Question

Chapter 3, Six Sigma (book: Quality Improvement)

1. Working as an individual or in a team of three or more people, use DMAIC to improve a process in one or more of the organizations listed below:
   1. Large Bank
   2. Health-care facility
   3. University academic department
   4. University nonacademic department
   5. Large department store
   6. Grade School
   7. Manufacturing facility
   8. Large grocery store

Answer 1

Health care facility...

Based in Lafayette, Louisiana, our local medical center of Lourdes recently began working with GE Medical Systems to implement Six Sigma as a method for quality improvement and process improvement. Because patient productivity and access to beds were among the group's major issues, the team began to focus on this issue. After the selection and scoping process, they embarked on the Six Sigma project to reduce the time between writing a patient discharge order and once that hospital bed was available again.

Problem setting

During this phase, the 15-member Lourdes team engaged in several interviews with GE's team to illustrate the ongoing process of "getting out of bed" and identifying the most important, if not the best known. That of the Xi. Sy. Quality elements. The project charter was designed to determine which aspects would be out-of-scope and out-of-scope, and the ongoing processes underlined. For each six-sigma project, the "opportunity" and "disability" must be determined before the measurement phase begins. For this project, the time went from the written sliding order to the bed time available to the next patient. Disability is a possibility that exceeds the above limit or the maximum time allowed to complete the process. The team established the project schedule and the stage was approved by the project implementation sponsor. Having the CEO as a sponsor shows commitment and support on behalf of the organization.

Go to the measurement stage

Disposable disposable beds are broken down into logic processes:

    The doctor writes the discharge order until the patient leaves the room
    The patient leaves the facility until the family is notified
    Inform the family until the family begins cleaning
    Families start cleaning until the family finishes cleaning

Time and motion studies are used to measure each step in the process to determine the factors that influence the overall process. Doctors do not record the time when an order is discharged, so the team uses manual data collection to collect this information. Data on other stages of the process are available from the hospital's electronic system.

Three care wards were measured, including day and night shifts and represented approximately one-third of the total beds used as a statistical model for the entire hospital. Time goals and specifications ceiling are set for four sub-segments based on experience, project team and client expectations.