Lean Sigma--Rebuilding Capability in Healthcare

Lean Sigma--Rebuilding Capability in Healthcare

By: Ian D. Wedgwood (author)Paperback

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Drive Lean Sigma Performance Improvement into Any Hospital or Healthcare Environment "The Affordable Care Act (ACA) looks like it is around to stay. It will require hospitals and other healthcare organizations to become ruthlessly efficient to survive reimbursement rate reductions. Even if ACA fell, managed care organizations have caught on. They will leverage patient volume to drive reimbursement rates steadily down. Medicare and Medicaid will follow. Lean Sigma may not be the only way healthcare organizations will survive, but it's a proven solution. In Lean Sigma-Rebuilding Capability in Healthcare, Dr. Wedgwood has presented a roadmap to successful implementation of Lean Sigma." -Richard H. Allen, Dr.P.H., Allen & Allen Consulting, LLC Lean Sigma, widely proven in other industries, can offer even greater value in healthcare. In this guide, Ian Wedgwood walks you through all leadership aspects associated with planning, executing, sustaining, or reinvigorating Lean Sigma in your hospital, system, or clinic. Drawing on his extensive experience helping healthcare organizations improve, Wedgwood explains Lean Sigma without "stat speak." Focusing on care providers' unique challenges, he offers a practical roadmap for making Lean or Six Sigma work. He demonstrates it through real case studies, illuminating key facets of change that are too often ignored. Coverage includes * How failure points in conventional change methods prevent performance improvement * Lean Sigma's structured change approach: why infrastructure and sequencing matter so much * Integrating Lean Sigma with strategy and operations * Elevating individual process performance * Launching a Lean Sigma program or revitalizing a stalled initiative * Learning from experience, and increasing program maturity Whatever your Lean Sigma leadership role-from patient-facing staff to senior executive to performance improvement specialist-this guide gives you an indispensable foundation for success.

About Author

Dr. Ian Wedgwood, President and CEO of Haelan Group, has more than 20 years of experience guiding organizations through change. He has led and facilitated dozens of Lean Sigma deployments in industries as diverse as healthcare, electronics, engineered materials, chemicals, banking, and hospitality, and has trained and mentored numerous executives, Champions, and Belts. Ian's healthcare focus for the past decade has been guiding leadership in organizations ranging from large systems to single hospitals, from behavioral health to managed care. He holds a Ph.D. and First-Class Honors degree in Applied Mathematics from Scotland's St. Andrew's University. He authored Lean Sigma: A Practitioner's Guide, considered a seminal work in the field of Lean, Six Sigma, and performance improvement.


Preface xiii About the Author xix Chapter 1: Existing Change Models: Why the Traditional Healthcare Models Are Struggling 1 Traditional Change Models 1 Disparate Change Groups 4 Uncontained Change 5 No Standard Change Approach 6 Tools Focus 6 Reliance on Benchmarking 7 Changes Are Not Based on Data, Good Data, or the Right Data 8 Changes Made Based on Symptoms, Not Causes 10 Systems versus Processes 10 Focus on People, Not on Process 11 Lack of Context for Solutions 12 Adding versus Subtracting (Patching) 13 Poor Implementation 13 No Emphasis on Control 14 Management versus Leadership 15 Summary 16 Chapter 2: Structuring Change: Program Infrastructure 17 Lean Sigma: The Program 22 The Steering Group 24 Setting the Program Direction 26 The Fit with Existing Initiatives 29 Shaping Projects 31 Focus on Process 33 Breakthrough Change 35 Project Tiers 35 Identifying Opportunities 40 Characterizing Projects (Preliminary Project Chartering) 43 Setting Goals 46 Prioritizing Action 47 Program and Project Roles 49 Program Tracking, Reporting, and Ongoing Management 52 Summary 53 Chapter 3: Lean Sigma Roadmap: The Anatomy of a Project 55 Lean Sigma Project Roadmap 55 Define 60 Measure 64 Analyze 67 Improve 71 Control 74 The Lean Sigma Roadmap: Why It Works 75 Standardization Projects 79 Kaizen (Accelerated Change) Events 81 Summary 84 Chapter 4: Application to Real Life: Project Case Examples 85 Case 1: CT Capacity and Throughput 85 Case 2: Reduce Discharged, Not Final Billed (DNFB) 88 Case 3: Radiology Denials 91 Case 4: Behavioral Health Discovery 93 Case 5: Medication Delivery 95 Case 6: Registration Standardization 96 Case 7: Inpatient Admission Standardization 98 Case 8: Physician Office Standardization 100 Case 9: Surgery Capacity and Throughput 102 Case 10: Emergency Department Throughput 104 Case 11: Inpatient Placement 106 Case 12: New Emergency Department Design 109 Chapter 5: Commencing the Journey 111 I. Program Vision and Launch 115 II. Creating Program Infrastructure 116 III. Developing Organizational Competence 117 IV. Transforming Processes 120 V. Stabilization and Performance Management 121 VI. Globalization 122 Index 125

Product Details

  • ISBN13: 9780133992007
  • Format: Paperback
  • Number Of Pages: 160
  • ID: 9780133992007
  • weight: 220
  • ISBN10: 0133992004

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  • 1st Class Delivery: Yes
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