Improving Healthcare Quality and Cost with Six Sigma

The Definitive Six Sigma Guide for Healthcare: Methodologies, Tools, and Metrics

Rising costs are making healthcare unaffordable for millions, and 100,000 people die every year due to medical error. Healthcare must change—dramatically. Many leading healthcare institutions are discovering a powerful toolset for addressing both quality and cost: Six Sigma. In this hands-on, start-to-finish guidebook, four leading experts introduce Six Sigma from the unique standpoint of the healthcare professional, showing exactly how to implement it in real-world environments.

Drawing on their unsurpassed experience, the authors offer step-by-step methodologies, tools, and metrics—all thoroughly adapted to the unique realities of healthcare. They demonstrate how to utilize Six Sigma’s Define, Measure, Analyze, Improve, and Control (DMAIC) process to address even the most challenging problems. They also offer realistic guidance on rolling out Six Sigma initiatives that deliver rapid and sustainable value.

The authors show Six Sigma at work in every area of the hospital: clinical, radiology, surgery, ICU, cardiovascular, laboratories, emergency, trauma, administrative services, staffing, billing, cafeteria, even central supply. You'll learn why Six Sigma can produce better results than other quality initiatives, how it brings new rigor and discipline to healthcare delivery, and how it can be used to sustain ongoing improvements for the long term.

Coverage includes

·         Adapting Six Sigma methodology, tools, and measurements for healthcare

·         Designing more successful experiments

·         Rolling out your Six Sigma initiative successfully

·         Case studies from every area of the hospital, from the ICU to billing

·         Six Sigma templates modified fully for the healthcare environment

Comprehensive and user-friendly, this book will be indispensable to everyone concerned with quality or cost: administrators, managers, physicians, and quality specialists alike. Where Six Sigma is already in use or being considered, it will serve as a shared blueprint for the entire team.

Contents

Foreword  xx

Introduction  xxi

Part I:   The Need for Cutting Costs and Improving Quality in Healthcare  1

Chapter 1          Trends in the Healthcare Industry  3

Chapter 2          Excellence (Benchmarks) and Improvement Challenges in the Healthcare System  21

Chapter 3          Applicability of Six Sigma in Healthcare Organizations  31

Part II:   Methodology, Tools, and Measurements  59

Chapter 4          The Healthcare Opportunity  61

Chapter 5          Six Sigma Methodology  77

Chapter 6          Understanding Problems: Define, Measure, and Analyze  89

Chapter 7          Solving Problems: Improve and Control  129

Part III:  Benefiting from Six Sigma  161

Chapter 8          Case Study Introduction and Profiles  163

Chapter 9          Clinical Case Studies  181

Chapter 10        Operational Case Studies  203

Part IV:  Rolling Out and Sustaining Six Sigma  239

Chapter 11        Implementing a Six Sigma Culture  241

Chapter 12        Lean Six Sigma in Healthcare  373

Chapter 13        The Road Ahead  401

Part V:   Appendixes  431

Appendix A      PMBOK Tools and Techniques  433

Appendix B       The Six Sigma Body of Knowledge  437

Appendix D      Total Six Sigma Tools Self-Evaluation Form  445

Appendix D      Additional Resources  451

Appendix E       The Man I Want To Be!  453

Index  455