Lean & Six Sigma; A Prescription for Healthcare April 7, 2009 Presented by e-Zsigma (Canada) Inc. I www.e-zsigma.com I 416.593.8026 1 WELCOME TO… PRESENTED BY E-ZSIGMA (CANADA) INC. CANADA’S LEADER IN LEAN, SIX SIGMA AND INNOVATIVE PRACTICES Lean & Six Sigma; A Prescription for Healthcare CHALLENGES FOR CANADIAN HEALTHCARE Tuesday April 7, 2009 Lean & Six Sigma: A Prescription for Healthcare 2 Primary Care Reform the way in which primary care and primary health care services can be organized to best serve population health needs Health Human Resource Planning the way in which a variety of health professions should be deployed to provide health care services to the population Cost and Sustainability the way in which health care services are funded and the costs for the future Role of the Private Sector the way in which health care is delivered and funded privately Quality of Care and Measurement the way in which decisions about healthcare interventions are based on evidence of effectiveness to improve quality. Source: Canadian Policy Research Networks, January, 2004
e-Zsigma is Canada’s leader in Six Sigma and Lean Enterprise coaching and deployment. Our completely integrated program of in-class and e-learning training, tools, methodology and technology enables you to rapidly customize and implement a quality improvement system and strategy that delivers the results that your Hospital and clients demand.
Our team of world class instructors and practitioners combined with our experience in Healthcare makes e-Zsigma your first choice for Six Sigma and Lean Enterprise strategies.
e-Zsigma is a Canadian based Management Consultancy, specializing in Lean Six Sigma, Project Management, and Supply Chain.http://www.e-zsigma.com
e-Zsigma is the Sponsor for the Canadian Society for Quality http://www.linkedin.com/groups/Canadian-Society-Quality-4233535
e-Zsigma is a partner of the International Standard for Lean Six Sigma (ISLSS) and Manager of the LinkedIn Lean Six Sigma Group http://www.linkedin.com/groups/Lean-Six-Sigma-37987
Follow e-Zsigma Company on LinkedIn http://www.linkedin.com/company/1017597 where you will find a list of our Lean Six Sigma Training and Certification Classes, both online and onsite.
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Lean & Six Sigma; A Prescription for Healthcare April 7, 2009
Presented by e-Zsigma (Canada) Inc. I www.e-zsigma.com I 416.593.8026 1
WELCOME TO…
PRESENTED BY E-ZSIGMA (CANADA) INC.
CANADA’S LEADER IN LEAN, SIX SIGMA AND INNOVATIVE PRACTICES
Lean & Six Sigma;
A Prescription for Healthcare
CHALLENGES FOR CANADIAN HEALTHCARE
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare2
� Primary Care Reform� the way in which primary care and primary health care services
can be organized to best serve population health needs
� Health Human Resource Planning� the way in which a variety of health professions should be
deployed to provide health care services to the population
� Cost and Sustainability� the way in which health care services are funded and the costs for
the future
� Role of the Private Sector� the way in which health care is delivered and funded privately
� Quality of Care and Measurement� the way in which decisions about healthcare interventions are
based on evidence of effectiveness to improve quality.
Source: Canadian Policy Research Networks, January, 2004
Lean & Six Sigma; A Prescription for Healthcare April 7, 2009
Presented by e-Zsigma (Canada) Inc. I www.e-zsigma.com I 416.593.8026 2
THE DEMAND CURVE WE ARE FEELING
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare3
Source: Understanding Canada’s Health Care Costs, Health Canada, 2000
DEMAND ACCELERATORS& RESPONSES
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare4
ACCELERATORS
� Emerging and New Technologies
� major joint surgery, neonatal and fetal technologies, dialysis, organ
transplantation, genetic testing and therapy
� Increased Incidence and earlier onset of Chronic and New Diseases
� heart disease, diabetes, tuberculosis, Hepatitis C, HIV, and AIDS
•Confidence Intervals•Power and Sample Size�Chi Square�Non-normal data�Analysis of Variance �Analysis of Means
•Modeling Designs of Experiments•Response Surface Design of Experiments
•Robust Design of Experiments•Survey Design of Experiments
Improve Phase - Key Tools
•Screening Design of Experiments•Multiple Regression
• Process Control Plans• Gage Control Plans• Preventative Maintenance Control Plans
Control Phase – Key Tools
• Mistake Proofing• 5S• Standard Operating Procedure
• Statistical Process Control• Business Case Simulation Exercise
SIX SIGMA 101: PROCESS EXCELLENCE
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare16
Lean & Six Sigma; A Prescription for Healthcare April 7, 2009
Presented by e-Zsigma (Canada) Inc. I www.e-zsigma.com I 416.593.8026 9
APPLICATION: LEAN SIX SIGMA IN E.D.
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare17
INITIAL TRIAL RESULTS
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare18
Metric Current Performance Trial Results
Time to PIA
CTAS 3
CTAS 4
>2 Hours 30 Mins.
>2 Hours
Ave: 45 Mins.
70% Reduction
Length of Stay
CTAS 3
CTAS 4
>4 Hours 30 Mins.
>3 Hours
Ave: 3 Hrs. 23 Mins25% Reduction
%LWBS 6-7% Zero (Expected to be <1% ongoing)
Lean & Six Sigma; A Prescription for Healthcare April 7, 2009
Presented by e-Zsigma (Canada) Inc. I www.e-zsigma.com I 416.593.8026 10
LEAN SIX SIGMA BENEFITS
� Reduced Patient Length of Stay
� Increased Patient satisfaction
� Patient sees physician much quicker
� LWBS drastically reduced
� Faster patient flow
� Improved patient safety
� Physicians see patients sooner
� RN
� More time for patient care � Greater % of time on VA activities� Peace of mind (Pt. seen by Dr. first)� Better waiting room attitude� Fewer interruptions at Triage� Less stress and Greater job
satisfaction
� Housekeeping – less batching
� For RVH
� improved reputation and image� Potential future funding
opportunities
� D.I. – less batching, better flow
� Inside Clerk
� Less batching of patients/work� Simpler process� Less phone calls and interruptions� Less stress and greater job satisfaction
� The Lab
� Fewer unnecessary tests� Fewer add-ons� Less batching of ER tests� Less need to phone ER
� Phlebotomist
� One visit per patient� No Hallway draws� Less batching� Less frustration and greater satisfaction
� C.I.T. has earlier intervention
� R.T. sees patient sooner
� Barrie Community has a better ER
E-ZSIGMA (CANADA) INC.
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare20
� Canada’s leader in Lean, Six Sigma & Innovation strategy, consulting and training
� Canada’s only Certificate in Lean Six Sigma for Health Care
� Schulich School of Business Lean Six Sigma Centre of Excellence
� Some of our Health Care clients;� St. Michael’s Hospital
� Mt. Sinai Hospital
� Ontario Ministry of Health
� LHIN, FHITs, Strategy, etc.
� Health Canada
� Royal Victoria Hospital
� Hamilton Health Sciences
� London Health Sciences
� Canadian Blood Services
� Centre for Addiction & Mental Health
� Alberta Medical Association
� Joseph Brant Memorial Hospital
• Lean Six Sigma Strategic Deployment
• On-site Lean Six Sigma Training
• Lean Six Sigma Project Management
• Open Enrollment (Public) Training
• Process Design, Modeling & Simulation
• Master Black Belt Project Coaching
& Mentoring
• Lean Six Sigma Certification
• Comprehensive e-Learning Program
Lean & Six Sigma; A Prescription for Healthcare April 7, 2009
Presented by e-Zsigma (Canada) Inc. I www.e-zsigma.com I 416.593.8026 11
RAPID START: GREEN BELT FOR HEALTHCARE
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare21
Lean Six Sigma for Healthcare focuses first on the processes,
tasks and activities that define world-class healthcare
service and patient care. It enables the delivery of
consistently high levels of quality & value while banishing
waste & non value-added activities. The result is lower
costs and more desirable outcomes for patients and
caregivers alike.
� 8 Day Program
GBH096 (Toronto) GBH098 (Toronto)
Session 1: April 14 – 17, 2009 Session 1: Sept 28 – October 1, 2009
Session 2: May 11 – 14, 2009 Session 2: October 26 – 29, 2009
COURSE OVERVIEW
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare22
� Six Sigma fundamentals and methodology
� Lean fundamentals and methodology
� Differences and synergies of Lean and Six Sigma
� Six Sigma measures and statistics
� The eight step Six Sigma strategy
� Managing Lean Six Sigma projects using DMAIC approach
� Opportunities for defects
� Customer focus -The CT tree and Quality Function Deployment
� Sigma level and Cost of Quality
� The importance of the people side of managing improvement
projects
Lean & Six Sigma; A Prescription for Healthcare April 7, 2009
Presented by e-Zsigma (Canada) Inc. I www.e-zsigma.com I 416.593.8026 12
E-ZSIGMA SERVICES
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare23
HEALTH CARE SPECIFIC TRAINING PROGRAMS
� E-Zsigma has designed an 8-day Lean Six Sigma Healthcare program tailored specifically for the Canadian Healthcare industry. This program is the first of its kind in Canada.
CUSTOMIZED SOLUTIONS
� Our training programs can be customized to suit your needs and be delivered at your location.
PROJECT MANAGEMENT & LEADERSHIP
� Allowing our senior Master Black Belts to help you lead rapid and highly successful lean six sigma improvement projects
� Patient flow and wait times
� Information technology implementations
� Process improvement projects where they are needs and when they are needed
E-LEARNING SOLUTIONS
� We understand the hectic schedule of the healthcare professional. Therefore we offer a comprehensive e-Learning program designed to meet your needs on your schedule.
YOUR EXPECTATIONS FOR LEAN SIX SIGMA
Tuesday April 7, 2009Lean & Six Sigma: A Prescription for Healthcare24
� Improved patient experience and satisfaction
� Faster response to patient needs
� Increased job satisfaction & reduced stress for caregivers
� Improved, standardized & repeatable processes that are more predictable
� Between 20% and 60% reduction in Process Cycle Time
� Ability to focus resources on more value-added activities
� Greater than 50% Improvement in resource utilization