This book provides a detailed description of how to apply Lean
Six Sigma in the health care industry, with a special emphasis on
process improvement and operations management in hospitals.The book
begins with a description of the Enterprise Performance Excellence
(EPE) improvement methodology developed by the author that links
several methodologies including systems thinking, theory of
constraints, Lean and Six Sigma to provide an enterprise-wide
prioritization and value-chain view of health care. The EPE
methodology helps to improve flow at the macro or value-chain
level, and then identifies Lean Six Sigma detailed improvements
that can further improve processes within the value-chain.
The book also provides real-world health care applications of
the EPE and Lean Six Sigma methodologies that showed significant
results on throughput, capacity, operational and financial
performance. The Enterprise Performance Excellence methodology is
described, and also the Six Sigma DMAIC
(Define-Measure-Analyze-Improve-Control) problem solving approach
which is used to solve problems for health care processes as they
are applied to real world cases.The case studies include a wide
variety of processes and problems including: emergency department
throughput improvement; operating room turnaround; operating room
organization; CT imaging diagnostic test reduction in an emergency
department; linen process improvement; implementing sepsis
protocols in an emergency department; critical success factors of
an enterprise performance excellence program.
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