Post on 08-Jul-2015
transcript
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Aultman HospitalAultman Hospital
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AultSigmaAultSigma
A Modified A Modified Six Sigma Six Sigma
ImplementationImplementation
Aultman HospitalAultman Hospital
Bill ExpositoBill ExpositoDirector, Process ImprovementDirector, Process Improvement
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ObjectivesObjectives
A Little Bit About Aultman HospitalA Little Bit About Aultman Hospital
Aultman’s Six Sigma JourneyAultman’s Six Sigma Journey
Six Sigma a Modified ApproachSix Sigma a Modified Approach
Program PaybackProgram Payback
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About AultmanAbout Aultman
Located in Canton, OhioLocated in Canton, Ohio
682 Bed Teaching Hospital682 Bed Teaching Hospital
Over 450 Physicians On Staff Over 450 Physicians On Staff - 93% Board Certified - 93% Board Certified
Leading Healthcare Provider Leading Healthcare Provider in Five County Areain Five County Area
Very Cost ConsciousVery Cost Conscious
AultCareAultCare
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The State of QI in The State of QI in HealthcareHealthcare
What I Learned In Moving From What I Learned In Moving From Manufacturing to HealthCareManufacturing to HealthCare
Ten Years Or More Behind The Quality MovementTen Years Or More Behind The Quality Movement
QA DepartmentsQA Departments
QI Consciousness - LowQI Consciousness - Low
Process Complexity - HighProcess Complexity - High
We Need to Improve Our Processes to SurviveWe Need to Improve Our Processes to Survive
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Aultman and the Jack Welch PhilosophyAultman and the Jack Welch Philosophy
Benchmark Visit to Waukesha, WIBenchmark Visit to Waukesha, WI
Six Sigma – A Good Fit!Six Sigma – A Good Fit!
Executive Level TrainingExecutive Level Training
Aultman’s Aultman’s Six Sigma JourneySix Sigma Journey
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Getting StartedGetting Started
Ed Roth & Mikel HarryEd Roth & Mikel Harry
““Most Of The Low Hanging Fruit Is Gone”Most Of The Low Hanging Fruit Is Gone”
Aggressively Attack Process IssuesAggressively Attack Process Issues
Keep Training and Staffing Costs to a MinimumKeep Training and Staffing Costs to a Minimum
Can We Modify Six Sigma to Meet Aultman’s Can We Modify Six Sigma to Meet Aultman’s Needs?Needs?
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Why Modify a Good Thing?Why Modify a Good Thing?
80/20 vs. 60/480/20 vs. 60/480% of the waste comes from 20% of the business80% of the waste comes from 20% of the business
> 60% of the waste comes from 4% of the business*> 60% of the waste comes from 4% of the business*
Narrow The FocusNarrow The Focus
Don’t Try to Implement Six Sigma EverywhereDon’t Try to Implement Six Sigma Everywhere
Simplify The ImplementationSimplify The Implementation
* From “Six Sigma Simplified” by Jay Arthur
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AultSigma?AultSigma?
Tailored to Meet Aultman’s NeedsTailored to Meet Aultman’s Needs
Customer FocusCustomer Focus
Project FocusProject Focus
Reduction of Defects & VariationReduction of Defects & Variation
Sustainable ChangeSustainable Change
AultSigma Project LeadersAultSigma Project Leaders
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StructureStructure
CEOCEO
Executive VP’s (Project Sponsors)Executive VP’s (Project Sponsors)
Project SelectionProject Selection
Process OwnersProcess Owners
Management and Employee EducationManagement and Employee Education
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Growing PainsGrowing Pains
Personnel SelectionPersonnel Selection
Six Sigma TrainingSix Sigma Training
Haven’t We Done This Before?Haven’t We Done This Before?
Don’t We Already Have a QA Department?Don’t We Already Have a QA Department?
Getting Executives OnboardGetting Executives Onboard
Process OwnersProcess Owners
Management Awareness TrainingManagement Awareness Training
Lean TrainingLean Training
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Effective StrategiesEffective Strategies
Active Participation of Senior ExecutivesActive Participation of Senior Executives
Selecting The Right Full-time PeopleSelecting The Right Full-time People
Project ReviewsProject Reviews
Training SuccessesTraining Successes
Starting Out With Small Scale “Winners” Starting Out With Small Scale “Winners”
Focus on Major ProcessesFocus on Major Processes
Change Management TrainingChange Management Training– Q x A = EQ x A = E– CAP & Work-outCAP & Work-out
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Return On InvestmentReturn On Investment
Training CostsTraining Costs
Yr 3 Accum. CostYr 3 Accum. Cost
Yr 3 Accum. SavingsYr 3 Accum. Savings
$560,000
$175,000
$5,500,000
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Surgery Room UtilizationSurgery Room Same Room StaffingSurgery Room Inventory ProcessED Treat and Released Patients (Turnaround Time)ED Treat and Admitted Patients (Turnaround Time)Medical Records Chart Assembly ProcessMedication AdministrationBed Management ProcessClinical Work RedesignChest Pain Center EKG & Perfusion TATRadiology Process Mapping Central Supply Inventory ProcessHeart Lab Ordering/Inventory ProcessPharmacy Outpatient Charge Capture Postage Expense ReductionEnergy Efficiency and ConservationDischarge DelaysPayroll ProcessRevenue Processes
Heart LabRadiology Special ProceduresRadiology OncologySame Day Surgery
AULTSIGMA PROJECTS
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Moving ForwardMoving Forward
Replace BlackbeltsReplace Blackbelts
Training GreenbeltsTraining Greenbelts
Network HospitalsNetwork Hospitals
Employee EducationEmployee Education
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AultSigmaAultSigma
A Modified A Modified Six Sigma Six Sigma
ImplementationImplementation
Aultman HospitalAultman Hospital