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Ian D. Wedgwood Ph.D. - Lean Sigma--Rebuilding Capability in Healthcare

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Ian D. Wedgwood Ph.D. Lean Sigma--Rebuilding Capability in Healthcare
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Drive Lean Sigma Performance Improvement into Any Hospital or Healthcare Environment

The Affordable Care Act (ACA) looks like it is around to stay. It will require hospitals and other healthcare organizations to become ruthlessly efficient to survive reimbursement rate reductions. Even if ACA fell, managed care organizations have caught on. They will leverage patient volume to drive reimbursement rates steadily down. Medicare and Medicaid will follow. Lean Sigma may not be the only way healthcare organizations will survive, but its a proven solution. In Lean SigmaRebuilding Capability in Healthcare , Dr. Wedgwood has presented a roadmap to successful implementation of Lean Sigma.

Richard H. Allen, Dr.P.H., Allen & Allen Consulting, LLC

Lean Sigma, widely proven in other industries, can offer even greater value in healthcare. In this guide, Ian Wedgwood walks you through all leadership aspects associated with planning, executing, sustaining, or reinvigorating Lean Sigma in your hospital, system, or clinic.

Drawing on his extensive experience helping healthcare organizations improve, Wedgwood explains Lean Sigma without stat speak. Focusing on care providers unique challenges, he offers a practical roadmap for making Lean or Six Sigma work. He demonstrates it through real case studies, illuminating key facets of change that are too often ignored.

Coverage includes

How failure points in conventional change methods prevent performance improvement

Lean Sigmas structured change approach: why infrastructure and sequencing matter so much

Integrating Lean Sigma with strategy and operations

Elevating individual process performance

Launching a Lean Sigma program or revitalizing a stalled initiative

Learning from experience, and increasing program maturity

Whatever your Lean Sigma leadership rolefrom patient-facing staff to senior executive to performance improvement specialistthis guide gives you an indispensable foundation for success.

Ian D. Wedgwood Ph.D.: author's other books


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Lean Sigma

REBUILDING CAPABILITY IN HEALTHCARE

Ian Wedgwood, Ph.D.

Lean Sigma--Rebuilding Capability in Healthcare - image 1

Upper Saddle River, NJ Boston Indianapolis San Francisco
New York Toronto Montreal London Munich Paris Madrid
Capetown Sydney Tokyo Singapore Mexico City

Many of the designations used by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book, and the publisher was aware of a trademark claim, the designations have been printed with initial capital letters or in all capitals.

The author and publisher have taken care in the preparation of this book, but make no expressed or implied warranty of any kind and assume no responsibility for errors or omissions. No liability is assumed for incidental or consequential damages in connection with or arising out of the use of the information or programs contained herein.

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Library of Congress Cataloging-in-Publication Data
Wedgwood, Ian, author.
[Lean sigma (2015)]
Lean sigma : rebuilding capability in healthcare / Ian Wedgwood.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-13-399200-7 (pbk. : alk. paper)ISBN 0-13-399200-4 (pbk. : alk.
paper)
I. Title
[DNLM: 1. Quality of Health Careorganization & administration.
2. Efficiency, Organizational. 3. Organizational Case Studies. 4. Organizational
Innovation. 5. Quality Assurance, Health Caremethods. W. 84.41]
R728
362.1068dc23
2014049451

Copyright 2015 Pearson Education, Inc.

All rights reserved. Printed in the United States of America. This publication is protected by copyright, and permission must be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or likewise. To obtain permission to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458, or you may fax your request to (201) 236-3290.

AIDET is a registered trademark of The Studer Group, LLC.

are used with permission from Columbus Regional Health.

ISBN-13: 978-0-13-399200-7
ISBN-10: 0-13-399200-4
Text printed in the United States on recycled paper at Courier in Westford, Massachusetts.
First printing, March 2015

Executive Editor
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Praise for Lean SigmaRebuilding Capability in Healthcare

Ian has been a valued business partner for many years. His most recent focus in our strategic planning process has been extremely helpful to us as we develop our vision, plan, and deployment map for the next several years. His expertise, discipline, and approaches are excellent.

Jim Bickel, President and CEO at Columbus Regional Hospital

The Affordable Care Act (ACA) looks like it is around to stay. It will require hospitals and other healthcare organizations to become ruthlessly efficient to survive reimbursement rate reductions. Even if ACA fell, managed care organizations have caught on. They will leverage patient volume to drive reimbursement rates steadily down. Medicare and Medicaid will follow. Lean Sigma may not be the only way healthcare organizations will survive, but its a proven solution. In Lean SigmaRebuilding Capability in Healthcare, Dr. Wedgwood has presented a roadmap to successful implementation of Lean Sigma.

Richard H. Allen, Dr.P.H., Allen & Allen Consulting, LLC

This book is dedicated to my son Sean, who inspires me daily to work
to make healthcare better and safer for those we hold dearest.

Contents
Preface
Overview

Healthcare over the past decade has been required to undergo significant fundamental changechange that will likely continue for the foreseeable future. Most healthcare organizations have risen to the challenge, yet many are struggling to achieve the desired success. The intent of this book is not to examine the external factors driving these changes; there are many other texts dedicated to that particular task. Rather, the focus here is on examining the internal factors causing the struggles: the organizational capabilities of structuring and executing change through performance improvement methodologiesspecifically, one of the more successful ones, Lean Sigma.

. One such example is Escape Fire, by Donald M. Berwick. Also, the Commonwealth Fund releases regular updates on the state of healthcare in the United States relative to other countries in its Mirror, Mirror report.

Lean and Six Sigma are well-understood change concepts outside healthcare. With well over 20 years of success in multiple industries, the results speak for themselves. Major corporations show savings in annual reports measured in hundreds of millions of dollars and even billions of dollars. Finally the push is being made into healthcare. Unfortunately, as Lean Sigma makes headway in healthcare, there seem to be so many misconceptions about what it really isfor example, that it is merely a toolkit akin to existing improvement methods. These many misconceptions present problems in that they remove many of the key facets that make Lean Sigma different, the same ones that in practice make it work successfully.

The intent here is to explain how the Lean Sigma approach, so successful in other industries, can be readily transferred to healthcare and give comparable, if not greater, results.

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