™                             Train, Translate & TransformSix Sigma in Hospital Operations            ©Training House 2012
©Training House 2012
Overview• Quality – Six Sigma View• Hospital Management – Key Challenges• Six Sigma in Hospital Operations                ...
Quality…a perspective      The Classical View of Quality                           The Six Sigma View of Quality          ...
Increasing ProductivityLow Cost                              InnovationHigh Quality                          Intersection ...
Hospital Operations: Key Challenges               Timely         Efficient           Effective              Services      ...
Six Sigma in Hospital Operations: Why?         With the increased focus      on customer requirements and    pressure to d...
Six Sigma?                                                Six Sigma is a                What is Six                     “d...
Six Sigma Vs Traditional Approach      Practical                                                              Traditional ...
Some Six Sigma Projects - Case Study                                                              Reducing Discharge TimeR...
CRBSI – Six Sigma approach – Case Study                            Problem High rate of Catheter Related Blood Stream Inf...
Case Study :- Causes for High CRBSI      Environment                                 People                               ...
Case Study :-Key Improvements              Pt. in MICU       Doctors decision for C/L                                     ...
Case Study :-Achievement…The Classical View of Quality  “98.45% Good” (3.66s) CRBSI Rate in MICU – 4                      ...
Six Sigma Scope in Hospital Services                                                  Bed related Inpatient Functions   M...
Six Sigma Infrastructure                                       Six Sigma Champion Resources         Master Black Belt     ...
Essential of for Six Sigma• LEADERSHIP COMMITMENT    Time    Effort    Resources• MANAGING WITH DATA    Design-measure...
Six Sigma and Health Care - StatisticsAn increasing number of hospitals are adopting a Six Sigma process as a way toincrea...
Contact US    Business Enquiries                           business@traininghouse.in    Investors Enquiries               ...
THANK YOU…Hope to See you in Training Class           ©Training House 2012
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Six Sigma Workshop For Hospitals

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Training House Six Sigma Initiative for Hospitals.

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Six Sigma Workshop For Hospitals

  1. 1. ™ Train, Translate & TransformSix Sigma in Hospital Operations ©Training House 2012
  2. 2. ©Training House 2012
  3. 3. Overview• Quality – Six Sigma View• Hospital Management – Key Challenges• Six Sigma in Hospital Operations ©Training House 2012
  4. 4. Quality…a perspective The Classical View of Quality The Six Sigma View of Quality “99% Good” (3.8s) “99.99966% Good” (6s)• 20,000 items rejections per months • 7 items rejections per month• ~15 minutes each day of unsafe drinking • 1 minute every 7 months of unsafe water drinking water• 5,000 incorrect surgical operations per • 1.7 incorrect surgical operations per week week• 2 short or long landings at most major • 1 short or long landing at most major airports daily airports every 5 years• 200,000 wrong drug prescriptions each • 68 wrong drug prescriptions each year year • 1 hour without electricity every 34• 7 hours without electricity each month years ©Training House 2012
  5. 5. Increasing ProductivityLow Cost InnovationHigh Quality Intersection Customer Insight ©Training House 2012
  6. 6. Hospital Operations: Key Challenges Timely Efficient Effective Services Services Services Safe DataEnvironment Collection Patient Centric Care ©Training House 2012
  7. 7. Six Sigma in Hospital Operations: Why? With the increased focus on customer requirements and pressure to deliver the best qualityevery time, cost of healthcare is escalating. It has become of equal importance, to optimize the performance with respect to quality and to optimize cost of care. Six Sigma addresses both these concerns ©Training House 2012
  8. 8. Six Sigma? Six Sigma is a What is Six “data driven” Sigma? problem solving methodology. … how you utilize and implement that methodology depends on you.• A highly Structured and Data Driven Approach for Improved Customer Quality.• A Measurement of Our Process and our Capability to deliver services.• Goal of Six Sigma – Attain Less Than 3.4 Defects per Million Opportunities ©Training House 2012
  9. 9. Six Sigma Vs Traditional Approach Practical Traditional Problem Approach Statistical Problem Six Sigma Statistical Approach Solution Practical SolutionCustomer Focused . . .Bottom Line “cost” Driven ©Training House 2012
  10. 10. Some Six Sigma Projects - Case Study Reducing Discharge TimeReduction in CRBSI Rate Discharge TimeInfection reduction - 3.66 to 6 Sigma Before: 282 mins - After: 135 minsOptimization of Dialysis Process Improving Lift EfficiencyProcess Sigma Increased by 1  50% Improvement in Customer Satisfaction  50% Process Capability increased Six Sigma ProjectsIncrease Dispatch Capacity-CPS Process Sigma improved by 1.22 Reducing Cathlab Waiting Time  30% improvement in waiting time Optimizing Diagnostics Pricing Standardization of Consumable Avg realization – 1.78 Sigma increased Process Sigma improved by 3.4 ©Training House 2012
  11. 11. CRBSI – Six Sigma approach – Case Study Problem High rate of Catheter Related Blood Stream Infections (CRBSI) in ICUs Increased Length Of Stay (LOS) for patients, due to CRBSI Patient Dissatisfaction Revenue loss due to increased LOS Goal To Standardized process & eliminate CRBSI from MHC ©Training House 2012
  12. 12. Case Study :- Causes for High CRBSI Environment People Wire Control Insertion Site Contaminated Lines Patient Immunity Periodic dressing Supervision Dressing TechniquePatient Movement Assistance Multiple Pricks Emergency /code Patient Behavior HIGH ICU CRBSI RATES Guidelines for catheterSterile technique insertion TNA data availableUniversal Precaution TAT for information Sterilized material C/L protocol Culture process Process Material ©Training House 2012
  13. 13. Case Study :-Key Improvements Pt. in MICU Doctors decision for C/L Revised Standard procedures Site –Subclavian /Femoral/Jugular - Hand WashPatient consent & procedure explanation Procedure preparation Hand Wash & Dr. Assistant Drying time for site, increased to 3-5 mins., as per WHO Patient preparation & C/L insertion standards Suturing Site Drying Established Site dressing measurements system Monitoring ©Training House 2012
  14. 14. Case Study :-Achievement…The Classical View of Quality “98.45% Good” (3.66s) CRBSI Rate in MICU – 4 The Classical View of Quality “99.61% Good” (4.16s) CRBSI Rate in MICU – 1 The Six Sigma View of Quality “99.99966% Good” (6s) CRBSI Rate in MICU – 0 ©Training House 2012
  15. 15. Six Sigma Scope in Hospital Services  Bed related Inpatient Functions Medical Operations  Out patients related Functions  Diagnostics and Treatment Functions  Administrative Functions Administrative Operations  Research and Teaching Functions  Supply ChainFocus on Process Capability, Utilization, Cycle Time, Cost Optimization ©Training House 2012
  16. 16. Six Sigma Infrastructure Six Sigma Champion Resources Master Black Belt Black Belt Green Belt Yellow Belt Culture change Identify opportunityPrimary Role agent Mentor Project & Execute Project Execute ProjectRole Duration 24 Months 18 Months 12 Months 6 MonthsThe actual infrastructure and number of roles will be dependent on the size and complexityof an Organization &maturity stage of deployment of Six Sigma. ©Training House 2012
  17. 17. Essential of for Six Sigma• LEADERSHIP COMMITMENT  Time  Effort  Resources• MANAGING WITH DATA  Design-measure-analyze-improve-control• TRAINING AND CULTURAL CHANGES  Integrated business strategy  Impact on career paths ©Training House 2012
  18. 18. Six Sigma and Health Care - StatisticsAn increasing number of hospitals are adopting a Six Sigma process as a way toincrease patient satisfaction and reduce errors by improving processes.Statistics compiled by the US Bureau of Labor Statistics show that health carecosts have increased five to six times faster than much of the rest of the economyduring the past 5 years.Six Sigma is a program of quality that is grounded in statistical analysis of gathereddata. ©Training House 2012
  19. 19. Contact US Business Enquiries business@traininghouse.in Investors Enquiries investors@traininghouse.in mediaenquiries@trainingho Media Enquiries use.in Jobs Enquiries jobs@traininghouse.in Trainers Enquiries trainers@traininghouse.in Contact Person santhoshi@traininghouse.in ©Training House 2012
  20. 20. THANK YOU…Hope to See you in Training Class ©Training House 2012

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