Lean Six Sigma

1. Lean Six Sigma Presented by Kara R. Flickinger, RN

2. Objectives • Describe content of Lean Six Sigma • Describe & evaluate implementation of Lean Six Sigma in nursing. • Evaluate the goals of lean six sigma. • Describe the software instituted in assisting with Lean Six Sigma. • Assess role of nursing informatics with Lean Six Sigma. • Examine ethical and legal issues related to Lean Six Sigma. • Evaluate advantages and disadvantages of implementation of Lean Six Sigma and nursing. • Understand competency level of Informatics Nurse. • Review of systematic evaluation of Bed Management & Lean Six Sigma. • Review of system criteria.

3. Lean Six Sigma Defined • Lean-Doing things rapidly and reducing wait times. • Six Sigma- A problem solving method, focusing interest on completing tasks right the First time. • Lean Six Sigma- Utilizing a problem solving method focusing on rapid implementation of tasks correctly initially, while reducing wait times. (Six Sigma Introductions, 2009)

4. Lean Six Sigma & Healthcare • Strictly focused on customers and their expectations of hospitalization while valuing their opinions.

5. Lean Six Sigma & Healthcare Continued • Operational Guidelines of Lean Six Sigma: • Evaluates facts, data and statistical analysis to manage, improve and re-invent processes to ultimately improve patient care. • Provides an organizational approach focusing on patient’s values while serving the customer’s needs. • Goal: Reduce hospital length of stay (LOS).

6. Goals of Lean Six Sigma • Lower patient’s length of stay • Improving patient’s flow through facility • Increase margins (profit) • Increasing hospitalized patient volume • Offering a restrictive lack of resource to do all the above

7. Hardware Rendered for Utilization of Lean Six Sigma • Personal Computers • MAC • Apple • Blackberry (if internet is provided)

8. Hardware of Lean Six Sigma Con’t. • Hard drive requirements: • Pentium 386 • 1.0 GHz Pentium processor • Windows 97 (minimum requirement) • Thumb drive **Laptops and/or notebooks are preferred for group training and project sessions** (Sigmasoftwaretools, 2009)

9. Software Possibilities of Lean Six Sigma • Best Practice Roadmaps • Project Workspace • Sigma Works • Risk Wizard (www.sigmaflow.com)

10. SigmaWorks • Software tools include: • Project charter • Financial analysis • Responsibility grid • Cause and effect Matrix • Queuing analysis • Data analysis (www.Sigmaworks.com)

11. SigmaWorks Benefits • Benefits of Sigma Works: • 1. Provides rich feature set • 2. Allows for seamless integration of tools • 3. Simplest and easiest solution to the market (www.Sigmaworks.com)

12. SigmaWorks Levels of Functionality

13. A System of Lean Six Sigma • Bed Management of Hospital Admissions & Discharges: • Goal: Decrease patient wait time for admission by facilitating a process for admissions as well as discharges. • Goal: Maintain patient focused care.

14. Summary of Bed Management & Lean Six Sigma • Information System: • Administrative & Nursing • IS user & performance: • Physicians, Nurses, Unit Secretaries • IS configuration: • Workstation & Stand Alone • Data Standards: • American National Standards Institute • Nursing Information System: • Nursing Intervention & Nursing Outcome

15. Legalities of Nursing Informatics & Lean Six Sigma • Privacy Protection of patients • Computing accurate data • Comparing data with supportive information to facilitate changes (Informatics Specialist, 2009)

16. Advantages of Lean Six Sigma & Healthcare • Design projects to enhance patient care • Methodology using new organizational methods to improve quality of care yet, reduce costs (Informatics Specialist, 2009)

17. Disadvantages of Lean Six Sigma & Healthcare • Outsourcing projects • Quality of standards devised by a process not reviewed by staff nurses • Standardization of projects limits creativity among process ( Informatics Specialist, 2009)

18. Nursing Informatics Competencies & Lean Six Sigma • Clinical Hours • Minimum of 500 hours during course of study • Minimum of 30 hours CEU per two years • Educational Level • Preferably MSN • Host Educational Programs (Nursing Informatics, 2009)

19. Summarization of Lean Six Sigma and Nursing • Lean Six Sigma--Utilizing a problem solving method focusing on rapid implementation of tasks correctly initially, while reducing wait times • Goals of Lean Six Sigma: • Lower patient’s length of stay • Improving patient’s flow through facility • Increasing hospitalized patient volume • Offering a restrictive lack of resource to do all the above

20. Summarization of Lean Six Sigma and Nursing Con’t. • Advantages of Lean Six Simga: Shorten patient’s LOS • Disadvantage of Lean Six Sigma: Limited ability for changes • Informatics & Nursing: • Liaison between the clinical nurse and information nurse

21. References • Bed Management—Decreasing Bed Turn Around Times by 30% http://www.sixsigmasystems.com/healthcare/casestudy-bed- management.htm • Informatics Specialist (2009). www.informaticsnurse.com/forums/informatics • Nursing Informatics (2009). www.himss.org/ASP/topics_nursingInformatics.asp • Sigma Breakthrough Technologies (2009). APA Reference Retrieved June 6, 2009 from http://www.sbtionline.com/YourMarket/SixSigmaForHealthcare.php • Six Sigma: Introduction, Retrieved August 2009. www.angelfire.com/planet/lean-manufacturing/six_sigma.htm • Six Sigma Software Tools, retrieved June 2009. www.articlesbase.com/management-articles/sixsigma-software-tools-22819.html. • SigmaWorks, retrieved June 2009. www.nextsimga.com/SigmaWorks_Overview_six-sigma-software.aspx • Sigma Flow, retrieved June 2009. www.sigmaflow.com/solutions/sixsigma.html