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5,000 incorrect surgical operations per week. 2 short or long landings ... 1.7 incorrect surgical operations per week. 1 short or long landing at most major airports ...

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    Quality – Six Sigma View Hospital Management – Key Challenges Six Sigma in Hospital Operations Overview Quality…a perspective 20,000 items rejections per months ~15 minutes each day of unsafe drinking water 5,000 incorrect surgical operations per week 2 short or long landings at most major airports daily 200,000 wrong drug prescriptions each year 7 hours without electricity each month The Classical View of Quality “99% Good” (3.8s) 7 items rejections per month 1 minute every 7 months of unsafe drinking water 1.7 incorrect surgical operations per week 1 short or long landing at most major airports every 5 years 68 wrong drug prescriptions each year 1 hour without electricity every 34 years The Six Sigma View of Quality “99.99966% Good” (6s)

    Slide 4:TELL: ASK: DO: TELL: ASK: DO:

    Increasing Productivity Innovation Intersection Customer Insight Hospital Management: Key Challenges Low Cost High Quality Hospital Operations: Key Challenges Six Sigma in Hospital Operations: Why? With the increased focus on customer requirements and pressure to deliver the best quality every time, cost of healthcare is escalating. It has become of equal importance, to optimize the performance with respect to quality and to optimize cost of care. Six Sigma addresses both these concerns What is Six Sigma? Six Sigma is a “data driven” problem solving methodology. … how you utilize and implement that methodology depends on you. A highly Structured and Data Driven Approach for Improved Customer Quality. A Measurement of Our Process and our Capability to deliver services. Goal of Six Sigma – Attain Less Than 3.4 Defects per Million Opportunities Six Sigma? Six Sigma Vs Traditional Approach Statistical Problem Statistical Solution Traditional Approach Six Sigma Approach Customer Focused . . .Bottom Line “cost” Driven What’s Six Sigma . . . Generally “Sigma” is used to designate the distribution or spread (standard deviation) about the mean (average) of any process or procedure. For a business, the Sigma Capability (Z-value) is a metric that indicates how well the process is performing. 308,537 66,807 6,210 233 3.4 PPM* Defects per Million Opportunities *PPM: Parts Per Million 2s 3s 4s 5s 6s Process Capability Z

    Slide 10:TELL: ASK: DO: TELL: ASK: DO:

    DMAIC: Basics Six Sigma- Application Some Six Sigma Projects at MHC… Problem Goal CRBSI – Six Sigma approach People Material HIGH ICU CRBSI RATES Process Culture process TNA data available BSI Confirmation Patient Immunity Dressing Technique Environment Contaminated Lines Periodic dressing Sterilized material Patient Behavior Wire Control Insertion Site Causes for High CRBSI Patient Movement Emergency /code Multiple Pricks Supervision Assistance TAT for information Criteria for CRBSI Sterile technique Guidelines for catheter insertion Universal Precaution C/L protocol Key Improvements Revised Standard procedures - Hand Wash CRBSI Rate in MICU – 4 The Classical View of Quality “98.45% Good” (3.66s) The Six Sigma View of Quality “99.99966% Good” (6s) Achievement… CRBSI Rate in MICU – 1 The Classical View of Quality “99.61% Good” (4.16s) CRBSI Rate in MICU – 0

    Slide 17:Opportunity – 258, ASK: DO: Opportunity – 258, ASK: DO:

    Six Sigma Scope in Hospital Services Focus on Process Capability, Utilization, Cycle Time, Cost Optimization Six Sigma Infrastructure Essential of for Six Sigma
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