Posts Tagged ‘Six Sigma Success’

Application of Six Sigma to reduce Medical Errors*

Friday, June 26th, 2009

Bersbach Consulting LLC provides Six Sigma training coaching and support across Arizona, including the Tucson, Phoenix, Scottsdale, and Glendale areas. At this time we would like to thank our friends and clients for their support. If you have landed here looking for our Six Sigma training, coaching or support services in Tucson, then please follow one of these links  Six Sigma Online Training or Six Sigma Classroom Training.

At Froedtert Hospital in Milwaukee, Wisconsin, errors with IV medication drips and laboratory processing and results reporting were causing serious problems related to effective patient treatment.

After diagnosing and quantifying the problem, a new process was implemented which had a significant impact on customer care. Level 1 discrepancies (<1 ml/hr) fell from 47.4% to 14%. Level 2 discrepancies (1-5 ml/hr) fell from 21.1% to 11.8% and level 3 discrepancies (>5ml/hr) fell from 15.8% to 2.9%.

Left untreated, these types of problems can result in poor customer care, longer treatment and recovery times, increased costs, and reduced profits.

*Cathy Buck RN MSN, “Application of Six Sigma to Reduce Medical Errors,” ASQ’s 55th Annual Quality Congress, Charlotte, NC, Vol. 55, No. 0, May 2001, pp. 739-742,  http://www.asq.org/qic/display-item/index.html?item=14740

How much are these problems costing you each year? Would you like to be able to cost-effectively deal with these issues and move more money to the bottom-line while also improving employee morale, customer service and customer satisfaction? Contact us!

If your business is located anywhere in the World including the US, Tucson, Oro Valley , Oracle, Phoenix, Glendale, and Scottsdale, Arizona or beyond and you would like to learn more about our Six Sigma training, coaching and support services please call Bersbach Consulting LLC at 1-520-721-2077 or SKYPE me  Now!


Toward Error Free Lab Work*:

Friday, June 26th, 2009

Bersbach Consulting LLC provides Six Sigma training coaching and support across Arizona, including the Tucson, Phoenix, Scottsdale, and Glendale areas. At this time we would like to thank our friends and clients for their support. If you have landed here looking for our Six Sigma training, coaching or support services in Tucson, then please follow one of these links  Six Sigma Online Training or Six Sigma Classroom Training.

The North Shore-Long Island Jewish Health systems were experiencing miscommunication and procedural problems in their lab work. After researching the problems and instituting new processes and procedures, the company reduced average lab test processing times enough to be able to increase processing volumes 43% without adding additional personnel.

In addition:

  • Processing and analysis error rates dropped from about 1 in 100 tests, to 1 in 300 tests.
  • Patient satisfaction ratings went up.
  • Improvements resulted in a positive financial impact of $339,000 a year due to increased revenue and cost reduction.

*Nancy B. Riebling, Susan Condon and Daniel Goprn, “Toward Error Free Lab Work”; Six Sigma Forum Magazine, (November 2004), 23, www.asq.org/qic/display-item/index.pl?item=19709

How much are these problems costing you each year? Would you like to be able to cost-effectively deal with these issues and move more money to the bottom-line while also improving employee morale, customer service and customer satisfaction? Contact us!

If your business is located anywhere in the World including the US, Tucson, Oro Valley , Oracle, Phoenix, Glendale, and Scottsdale, Arizona or beyond and you would like to learn more about our Six Sigma training, coaching and support services please call Bersbach Consulting LLC at 1-520-721-2077 or SKYPE me  Now!


Faster Lab Results Using Six Sigma and Lean*

Friday, June 26th, 2009

Bersbach Consulting LLC provides Six Sigma training coaching and support across Arizona, including the Tucson, Phoenix, Scottsdale, and Glendale areas. At this time we would like to thank our friends and clients for their support. If you have landed here looking for our Six Sigma training, coaching or support services in Tucson, then please follow one of these links  Six Sigma Online Training or Six Sigma Classroom Training.

Doctors at the Pocono Medical Center were hampered in their ability to treat patients due to not receiving lab results until late morning. Once the problem was identified, a project team outlined and implemented new procedures to speed the lab process.

Within about six weeks, doctors began to receive blood test results by 6 a.m. for critical care patients and by 7 a.m. for all other patients. Project results also extended outside of the laboratory, contributing to a decrease in overall patient length of stay for the medical center.

*Walter T. Hayes and Carmine J. Cerra, with Mary Williams, “Faster Lab results Using Six Sigma and Lean,” ASQ Making the Case for
Quality, http://www.asq.org/healthcare-use/why-quality/case-studies.html

How much are these problems costing you each year? Would you like to be able to cost-effectively deal with these issues and move more money to the bottom-line while also improving employee morale, customer service and customer satisfaction? Contact us!

If your business is located anywhere in the World including the US, Tucson, Oro Valley , Oracle, Phoenix, Glendale, and Scottsdale, Arizona or beyond and you would like to learn more about our Six Sigma training, coaching and support services please call Bersbach Consulting LLC at 1-520-721-2077 or SKYPE me. 


Faster Turnaround Time*

Friday, June 26th, 2009

Bersbach Consulting LLC provides Six Sigma training coaching and support across Arizona, including the Tucson, Phoenix, Scottsdale, and Glendale areas. At this time we would like to thank our friends and clients for their support. If you have landed here looking for our Six Sigma training, coaching or support services in Tucson, then please follow one of these links  Six Sigma Online Training or Six Sigma Classroom Training.

North Shore University Hospital in Manhasset, NY, was experiencing noticeable delays in bed assignment turn around time. This was becoming an ever-growing problem due to increased patient volumes caused by the aging of the local population.

After the problem had been identified and quantified, the Hospital set a goal to reduce the average turnaround time from 226 minutes to 120 minutes.

After an improved process was implemented, average turnaround times dropped to 69 minutes, resulting in improved patient service and satisfaction, improved employee morale, and much more efficient utilization of hospital resources.



*Angelo Pellicone, Maude Martocci, “Faster Turnaround Time,” Quality Progress, Vol. 39, No. 3, March 2006, pp. 31-36,
http://www.asq.org/qic/display-item/index.pl?item=20434


How much are these problems costing you each year? Would you like to be able to cost-effectively deal with these issues and move more money to the bottom-line while also improving employee morale, customer service and customer satisfaction? Contact us!

If your business is located anywhere in the World including the US, Tucson, Oro Valley , Oracle, Phoenix, Glendale, and Scottsdale, Arizona or beyond and you would like to learn more about our Six Sigma training, coaching and support services please call Bersbach Consulting LLC at 1-520-721-2077 or SKYPE me  Now!


What is Six Sigma

Wednesday, May 27th, 2009

Bersbach Consulting LLC provides Six Sigma training, coaching and support across Arizona, including the Tucson, Phoenix, Scottsdale, and Glendale areas. At this time we would like to thank our friends and clients for their support. If you have landed here looking for our Six Sigma training, coaching or support services in Tucson, then please follow this Six Sigma Training link.

_________________________________________

Six Sigma is a process improvement methodology that has been proven to make step function improvement in any business environment. I define Six Sigma as a 5 step process based on facts and data focused on your customer’s values to grow your business.

It is not a one time project to fix a problem. It is not a topic that you can talk to your customers about without applying it to your business. It is not a “Flash in the Pan”, “Flavor of the month” program that will go away. Six Sigma is a new way to approach your business issues. Let’s look at the three major elements of the definition.


Business Growth:

Business growth is a shift from a business without Six Sigma to one that has made Six Sigma a part of their business culture.  If Six Sigma is embraced and implemented into one’s culture you can achieve about a 20% margin improvement, 15% capacity improvement and/or a 20% capital reduction. Hard to believe?

  • The Motor Vehicle Department of the State of California reduced its check processing from 77 days to 23 days using Six Sigma methods. That means getting their money in the bank 54 days earlier than before[1].
  • Technimark Packaging, a company that packages other companies’ products for retail, was taking 3 hours to change the tooling over from one customer to another. Applying Six Sigma they got the time down to 30 minutes. Remember every minute they are not packaging customer product is a loss.[2]
  • General Electric applied Six Sigma across their company in 1997 and it delivered more than $300 million dollars in savings that year.[3]


So How Does it Work?

It uses facts and data focused on customer value.


Customer Value:

Six Sigma defines customer value as a product or service that is received by a customer at the right:

  • Location
  • Cost
  • Point in Time
  • and Functions

All of these as defined by the customer, not you. Many time we see customer value as the “functions” part only — that the product worked or the service did what is was suppose to do. But we forget that Customer value INCLUDES the delivery process that is made up of the other three items above; location, cost, and point in time.

Does the customer always know what they want? Many companies will say no but I believe that they do. An associate of mine felt that they do not know and used himself as an example. He stated that he needed to get his wife a birthday gift but had no idea what to get her. I asked him where he would go to look for this gift and he replied Target. I asked why Target and he replied because they carry a variety of things at a good cost and that his wife shops there a lot. HHHmmmm – so he had a vague idea. His basic need was a gift. But he did not know in detail what the gift should be. He also knew where she liked to shop.

Just like my associate, the customer may be not know in detail   what they want,  but they came to your company because they thought it could fill their basic need, that it had something of value that they wanted.   He walked in there vs.  a hardware store because he felt his success would be better there. If you were the Target employee you need to LISTEN to what he needs and help him find it by asking questions about his wife. You will  find out if you have something that will meet his need (customer value) or not. If you can not fill his need, you want to send him on his way and maybe help him to the right store that can fill it.

In the example above did you notice that we were talking mainly about function? But he was implying that he needed it NOW from this STORE and at a GOOD PRICE (the delivery process). What if you do not meet those other three? He’s gone most likely. Below is a Customer Value Loyalty Grid that has on the left side the product or service “Functionality” and at the bottom the delivery process.

Customer Value Loyalty Grid


If you look at your business you want it to be in the green area otherwise you are at risk of loosing your customer.


So how do I define Customer Values? There are three criteria that define Customer value an everything that is performed that adds value to the customer meets all three of these criteria. The are:

  1. Does the customer care about it? (Is the customer willing to pay for it to be done)
  2. Does the activity physically change the item? (in a service environment it could be that a form is filled in)
  3. Is it done right the first time? Customers are not willing to pay for “redo’s”.



Based on Facts and Data

Six Sigma uses facts and data to understand, reduce and control variation in your business processes, variation that you now compensate for which cost you money. An Experienced employee, even you, can look at simple problems and solve them 80% of the time but when the problem gets to be complex your experience will only solve it about 20% of the time. In Six Sigma we say “GEMBA” (Go See) go out on the floor (office business, or production) and collect real data on how things are done. You will be amazed as to the difference between what you thought and what is really happening. There is variation everywhere. To reduce it or eliminate it your first have to understand it. Understanding and addressing variation helps you predict outcomes that you had to compensate for before; outcomes that impact your customer needs. In Six Sigma we collect these facts and data on the variation to come up with conclusions by seeing the patterns in the shifting (variability) of the process.



[1] 56th AQC – Ron Bane Leading Edge Quality Approaches in Service, Education, Shipping, Government Non Manufacturing Organizations


[2] 56th AQC – Ron Bane Leading Edge Quality Approaches in Service, Education, Shipping, Government Non Manufacturing Organizations


[3] General Electric 1997 Annual Report


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Peter Bersbach
Six Sigma Master Black Belt
http://sixsigmatrainingconsulting.com
peter@bersbach.com

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6 Sigma Cost Benefit Analysis

Friday, May 22nd, 2009


This is a feature that we are implementing with each post. It is here because we provide Six Sigma training coaching and support across Arizona, including the Tucson, Phoenix, Scottsdale, and Glendale areas. At this time we would like to thank our friends and clients for their support. If you have landed here looking for our Six Sigma training, coaching or support services in Tucson, then please follow this Six Sigma Training link.

Cost Benefit Analysis Article

Someone asked me for information on Cost Benefit Analysis as to how to implement this in a software project and analyze results.

Cost benefit analysis is the same for any type of project (i.e. Mfg. Process, Service Process, or Software project).  This Analysis can be used at any point in a project and I’d recommend that you do it at the very beginning and then update it at the completion of every step of the DMAIC process. In the “Define” step of the DMAIC process almost all the numbers will be estimates but I’d have a person from finance validate your estimates. That said what do you do?

1.      This all does start in Define where you put together your project charter. In the charter you will define several things that will be associated with Costs. Things like:

  • Project Schedule – Defining each step of the DMAIC processes Start and finish date.
  • Project Team members and the time they will spend on the project.
  • Other Resources: (materials, equipment, floor space, etc.) that at this time you think you might need to complete this project.

2.      Next, from the project charter again, what are the benefits? Now in that charter you will list the benefits but you also need to list the metric that will show the benefit improvement.

  • % decrease in bugs/errors
  • Faster speed
  • New Features
  • Easier customer use

3.      Now you need to convert these to $$$. This is where your team comes in. Team members (which should include a financial person) know best how these translate to $$$. For instance (I am not a Software Expert by any means):

  • Decrease in bugs could translate into a decrease in unhappy Customer calls to Tech support. This decrease the time the company spends on answer these complains. That is $$$ spent on support personal.
  • Faster speed translates into increase performance which increases customer satisfaction. That could translate into increase sales from loyal customers telling friend about the products performance.

4.      Now we go back to the charter and what does management want as a return on their investment and how quickly.

5.      Once you have all of that you can build a excel Spread sheet to see, and track, your projects performance. In excel there are functions for the NPV & IRR listed below.

 

Years

Costs

Benefits

Net

1

($10,000.00

$00.0

($10000.00)

2

$0.00

$2000.00

$2000.00

3

$0.00

$4000.00

$4000.00

4

$0.00

$4000.00

$4000.00

5

$0.00

$4000.00

$4000.00






Return wanted=

6%



Net Present Value

(NPV)=

$1861.92



Internal Rate of

Return(IRR)=

14%


 

Now you can see in the example that our expected rate of return is 14% which is higher than what management wanted which was 6% Note the Financial person can help you do the numbers the way your companies management understands them. The hard part is working the costs and benefits out to values everyone will agree to. I’d be conservative at first. By in the end you your results will look much better.

If your business is located anywhere in the World including the US, Tucson, Oro Valley , Oracle, Phoenix, Glendale, and Scottsdale, Arizona or beyond and you would like to learn more about our Six Sigma training, coaching and support services please call Bersbach Consulting at 1-520-721-2077 or SKYPE me  Now!

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