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Problem Statement. The current CQI process is inconsistent with new product evaluation, justification, implementation, and validation. . Business Case. Develop a process that involves research justification of a demonstrated need for new equipment. The process will include timely training as well as periodic evaluation and validation.Alignment to Business Strategy BoCC FY 2007 Goals.
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1. Six Sigma [Green Belt Project] Continuous Quality Improvement
Purchasing Justification Process
3. Business Case Develop a process that involves research justification of a demonstrated need for new equipment. The process will include timely training as well as periodic evaluation and validation.
Alignment to Business Strategy
BoCC FY 2007 Goals
4. Business Case Goal 2
Make Lee County Government the benchmark county in Florida for innovation and excellence in customer service and technological operations.
Objective 1 – Continue assessment of organizational practices through continuous improvement techniques.
5. Business Case Goal 4
Answer: “What is the business of Lee County Government?” by identifying and defining, periodically evaluating, and maintaining, core levels of services that can be shared and understood by the public.
Objective 2 – Early on in the annual budget development process, identify – through a fact based analysis – a target percentage for operational increases for the coming fiscal year that will be communicated, as a goal, to county departments an Constitutional Officers.
Objective 6 – Continue fiscal solvency by monitoring, evaluating and maintaining core services. Assure a full and complete evaluation of any changes in levels of core services, including budgetary impacts.
6. Define Phase Previous Expenditures CCEMT-P course
$30,000 budgeted
Actual expense closer to $300,000
11/05 5 Students CCEMT-P
Pittsburg, PA $18,830.20
1/06 5 Students CCEMT-P
Augusta, GA $15,320.75
4/06 2 Students CCEMT-P
Augusta, GA $ 7122.48
Total $41,273.43
7. Define Phase Previous Expenditures
Narcotic Bags- 8/2005
50 Narc.Personal/Safe Boxes
(Koons Locksmiths) @ $11.95 ea $597.50
No provision for cost to continue program
No implementation evaluation/validation
8. Define Phase Previous Expenditures
Ambulance Cameras
40 Kodak Easy Share C310
Digital Zoom Camera $87.00 Each $3,480.00
40 Kingston Flash Memory
Card-128MB-SD $14.50 Each 580.00
Total $4,060.00
No provision for cost to continue program
No implementation evaluation /validation
9. Preliminary Goal To develop a process that results in enhanced patient care, demonstrates fiscal need and provides for long term sustainability.
Result = risk avoidance
10. The Project Scope Request made to purchase the Auto Pulse
Do we really need it?
How will it make a difference?
Is it financially achievable and sustainable?
Periodic evaluation and validation.
13. Previous Expenditures Cameras:
Mandate – No
Patient care/employee driven – Trauma Services request
Immediate implementation required – No
Evidence based – questionable
Non-evidence based – Trauma Services opinion
Refer to CQI committee – no
Financial resources available – non-budgeted item
Other financial resources – July spending
Recurring resources accounted for - no
Training/Educational resources – minimal
Can we get what we need in a timely manner – yes
Acceptable overall risk - yes
Purchase - yes
14. Previous Expenditures Narcotic Bags:
Mandate – No
Patient care/employee driven – Pine Island and Alva deployment
Immediate implementation required – Yes
Evidence based – questionable
Non-evidence based – Opinion generated
Refer to CQI committee – no
Financial resources available – non-budgeted item
Other financial resources – July spending
Recurring resources accounted for - no
Training/Educational resources – minimal (non-budgeted)
Can we get what we need in a timely manner – yes
Acceptable overall risk – yes (questionable at this time)
Purchase - yes
15. Previous Expenditures CCEMT-P course:
Mandate – No
Patient care/employee driven – Pediatric Services request (LMH)
Immediate implementation required – No
Evidence based – questionable
Non-evidence based – Pediatric Services opinion
Refer to CQI committee – no
Financial resources available – $30,000.00 budgeted
Other financial resources – none
Recurring resources accounted for - no
Training/Educational resources – not accounted for
Can we get what we need in a timely manner – yes
Acceptable overall risk - yes
Purchase - yes
16. Measure Phase Auto Pulse
$15,000 per unit
$750,000 for 50 ambulances
$125 per chest strap
$7 bio-shield
526 cardiac arrests in 2006
$69,432 disposable cost
18. Conclusion Define Project Implementation: March 1, 2007
Measure Project Completion after 25 Cardiac Arrests
Analyze Analyze data collected against current process of manual CPR during the same time frame
Improve Determine justified need for purchase
Control Project referred to Continuous Quality Assurance/ Improvement Committee