Why This Book? xAbout the Authors xiList of Stories, Examples, Exercises, and Case Studies xiiiAbout the Companion Website xvPart I The Basics 1Chapter 1 The Problem with Healthcare 3Chapter 2 We Need to Improve the Way We Improve 11Part II The First "R": The Right Project 21Chapter 3 The Project Selection Process 23Chapter 4 Frame Your Challenge: The Problem Statement and Charter 36Part III The Second "R": The Right People 45Chapter 5 Don't Go at It Alone: Find a Primary Sponsor 47Chapter 6 Organize Your QI Team and Select the Team Leader 51Part IV The Third "R": The Right Problem 61Chapter 7 What is the Scope of the Project? The SIPOC Diagram 63Chapter 8 Who Are the "Customers," and What Do They Need? 68Chapter 9 Who Are the "Stakeholders," and What Challenges Do They Have? 81Part V The Fourth "R": The Right Cause 87Chapter 10 To Understand a Process, You Need to "Go See" and Create a Map 89Chapter 11 Get a Quick Win: Identify and Eliminate "Waste" 109Chapter 12 Measure What Matters: Choose the Right Project Metrics 124Chapter 13 Practicalities for Planning and Collecting Baseline Data 137Chapter 14 Define Baseline Performance: Is the Process "Stable"? 147Chapter 15 Tools to Characterize the Type of Variation: The Run Chart 176Chapter 16 Tools to Characterize the Type of Variation: The Control Chart 186Chapter 17 Define Baseline Performance: Is the Process Capable? 207Chapter 18 How to Identify and Prioritize the Most Likely Cause of the Problem 222Chapter 19 Before Proceeding, Confirm the Cause-and-Effect Relationship 242Part VI The Fifth "R": The Right Solution 253Chapter 20 Develop and Prioritize Your Improvement Ideas 255Chapter 21 Test the Effectiveness of Your Ideas with a Pilot 280Chapter 22 Improve "Flow" and Work Conditions 288Chapter 23 Now Roll-Out Your Improvement Ideas and Make Them "Stick" 310Part VII Additional Things You May Need to Know 331Chapter 24 How to Prepare and Conduct a Tollgate Review 333Chapter 25 How to Communicate Effectively to Engage the Frontline 339Chapter 26 How to Lead an Effective Team Meeting 354Chapter 27 How to Help Your QI Team Become a High-Performing Team 369Chapter 28 Steps and Strategies to Effective Decision-Making 393Chapter 29 What Neurosciences Can Teach Us to Motivate People to Change 403Chapter 30 How Does it All Fit Together? The MRI Suite at St. Mary's Hospital 421Appendix 449Appendix I Common Improvement Tools and Techniques 451Appendix II Glossary of Improvement Terms 457Appendix III Additional Resources 460Index 463
Richard J. Banchs, MD is a board-certified Pediatric Anesthesiologist and the Associate Head for Quality and Safety for the Department of Anesthesiology at the University of Illinois Hospital, Chicago. Dr. Banchs is a Lean Six Sigma Black Belt and Change Management Experienced Practitioner and has served as the Senior Director of the Organizational Process Improvement office at UIC. He is the creator and director of the QI Project Bootcamp: an intensive three-day course that serves the learning needs of the UIC Hospital community of providers and staff.Michael R. Pop, SSMBB, MBA is the Director of Business Process Improvement for the Omron Automation Americas group and a Senior Member of the American Society for Quality (ASQ). He has assisted multiple Hospitals and Clinics implement Lean Six Sigma Operations and coached and mentored numerous healthcare leaders in the use of Statistical Process Control techniques.