LEAN SIX SIGMA

Presented by Kara R. Flickinger, RN

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.

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)

Lean Six Sigma & Healthcare

Strictly focused on customers and their expectations of hospitalization while valuing their opinions.

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).

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

Hardware Rendered for Utilization of Lean Six Sigma

Personal Computers MAC

Apple

Blackberry (if internet is provided)

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)

Software Possibilities of Lean Six Sigma

Best Practice Roadmaps

Project Workspace

Sigma Works

Risk Wizard

(www.sigmaflow.com)

SigmaWorks

Software tools include:

Project charter Financial analysis Responsibility grid Cause and effect Matrix Queuing analysis Data analysis

(www.Sigmaworks.com)

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)

SigmaWorks Levels of Functionality

Team Members

Green Belts

Black Belts

Master

Champion

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.

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

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)

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)

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)

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)

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

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

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