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Quality Methodologies for
       Healthcare
       CA Ravikumar P
         Bio Vedas
Entrepreneurโ€™s Perspective




 Simple          Compound
Interest          Interest




           Bio Vedas
In Search of Excellence




                           Theory Of
                           Constraints
              Lean
              โ€ข Removing
                Waste

Six Sigma
โ€ข Improving
  Quality




              Bio Vedas
M




          Management
           Problem of
          21st Century
         Doing Workers
                to
        Thinking workers

    Bio Vedas
Common
Management Issues      University




                      Common to
                      Management



          Orchestra                 Hospital



                                               Bio Vedas
CAVE People




Citizens Against Virtually Everything
Why Monitor Quality?


Men are innovative enough

to find

more ways to fail

than succeed




               Bio Vedas
All work is a process . . .
       this is true of a hospital too!




       Bio Vedas
The Link




between complex customer needs and
  critical internal process elements
       designed to achieve them
                 Bio Vedas
Quality Methods
   are the synapse
    connecting all
   silos of process
      excellence



Bio Vedas
Fundamental Premise


Quality is an essential pre requisite of every
              product &service.




 Not an achievement to be displayed and
               celebrated

                 Bio Vedas
What do Customers want?


    Quality - VFM not Six Sigma



   Cost - affordable not cheapest



  Safety - pragmatic Not fool proof



  Efficiency - acceptable Not 100%


      Outcome - Measurable &
  transparent not transient emotion



                                Bio Vedas
Sad, Glad or Mad ? !




                         How his    What is
How is he   How is he
                        needs are     the
  seen       heard
                          met       outcome




                Bio Vedas
Health Care
     The Worldโ€™s
       Biggest
      Industry


Bio Vedas
The Industry
       with
    maximum
    Wastage


Bio Vedas
What is Lean?



Battle of the Bulge




          Bio Vedas
Central
                        Adiposity

            Eliminate or Reduce Middle
                   Management
Bio Vedas
โ€ข Reduction in
       Usage of
                       Space


               Staff

                           Cost &
                            TAT

Bio Vedas
It is just not cost
         reduction.
            It is
     improvement in
          process



Bio Vedas
Lean means

โ€ข Tools & Techniques that
   โ€“ Optimizes Time Utilization
   โ€“ Enhances productivity of Human Resources
   โ€“ Optimizes Asset Utilization
   โ€“ Increase Overall Productivity
   โ€“ Improve Quality
   โ€“ Improve Service
   โ€“ Improve Outcome




                           Bio Vedas
Lean
   Doctor is an
   Oxymoron


Bio Vedas
Patient Process




Bio Vedas
Space Management โ€“ Functional Design
              Bio Vedas
Staff Travel
 Time for
  Patient
Processing
Patient Process
                         Home to Home




      Outcome
     Monitoring &                                 Diagnostic
     Management                                    Process
       Process




               Support                     Treatment
               Process                      Process

Bio Vedas
Cross
                   Training
Underemployment of manpower is the bane of
                industry

             Bio Vedas
QC needs Clinical
                              Data and that is not
                                  available in
                                   hospitals
                               IT Blanket is the
                                   solution


Manufacturing
                Service



                          Bio Vedas
Balance Score Card                         Six sigma

                                             MBE
Lean Management
                                             MBO
 Dash board Mgt
                     Customer                TOC
                      Delight


                         Black Belts Six
                       Sigma MBE MBO
                        ISO Kanban 5S
                        BSC DBM VSM
                          Kaizen Muda
Spirit of Lean Six Sigma is more
important than the rituals of Lean

            โ€œTRYSTORMโ€

Donโ€™t keep brainstorming




               Bio Vedas
Get IT Right

                           Get IT Right

           Right
          Process


           Right
 Right   Consultant      Right
People                Communication


           Right
         Leadership
Taste of your own medicine


     .
  Doctor
 Dialing a
Call Center

Customer
Waiting in a
  Clinic

                Bio Vedas
Thank You
md@biovedas.com
Best Quality Methodology

                       Get IT Right

          Right
         Process

         Common Sense
 Right
People
Customer not Patient




Bio Vedas
Biz Consultants
    need to coach
       the entire
      manpower
     Top to Bottom



Bio Vedas
Chronic Care
        &
    Day Care


Bio Vedas
Personality
   Driven
  Industry


Qua l
 ityM
Free Pizzas
       if not delivered in 30
              minutes

    Free Consultation if Doctor
      does not meet Patient
       within 15 minutes of
           appointment




Bio Vedas
Complete    SCM
 Digitized
              Value       To
Ecosystem
              Chain      CRM




             Bio Vedas
Educate and Empower

In a Diabetes clinic customers are made
to sit and stand for 28 times every visit




                       The Sit
                       Stand
                        Drill

                       Bio Vedas
More Useful for
small clinics, nursing
homes family owned
business rather than
 big hospital chains

       Bio Vedas
Chanakya
      The Original
     Author of Lean
      Management



Bio Vedas
End to End
       Patient
      Journey -
        TAT


Bio Vedas
Standards
   & Protocol
     Based


Bio Vedas
Capable of
    Automation
    IT Integration



Bio Vedas
Computers are
       Digital
   Kaleidoscopes



Bio Vedas
Outcome
   Measurement



Bio Vedas
* Bio Vedas saved 23 % of diagnostics
cost
* 180 employees to 26 staff
* Increase in patients by 2.5 times
* Velocity of patients from 1.2 to 3 .8
times




                   Bio Vedas
Bio Vedas can save a minimum of 15 %
of opex in 95 % of labs in India.




                 Bio Vedas

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Quality methods

  • 1. Quality Methodologies for Healthcare CA Ravikumar P Bio Vedas
  • 2. Entrepreneurโ€™s Perspective Simple Compound Interest Interest Bio Vedas
  • 3. In Search of Excellence Theory Of Constraints Lean โ€ข Removing Waste Six Sigma โ€ข Improving Quality Bio Vedas
  • 4. M Management Problem of 21st Century Doing Workers to Thinking workers Bio Vedas
  • 5. Common Management Issues University Common to Management Orchestra Hospital Bio Vedas
  • 6. CAVE People Citizens Against Virtually Everything
  • 7. Why Monitor Quality? Men are innovative enough to find more ways to fail than succeed Bio Vedas
  • 8. All work is a process . . . this is true of a hospital too! Bio Vedas
  • 9. The Link between complex customer needs and critical internal process elements designed to achieve them Bio Vedas
  • 10. Quality Methods are the synapse connecting all silos of process excellence Bio Vedas
  • 11. Fundamental Premise Quality is an essential pre requisite of every product &service. Not an achievement to be displayed and celebrated Bio Vedas
  • 12. What do Customers want? Quality - VFM not Six Sigma Cost - affordable not cheapest Safety - pragmatic Not fool proof Efficiency - acceptable Not 100% Outcome - Measurable & transparent not transient emotion Bio Vedas
  • 13. Sad, Glad or Mad ? ! How his What is How is he How is he needs are the seen heard met outcome Bio Vedas
  • 14. Health Care The Worldโ€™s Biggest Industry Bio Vedas
  • 15. The Industry with maximum Wastage Bio Vedas
  • 16. What is Lean? Battle of the Bulge Bio Vedas
  • 17. Central Adiposity Eliminate or Reduce Middle Management Bio Vedas
  • 18. โ€ข Reduction in Usage of Space Staff Cost & TAT Bio Vedas
  • 19. It is just not cost reduction. It is improvement in process Bio Vedas
  • 20. Lean means โ€ข Tools & Techniques that โ€“ Optimizes Time Utilization โ€“ Enhances productivity of Human Resources โ€“ Optimizes Asset Utilization โ€“ Increase Overall Productivity โ€“ Improve Quality โ€“ Improve Service โ€“ Improve Outcome Bio Vedas
  • 21. Lean Doctor is an Oxymoron Bio Vedas
  • 23. Space Management โ€“ Functional Design Bio Vedas
  • 24. Staff Travel Time for Patient Processing
  • 25. Patient Process Home to Home Outcome Monitoring & Diagnostic Management Process Process Support Treatment Process Process Bio Vedas
  • 26. Cross Training Underemployment of manpower is the bane of industry Bio Vedas
  • 27. QC needs Clinical Data and that is not available in hospitals IT Blanket is the solution Manufacturing Service Bio Vedas
  • 28. Balance Score Card Six sigma MBE Lean Management MBO Dash board Mgt Customer TOC Delight Black Belts Six Sigma MBE MBO ISO Kanban 5S BSC DBM VSM Kaizen Muda
  • 29. Spirit of Lean Six Sigma is more important than the rituals of Lean โ€œTRYSTORMโ€ Donโ€™t keep brainstorming Bio Vedas
  • 30. Get IT Right Get IT Right Right Process Right Right Consultant Right People Communication Right Leadership
  • 31. Taste of your own medicine . Doctor Dialing a Call Center Customer Waiting in a Clinic Bio Vedas
  • 33.
  • 34. Best Quality Methodology Get IT Right Right Process Common Sense Right People
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  • 36.
  • 38. Biz Consultants need to coach the entire manpower Top to Bottom Bio Vedas
  • 39. Chronic Care & Day Care Bio Vedas
  • 40. Personality Driven Industry Qua l ityM
  • 41. Free Pizzas if not delivered in 30 minutes Free Consultation if Doctor does not meet Patient within 15 minutes of appointment Bio Vedas
  • 42. Complete SCM Digitized Value To Ecosystem Chain CRM Bio Vedas
  • 43. Educate and Empower In a Diabetes clinic customers are made to sit and stand for 28 times every visit The Sit Stand Drill Bio Vedas
  • 44. More Useful for small clinics, nursing homes family owned business rather than big hospital chains Bio Vedas
  • 45. Chanakya The Original Author of Lean Management Bio Vedas
  • 46. End to End Patient Journey - TAT Bio Vedas
  • 47. Standards & Protocol Based Bio Vedas
  • 48. Capable of Automation IT Integration Bio Vedas
  • 49. Computers are Digital Kaleidoscopes Bio Vedas
  • 50. Outcome Measurement Bio Vedas
  • 51. * Bio Vedas saved 23 % of diagnostics cost * 180 employees to 26 staff * Increase in patients by 2.5 times * Velocity of patients from 1.2 to 3 .8 times Bio Vedas
  • 52. Bio Vedas can save a minimum of 15 % of opex in 95 % of labs in India. Bio Vedas