The 5 Key Principles of Process Improvement

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The 5 key principles December 3, 2013

description

To improve, one must change. But deep inside, we all fear change to some degree. How, then, can we improve? This presentation outlines a basic framework to initiate change, as well as the 5 key principles for examining the current state and designing the future flow.

Transcript of The 5 Key Principles of Process Improvement

Page 1: The 5 Key Principles of Process Improvement

The 5 key principles December 3, 2013

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What?

We’re a small company that helps other companies

apply 5 key principles to do 1 big thing:

Change

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Why is that such a “big thing?”

“…people fear change, resist it, fight it and often end up sabotaging what

they might even consciously agree are a good means to

move things forward.” Psychology Today

http://www.psychologytoday.com/blog/hidden-motives/201005/resistance-change-in-organizations

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Why is that such a “big thing?”

“If you keep on doing what you’ve always done,

you’ll keep on getting what you’ve always got.”

W.L. Bateman

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Why is that such a “big thing?”

Healthcare • 50 cents of every dollar is wasted

(>$1 trillion per year)

• 45,000-98,000 preventable deaths due to medical errors each year

• Skyrocketing costs with no proportional return in health/longevity

• Rampant burnout

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How do we make change attractive?

“First, make people mad. Second, empower them to

do something about it. Next, lead the charge.

Then, get out of the way.”

Me

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Make them mad and empower …

Education (“Quality Clinic”)

• Foundational training in process imp.

• Principles that are universally applicable

• Tools for every day usage

• Problem-solving methodology (Lean Six Sigma DMAIC)

• A few hours -> Several days

• Customized and Open Enrollment

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Gimme an example …

Regional Health System

OBJECTIVE:

• Teach front-line staff how to identify and

facilitate improvements

• Get them started on an improvement project

STRATEGY:

• Designed 2-day training format

• Day 1: Key Principles … Day 2: Methodology

• Interactive, engaging

• Examples and hands-on work

• On-location, but off-site

• Involved internal improvement staff in

breakout sessions

•Trained ~150 people from 6 hospitals

•Initiated ~75 projects

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Lead the charge & get out of the way …

Improvement projects (DMAIC)

• Define – The problem, process & project

• Measure – How bad is it?

• Analyze – What are the root causes?

• Improve – How can we address them?

• Control – Implement the new standard

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Gimme an example …

Specialty MD practice PROBLEM:

• APPOINTMENTS TAKE TOO LONG

SOLUTIONS:

• Reduced interruptions at front desk (phone

calls, deliveries/pick-ups, restroom patients)

• Reduced redundant report copies & scans

• Reduced redundant trips to front desk

• Reduced non-value-added data capture at

front (PCP, med list copy)

• Reduced walking to copier/scanner

• Reduced walking to find large bp cuffs

• Reduced downtime due to machine failure

• Set WIP level to reduce motion/decisions

• Standardized procedure ordering method

Reduced appointment cycle time to lowest level on record

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Why do companies call us?

• Outside initiator of change

• Increase capacity / keep up with demand

• Increase productivity / throughput

• Reduce costs, increase profits

• To learn how to continually get better

• To empower staff to make changes

• Increase customer / staff satisfaction

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1. Value is defined by the customer.

2. All work should be value-added to the customer.

3. All work should be a process.

4. Waste & variation in a process can and must be controlled.

5. Every process can be improved.

5 key principles:

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Q U E S T I O N S ?