What is Six Sigma? Can it Work for Healthcare? (Kathy Roedel) (1.2 MB)

							Six Sigma Overview

 • Six Sigma at GEMS
     - The Goal
     - Metric & Methodology
     - Philosophy

 • Six Sigma in Healthcare
What is Six Sigma?

                    Science

                    Art
    Six Sigma




                    Magic
                Taking Magic to Art to Science
What Does Six Sigma Really Mean?
3.8 Sigma = 99% Good             6 Sigma = 99.99966% Good
 20,000 articles of mail lost    7 articles lost per hour
  each hour

 15 minutes of unsafe            2 minutes unsafe water per year
  drinking water every day

 5,000 incorrect surgical        2 incorrect procedures per week
  operations per week

 2 short or long landings at     1 short or long landing every 5
  most major airports each day    years

 200,000 wrong drug              68 wrong prescriptions per year
  prescriptions each year

              99% Good Isn’t Always Good Enough
What is Six Sigma?

     s
                 Sigma is
                 another word
                 for standard
                 deviation.                        s    DPMO

                                                   2   308,537
   Goal                                           3    66,807
                     “6 sigma by the year          4     6,210
   Benchmark        2000” - Jack Welch            5       233
                                                   6       3.4
   Vision
   Metric           Something we can calculate
   Method           and measure for any
   Tool             process.
   Symbol
   Philosophy       Becomes part of our culture
                     - it’s our way of life.
   Value
A Goal
A measurement of process capability
expressed as probability of defects ...

                                               Defects Per
Philosophy                     Z value    Million Opportunities

Measurement                      2s           308,537
Goal for improvement                            66,807
                                 3s
Methodology
                                 4s              6,210
Culture
                                 5s                 233

                                 6s                 3.4


      3 to 6 Sigma… a 20,000X Improvement
A Metric


                                   s   s   s
  3 sigma process
 (Z = 3s) …




 6 sigma process                  ssssss
 (Z = 6s) …

     Reducing Variance is the Essence of Six Sigma
       The Two Key Methodologies
D
     DEFINE        MEASURE       ANALYZE      IMPROVE     CONTROL
M
A   OPPORTUNITY    SYMPTOMS      CAUSES       SOLUTIONS    SUSTAIN
I
C

    CHARTER       PERFORMANCE    DRIVERS      ACTIONS     CONTROLS



D
M   PROGRAM         NEEDS &      HIGH LEVEL    DETAILED   ROLL-OUT &
A   DESCRIPTION   REQUIREMENTS    DESIGN        DESIGN     CONTROL
D
     DEFINE        MEASURE       ANALYZE      DESIGN       VERIFY
V


         Distinct, but Linked Methodologies
Philosophy
         Six Sigma        Six Sigma Philosophy
        Methodology        “The Way We Work”




       E =Q x A
 Effectiveness = Quality x Acceptance
The People
Quality Leaders
    Manage MBB, BB resources
    Tie quality / business strategies
    Pick project clusters
    Drive quality culture
    Accountable for quality results

Master Black Belts (MBBs)
    Develop tools & training material
    Experts at methodology
    Train
    Mentor BBs on projects                     Leadership Responsibility
                                                   Commit to Six Sigma Publicly
Black Belts (BBs)
  Work full time on projects in function          Allocate Full-time Resources
  Experts at tools                                Track & Measure Results

                                                   Use Quality for Management
Green Belts (GBs)                                   Development
  Employees in all positions doing their job
     with Six Sigma tools

                            Not a Quality “Department”
Can Six Sigma Work in Healthcare?
 Yes…It is Happening Now…With Impressive Results
 MD Anderson…CT Throughput
 Sick Childrens (Singapore)….Report Turnaround
 Bonsecours….Material Management
 Manipal (Bangalore, India)….Patient Registration Time
 Coney Island Hospital (NY)….Hospital Inventory Reduction
                    Blackbelts                     1100
                    Projects




                                       230
                                             150
               5     50          50

                   ‘98                ‘99     ‘00

      Great Clinical & Financial Examples Today!
Summary


 Six Sigma in Every Facet of GE…Focused on Customers

 Success has required:
   –   Total leadership engagement
   –   Total organizational participation
   –   Rigorous methodology
   –   Staying power

 Customers Using Six Sigma for Dramatic Gains


          Great Clinical & Financial Examples Today!