1. Presented by Kara R. Flickinger, RN

2.  Describe content of Lean Six Sigma  Describe & evaluate implementation of Lean Six Sigma in nursing.  Evaluate the goals of lean six sigma.  Describe the software instituted in assisting with Lean Six Sigma.  Assess role of nursing informatics with Lean Six Sigma.  Examine ethical and legal issues related to Lean Six Sigma.  Evaluate advantages and disadvantages of implementation of Lean Six Sigma and nursing.  Understand competency level of Informatics Nurse.  Review of systematic evaluation of Bed Management & Lean Six Sigma.  Review of system criteria.

3.  Lean - Doing things rapidly and reducing wait times.  Six Sigma- A problem solving method, focusing interest on completing tasks right the First time.  Lean Six Sigma- Utilizing a problem solving method focusing on rapid implementation of tasks correctly initially, while reducing wait times. (Six Sigma Introductions, 2009)

4.  Strictly focused on customers and their expectations of hospitalization while valuing their opinions.

5.  Operational Guidelines of Lean Six Sigma:  Evaluates facts, data and statistical analysis to manage, improve and re-invent processes to ultimately improve patient care.  Provides an organizational approach focusing on patient’s values while serving the customer’s needs.  Goal: Reduce hospital length of stay (LOS).

6.  Lower patient’s length of stay  Improving patient’s flow through facility  Increase margins (profit)  Increasing hospitalized patient volume  Offering a restrictive lack of resource to do all the above

7.  Personal Computers  MAC  Apple  Blackberry (if internet is provided)

8.  Hard drive requirements:  Pentium 386  1.0 GHz Pentium processor  Windows 97 (minimum requirement)  Thumb drive **Laptops and/or notebooks are preferred for group training and project sessions** (Sigmasoftwaretools, 2009)

9.  Best Practice Roadmaps  Project Workspace  Sigma Works  Risk Wizard (www.sigmaflow.com)

10.  Software tools include:  Project charter  Financial analysis  Responsibility grid  Cause and effect Matrix  Queuing analysis  Data analysis (www.Sigmaworks.com)

11.  Benefits of Sigma Works:  1. Provides rich feature set  2. Allows for seamless integration of tools  3. Simplest and easiest solution to the market (www.Sigmaworks.com)

12. Team MembersGreen BeltsBlack Belts MasterChampion

13.  Bed Management of Hospital Admissions & Discharges:  Goal: Decrease patient wait time for admission by facilitating a process for admissions as well as discharges.  Goal: Maintain patient focused care.

14.  Information System:  Administrative & Nursing  IS user & performance:  Physicians, Nurses, Unit Secretaries  IS configuration:  Workstation & Stand Alone  Data Standards:  American National Standards Institute  Nursing Information System:  Nursing Intervention & Nursing Outcome

15.  Privacy Protection of patients  Computing accurate data  Comparing data with supportive information to facilitate changes (Informatics Specialist, 2009)

16.  Design projects to enhance patient care  Methodology using new organizational methods to improve quality of care yet, reduce costs (Informatics Specialist, 2009)

17.  Outsourcing projects  Quality of standards devised by a process not reviewed by staff nurses  Standardization of projects limits creativity among process ( Informatics Specialist, 2009)

18.  Serve as a liaison between the clinical nurse and the information nurse  Implement and maintain training for Millenium, power chart, Order management, Clinical documentation as well as Power chart Office  Table and profile building (Informatics Specialist, 2009)

19.  Clinical Hours  Minimum of 500 hours during course of study  Minimum of 30 hours CEU per two years  Educational Level  Preferably MSN  Host Educational Programs (Nursing Informatics, 2009)

20.  Lean Six Sigma-- Utilizing a problem solving method focusing on rapid implementation of tasks correctly initially, while reducing wait times  Goals of Lean Six Sigma:  Lower patient’s length of stay  Improving patient’s flow through facility  Increasing hospitalized patient volume  Offering a restrictive lack of resource to do all the above

21.  Advantages of Lean Six Simga: Shorten patient’s LOS  Disadvantage of Lean Six Sigma: Limited ability for changes  Informatics & Nursing:  Liaison between the clinical nurse and information nurse

22.  Bed Management—Decreasing Bed Turn Around Times by 30% http://www.sixsigmasystems.com/healthcare/casestudy-bed- management.htm  Informatics Specialist (2009). www.informaticsnurse.com/forums/informaticswww.informaticsnurse.com/forums/informatics  Nursing Informatics (2009). www.himss.org/ASP/topics_nursingInformatics.aspwww.himss.org/ASP/topics_nursingInformatics.asp  Sigma Breakthrough Technologies (2009). APA Reference Retrieved June 6, 2009 from http://www.sbtionline.com/YourMarket/SixSigmaForHealthcare.php http://www.sbtionline.com/YourMarket/SixSigmaForHealthcare.php  Six Sigma: Introduction, Retrieved August 2009. www.angelfire.com/planet/lean- manufacturing/six_sigma.htm  Six Sigma Software Tools, retrieved June 2009. www.articlesbase.com/management- articles/sixsigma-software-tools-22819.html.www.articlesbase.com/management- articles/sixsigma-software-tools-22819.html  SigmaWorks, retrieved June 2009. www.nextsimga.com/SigmaWorks_Overview_six-sigma- software.aspxwww.nextsimga.com/SigmaWorks_Overview_six-sigma- software.aspx  Sigma Flow, retrieved June 2009. www.sigmaflow.com/solutions/sixsigma.html