Six Sigma Overview

• Six Sigma at GEMS

- The Goal

- Metric & Methodology

- Philosophy

• Six Sigma in Healthcare

What is Six Sigma?

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Taking Magic to Art to Science

20,000 articles of mail lost each hour

3.8 Sigma = 99% Good

15 minutes of unsafe drinking water every day

5,000 incorrect surgical operations per week

2 short or long landings at most major airports each day

200,000 wrong drug prescriptions each year

99% Good Isn’t Always Good Enough

6 Sigma = 99.99966% Good

7 articles lost per hour

2 minutes unsafe water per year

2 incorrect procedures per week

1 short or long landing every 5 years

68 wrong prescriptions per year

What Does Six Sigma Really Mean?

Goal Benchmark Vision Metric Method Tool Symbol Philosophy Value

Sigma is another word for standard deviation.

Something we can calculate and measure for any process.

Becomes part of our culture - it’s our way of life.

“6 sigma by the year 2000” - Jack Welch

What is Six Sigma?

2 308,537

3 66,807

4 6,210

5 233

6 3.4

DPMO

Philosophy

Measurement

Goal for improvement

Methodology

Culture

22

33445566

308,537308,537

66,80766,807

6,2106,210

233233

3.43.4

Defects Per Defects Per Million OpportunitiesMillion Opportunities

3 to 6 Sigma… a 20,000X Improvement

A measurement of process capability expressed as probability of defects ...

Z valueZ value

A Goal

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6 sigma process

(Z = 6) …

Reducing Variance is the Essence of Six Sigma

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3 sigma process

(Z = 3) …

A Metric

The Two Key Methodologies

DMAIC

DMADV

DEFINE MEASURE ANALYZE IMPROVE CONTROL

OPPORTUNITY SYMPTOMS CAUSES SOLUTIONS SUSTAIN

CHARTER PERFORMANCE DRIVERS ACTIONS CONTROLS

PROGRAM NEEDS & HIGH LEVEL DETAILED ROLL-OUT &DESCRIPTION REQUIREMENTS DESIGN DESIGN CONTROL

DEFINE MEASURE ANALYZE DESIGN VERIFY

Distinct, but Linked Methodologies

Philosophy

E =Q x AEffectiveness = Quality x Acceptance

Six Sigma Methodology

Six Sigma Philosophy“The Way We Work”

Quality Leaders Manage MBB, BB resources Tie quality / business strategies Pick project clusters Drive quality culture Accountable for quality results

Master Black Belts (MBBs) Develop tools & training material Experts at methodology Train Mentor BBs on projects

Black Belts (BBs) Work full time on projects in function Experts at tools

Green Belts (GBs) Employees in all positions doing their job

with Six Sigma tools

The People

Leadership Responsibility

Commit to Six Sigma Publicly

Allocate Full-time Resources

Track & Measure Results

Use Quality for Management Development

Not a Quality “Department”

Great Clinical & Financial Examples Today!

Can Six Sigma Work in Healthcare?

‘98 ‘99 ‘00

Yes…It is Happening Now…With Impressive Results

MD Anderson…CT Throughput

Sick Childrens (Singapore)….Report Turnaround

Bonsecours….Material Management

Manipal (Bangalore, India)….Patient Registration Time

Coney Island Hospital (NY)….Hospital Inventory Reduction

Six Sigma in Every Facet of GE…Focused on Customers

Success has required:

– Total leadership engagement

– Total organizational participation

– Rigorous methodology

– Staying power

Customers Using Six Sigma for Dramatic Gains

Summary

Great Clinical & Financial Examples Today!