Sponsored by
To have an effective and successful process improvement plan you must have team involvement and buy-in as to what the outcomes should be as well as your end goal for the data retrieved. As the team realizes that the information gathered can only enhance their work process, they will be happier with the collection of data and the outcomes of their improvement. Once you start on the improvement train, it is essential you continue to check all data and maintain those that meet the goal and strive to make the goal of those that were not successful. A solid improvement plan will work when the initial data period is completed. A well-oiled improvement plan can also aid in the engagement of your team members as well as gleaning great ideas of better ways to perform a task by those team members. It is important to remember that using the actual ideas of the team members working on the front lines gives you, the leader, efforts of people who are attuned to how to improve the process, as “they are actually” doing the work daily. In the end, your implementation process requires that you complete their improvement plan. The plan chosen should be one that actual data can be retrieved from work that is presently being done or has been completed. Here at my system, we chose to use the
Defi ne, Measure, Analyze, Improve, Con- trol (DMAIC) process to help in our efforts to improve our quality of work. DMAIC is the acronym indicating Six-Sigma busi- ness performance methodology that many businesses use to improve their business practice. This effort to produce improve- ment plans requires fi ve steps, including 1. irst you defi ne and agree on the project and its parameters, which include any fi nancial impact.
2. Next you must measure, which includes the gathering of data that is pertinent, your target, impact and the process map. Your team needs to visually map out the existing steps of the area for improve- ment.
3. The analyze phase allows you to reveal the root cause (WH) of the ineffective- ness while seeing where implementation of change can occur. The main objective in the DMAIC is to improve a process that is ineffi cient and make the needed changes.
4. Once you see the process as it is, then the team is better able to fi nd the areas for improvement. I do strongly recommend letting the team do the mapping, as they know where the holes are as the experts.
SELF-STUDY SERIES
ANALYZE: SINGLE CASE BORE SINGLE CASE B ORE
Reasons or Factors Contributing to Occurrence
1) No indicator/locks/filters or wrong filter 2) Wrong instrument 3) Contaminated 4) Labeled wrong
5) Missing or too many instruments 6)Miscellaneous
Occurrence Total
21 26 9
16 30 4
ANALYZE: PARETO ANALYSIS Analyze • Use Tools to Get to the Root Cause
10 15 20 25 30 35
0 5
96% 88% 73% 53% 28% 30
Missing/Too Many Instruments
26 21
Wrong Instruments No indicator/locks/filters or wrong filter
Frequency of Main Cause
ANALYZE: GETTING TO TH E ROOT CAUSE Problem 1:
Analyze Problem Statements
( top 80% taken from Pareto Chart)
Missing or too many instruments
T ray does not contain
Why? Why?
Why? Standard Failed
p rop er number of each instrument needed for surgery
T ech did not assemble tray accurately
T ech not utiliz ing ch ecklist correctly
Mark ( X ) X X X
• Determine the Factors Contributing to your Problem • Use Tools to Get to the Root Cause
Slides courtesy: Adventis HealthCare Page 26
hpnonline.com • HEALTHCARE PURCHASING NEWS • June 2021 25 Peop le Failed
Problem 2: Wrong instrument
Problem 3:
No indicator/locks/filters or wrong filter
T ray does not contain
p rop er instruments needed for surgery
T ech did not assemble tray accurately
T ech not utiliz ing ch ecklist correctly
to Indicate if Standard Failed Peop le OR Peop le Failed Standard Standard Failed
Peop le Failed Standard Failed Peop le Failed
No ch ecklist/reminder to include th ese items in tray
Ch ecklist is not p art of th e comp uter- generated tracking system ch ecklist
16 Labeled wrong 9 Contaminated Cumulative %
• Determine the Factors Contributing to your Problem • Use Tools to Get to the Root Cause
4 Miscellaneous
• Determine the Factors Contributing to your Problem 100%
0% 20% 40% 60% 80% 100% 120%
Self-Study Test Answers: 1. B, 2. B, 3. B, 4. A, 5. A, 6. A, 7. B, 8. A, 9. A, 10. A
# of Occurrences
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66
