If ever there were an industry where we want zero defects, it's healthcare. Patients, medical professionals, and healthcare administrators all want mistakes eliminated and quality and efficiency improved. Although most industries have undergone some type of data-supported, systematic, quality-improvement process, healthcare still has not. Medical and technological advances continue to outpace process and education adjustments. Demand and expectations for medical care are increasing. Inefficiency also leads to(causes, brings about, etc.) overcrowded emergency rooms, customer complaints, and lost revenues.
Six Sigma allows a healthcare organization to break through the status quo and achieve real process improvement. Although Six Sigma has its roots in manufacturing, it works just as effectively in a service industry such as healthcare. Healthcare organizations face unique challenges and it's no secret that they have a harder time applying quality improvement methods. Six Sigma's comprehensive approach means that its methodology can be successful in healthcare organizations with quick results.
In a healthcare organization, the critical factors in quality and efficiency are flow of information and interaction between people. Transforming the process of this flow yields quality results. Six Sigma achieves documented bottom-line strategic business results by initiating an organization-wide culture shift. Until a process focus–rather than a task focus–is developed, the scope and endurance of improvements will be limited. Analyzing and modifying human performance in these environments is complex, but Six Sigma provides the tools and methodology required to achieve significant long-term improvements.
The Six Sigma process is a large step toward creating a learning organization through its well-defined road maps and management structure. Six Sigma defines a vision for the future of the healthcare organization, and then it identifies specific goals and establishes quantitative measures to turn that vision into reality. A formal plan is established to identify the overall program goals and timeline that outline the move from current performance levels to Six Sigma performance levels, with tangible, short-term goals in between. Specific Six Sigma projects are identified and goals defined and tied to a tangible organizational performance measure. A wealth of possible Six Sigma projects within healthcare includes, for example, information flow, surgical site procedures, patient handling, and patient charge items. Any process in healthcare is a candidate for a Six Sigma project.
To successfully implement a Six Sigma program requires long-term vision, commitment, leadership, management, and training. What makes Six Sigma successful is well-chosen training and a commitment from the top that is communicated to all levels of the organization. Financially, the first set of projects usually justifies the entire cost of Six Sigma training. Focusing the Six Sigma tools on virtually any properly scoped project will drive savings to the bottom line and achieve breakthrough change in the healthcare organization.
Experienced healthcare quality management should learn the language of Six Sigma and help integrate new methods into the Six Sigma process to improve effectiveness. Six Sigma is a proven approach to reduce defects and waste, thus saving money. Six Sigma will help healthcare organizations just as it has industrial, service, retail, and financial organizations.
Six Sigma In Healthcare
Six Sigma is not just for large multinational corporations. While there are difficulties inherent in implementing Six Sigma in a small company rather than a large business they can be overcome. Six Sigma can work in any size business because the nature of Six Sigma is dependent upon characteristics inherent in any business, not on the size of a business. Smaller organizations frequently are short on resources and expertise in change initiatives. However, they also have more flexible process flows, a shorter decision-making chain, and higher visibility of senior management. Smaller organizations can actually effectively establish Six Sigma faster than large businesses if deployment scope is correctly managed.
Scope of Deployment
Six Sigma is designed for all-inclusive deployment across an organization. However, s maller organizations do have constraints that limit their ability to initiate a large scale Six Sigma implementation. If your organization does not have the resources to create an infrastructure for organization-wide Six Sigma deployment then start with a pilot program.
One of the beauties of Six Sigma is that its central methodology is scalable. Six Sigma, emphasizes intensive training and extensive analysis—qualitative characteristics that work regardless of the size of the organization. Likewise, Six Sigma DMAIC (design, measure, analyze, improve, and control) discipline s work no matter the size of the organization or even the size of the Six Sigma project. Even a small Six Sigma project can yield significant results. Breakthrough improvements in processes and bottom-line profitability come not from quantity of resources, but the quality and the intelligence with which they are employed.
Small and medium-sized organizations may not have the resources of larger companies; however, in most cases, smaller organizations can be more nimble, flexible, and focused on results. Approaching initial implementation of Six Sigma through a pilot program will yield tangible results without overwhelming your resources from a small “quick-hit” project. These results can then be replicated throughout the organization, in many cases even faster than in a large organization.
Issues Critical to Smaller Organizations
When deploying a pilot Six Sigma project there are several important issues to consider inherent to smaller organizations. First, the choice of a project is critical. The pilot project will set the tone for Six Sigma deployment, so it should be a good one that can show significant and visible results in a reasonably short period of time. The project must clearly address one or more business goals thereby contributing to one or more core enterprise measures. Each project must also be completable within three to four months, so careful upfront scoping is essential. Projects must be continually tracked and updated for line management during existing business reviews.
Another issue is training. In smaller organizations, training budgets and especially time available to devote personnel for training is limited. Thus, it is not always practical for personnel to be absent from their day-to-day duties to attend months of training. Fortunately, there are some Six Sigma consultants who can deliver required Six Sigma training in an accelerated format and even onsite. Thus, smaller organizations can give their people the needed training with less disruption to their normal business, improving internal synergy while providing greater organizational flexibility.
Six Sigma implementation teams can encounter critical resource restrictions, often due to a personnel limitation where people are available for project functions only on a part-time basis. It is essential at project inception that the right people are involved, doing the right things. A small but committed force of the right people with proper training, given the proper authority will go far in getting things started. Good and fluid communication is also critical.
Upon successful completion of the Six Sigma pilot, the scale of the deployment is then expanded to other areas of the organization, incorporating the lessons learned from the pilot project. Just as it is much harder for a large ship to turn than a small ship, smaller organizations can change and adapt more quickly than large organizations. That does not mean that small organizations will automatically be successful when deploying Six Sigma, but making change take place and getting buy in to the changes are easier.
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