Improving Healthcare Quality and Cost with

The Definitive Six Sigma Guide for Healthcare: Methodologies, Tools, and Metrics #xA0; Rising costs are making healthcare unaffordable for millions, and 100,000 people die every year due to medical error. Healthcare must change#x13;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. #xA0; Drawing on their unsurpassed experience, the authors offer step-by-step methodologies, tools, and metrics#x13;all thoroughly adapted to the unique realities of healthcare. They demonstrate how to utilize Six Sigma#x19;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. #xA0; 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. #xA0; Coverage includes #xB7;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Adapting Six Sigma methodology, tools, and measurements for healthcare #xB7;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Designing more successful experiments #xB7;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Rolling out your Six Sigma initiative successfully #xB7;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Case studies from every area of the hospital, from the ICU to billing #xB7;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Six Sigma templates modified fully for the healthcare environment #xA0; 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. #xA0; Contents Foreword#xA0; xx Introduction#xA0; xxi Part I:#xA0;#xA0; The Need for Cutting Costs and Improving Quality in Healthcare#xA0; 1 Chapter 1#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Trends in the Healthcare Industry#xA0; 3 Chapter 2#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Excellence (Benchmarks) and Improvement Challenges in the Healthcare System#xA0; 21 Chapter 3#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Applicability of Six Sigma in Healthcare Organizations#xA0; 31 #xA0; Part II: #xA0;#xA0;Methodology, Tools, and Measurements#xA0; 59 Chapter 4#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; The Healthcare Opportunity#xA0; 61 Chapter 5#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Six Sigma Methodology#xA0; 77 Chapter 6#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Understanding Problems: Define, Measure, and Analyze#xA0; 89 Chapter 7#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Solving Problems: Improve and Control#xA0; 129 #xA0; Part III:#xA0; Benefiting from Six Sigma#xA0; 161 Chapter 8#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Case Study Introduction and Profiles#xA0; 163 Chapter 9#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Clinical Case Studies#xA0; 181 Chapter 10#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Operational Case Studies#xA0; 203 #xA0; Part IV:#xA0; Rolling Out and Sustaining Six Sigma#xA0; 239 Chapter 11#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Implementing a Six Sigma Culture#xA0; 241 Chapter 12#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; Lean Six Sigma in Healthcare#xA0; 373 Chapter 13#xA0;#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; The Road Ahead#xA0; 401 #xA0; Part V:#xA0;#xA0; Appendixes#xA0; 431 Appendix A#xA0;#xA0;#xA0;#xA0;#xA0; PMBOK Tools and Techniques#xA0; 433 Appendix B#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; The Six Sigma Body of Knowledge#xA0; 437 Appendix D#xA0;#xA0;#xA0;#xA0;#xA0; Total Six Sigma Tools Self-Evaluation Form#xA0; 445 Appendix D#xA0;#xA0;#xA0;#xA0;#xA0; Additional Resources#xA0; 451 Appendix E#xA0;#xA0;#xA0;#xA0;#xA0;#xA0; The Man I Want To Be!#xA0; 453 Index#xA0; 455 #xA0; #xA0; #xA0;

Dr. Brett E. Trusko is a Biomedical Informatics and Healthcare Quality Researcher at the Mayo Clinic College of Medicine, where he studies healthcare quality issues. He is a frequent keynote speaker as both a healthcare quality professional and a healthcare futurist. He has written several hundred articles on issues related to improving healthcare quality. In addition, he works with organizations to apply innovative thinking to their Six Sigma initiatives. A Master Six Sigma Black Belt, Dr. Trusko’s background includes Board Member, US Health Information Technology Standards Panel, 10 years of clinical experience, and 20 years of consulting with several large multinational consulting firms. He spent several years working closely with the late Russell Coile, Jr. as a healthcare futurist. Dr. Trusko can be reached at brett.trusko@gmail.com.

Carolyn Pexton has more than 20 years’ experience in communications and healthcare, and is currently serving as the director of communications for Performance Solutions at GE Healthcare. In this role, she works closely with healthcare customers and manages public relations, marketing communications, and internal communications for the Performance Solutions team. Pexton is Six Sigma Green Belt-certified, and has presented and published extensively on a variety of topics including Lean Six Sigma and change management within the healthcare industry.

Dr. H. James Harrington is one of only five Grand Master Six Sigma Black Belts worldwide. He has published more than 25 books related to performance improvement. In the book Tech Trending, Dr. Harrington was referred to as “the quintessential tech trender.” The New York Times referred to him as having a “…knack for synthesis and an open mind about packaging his knowledge and experience in new ways—characteristics that may matter more as prerequisites for new-economy success than technical wizardry…” He wrote the book from which other consultants work. Not only has Dr. Harrington been honored with many national and international awards, he has also had four quality awards named after him. Former President Bill Clinton commissioned Dr. Harrington as an ambassador for Good Will.

Praveen Gupta, President of Accelper Consulting, has more than 25 years of experience in business performance improvement. Praveen worked with the inventor while developing the Six Sigma methodology in the late eighties. Praveen has authored several books, including Six Sigma Business Scorecardand Business Innovation. A Master Six Sigma Black Belt, Praveen currently consults with organizations looking for sustained profitable growth through excellence and innovation.

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

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Improving Healthcare Quality and Cost with Six Sigma (paperback)

Summary

Author Biography

Table of Contents

Supplemental Materials