1. Track x – xxx day –
Title: MEPRS Tools: Six Sigma MEPRS Management Metrics (S2M3) Speaker: Dee Baker
Session: M and M

2. Objectives
Describe the origin and goals of Six Sigma
Identify how Six Sigma is used in healthcare
Understand and correctly interpret the S2M3 tool
Understand how individual MTF characteristics can affect its position among its peer group/cohort
Learn how to use the S2M3 to locate opportunities for implementing Six Sigma programs

3. Origin and Goals

4. Origin and Goals Six Sigma in Healthcare:
Using Lean Six Sigma, Morton Plant Hospital in Clearwater, Florida, improved patient satisfaction over 50%, reduced emergency department length of service by 21%, and recovered over $4 million in cost of quality (aka rework)
Kaiser Permanente Colorado used Lean Six Sigma to evaluate and improve Medicaid enrollment processes. A three-month project resulted in a 45% gain in Medicaid membership while increasing Medicaid revenue by more than $1 million annually
The Nebraska Medical Center used Six Sigma to improve the completeness and availability of physician orders for patients; the project occurred within a Six Sigma program that has returned about $7.5 million in savings

5. Control Panel

6. Control Panel – S2M3 User Notes

7. Control Panel – Peer Groups

8. Executive Summary

9. Z-Score
Mean/Avg
Mean minus 1 St Dev
Mean plus 1 St Dev
The Bell Curve

10. S2M3 Metrics 10

11. S2M3 Metrics

12. S2M3 Graphs

13. S2M3 Graphs

14. S2M3 Graphs
Madigan
[2]
[1]
For a little over 950,000 scripts, we would expect the expenses to be around $9,000,000 [1] but at Madigan for the same number of scripts, the expenses are around $11,500,000 [2].

15. General Conclusions
OCONUS is more expensive than CONUS
Facilities with a military mix are more expensive than those with contract or civilian personnel
Hospitals or clinics with greater volume of workload fare better
Inappropriate cost allocation drives cost results
Non-reporting of borrowed labor drives results

16. Analysis
There are basically two values in play for each metric that requires analysis. In this case, they are Available FTEs and Pharmacy Weighted Procedures

17. Available FTEs

18. Pharmacy Weighted Workload (aka Scripts)

19. Pharmacy Raw Workload

20. Six Sigma is a quality process
Summary
Track x – xxx day –
Six Sigma is a quality process
Six Sigma MEPRS Management Metrics is a tool that can be used to identify areas where a Six Sigma process improvement plan can be implemented
The Executive Summary is a good place to begin the exploration
There are basically two components to each metric. Look at the components separately to determine where the issue may lie
Use data sources like the EAS IV Repository, MEWACS, and CCR to isolate issues

21. Q&A
Track x – xxx day –
Questions?