Saint Luke's Hospital and Missouri Enterprise are collaborating to improve processes at Saint Luke's using Lean Six Sigma methods. Saint Luke's is a large non-profit hospital that has participated in over 10 Lean Six Sigma projects through a partnership with Missouri Enterprise, a consulting firm specialized in process improvement. These projects have reduced waste, defects, and costs while improving safety, communication, and leadership awareness of processes. The presentation introduces common Lean and Six Sigma tools and provides an example of mapping a process's suppliers, inputs, outputs, customers, and requirements.
Process Improvement Through Use Of Lean Six Sigma Methods 110609
1. Process Improvement Through
Use of Lean/Six Sigma Methods
Amanda Duling, MS Kendall Cobb
Team Leader, Quality Area Business Manager
Saint Luke’s Hospital Missouri Enterprise
3. Saint Luke’s Hospital
Flagship hospital in 11 hospital system
629 beds
3,996 employees
Not for profit
Tertiary care referral
Protestant Episcopal Church
Primary teaching hospital – UMKC School of Medicine
Level I Trauma Center
Level III Neonatal Care
Centers of Excellence
4. Missouri Enterprise
More than 25 years of experience in process
improvement training and implementation.
Specific areas of expertise in Quality
Management, Lean, Six Sigma, business
growth and product development.
Six offices throughout the state
Part of the one of the largest consulting
organizations in America.
Not for profit
5. How We Began
Missouri Enterprise AMSTP Program
301 students
97 companies
Part of NIST Network
Saint Luke’s Participation
Over 10 Participants from Quality, Administration, Surgery, Home Care, etc.
At least 8 Projects
Blood Management
Admit to Bed Placement
Specimen Labeling
Operation First Starts
Lean Lab
6. Baldrige Award Criteria
Category Six – Process Management
“The process management category examines
how your organization determines its core
competencies and work systems and how it
designs, manages and improves key
processes for implementing those work
systems to deliver customer value and achieve
organization success and sustainability
(Blazey, 2007, p. 185).”
Blazey, Mark L. (2007). Insights to Performance Excellence 2008: An Inside Look at the 2008 Baldrige Award Criteria. Milwaukee, WI: ASQ.
7. Waste Overview
Lean Added
Value = Removing Waste
Non-Value Added
• Waiting
• Adding extra steps (Overprocessing)
• Incorrect Action (Defect)
• Too much… Too soon…(Overproduction)
• Transportation
• Inventory or Supplies (Excess)
• Motion
• Employee utilization
7
8. Waste Exercise
What kind of waste, non-value added activities, do
you see in your organization?
List potential waste in small groups for the following
topics:
1. Waiting
2. Adding extra steps (Overprocessing)
3. Incorrect Action (Defect)
4. Too much… Too soon…(Overproduction)
5. Transportation
6. Inventory or Supplies (Excess)
7. Motion
8. Employee utilization
9. Lean Six Sigma Overview
Lean manufacturing or lean production, which is often known
simply as "Lean", is the practice of a theory of production that
considers the expenditure of resources for any means other
than the creation of value for the presumed customer to be
wasteful, and thus a target for elimination.
Rid a process of NON VALUE ADDED ACTIVITIES.
Uses systematic tools such as TPM, Poke Yoke, Kanban, 5S,
Kaizen etc.
Six Sigma is a systematic, scientific, fact based, customer
driven, data driven problem solving process.
The term “six sigma” defines an optimum measurement of
quality: 3.4 defects per million opportunities.
Uses a systematic methodology called DMAIC.
10. SLHS Applications of Tools
Reduced the number of inappropriate blood transfusions by
80% and increased patient safety
Reduced the number of duplicate HNE/CPI patient accounts
from an average of 78 per month to 30
Reduced SLH overall printing costs without compromising
patient privacy and regulatory standards by $74,000
Reduced 50% of the cost associated with fall prevention tools
(Hi/Low Beds, Patient Sitters) while sustaining patient safety
Standardized the cleaning process in Environmental Services
Increased cross-functional awareness/understanding
Opened up lines of communication
Increased Leadership’s awareness of staff activities
Educated Leadership/Staff on systematic process
improvement tools
11. SIPOCR Overview
SIPOCR stands for…
Suppliers
Inputs
Processes
Outputs
Customers
Requirements
Typicallydone at the beginning and end
of project (current vs. future)
13. SIPOCR Exercise
Select a process
In the following order complete…
1. 5-10 high level process steps
2. Inputs
3. Outputs
4. Supplier
5. Customers
6. Customer Requirements