The Six Sigma Journey

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							                                    The Six Sigma Journey
                              Launch to Execution to Institutionalization

                                                      Vince Sanchez
                                          Senior Director, Operational Excellence
                                                                         June 29, 2006




Confidential property of UnitedHealthcare. Do not distribute or reproduce without the express permission of UnitedHealthcare.
  Implementing Six Sigma
                                                                                                                                2




Today’s Discussion:

       Why Six Sigma?

       Getting Started

       Obstacles & Challenges: The Usual Suspects

       Execution to Institutionalization




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                                    Operational Excellence


                                                        Why Six Sigma?




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  Focus On The Cost Of Poor Quality
                                                                                                                                          4




                                        Average COPQ approximately 15% of Sales
                                                                                      Price Erosion
                                     Profit              Profit
                                                                                               Profit
       Product or Service Price




                                                                                                                                 Profit
                                                      Cost of                              Cost of
                                                   Poor Quality                         Poor Quality
                                                     (COPQ)                               (COPQ)                           6σ     COPQ

                                  Total cost to
                                    provide
                                    service          Theoretical                          Theoretical                           Theoretical
                                                       Costs                                Costs                                 Costs




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Expectations are Tightening
                                                                                                                                           5




           Expectation of Improvement
                                                                 > 15%/year
                                                                                                                   What barely worked
                                                                                                                    yesterday, will be
                                                                                                                  inefficient today, and
                                                                         Business                                     will be totally
                                                                         Process                                     unsatisfactory
                                                                         Change                                          tomorrow
                                                                         Rate

                                                                        < 5%/year


                                                                               Time

   SM
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Motivation for Change
                                                                                                                                6




                  To deal with a world of rising health care costs
                  To compete successfully with the best companies in the
                  world
                  To establish standard language and approaches across
                  functions and across businesses
                  To develop our next generation of leaders


            To accelerate our rate of quality and productivity improvement
                             faster than our competitors



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                                                                                                                                7




                 “When your business is healthy, it is difficult to
                behave as if you are in a crisis. That is why one of
                the toughest parts of managing… is to recognize the
                need for change and make it while you still have a
                chance.”
                                                               Bill Gates




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                                    Operational Excellence


                                                           Getting Started




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Getting Started: Setting
Expectations                                                                                                                    9




           Establish a Charter which details in
           specifics, your:

                   Opportunity Statement
                   Goals
                   Scope
                   Key Metrics
                   Any assumptions that need to be known by all


       Do Six Sigma on Six Sigma! It is, after all, an improvement effort!



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Getting Started: Setting
Expectations                                                                                                                    10




           Tell the Organization what you will EXPECT from the
           effort:
                   Financially, for example:
                       •   ROI after 1st Year
                       •   ROI after 2nd Year
                       •   By value lever?
                       •   Departmental Goals are key
                   Organizationally, for example:
                       • To enable a process-oriented business model and culture
                       • Alignment of the organizational efforts with strategies
                       • Strengthening of the leadership systems
                       • Creation of a performance management dashboard that will allow the
                         organization to manage by fact
                       • Evolution of the culture to have a more fact-based & process focus


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 Getting Started: Benchmarking
                                                                                                                                11


  Benchmarking Sources:

         Internal Groups:
                 Are there groups/business segments within your company that can help you?


         External Groups:
                 Talk to External groups
                 What worked, what did not
                 Companies that are new at this
                 Companies that are mature at this


         Consultancies:
                 Can offer a wide array of services
                 Real life scenarios and insights
                 Generally unbiased in opinion




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Getting Started: Get the Appropriate
Team Members Involved                                                                                                                                          12



                               H um a n C a p ita l
                        Rew ar d & Rec o gnition
                        BB p os itio ns ( pe r ma nen t, temp
                        ...c a r eer p athing
                        Job Des c r ip tio ns                                                                                   E xe c utive S p o nso r
                                                                                                                                        Ge ner a l "V oic e"

                     Tra ining a nd D e ve lo p m e nt
                         On - Line Co ur s e s ?
                         Ind iv idu al Dev e lopment Plna s
                         Lea der s hip Pr ogr ams                                                                      D e p lo ym e nt L e a d e rs hip
                                                                                                                  Pr og r am Mana gement
                                                                                                                  Up date Calls to Champio ns , BBs , GBs
                                  IT S o lutio ns                                                                 Ov e r all Coor dina tio n
                             Pr oje c t Tr ac kin g
                             W eb - Site De v elo pme nt



                             C o m m unic a tio ns
                              New s letter s
                              Camp aiig ns




                                     F ina nc e
                              Bene f its Tr ac king




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                                    Operational Excellence


                                 Obstacles & Challenges: The
                                       Usual Suspects



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  Obstacles & Challenges: The Usual Suspects
                                                                                                                                14




   1.       Lack of Executive Leadership Sponsorship & Support

   2.       Improper Identification of Black Belt Candidates

   3.       Ineffective Training at Black Belt Ranks

   4.       Training Without Active DMAIC Projects

   5.       BB Dedication Not 100%

   6.       Misuse of Tools

   7.       Not Obtaining the True Voice of the Customer


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Overcoming Challenges
                                                                                                                                15




 1. Lack of Executive Leadership Sponsorship & Support
                Limited general knowledge of the subject
                No in-depth Champion training

            Gain an understanding as to their knowledge of Six Sigma…and their views
            Develop elevator speech for how we can use the philosophies of Six
            Sigma…how it helps to prevent the ills of the past…use examples
            Let them know why and how it adds value…VOC, Data Collection, Metrics,
            etc.
            Let them know your expectations of them and how they can help
            Establish regular communication sessions
            Attend their staff meetings to engage a wider audience


                  Demystify Six Sigma…go ahead and give them the secret
                                      decoder ring!

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Overcoming Challenges
                                                                                                                                16



2. Improper Identification of Black Belt Candidates
        “We have all these project managers…we can simply give them some training
        and they’ll be our Black Belts”
        “John is a great business analyst, he will be our Black Belt”
        “Susie crunches numbers well…she’ll be a great Black Belt”

          Not everyone is cut out to be a Black Belt…focus on process & business
          acumen first, then project management acumen;
          Leadership skills are essential! Depending upon your organization, the
          statistical component may increase or decrease in importance
          If your organization is not taking a holistic deep dive into Six Sigma, it’s vitally
          important to have the right people staffed in Black Belt positions …people who
          can significantly add value, reengineer end-to-end state processes, and who
          can lead and build a team to deliver results



                    The soft stuff is the hard stuff… send your best people!

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Overcoming Challenges
                                                                                                                                17



 3. Ineffective Training at Black Belt Ranks
         Reading best selling books = training
         Training without tools….no Minitab or stat package in place
         “We’ll only train one person at first…that way we can test this Six Sigma thing”


           Reading books are a good source for information, but cannot replace
           classroom education and formal training programs
           Formal training allows Black Belts to establish an external network for
           help…since the organization is not fully Six Sigma yet, they will have few
           associates to draw upon for help
           Train more than one person in an organization at a time, allow them the
           opportunity to have a BB “buddy” at work



                      Make the investment…get the proper training required!

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Overcoming Challenges
                                                                                                                                18



 4. Training Without Active DMAIC Projects
                Huge hindrance, especially with statistical tools
                Classic & costly mistake
                Lack of good metrics adds to this dilemma

         Prior to formal training, identify a true DMAIC project, project sponsor and
         overeducate the sponsor…for buy-in, support and understanding
         Provide the trainee with a tool package specific to your organization and the
         way in which you want to communicate to clients…all tools represent a
         communication opportunity
         Give the candidate support where needed (e.g. some Black Belts need help in
         team building, others need help with the statistical component…understanding
         when and how to use tools is the biggest challenge)



       If they do not have a “real” project to accompany them to training,
                                DO NOT send them

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Overcoming Challenges
                                                                                                                                19




   5. BB Dedication Not 100%
                   Do this in addition to your regular, full-time job
                   Right candidate, but, who will do their job if they are dedicated?
                   Working on “Nike” projects


          You will not meet your goals if this happens
          BBs will not get through projects on time, thus results will be impacted
          Skill set atrophy




                    Success requires investment and dedication; you will not
                               achieve it with a lukewarm effort

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Overcoming Challenges
                                                                                                                                20



 6. Misuse of Tools
                Gives wrong results and can potentially lead to bad decisions
                Quick way to kill credibility of the program


           Focus on deliverables, not tools!
           Important for BB’s to understand when and how to use tools…avoid paralysis
           by analysis
           Use tools that will be most valuable and construct in a way that’s easy for
           clients to understand… less is more
           To the extent possible, brand your tools and your function to help the
           organization understand them
           Use MBBs to help your BBs with the proper application of tools… formalize the
           coaching process

                          Ensure the tools used are the appropriate means to
                                            achieving results!

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Overcoming Challenges
                                                                                                                                21


 7. Not Obtaining the True Voice of the Customer
         “Too expensive!”
         “The business can speak for the customer, they know all the customer’s
         issues”
         “If we talk to the customer, we’ll be letting them know we aren’t performing
         well”

           Keep this focused and simple… too often project teams will try to survey the
           world…don’t scare off the business sponsor
           Customer Surveys: Get the right data the first time
           Make this easy, but do it and do it well
           Get to the truth
           Once VOC is gathered, communicate, communicate, communicate
           To the degree you can formalize this, the better


            VOC is the most important aspect of any DMAIC initiative

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Demystifying Six Sigma for Everyone
                                                                                                                                22




         Speak their language…put in a framework that they can understand

         Avoid acronyms…or explain them

         Avoid showing off…using terms that are not known or understood by all only
         seeks to build that resistance wall…people will naturally resist what they don’t
         understand

         Sigma Levels – just a rating scale…3 Stars vs. 4 Stars

         Use examples that everyone can relate to: bell curve of median house sales

         Seek to make things simpler versus complex; other methodologies have failed
         at bringing the client into their world due to the complexities

         Make the internal client part of the process

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                                    Operational Excellence


                             Execution To Institutionalization




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  Getting There: Beyond Execution
                                                                                                                                            24




       Measure financial benefits                                                                Measure financial and operational
                                                                                                 benefits – by individual business area
       Define BB goals and competencies                                                          Define goals and competencies for all
                                                                                                 employees and link them to the
                                                                                                 organization’s performance
                                                                                                 management system
       Require BBs to be at least 50% dedicated                                                  Create full-time BB positions
       Spread BBs throughout the organization                                                    Align BBs – at least matrixed – to best
                                                                                                 Champions within each business area
       Drive project selection within each                                                       Drive project selection from value
       functional area                                                                           streams that span across functional
                                                                                                 areas
       Drive recruitment of BBs within each                                                      Establish standardized BB recruitment
       functional area                                                                           process involving Human Capital, 6σ
                                                                                                 leadership and the functional areas.
       Select projects that fit the training to be                                               Develop a training program that fits the
       delivered.                                                                                projects to be delivered.

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  Getting There: Project Selection
                                                                                                                                                                                                                                                                                                                                                                                            25




                    Voice of the Customer                                                                                                                                                                                                                                           Business Scorecards

                                             Prospective Guide Qualification Checklist




                                                                                                                                                                   • Specifications and
           Please rank the sp          ide did y                                 ing go
                             ecific Gu can ate b placing a small"x" in the follow cate ries:
                ake
           (To m acorre             ut    a
                            ction, p asm ll "o" in the box)
                                      L ow




                                                 Highly regarded as knowledgeable andeffective within respective dis              cipline areaor lineof work
                                                 Recognized as som       eonewith High personal integrity




                                                                                                                                                                     guarantees
           Has Respect of                        Always adds value andis sought out tocontribute/participate onspecial task team influential    s;
           Associates
                                                                                able
                                                 Consistently gets results… to synthesize data and translate into achiev                able goals
                                                 Personally respected does not lord his or her expertise over others
                                                 Organizedapproach to m        anaging m                              tiv
                                                                                           ultiple initiatives. Effec ely identifies priorities from a
                                                 business perspective
                                                                ited                                                           hile
                                                 Manages lim resources ina highly efficient and effect manner w focusing on the bigger
                                                   it
                                                 Breaks down work into process steps; develops schedules; works well within tim constraints    e
           Project M anagement
           Skills (H Leverage)
                    IGH                                                                                                                     ith
                                                 Anticipates and adjusts for problems androadblocks; allows roomfor failure w a recovery plan
                                                 Interfaces effectively with c          ers,
                                                                                ustom suppliers, managem and shopem  ent                ployees to get the job




                                                                                                                                                                   • Surveys
                                                 done
                                                 Understands and c m    om unicates the role of thecustomer in definingquality and establishing
                                                 quality priorities
           Confident/Tough/                      Stands upunder pressure…tough…             tenacious…     doesn't hesitate to "pushback"
           Tenacious                                        "can          "m
                                                 Positive… do"… ake it happen" attitude…                                                 ains
                                                                                                           weathers setbacks and rem positive/focused
                                                 Catalyst for change. A     ctively involved in process and organizational changeand developm            ent
           ChangeAgent?                          Potential to produce highly crediblebreakthroughsuccess stories and transfer new process
           Process Focus                         techniques and tools to their peers and customer focus teams. C             reates positive andlasting
                                                 change
                                                 Accepts responsibility for choices
           Judgem ent/Maturity/                  Accepts criticismas a learningexperience…           behaves m    aturely in all situations




                                                                                                                                                                   • Complaints
           Perspective                           Personal experiencehas beensufficiently broad/variedto develop a mature perspective onwork
                                                 and life
                                                 Operations orientation with engineering/tec       hnical/functional experience appropriatetoprocess
           Technical/Functional                                                                                      s
                                                 Analytical/quantitative approachtoproblemsolving…know how to obtain and use data,
                    IGH
           Skills (H Leverage)                   com  fortable with statistical concepts
                                                 Com                   fam
                                                       puter skills… iliar withmost comm applic   on         ations for analysis/solutionof problem   s
                                                 Clear, candid and persuasivein written and oral com           munications
                                                 Breaks down barriers betweenorganizations, layers, and diverse em               ployeepopulations toensure
           Interpersonal/
                                                 effectiveness
           Com  munication Skills
                                                 Can count onthesupport of a network of associates withdiverseskills and contacts to get the
           (HIGH Leverage)
                                                 job done




                                                                                                                                                                   • Customer
                                                 Promotes win-win solutions; disagrees tactfully anddoes not over-react
                                                 Able tofunction effectively as ateacher and m          entor to individuals andgroups
                                                 Provides specific one-on-one and teamsupport to ensure attainment of Just Right Service
           Leader/Facilitator/Coach
                                                 objectives in target areas
                                                 Effective facilitator and m   entor…  Inspires others toexc     el
                                                 Teambuilder -- develops strong m        orale and sense of belongingin teammem            bers
                                                 Displays agenuineconcern and sensitivity towardothers…A                ppreciates their perspective
           TeamDynamics                          Recognizes and respects the lim       itations of others; assigns reasonable numbers of tasks
                                                 Thrives in a m
                                                 best result
                                                                  ultifunctional teamenvironment which leverages divers of teammem


                                                Pleasecheck one box per category
                                              0 =Scoreof H Leverageitem Criterion is a m
                                                          igh              s.
                                              0 =Scoreof Low Leverage item Criterionis a m umof 52
                                                                           s.
                                                                                           inimumof 32
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                                                                                                                                  ity              bers to chief



                                                                                                                                                                     Expectations
           APPROVED _______________________            ED    O
                                                 REJECT DUE T ___________________________________________________________

           Manager
           Expert Guide
           Just Right Service
           Director
                                                 _________________________________________________ Date_______________________
                                                 _________________________________________________ Date_______________________

                                                 _________________________________________________ Date_______________________                                     • Industry Standards
                                                                                                                                                                                                                                                              • Performance Measures vs.
                                                                                                                                                                                                                                                                standard
                                                                                                                                                                                                                                                              • ID Red & Yellow trends/gaps

         Process Breakdown
                                                                                                                                                                                                 Initial Project Charters
                                                                                                                                                                     •Drill down to workable
                                                                                                                                                                     level                                                                              Project Charter



                                                                                                                                                                     •Meaningful leverage
                                                                                                                                                                                               Title:
                                                                                                                                                                                               ProblemStatement:                                                          er pact:
                                                                                                                                                                                                                                                                    Custom Im
                                                                                                                                                                                                                                                                                     Champion/Sponsor:
                                                                                                                                                                                                                                                                                                                                                                • Based on Gaps
                                                                                                                                                                                                                                                                          Project Charter


                                                                                                                                                                                                            D
                                                                                                                                                                                                                 Title:
                                                                                                                                                                                               CTQand DefectProblemStatem
                                                                                                                                                                                                              efinition: ent:                                       Milestones/TimCustom Im
                                                                                                                                                                                                                                                                                  eline: er pact:
                                                                                                                                                                                                                                                                                                        Champion/Sponsor:
                                                                                                                                                                                                                                                                                                                Scheduled Actual
                                                                                                                                                                                                                                                                                                                                                                • “What keeps you up at
                                                                                                                                                                                               Project Objective:                   Title:
                                                                                                                                                                                                                                                                                             Project Charter

                                                                                                                                                                                                                                                                                                                         Champion/Sponsor:
                                                                                                                                                                                                                                                                                                                                                                  night?”
                                                                                                                                                                                               (Process, Progress Measure, D        , aseline, Target, Deadline)
                                                                                                                                                                                                                            irection B
                                                                                                                                                                                                                               Definition:
                                                                                                                                                                                                                 CTQand DefectProblemStatement:                                        M             eline: er pact:
                                                                                                                                                                                                                                                                                        ilestones/TimCustom Im                  Scheduled Actual




                                                                                                                                                                                                                 Project Objective:
                                                                                                                                                                                                                                                                    Project Scope/Boundaries:
                                                                                                                                                                                                                                                                                                                                                                • Should be the most
                                                                                                                                                                                                                 (Process, Progress Measure, D        , aseline, Target, Deadline)
                                                                                                                                                                                                                                              irection B
                                                                                                                                                                                               Business Case/Financial Im CTQand Defect D
                                                                                                                                                                                                                         pact:           efinition:
                                                                                                                                                                                                                                                                    ProcessStart:
                                                                                                                                                                                                                                                                    ProcessStop:
                                                                                                                                                                                                                                                                    InScope:
                                                                                                                                                                                                                                                                      ut
                                                                                                                                                                                                                                                                    O of Scope:
                                                                                                                                                                                                                                                                                                         Milestones/Timeline:                Scheduled Actual

                                                                                                                                                                                                                                                                                                                                                                  important things to fix
                                                                                                                                                                                                                                                                                                                                                                  in the business
                                                                                                                                                                                                                                                                                       Project Scope/Boundaries:
                                                                                                                                                                                                                                    Project Objective:              Team:
                                                                                                                                                                                                                                    (Process, Progress Measure, D        , aseline, Target, Deadline)
                                                                                                                                                                                                                                                                 irection B
                                                                                                                                                                                                                 Business Case/Financial Impact:
                                                                                                                                                                                                                                                                                       ProcessStart:
                                                                                                                                                                                                                                                                                       ProcessStop:
                                                                                                                                                                                                                                                                                       InScope:
                                                                                                                                                                                                                                                                                         ut
                                                                                                                                                                                                                                                                                       O of Scope:
                                                                                                                                                                                                                                                                                                         Project Scope/Boundaries:
                                                                                                                                                                                                                                                                                       Team:
                                                                                                                                                                                                                                    Business Case/Financial Impact:
                                                                                                                                                                                                                                                                                                         ProcessStart:
                                                                                                                                                                                                                                                                                                         ProcessStop:
                                                                                                                                                                                                                                                                                                         InScope:
                                                                                                                                                                                                                                                                                                           ut
                                                                                                                                                                                                                                                                                                         O of Scope:

                                                                                                                                                                                                                                                                                                         Team:




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Implementation Focus
                                                                                                                                                      26




                  Launch                                                 Execute                                          Institutionalize



              • DMAIC Skills                                • Mastering DMAIC                                       • Mastering DMAIC & DMADV;
              • Sharing the Message                           Skills; Introduce DMADV                                 integrating with Lean, Kaizen
              • Establishing Functional                     • Standardizing the Message                             • The Way We Do Business
                Metrics                                     • Establishing Organizational                           • Measure end-to-end
              • Building Project                              & Strategic Metrics                                     Customer Processes
                Pipeline                                    • Project Alignment to                                  • Self-Sufficient in Training
              • Focus on Cost                                 Strategic Objectives and                                with Internal Talent
                Savings; Delivering on                        across Segments                                       • Delivering on Commitments
                Commitments                                 • Delivering on Commitments                             • Preeminent Healthcare
                                                                                                                      Provider

                                                        Approach vs. Program
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