6 SIGMA

2. Six Sigma Overview
• Six Sigma at GEMS
- The Goal
- Metric & Methodology
- Philosophy
• Six Sigma in Healthcare

3. What is Six Sigma?
Science
Art
Magic
SixSigma
Taking Magic to Art to Science

4.  20,000 articles of mail lost
each hour
3.8 Sigma = 99% Good
 15 minutes of unsafe
drinking water every day
 5,000 incorrect surgical
operations per week
 2 short or long landings at
most major airports each
day
 200,000 wrong drug
prescriptions each year
99% Good Isn’t Always Good Enough
6 Sigma = 99.99966% Good
7 articles lost per hour
2 minutes unsafe water per year
2 incorrect procedures per week
1 short or long landing every 5
years
68 wrong prescriptions per year
What Does Six Sigma Really Mean?

5.  Goal
 Benchmark
 Vision
 Metric
 Method
 Tool
 Symbol
 Philosophy
 Value
Sigma is
another word
for standard
deviation.
Something we can calculate
and measure for any
process.
Becomes part of our culture
- it’s our way of life.
“6 sigma by the year
2000” - Jack Welch
s
What is Six Sigma?
2 308,537
3 66,807
4 6,210
5 233
6 3.4
s DPMO

6. Philosophy
Measurement
Goal for improvement
Methodology
Culture
2s
3s
4s
5s
6s
308,537
66,807
6,210
233
3.4
Defects Per
Million Opportunities
3 to 6 Sigma… a 20,000X Improvement
A measurement of process capability
expressed as probability of defects ...
Z value
A Goal

7. s s s s s s6 sigma process
(Z = 6s) …
Reducing Variance is the Essence of Six Sigma
s s s
3 sigma process
(Z = 3s) …
A Metric

8. The Two Key Methodologies
D
M
A
I
C
D
M
A
D
V
DEFINE MEASURE ANALYZE IMPROVE CONTROL
OPPORTUNITY SYMPTOMS CAUSES SOLUTIONS SUSTAIN
CHARTER PERFORMANCE DRIVERS ACTIONS CONTROLS
PROGRAM NEEDS & HIGH LEVEL DETAILED ROLL-OUT &
DESCRIPTION REQUIREMENTS DESIGN DESIGN CONTROL
DEFINE MEASURE ANALYZE DESIGN VERIFY
Distinct, but Linked Methodologies

9. Philosophy
E =Q x A
Effectiveness = Quality x Acceptance
Six Sigma
Methodology
Six Sigma Philosophy
“The Way We Work”

10. Quality Leaders
 Manage MBB, BB resources
 Tie quality / business strategies
 Pick project clusters
 Drive quality culture
 Accountable for quality results
Master Black Belts (MBBs)
 Develop tools & training material
 Experts at methodology
 Train
 Mentor BBs on projects
Black Belts (BBs)
 Work full time on projects in function
 Experts at tools
Green Belts (GBs)
 Employees in all positions doing their job
with Six Sigma tools
The People
Leadership Responsibility
 Commit to Six Sigma Publicly
 Allocate Full-time Resources
 Track & Measure Results
 Use Quality for Management
Development
Not a Quality “Department”

11. Great Clinical & Financial Examples Today!
Can Six Sigma Work in Healthcare?
5 50
150
50
230
1100Blackbelts
Projects
‘98 ‘99 ‘00
Yes…It is Happening Now…With Impressive Results
MD Anderson…CT Throughput
Sick Childrens (Singapore)….Report Turnaround
Bonsecours….Material Management
Manipal (Bangalore, India)….Patient Registration Time
Coney Island Hospital (NY)….Hospital Inventory Reduction

12.  Six Sigma in Every Facet of GE…Focused on Customers
 Success has required:
– Total leadership engagement
– Total organizational participation
– Rigorous methodology
– Staying power
 Customers Using Six Sigma for Dramatic Gains
Summary
Great Clinical & Financial Examples Today!