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Aids to deliver the RIGHT care for EVERY patient, EVERY time.

Aids to deliver the RIGHT care for EVERY patient, EVERY time. Quality Tools at MSHA…. Susan Brown Quality Manager. Quality & Patient Safety. MSHA Business Model and Improvement Methodology. PDCA Toolkit. Approaches. Lean Tools. 5 Whys SIPOC RCA FMEA Process Mapping

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Aids to deliver the RIGHT care for EVERY patient, EVERY time.

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  1. Aids to deliver the RIGHT care for EVERY patient, EVERY time. Quality Tools at MSHA… Susan Brown Quality Manager

  2. Quality & Patient Safety

  3. MSHA Business Model and Improvement Methodology

  4. PDCA Toolkit Approaches Lean Tools 5 Whys SIPOC RCA FMEA Process Mapping Cost Benefit Analysis Six Sigma Methodology • 5S – Visual Management • VSM • Spaghetti Diagrams • Check sheets • Pareto Analysis • Brainstorming • Kanban-Trigger Systems • Mistake Proofing • Standardization

  5. Why Lean and 6σ? • Quality issues in healthcare • Estimate of annual US MEDICAL errors • 974,000 patient injured • 44-98,000 patient deaths • $17-29 billion in costs • Estimate of preventable MEDICATION errors • 185,000 patients • 7,000 deaths • $2 billion in costs • Estimate of Central-Line Infections • 250,000 patients • 30-62,000 deaths • $6.25 billion in costs Spear, HBR, 2005

  6. Why Lean and 6σ? • Healthcare across the US: • Increasing DEMAND • Record # Emergency Department visits • Avg. time in ED = 4 hours • Excessive holds in ED • Diversion • Margin EROSION • Declining reimbursements • Rising costs • Employee TURNOVER • Almost 1 in 5 • Extremely costly • Burnout factors Spear, HBR, 2005

  7. Training and Development • Recognizing need for standardization and reducing variation • UTK Center for Executive Education, Lean Healthcare program • 1 week • Classroom and simulation education • Toyota Production System • On-going internal training/education • Departmental – Development Ladder • Novice • Apprentice • Practitioner • Expert • Project

  8. Common Terminology • Defining CUSTOMER • Defining VALUE • Defining Waste (non-Value) • Overproduction • Motion • Inventory • Over-processing • Waiting • Defects/Rework • Transportation • Understanding that everything is a process

  9. Examples of Tools in Action

  10. Before After Visual Signals/Indicators

  11. What are the differences between healthcare and manufacturing? • Tool application • No differences… • Challenges • Healthcare cannot stop • Every patient is unique • Predictability

  12. Questions/Comments

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