Table of Contents for Lean Six Sigma for Hospitals : Simple Steps to Fast, Affordable, Flawless Healthcare


Preface xi
Chapter 1 Simple Steps to a Faster Hospital 1(18)
Goal: Accelerate the Patient's Experience of Healthcare
1(2)
A Faster Emergency Department in Five Days
3(3)
Faster Door-to-Balloon (D2B or DTB) Time in Five Days
6(1)
A Faster Operating Room in Five Days
7(1)
Faster Medical Imaging in Five Days
8(1)
A Faster Lab in Five Days
9(4)
A Faster Nursing Unit in Five Days
13(1)
The Problem Isn't Where You Think It Is
13(2)
Take the Domino's Challenge
15(1)
How to Get a Faster Hospital in Five Days
15(4)
Chapter 2 Lean for Accelerated Patient Flow 19(34)
Mind the Gap
20(1)
Value-Stream Mapping
20(1)
If They Can Do It in Botswana
21(2)
The Fast Eat the Slow
23(1)
Core Score
24(1)
Speed Saves Lives
25(3)
You Already Understand Lean
28(1)
The Power Laws of Speed
29(1)
Economies of Speed
30(1)
The Toyota Production System
30(1)
Core Ideas of Lean
31(2)
The Lean Mindset
33(1)
The Seven Speed Bumps of Lean
34(2)
The Five S's
36(1)
Value-Stream Mapping
37(1)
Pull versus Push
38(1)
Redesign for One-Piece Flow
38(3)
Lean Tools
41(4)
Walking Is Waste
45(3)
Lean Principle--Load Leveling
48(1)
Lean Principle--Minimize Inventory
48(1)
Theory of Constraints (TOC)
49(3)
Get the Idea?
52(1)
Chapter 3 Simple Steps to a Better Hospital 53(28)
A Better Emergency Department (ED) in Five Days
54(1)
A Better Clinical Staff in Five Days
54(1)
A Better Operating Room (OR) in Five Days
55(8)
A Better Pharmacy
63(1)
Better Order Accuracy in Five Days
64(4)
Better Medical Imaging in Five Days
68(1)
A Better Lab in Five Days
68(2)
A Better Nursing Unit in Five Days
70(2)
Better Diagnoses
72(1)
A Better Intensive-Care Unit (ICU) in Five Days
72(2)
Misuse of Antibiotics
74(1)
Bar Codes Bust Medication Errors
75(1)
The Problem Isn't Where You Think It Is
75(2)
I Pledge Allegiance to Science and Evidence
77(2)
Simple Steps to a Better Hospital in Five Days
79(2)
Chapter 4 Reducing Defects with Six Sigma 81(36)
Invisible Low-Hanging Fruit
82(1)
Six Sigma's Problem-Solving Process
83(1)
Getting to Lean Six Sigma
84(1)
Key Tools for Defect Reduction
84(1)
Problem-Solving Process
85(19)
The 4-50 Rule
104(1)
Six Sigma Tar Pits
104(4)
Become a Lean Six Sigma Detective
108(3)
Mistakes, Defects, and Errors
111(2)
Measurement Simplicity
113(2)
Accidents Don't Just Happen
115(1)
Analysis Is Easy...If You Know What to Look For
115(2)
Chapter 5 Simple Steps to a Cheaper (More Profitable) Hospital 117(18)
Faster + Better = Cheaper and More Profitable!
117(3)
Reducing Denied Claims in Five Days
120(2)
Reducing Rejected Claims in Five Days
122(5)
Reducing Appealed Claims in Five Days
127(4)
How to Get a Cheaper (More Profitable) Hospital in Five Days
131(1)
Insights
132(1)
Conclusion
133(2)
Chapter 6 Six Sigma for Hospitals 135(20)
Double Your Profits
135(2)
Manufacturing and Service
137(1)
Tricks of the Trade
138(2)
The Faster, Better, Cheaper Toolkit
140(1)
Every Business Has Two Sources of Cash Flow
141(1)
Every Business Process Has Three Big Leaks
142(1)
Every Business Has Two Improvement Focuses
143(5)
The Universal Improvement Method
148(4)
Lean Six Sigma
152(3)
Chapter 7 Excel Power Tools for Lean Six Sigma 155(34)
The QI Macros for Excel
156(1)
The QI Macros Are Easy to Use
156(1)
QI Macros Introduction
157(11)
Power Tools for Lean Six Sigma
168(1)
Analyzing Customer Service Data Hidden in Trouble-Reporting Systems
169(3)
Setting Up Your Data in Excel
172(3)
Data Collection and Measurement for Six Sigma
175(3)
Mistake-Proof Data Collection
178(7)
Troubleshooting Problems
185(1)
Technical Support
186(1)
Chartjunk
186(2)
Get the Idea?
188(1)
Chapter 8 Is There an Improvement Project in My Data? 189(16)
Data Mining with Excel and the QI Macros PivotTable Wizard
189(6)
Word Count
195(1)
PivotTable Wizard
196(6)
Get the Idea?
202(3)
Chapter 9 Sustaining Improvement 205(16)
Process Flowchart
206(2)
Control Charts for Sustaining the Improvement
208(11)
Control Plan
219(2)
Chapter 10 Laser-Focused Process Innovation 221(14)
Focusing the Improvement Effort
221(7)
Critical-to-Quality Indicators (CTQs)
228(1)
SIPOC
228(2)
Balanced Scorecard
230(2)
Quality Management Systems
232(3)
Chapter 11 Statistical Tools for Lean Six Sigma 235(34)
Hypothesis Testing
235(1)
Hypothesis Testing for Variation
236(3)
Hypothesis Testing for Means
239(10)
Analysis of Variance
249(2)
Are Your Data Normal?
251(5)
Tests of Proportion
256(1)
Chi-Square Tests in Excel
257(4)
Determining Sample Sizes
261(6)
Conclusion
267(2)
Chapter 12 Implementing Lean Six Sigma in Hospitals 269(64)
Excuses, Excuses, Excuses
270(1)
Decisive Force
271(2)
Crisis Junkies
273(1)
Minor in Major Things
274(1)
Getting the Right People Involved with Lean Six Sigma
275(1)
The Improvement Mindset
275(4)
Talent versus Process
279(1)
New CEOs Can Kill Lean Six Sigma
280(1)
Be a Money Belt
281(1)
Our Reward Systems Are Broken
282(1)
Barriers to Lean Six Sigma
283(1)
Here's My Point
284(1)
Management by Quality (MBQ)
285(3)
Why Do Six Sigma Teams Fail?
288(4)
"Bridezilla" Meets Lean Six Sigma
292(1)
Here's My Point
293(1)
Making Lean Six Sigma Successful
293(7)
What's Wrong with Most Lean Six Sigma Training?
300(4)
Are You a Lean Six Sigma Salmon?
304(6)
Risk-Free Way to Implement Lean Six Sigma
310(9)
Can Lean Six Sigma Kill Your Hospital?
319(1)
Assets and Liabilities
320(3)
Innovation Rules
323(2)
Religion of Reuse
325(1)
Conflicting Goals
326(2)
Honor Your Progress
328(1)
The Hard Work Is Soft
329(1)
Lean Six Sigma Roles
329(1)
Get a Faster, Better, Cheaper Hospital
330(3)
Bibliography 333(4)
Index 337