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Six Sigma in Healthcare

• • • • • • • • • • • • • What is Six Sigma? How Six Sigma works? Six Sigma as a Metric. Six Sigma as a Process Improvement Methodology. Characteristics of Six Sigma Impact of Six Sigma. Why Six SIGMA Works? Six Sigma in Healthcare. Benefit from Six Sigma Six Sigma in Hinduja Group. Some successful projects in Healthcare industry. Six Sigma Application in Healthcare. Need for using Six Sigma in Healthcare.


What is Six Sigma? Sigma is a yardstick on which the performance of the process and improvements can be gauged upon. Six Sigma is a - Measure for Quality Process For Continuous Improvement Enabler for Culture Change. . Six Sigma is an Improvement methodology which uses a structured approach to drive business improvement.

3) Data & Fact based decision making. 2) Enhanced customer focus. 4) Creating culture for continuous & tangible improvements. .Six sigma is a business strategy which deploys various set of tools. techniques & methodologies to bring in – 1) Rapid & Breakthrough process improvement. 5) Structured problem solving.

validating them using statistical tools and then finding Y = f(Xi) solutions for the significant causes.…… Traditional approach towards Problem solving is to approach the problem directly and try to identify a solution for it.How Six Sigma works? The outcome Y is a function of inputs Xi. Six Sigma challenges that school of thought and advocates a detailed Root Cause analysis to identify the factors impacting the problem. .


CTQ – The parameter chosen to make improvement through a Six Sigma project . A six sigma project is executed in a time frame of 5-6 months by a task force type Current Performance Six Sigma Project Future Performance team of 4-5 members.A six sigma project accelerates the performance of the CTQ in a comparatively smaller span of time. CTQ Performance The unit of deployment of six sigma in an organization is the number of six sigma projects.



As ‘s’ Standard Deviation decreases Sigma Value ‘z’ increases s z .Six Sigma as a Metric Sigma is a measure of spread of a process ‘s’ is the standard deviation of the process (variation in performance of the process). Lower the standard deviation the better the process is. Sigma value ‘z’ is the measure of the capability of the process. Higher the sigma value better the process is.

LSL Mean USL As variation in the process decreases. 69% . The Z value increases. 99. 99.3% Z = 2. Z = 6. 99.97% Z = 4. Z value is the measure of process capability. it results in reduction of standard deviation & data points lying closer to the mean. 93.9997% Z = 5.3% Z = 3.

Measure Measure the process to determine current performance. .Six Sigma as a Process Improvement Methodology Six Sigma is a structured problem solving tool which deploys Brainstorming & Statistical tools to identify the vital root causes and finding a solution so as to optimize the Output. Define Define the project ( Assignment ) goals and customer (internal and external) deliverables. Analyze Analyze and determine the root causes of the defects. It follows DMAIC approach for problem solving. Improve Improve the process by working on the validated root causes Control Control the improved process performance to ensure sustainable results.

• The extensive focus on customer requirements Characteristics of Six Sigma Approach • The direct link to business strategy and financial results • The required commitment of top leadership up-front. • Each project delivers bottom line results in a short time • The disciplined improvement methodology based on measurement and analysis • Full-time Six Sigma team leaders who are extensively trained in statistical thinking as well as team and project skills • The integration of Six Sigma thinking into the business infrastructure through incentives and rewards .

9997% Good” (6s) Seven lost articles of mail per hour One minute of unsafe drinking water every 5.000 wrong drug prescriptions each year 68 wrong drug prescriptions per year One hour without electricity every 34 No electricity for almost 7 hours each month years .000 incorrect surgical operations per week 2 short or long landings at most major airports daily 1.Impact of Six Sigma The Classical View of Quality “99% Good” (3.7 incorrect surgical operations per week One short or long landing at most major airports every five years 200.8s) 20.000 lost articles of mail per hour Unsafe drinking water almost 15 minutes each day seven months The Six Sigma View of Quality “99.

Why Six Sigma works? Top Management Commitment Use of Statistical & Problem Solving Tools Six Sigma Project Disciplined Approach Support from Highly trained BBs & MBBs .

Bombay.  Apollo Hospitals .Six Sigma in Healthcare Six Sigma has been successfully deployed by many Healthcare organizations across the globe. some of them are:  Commonwealth Health Corporation  GE Healthcare  Hinduja Group.

. Benefit to Individuals • • • • Structured problem solving methodologies. Increased physician satisfaction Reduce cost/ cost savings.Benefits from Six Sigma • • • • • Benefit to Hospitals Translating to fewer errors Better processes Increased patient satisfaction & care. Six Sigma Certification. How to apply statistical analysis tools to problem solving Team Management & Leadership skills.

)= 16 • Increased revenue per day= 4x5000= 20000. • Increased revenue annualized = 20000 x 26 x 12 = Rs 62.40.) = 12 • No of operations that can be done (assuming revised turnaround time of 45 minutes.000 *Assumption: • Approximate cost per operation = Rs 5000.Example .1 Example 1: Projected Savings from a project reducing turnaround time per operation / theatre by 15 minutes. • Operation TAT was earlier 60 min which has been reduced to 45 min . • No of operations that can be done in a 12 hr day (assuming each operation takes 60 minutes.

00. *Assumption: • • Every bed gets a new patient every day. . • Using Six Sigma tools we may reduce the bed waiting time by 2 hrs. No of days saved in a year= 62400/24= 2600 days Cost of 1 bed per day= Rs 1000 Savings in a year = 1000 x 2600 = Rs 26.Example 2 Example 2: Projected Savings from a project reducing patient discharge time by 2 hrs for a 100 bed hospital.000. Then No of hrs saved in a day = 2 x 100 = 200 hrs/day No of hrs saved in a year= 200 x 26 x 12 = 62400 hrs/year. Approximate cost of 1 bed/day = Rs 1000.


Six Sigma in Hinduja Group Hinduja Group deployed six sigma to improve patient satisfaction. the areas that were improved upon are:  Turn around time for laboratory reports  Patient discharge time  OPD waiting time  TAT for blood availability  Patient satisfaction index  Turnover time for rooms and beds  Prescription accuracy . They conducted a brainstorming and came up with over 70 ideas for improvement and took some of them up as projects. physician satisfaction and reduce costs.

savings of >$100.Some successful projects in Healthcare industry  Outpatient blood lab – reduction in 10 weeks of process time from an average of 19 minutes to 4.000.  Reduce unnecessary length of stay by over 25% .  Pre-admission testing – reduction by 38% of avoidable testing procedures.  Reduce number of medication errors from 81 to 9 for a three month period.000.  Improved process to reduce bed turnover time.  Reduce operating room setup time between surgeries by 40%. resulting in savings of >$116.2 minutes.  Increased speed of delivery of medications to floor by 20%  Reduce average time to get radiology reports by over 25%  130% increase in surgical procedures.

Six Sigma Application in Healthcare Beyond the areas listed on the previous slide. six sigma can be applied to many more areas in the :  Ease of registration  Prescription accuracy  Number of infections post operations  Success rate of operations  Noise level in pre-operative care  OT Supplies support – time taken to provide supplies  OPD waiting time  Patient discharge time .

Need for using Six Sigma in Healthcare In a country like India. . bed availability per 1000 people is one of the lowest in the world. patient satisfaction. Also. the healthcare service providers need to improve their utilization of resources. so as to provide healthcare facilities to maximum people we need to utilize the available resources in the most optimum manners and that is where well proven methodologies like Lean and Six Sigma can be of great help. quality of healthcare and many more so as to develop medical tourism as an industry. in the wake of developing medical tourism to India. Millions of people suffer from problem due to lack of proper healthcare infrastructure.

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