Mike Stoecklein Health Care Manager – ASQ 1st presented to Cleveland ASQ Section #800 (9-18-02) Adapted for SGV ASQ Section # 702 by Diane Blixt, CLS,

Mike StoeckleinHealth Care Manager – ASQ

1st presented to Cleveland ASQ Section #800 (9-18-02)

Adapted for SGV ASQ Section # 702 by Diane Blixt, CLS, CQMgr (ASQ)

A Vision For Health CareQuality Improvement (Part 2)

3a. Health Care DivisionDevelop One Common Plan

• Assisting Health Care Division in: - Application of ISO in Health Care (IWA-1) - Health Care Division discussion group - National Quality Forum (NQF) Membership

3. Health Care Division

ASQ Sections

• Planning with Health Care Division: - Joint strategic planning at AQC - Collaborative efforts with other organizations - Pre-AQC (2003) Session on Patient Safety - “Run For Health Care” AQC, 2003

3a. Health Care DivisionDevelop One Common Plan

• Assisting Health Care Division in: - Application of ISO in Health Care (IWA-1) - Health Care Division discussion group - National Quality Forum (NQF) Membership


ASQ Sections

• Planning with Health Care Division: - Joint strategic planning at AQC - Collaborative efforts with other organizations - Pre-AQC (2003) Session on Patient Safety - “Run For Health Care” AQC, 2003

www.healthcare.org

3b. ASQ SectionsQuality Improvement Occurs on a Local Level

• Assessment of Current State: - E-mail survey to Section Chairs - Personal visits with Sections - Concept of “Deputy Regional Counselor”


ASQ Sections

• Proposing and Testing Various Models: - Health Care Programs at Section Meetings - Health Care Practitioners “sponsored” by a Section - Other?

4. System Inputs (cont.)

• NPSF – Patient Safety Summits in Milwaukee, Denver and San Jose

4 Inputs

Collaborationw/ Partners

FundDevelopment

Authors &Thought Leaders

Knowledgefr. other indust.

*• American College of Health Care Exec. - Joint publication of books - ASQ presentation scheduled for 2003

• National Assoc’n for Health Care Quality - Exploring options for collaboration

• Midwest Business Group on Health - Volunteers to review report

4. System Inputs (cont.)

• Institute for Hlth Care Improvement (IHI) - Tools & Techniques Course Curriculum

4 Inputs

CollaborationW/ Partners

FundDevelopment


Knowledgefr. other industries

*• JCAHO - Presentation in May 2003 - Co-publish books

• Dept. of Health and Human Services Region V Representative, Corey Hoze.

• American Hospital Association (AHA) - Six-Sigma course for AHA Pt Safety Fellowship

• Milwaukee Mayor’s Task Force on Hlth Care $

4. System Inputs (Cont.)

• Association for Healthcare Research & Quality (AHRQ), request funding for IWA-1

4 Inputs

CollaborationWith Partners

FundDevelopment


KnowledgeFrom other industries

*


• “Health Care Dialogue Session” Convening 20 top leaders and authors from around the country to dialogue around current state of health care quality

4 Inputs


FundDevelopment


Knowledgefr. other industries

*

• First ASQ Health Care Web Chat Event: “Role(s) That ASQ Should Play in Health Care Quality Improvement”


• Convening experts in Design FMEA to assist West Bend Hospital

4 Inputs


FundDevelopment


Knowledgefr other industries *

• 2nd ASQ Health Care Web Chat Event “Human Factors Science in Health Care Quality Improvement”

3 Historic Pathways *

Regulation Learning ScienceManagement

Science

* Dr. Martin Merry, MD

5. Design & Redesign of Products & Services



Science

Hippocrates

Nightingale

ACS/Hospital Standardization

M&M Conferences

Donabedian





ScienceHammurabi

Legal system

State Boards

Inspection

Report Cards

Hippocrates

Nightingale


M&M Conferences

Donabedian





ScienceHammurabi

Legal system

State Boards

Inspection

Report Cards

Hippocrates

Nightingale


M&M Conferences

Donabedian

Industrial Technology

Frederick Taylor

Shewhart

Deming, Juran

Six Sigma, ISO, Human Factors





ScienceHammurabi

Legal system

State Boards

Inspection

Report Cards

Hippocrates

Nightingale


M&M Conferences

Donabedian

Industrial Technology

Frederick Taylor

Shewhart

Deming, Juran

Six Sigma, ISO, Human Factors




5Design &

Redesign ofProducts &Services

What can ASQ offer to health care providers?

Foundation for Quality

Target ofExcellence

ISO For Health Care, CQIA Certification,Quality 101, Quality Press Books, HealthCare Division Membership, Discussion Group, Quality Progress Magazine.

Baldrige Criteria For Health Care

State-Level Excellence Awards


5Design &




Models, Methods and Toolsto Bridge the Gap

Target ofExcellence





5Design &




Models, Methods and Toolsto Bridge the Gap

Target ofExcellence


Basic Process Improvement Tools, Quality Press Books, SixSigmaSafetyDiscussion Group, Health Care Web Chats, Section-Level Programs

SPC for Health Care, Failure Mode andEffects Analysis (FMEA), Certified Quality Manager, Quality Function Deployment, Lean Enterprise.

Six Sigma for Health Care (Executive,Champion, Greenbelt and Black BeltTraining, Six Sigma Forum)




• Six-Sigma for Health Care - 1-Day Health Care Executive Session Ready - Developed and offered on-line pre-course Green Belt instr’n - 2-Week Green Belt Course Ready - 4-Week Black Belt Course (in process)5.

Design & Redesign ofProducts &Services

• ISO - IWA-1 for Health Care Division Business Plan

• Quality Conversation “Six Sigma in Health Care”


• Publications - Co-published Six-Sigma book with ACHE - September, 2002 issue of Quality Progress

5.Design &


• Certification - Possible patient safety certification with NPSF

• Education Department - FMEA for Healthcare - SPC for Healthcare - Improving Business Performance: ISO 9001:2000 as a Means to Support Compliance in Health Care - Baldrige for Healthcare - IWA Train the Trainer

• On-line: - Six-Sigma-Safety List Serve - Health Care Division Discussion Group - Health Care Electronic Newsletter


5.Design &


• Membership - Exploring feasibility of joint memberships with other organizations

• Collaboration with Association for Quality and Productivity (AQP)

6. Creating Awareness & Marketing

• Exhibits: - ACHE (March 02) - Houston Texas, Quality & Safety (April) - Patient Safety Conference (April) - AQC (May) - NAHQ (September)

6.Creating

Awareness

&

Marketing• Health Care Flyer “Why Reinvent the Wheel”

• Developing “next level” health care brochure

• Developing Health Care CD

6. Creating Awareness & Marketing

• Exhibits: - ACHE (March 02) - Houston Texas, Quality & Safety (April) - Patient Safety Conference (April) - AQC (May) - NAHQ (September)

6.Creating

Awareness

&

Marketing• Health Care Flyer “Why Reinvent the Wheel”

• Developing “next level” health care brochure

• Health care web pages www.asq.org/healthcare

• Developing Health Care CD

8 System Measures - How Are We Doing?

8Measures

HC Division Annual Membership

0

500

1000

1500

2000

2500

3000

3500

4000

4500

1992 1993 1994 94-95

95-96

96-97

97-98

98-99

99-00

00-01

01-02

Health Care Reveune

$-

$50,000

$100,000

$150,000

$200,000

$250,000

$300,000

$350,000

$400,000

1998

1999

2000

2001

2002

(5 mo)

Dolls

ars

8 System Measures (Continued)

8Measures

Overall Effectiveness of Training ProgramsProportion "Very Satisfied"

0%

20%

40%

60%

80%

100%

22-

Mar

9-M

ay 13-

Jun

15-

AugP

erce

nt

"Ver

y S

atis

fied

"

8 System Measures (Continued)

8Measures

Health Care Division Discussion Group

020406080

100120140160180200

Jun-02 Jul-02 Aug-02 Sep-02

Number Posts

Number Subscribers

Six Sigma Safety List Serv

0

10

20

30

40

50

60

Apr-02 May-02 Jun-02 Jul-02 Aug-02

Number Posts

Number Subscribers

Strategic Direction

• Work must be carried out in all 8 components of the system

• Priority will be: - Focus on the customer (component #2) - Collaborate with other organizations (#4a) - One unified plan with Health Care Division (#3a)

• Important to establish some “early wins”

• Important to have a long-term focus - Scope of the challenge - Establish our role - Can’t do all things, but need to be a relevant player

QuestionsSuggestions

?

Mike Stoecklein Health Care Manager – ASQ 1st presented to Cleveland ASQ Section #800 (9-18-02) Adapted for SGV ASQ Section # 702 by Diane Blixt, CLS,

Documents

health care aqc

health care iwa

health care programs

asq health care web

health v olunteers

system inputs

asq presentation

cqmgr asq