Saint Luke’s Hospital Flagship hospital in 11 hospital system 629 beds 3,996 employees Not for profit Tertiary care referral Protestant Episcopal Church Primary teaching hospital – UMKC School of Medicine Level I Trauma Center Level III Neonatal Care Centers of Excellence
Missouri Enterprise More than 25 years of experience in process improvement training and implementation. Specific areas of expertise in Quality Management, Lean, Six Sigma, business growth and product development. Six offices throughout the state Part of the one of the largest consulting organizations in America. Not for profit
How We Began Missouri Enterprise AMSTP Program 301 students 97 companies Part of NIST Network Saint Luke’s Participation Over 10 Participants from Quality, Administration, Surgery, Home Care, etc. At least 8 Projects Blood Management Admit to Bed Placement Specimen Labeling Operation First Starts Lean Lab
Baldrige Award CriteriaCategory Six – Process Management “The process management category examines how your organization determines its core competencies and work systems and how it designs, manages and improves key processes for implementing those work systems to deliver customer value and achieve organization success and sustainability (Blazey, 2007, p. 185).” Blazey, Mark L. (2007). Insights to Performance Excellence 2008: An Inside Look at the 2008 Baldrige Award Criteria. Milwaukee, WI: ASQ.
Waste Overview Lean Added Value = Removing Waste Non-Value Added • Waiting • Adding extra steps (Overprocessing) • Incorrect Action (Defect) • Too much… Too soon…(Overproduction) • Transportation • Inventory or Supplies (Excess) • Motion • Employee utilization 7
Waste Exercise What kind of waste, non-value added activities, do you see in your organization? List potential waste in small groups for the following topics: 1. Waiting 2. Adding extra steps (Overprocessing) 3. Incorrect Action (Defect) 4. Too much… Too soon…(Overproduction) 5. Transportation 6. Inventory or Supplies (Excess) 7. Motion 8. Employee utilization
Lean Six Sigma Overview Lean manufacturing or lean production, which is often known simply as "Lean", is the practice of a theory of production that considers the expenditure of resources for any means other than the creation of value for the presumed customer to be wasteful, and thus a target for elimination. Rid a process of NON VALUE ADDED ACTIVITIES. Uses systematic tools such as TPM, Poke Yoke, Kanban, 5S, Kaizen etc. Six Sigma is a systematic, scientific, fact based, customer driven, data driven problem solving process. The term “six sigma” defines an optimum measurement of quality: 3.4 defects per million opportunities. Uses a systematic methodology called DMAIC.
SLHS Applications of Tools Reduced the number of inappropriate blood transfusions by 80% and increased patient safety Reduced the number of duplicate HNE/CPI patient accounts from an average of 78 per month to 30 Reduced SLH overall printing costs without compromising patient privacy and regulatory standards by $74,000 Reduced 50% of the cost associated with fall prevention tools (Hi/Low Beds, Patient Sitters) while sustaining patient safety Standardized the cleaning process in Environmental Services Increased cross-functional awareness/understanding Opened up lines of communication Increased Leadership’s awareness of staff activities Educated Leadership/Staff on systematic process improvement tools
SIPOCR Overview SIPOCR stands for… Suppliers Inputs Processes Outputs Customers Requirements Typicallydone at the beginning and end of project (current vs. future)