma and Blue Ocean Thinking to Your Reform Strategy (An ACHE Face-to-Face Panel Discussion)

Applying Lean Six Sigma and Blue Ocean Thinking to Your Reform Strategy (An ACHE Face-to-Face Panel Discussion) Applying Lean Six Sigma and Blue Ocean Thinking to Your Reform Strategy (An ACHE Face-to-Face Panel Discussion) Facilitator: John Cramer System Director - Organization Effectiveness/Lean Six Sigma/1115

More information

INNOVATION TITLE: HOSPITAL: Innovation Category: select all that apply

INNOVATION TITLE: HOSPITAL: Innovation Category: select all that apply *DO NOT fill out this form in your browser. Save the form to your computer and then open to complete. Emergency Care Innovation of the Year Award Submission Form email completed submission forms to urgentmatters@gwu.edu

More information

Body of Knowledge for Six Sigma Lean Sensei

Body of Knowledge for Six Sigma Lean Sensei Body of Knowledge for Six Sigma Lean Sensei What to Prepare For: The following is the Lean Six Sigma Certification Body of Knowledge that the exam will cover. We strongly encourage you to study and prepare

More information

Building a Specialty Pharmacy Business. Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services

Building a Specialty Pharmacy Business. Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services Building a Specialty Pharmacy Business Kyle Skiermont, PharmD Director of Specialty/Infusion Operation Fairview Pharmacy Services Overview Agenda Brief overview of Fairview Barriers for hospital/health

More information

OAHHS LEAN WEBINAR DECEMBER 9, 2014. Purdue Research Foundation

OAHHS LEAN WEBINAR DECEMBER 9, 2014. Purdue Research Foundation OAHHS LEAN WEBINAR DECEMBER 9, 2014 1 Overview A3 Improve Key Components Control tools Deeper dive into a tool Questions? 2 DMAIC 3 4 Project Title and Area: Date: Organization: Authors: Pre- Define Measure

More information

Best Practices for Vetting Vendors, Boosting Performance, and Driving ROI

Best Practices for Vetting Vendors, Boosting Performance, and Driving ROI Best Practices for Vetting Vendors, Boosting Performance, and Driving ROI Mike Simms Vice President Revenue Cycle Cone Health Current Healthcare Revenue Cycle Environment With today s changing healthcare

More information

Improving My Care Overview

Improving My Care Overview Improving My Care Overview Presented by Prof. Philip Choo Chairman, Medical Board Tan Tock Seng Hospital My Care will benefit my work My Care will benefit patients My Care basic tools are easy to use 1

More information

Medicare Advantage HMOs

Medicare Advantage HMOs Medicare Advantage HMOs Medicare Advantage HMOs are managed care plans that have contracts with Medicare. These HMOs are also called MA HMOs. If you are in one, you will get your Medicare services through

More information

Vertebral Fragility Fracture

Vertebral Fragility Fracture CLINICAL PATHWAY Musculoskeletal Health Vertebral Fragility Fracture Vertebral Fragility Fracture Table of Contents (tap to jump to page) INTRODUCTION 1 Key Points of the Vertebral Fragility Fracture Pathway

More information

AARP S MEDICARE GUIDE FOR FAMILY CAREGIVERS

AARP S MEDICARE GUIDE FOR FAMILY CAREGIVERS AARP S MEDICARE GUIDE FOR FAMILY CAREGIVERS CONTENTS 5 About Medicare 7 A Little More About Your Choices 8 Medicare Prescription Drug Coverage 9 Where to Start 14 Medicare Glossary 2015. Reprinting with

More information

The Wisdom Project: Stories from the Field that Inform Leaders. Wendy Harrison, Brenda Hubley, Alison McLaughlin, Kass Rafih, and Darren Sander

The Wisdom Project: Stories from the Field that Inform Leaders. Wendy Harrison, Brenda Hubley, Alison McLaughlin, Kass Rafih, and Darren Sander The Wisdom Project: Stories from the Field that Inform Leaders Wendy Harrison, Brenda Hubley, Alison McLaughlin, Kass Rafih, and Darren Sander INTRODUCTION Today s leaders are tasked with affecting meaningful,

More information