quality methods

Quality Methodologies for Healthcare

CA Ravikumar PCA Ravikumar P

Bio Vedas

Entrepreneur’s Perspective

Simple InterestSimple Interest

Compound Interest

Compound Interest

Simple InterestSimple Interest

Compound Interest

Compound Interest

Bio VedasBio Vedas

In Search of Excellence

Theory Of Constraints

Six Sigma

• Improving Quality

Lean

• Removing Waste

Constraints

Bio VedasBio Vedas

Management Problem of

M

21st Century

Doing Workers

to

Thinking workers

Bio VedasBio Vedas

University

Common Management Issues

Common to Management

HospitalOrchestra

Bio VedasBio Vedas

CAVE People

Citizens Against Virtually Everything

Why Monitor Quality?

Men are innovative enough

to find

Bio VedasBio Vedas

to find

more ways to fail

than succeed

All work is a process . . . this is true of a hospital too!this is true of a hospital too!

Bio VedasBio Vedas

The Link

between complex customer needs and critical internal process elements

designed to achieve them

Bio VedasBio Vedas

Quality Methods are the synapse connecting all connecting all

silos of process excellence

Bio VedasBio Vedas

Quality is an essential pre requisite of every product &service.

Fundamental Premise

Not an achievement to be displayed and celebrated

Bio VedasBio Vedas

What do Customers want?

Quality - VFM not Six SigmaQuality - VFM not Six Sigma

Cost - affordable not cheapestCost - affordable not cheapestCost - affordable not cheapestCost - affordable not cheapest

Safety - pragmatic Not fool proofSafety - pragmatic Not fool proof

Efficiency - acceptable Not 100%Efficiency - acceptable Not 100%

Outcome - Measurable & transparent not transient emotion

Outcome - Measurable & transparent not transient emotion

Bio VedasBio Vedas

Sad, Glad or Mad ? !

How is he seen

How is he seen

How is he heard

How is he heard

How his needs are

met

How his needs are

met

What is the

outcome

What is the

outcome

Bio VedasBio Vedas

Health Care

The World’s The World’s Biggest Industry

Bio VedasBio Vedas

The Industry with with

maximum Wastage

Bio VedasBio Vedas

Battle of the Bulge

What is Lean?

Bio VedasBio Vedas

Central Central Adiposity

Eliminate or Reduce Middle Management

Bio VedasBio Vedas

• Reduction in Usage of

Space

Cost & TAT

Staff

Bio VedasBio Vedas

It is just not cost reduction.

It is It is improvement in

process

Bio VedasBio Vedas

Lean means

• Tools & Techniques that

– Optimizes Time Utilization

– Enhances productivity of Human Resources

– Optimizes Asset Utilization

– Increase Overall Productivity– Increase Overall Productivity

– Improve Quality

– Improve Service

– Improve Outcome

Bio VedasBio Vedas

Lean Doctor is an Doctor is an Oxymoron

Bio VedasBio Vedas

Pa

tie

nt

Pro

ce

ss

Pa

tie

nt

Pro

ce

ss

Bio VedasBio Vedas

Space Management – Functional Design

Bio VedasBio Vedas

Staff Travel Time for Time for Patient

Processing

Patient Process

Home to Home

Diagnostic Process

Outcome Monitoring & Management

ProcessProcess

Treatment Process

Support Process

Management Process

Bio VedasBio Vedas

Cross Cross Training

Underemployment of manpower is the bane of industry

Bio VedasBio Vedas

QC needs Clinical Data and that is not

available in hospitals

IT Blanket is the solution

Manufacturing

Service

Bio VedasBio Vedas

Six sigmaBalance Score Card

Lean Management

MBO

MBE

Black Belts Six Sigma MBE MBO ISO Kanban 5S BSC DBM VSM

Kaizen Muda

TOC

Dash board MgtMBO

Customer Delight

Spirit of Lean Six Sigma is more important than the rituals of Lean

“TRYSTORM”“TRYSTORM”

Don’t keep brainstorming

Bio VedasBio Vedas

Get IT Right

Get IT Right

Right Process

Right People

Right Consultant Right

Communication

Right Leadership

Taste of your own medicine

..Doctor Doctor Doctor

Dialing a Call Center

Doctor Dialing a

Call Center

Customer Waiting in a

Clinic

Customer Waiting in a

Clinic

Bio VedasBio Vedas

Thank You

md@biovedas.commd@biovedas.com

Best Quality Methodology

Get IT Right

Right Process

Common Sense

Right People

Common Sense

Customer not Patient

Bio VedasBio Vedas

Biz Consultants need to coach

the entire the entire manpower

Top to Bottom

Bio VedasBio Vedas

Chronic Care

& &

Day Care

Bio VedasBio Vedas

Personality Driven Driven

Industry

��������������������������������

Free Pizzas

if not delivered in 30 minutes

Free Consultation if Doctor does not meet Patient within 15 minutes of

appointment

Bio VedasBio Vedas

SCM SCM Digitized

EcosystemDigitized

Ecosystem

Complete Value Chain

Complete Value Chain

SCM

To

CRM

SCM

To

CRM

Bio VedasBio Vedas

Educate and Empower

In a Diabetes clinic customers are made to sit and stand for 28 times every visitIn a Diabetes clinic customers are made to sit and stand for 28 times every visit

The Sit Stand Drill

Bio VedasBio Vedas

More Useful for small clinics, nursing small clinics, nursing homes family owned business rather than big hospital chains

Bio VedasBio Vedas

ChanakyaThe Original The Original

Author of Lean Management

Bio VedasBio Vedas

End to End Patient Patient

Journey -TAT

Bio VedasBio Vedas

Standards & Protocol & Protocol

Based

Bio VedasBio Vedas

Capable of Automation Automation IT Integration

Bio VedasBio Vedas

Computers are Digital Digital

Kaleidoscopes

Bio VedasBio Vedas

Outcome Outcome Measurement

Bio VedasBio Vedas

* Bio Vedas saved 23 % of diagnostics cost

* 180 employees to 26 staff

* Increase in patients by 2.5 times * Increase in patients by 2.5 times

* Velocity of patients from 1.2 to 3 .8 times

Bio VedasBio Vedas

Bio Vedas can save a minimum of 15 % of opex in 95 % of labs in India.of opex in 95 % of labs in India.

Bio VedasBio Vedas