A Roadmap to High Reliability Using Lean, Six Sigma, and Change Leadership
1. Auflage 2012,
320 Seiten, Kartoniert, Format (B × H): 178 mm x 254 mm, Gewicht: 634 g
Verlag: Productivity Press
Morrow Utilizing the 3Ms of Process Improvement in HealthcareUtilizing the 3Ms of Process Improvement in Healthcare supplies step-by-step guidance on how to use the 3Ms of change leadership to improve healthcare processes. Complete with forms, templates, and healthcare case studies, it illustrates the proper application of the 3Ms. It weaves stories throughout the book of role models who have succeeded, as well as some who have failed. It identifies the specific elements that were missing or defective in the failed attempts to teach readers about how the three elements work together.
Arming you with a culture change method that is based on changing behaviors, it provides a leadership and management guide to achieving your objectives. The 3Ms have worked for Ben Franklin, Abraham Lincoln, and the author’s teams across the globe. Now, with this book, you can put the power of the 3Ms to work for you in your quest towards improving processes, providing better care, and reducing costly errors.
The author encourages reader interaction and feedback on his website: www.rpmexec.com. He also provides you with access to the forms and templates described in the book.
Healthcare and Hospital Executives - CEO and other C-level administrators, Chief Medical Officer and other clinical quality leaders; hospital department leaders including VP of Process Improvement; VP of Ancillary Services; VP of Quality; directors and managers involved in process improvement initiatives; directors and managers involved in patient safety and quality initiatives; hospital board members; education programs including Masters of Healthcare Administration and other academic programs.
Weitere Infos & Material
Overview of Process Improvement and the 3MsOutcomes Are the Result of ProcessesPerformance Excellence3Ms for Process Improvement Measure Manage to the Measure Make It EasierWe Need All Three Ms to Sustain the ImprovementsThe Science of Process ImprovementQuality Foundational Process Improvement ToolsProductivity Process Improvement ToolsChange LeadershipCase Study in Process Improvement Utilizing the 3Ms for Process Improvement3Ms, Scientific Methodology, Change LeadershipKey PointsNotes
Change LeadershipWhat Is Change Leadership? Change Management? How Do They Differ?The Need for Leadership in Change: A Case Study in HealthcareToo Many Examples of Not Leading Change WellManagement and Leadership: "Scientific ManagementPerfect Example of Scientific Management"Definition of Manager and LeaderWhat Happens When There Is No Leader?Leadership Principles Abraham Lincoln on Leading Change Abraham Lincoln’s Principles of Leadership Leading Change to a Slave-Free AmericaHealthcare’s Change LeadersWalking the TalkDefinition of Common Terms across MethodologiesKey PointsNotes
Resistance to Change and Process ImprovementForces against Change: Resistance, Time, Natural LawsA Quick Win against ResistanceRole of the Change LeaderA Policy of Change and Continuous ImprovementPiloting ChangesWhat Can Happen if Change Is Not Piloted FirstBalancing Change and ContinuityThe Emancipation ProclamationWhat Happens When One or More of the Ms Is Missing? Dr. Semmelweis and Washing Hands: The Right Change, but. Why Is Change Needed in Healthcare? Semmelweis Dies and So Did His ImprovementForcing Does Not Always WorkThe Force of ResistanceBen Franklin, Electricity, and Change LeadershipPrinciples of Electricity Explain Resistance to ChangeWhat You Cannot See Can Hurt YouUsing Resistance to Help Lead ChangeElectricity and Forcing Change Can Be DangerousGetting Change to FlowThe Resistance to Change Can Vary within the Same PersonResistance between Two BodiesResistance at HomeKey Points
Process Improvement MethodologiesOverview of the Most Popular MethodologiesYou Need at Least One Recipe and Do Not Forget a "Heaping Tablespoon" of Change LeadershipWhich Recipe Delivers the Culture and Change Leadership Skills?Work with Toyota and for MotorolaMotorola and Toyota Use Lean and Six Sigma Tools and ConceptsPDSA and PDCA Compared to Six SigmaAll Good Methods Analyze for Root Causes before SolutionsCase Study of Sterilized Instrument Processing A "Milk Run"Cross Reference of PDSA, Six Sigma, Lean, Change LeadershipHuman Factors and Ergonomics in Process ImprovementCase Study: Human Factors Added to Lean Six Sigma?Hand Hygiene Change Leadership IssueFailure to Engage Others with the MeasureBaseball and Managing to the MeasureMeasures for Research PurposesMeasures for Process Improvement PurposesCedars-Sinai Using Measure and Manage to the MeasureKey PointsNotes
Roadmap for Process ImprovementIntroductionStart the Journey on Main StreetLet Us Start on Our JourneyPossible ShortcutPrepare for ChangeTrainEnvision Articulating a Vision Elements in a Vision Statement Try Out Your Vision Statement How Does One Communicate the Vision?Abraham Lincoln’s VisionAdvocate a Vision and Continually Reaffirm It For Whom the Bell TollsEngageEnable Quality Circles Enabling during the Recession of the Early 1980s Assumptions and DecisionsEmpowerKey PointsNotes
Chartering the Process Improvement WorkThe CharterNo Charter? Big Problem Sharing Findings before Departing Clear Definition of the Issue and What Was to Be Measured Are Key The Final Report and SurpriseThe Charter Template The Issue Statement The Measures or Metrics Outcome and Process Measures GoalsProgressive Goals and Successive Successful ApproximationsMeasures and Goals to Build a Safer CultureHold Off on Financial Metrics Until Scope the WorkCharter "Signatories" SponsorChartering Is IterativeSign the CharterKey PointsPracticing Skills: CharteringNotes
Stakeholder AnalysisPurpose of Stakeholder AnalysisCase Study in Stakeholder AnalysisMission and Values of the OrganizationStakeholdersOverview of the SHAMeasuring the Gap: The Level of ResistanceThree Stakeholder Analysis Scenarios to Know Up Front for Your StrategyDesigning the "Circuit" to Achieve Flow and Manage ResistanceDifficult to Be PerfectThem Is Us EventuallyStarting a New ClinicTime to Assess Each Stakeholder’s Buy-inKey PointsNotes
Finding the Root Causes, Improving, and ControllingExplore TogetherDoctor Livingstone, I Presume?Explore Together with Empathy and PatienceBuilding the TeamCase Study: Patient Feeds Go Missing Work-Arounds in the "Factory of Hidden Defects" Exploring Using the "Five Whys"Explain Experiment Explore Brainstorming for Solutions Building Consensus Resistance Additional Benefits from the Process ImprovementTrain, Enable, Empower, Hold Accountable Training in the Improvements Case Study: Enabling and Engaging the Customer in the Process There Are Good Times, and There Are Bad Times Enable Empower Hold AccountableTimes Not to Speak Up? Key PointsNotes
Utilizing the 3Ms: Measure, Manage to the Measure, and Make It EasierIntroductionMeasurePracticing MeasureManage to the MeasureMake It EasierVisual ManagementMeasuring ExampleManaging to the Measure ExampleMake It Easier ExampleTakt Time: A Measure of the Pace Needed to Meet Customer DemandMeasuring: The Most Important MApplying the First of the Three Ms and Seeing the Value Setting Up Your Experiment Measuring the Baseline Statistical Process Control Charting: Turning Data into Information Sample Size Hand Hygiene and the 3Ms Ready to Observe Alternative ExperimentThe Hawthorne EffectDesire to Increase ProductivityUtilizing the 3Ms by Changing the Measure Incentive Piecework as a Measure More on the Perverse Incentive MeasureFrench Restaurant DiningThe Hawthorne Effect RevisitedCase Study in Timeliness in Sharing the MeasureKey PointsNotes
What to MeasureIntroductionHidden Factory of Rework and Swiss CheeseGetting Started: Preparing for Change, Chartering, and Stakeholder Analysis Case Study: 3Ms Improving Surgical Safety The Measure Is Invented Measuring the Errors to Reduce the Risk of Wrong-Site SurgeryMeasuring the Quality of a DecisionPracticing Measuring SetupA Change in One Area May Affect Other Areas Inventory ManagementBalancing Metrics, Be Careful What You Measure!Measure What the Customer MeasuresBase the Measure on Correlation with the OutcomeHigh-Reliability Organizations: What Do They Measure?A Safety Culture and How to MeasureMeasuring the Inputs versus Just the OutcomesMeasuring the CultureKey PointsNotes
Measure Risk to Achieve High ReliabilityIntroductionThe FMEA Form The Process Step or Design Function Input, Failure Modes, Effects, Causes, and Scoring of Risk Existing Controls Risk Priority NumberOne FMEA Every Eighteen Months Sends the Wrong MessageFMEA for Information Technology Data Can Be a Component in Today’s High-Tech Equipment But There Never Has Been an FMEA on Data ComponentsFMEAs Do Not Always Prevent Catastrophic FailureLesson of 3Ms: Must Manage to the Measure, Not Just MeasureFacilitating an FMEAKey PointsNotes
Measurement as a SystemOverviewMeasurement as a SystemMeasuring the Quality of a Measurement System (Measurement System Analysis)Qualities of an Acceptable Measurement SystemMeasuring the Quality of a Measurement System: A Measurement System Analysis Accuracy and Precision Accuracy Precision Repeatability ReproducibilityDesigning a Measurement SystemPerforming a Measurement System AnalysisMSA Can Be Really EasyMSAs Are Critical in Utilizing the 3MsInaccurate Measurement Systems Can Lose You CustomersA Measurement System Using Actual Data by Surgeon and by ProcedureDrawdownMeasurement Systems that Add No Value to the ClientCalibrating a Measurement SystemCategories and Types of DataChecklists as Measurement SystemsGranularityDiscriminationOverview of Performing a Gauge R&R StudyMSA for Blood Pressure ReadingMSA for Attribute DataAttribute Agreement Analysis The Soft Drink Challenge with AAAStabilityLinearityOverview of MSA for Continuous Data and High Granularity Gauge Repeatability and Reproducibility Example of a MSA and Steps Precision to Tolerance (%P/T) Knowing Good from Bad Percentage Precision to Total Variation (%P/TV) Percentage ContributionSampling Should I Measure 100% or Sample?Sampling QualityKey PointsNotes
How to Share and Communicate MeasurementsChartingPareto ChartsPareto Analysis to Reduce ResistanceAsk Why Five TimesStatistical Process Control (SPC) Charts May 1924 High-Reliability Organizations and SPC The "Swiss Army Knife" for Process Improvement Components of the Control ChartControl and Out of ControlCase Study: Ambulatory Surgical Center Wait TimesInterpreting SPC ChartsReliability and SPCSPC Is Often Preferred in Managing to the MeasureProve Change Really OccurredChange Management without SPC?Frontline Workers Have Been Using SPC Since the 1920sRun ChartsMeasuring Common Healthcare MeasuresKey PointsNotes
3Ms: Manage to the MeasureThe ScoreboardVisual ManagementWhat to Expect Short and Long Term from MeasuringInstructing and CoachingTraining within Industry Job Instructions Job Methods Job Relations Program DevelopmentStandard Work to Manage to the MeasureCoaching Is Key in Managing to the MeasureCoach’s PlaybookKey PointsNotes
3Ms: Make It EasierPerformance Improvement Makes It Easier to Change The "Laws" in Change Leadership Case Study: Nurses Spending Time with Patients Job SatisfactionMaking Change Easier Is What We Need to DoSatisfaction and Loyalty Measurement Explain Experiment, Explore, Build ConsensusChoosing the Best Countermeasures Piloting and Choosing the Best Countermeasures Piloting to See if the Measure MovesTrain, Enable, Empower, and Hold AccountableMindfulness and ControlMindfulnessCommitment to ResilienceCase Study: Penn Medicine Utilizing the 3MsSPC Making It EasierKey PointsNotes
High ReliabilityIntroductionCase Study: SKF High-Reliability Program Number 1 High-Reliability Program Number 2 The Products Surrounding the Variation Scrapping versus Inspecting Utilizing the 3Ms in Zero Defects and SWOC Program 3: Building a Safety Culture2 A Story of a Seal and Its GreaseChange Is Not Always Easy, Except Stakeholder Analysis Revisited for Making It EasierDesigning an Experiment Should Start with the People Doing the WorkKey PointsNote
SummaryUtilizing the 3Ms Is the AnswerMistake-Proofing?Mistake-Proofing Promotes Defect Prevention versus DetectionTypes and Levels of Mistake-Proofing DevicesStart with Failure Modes and Effects Analysis, Then Mistake-Proof the High Risks Errors Cause Defects Human Error Drives the Need for Mistake-ProofingMistake-Proof ApproachesTrain, Engage, Enable, and Empower the People Doing the WorkControl PlansLast and Definitely Not Least: Reinforcing Continuous Process ImprovementKey PointsNotes
Appendices:Roadmap for Performance ExcellenceProcess Improvement Foundational ToolsThe Emancipation ProclamationCharter TemplateStakeholder Analysis TemplateHand Hygiene Data Collection SheetHand Hygiene Compliance Chart for PostingMeasure Data Collection ToolFMEA Severity, Occurrence, Detection TablesThe Soda Drink Challenge to Learn Attribute Agreement Analysis