quality methods
DESCRIPTION
Various Quality Tools and Methods which can be employed in Healthcare by CA Ravikumar.P Biovedas Consultancy P Ltd.TRANSCRIPT
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
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In Search of Excellence
Theory Of Constraints
Six Sigma
• Improving Quality
Lean
• Removing Waste
Constraints
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Management Problem of
M
21st Century
Doing Workers
to
Thinking workers
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University
Common Management Issues
Common to Management
HospitalOrchestra
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CAVE People
Citizens Against Virtually Everything
Why Monitor Quality?
Men are innovative enough
to find
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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!
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The Link
between complex customer needs and critical internal process elements
designed to achieve them
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Quality Methods are the synapse connecting all connecting all
silos of process excellence
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Quality is an essential pre requisite of every product &service.
Fundamental Premise
Not an achievement to be displayed and celebrated
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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
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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
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Health Care
The World’s The World’s Biggest Industry
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The Industry with with
maximum Wastage
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Battle of the Bulge
What is Lean?
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Central Central Adiposity
Eliminate or Reduce Middle Management
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• Reduction in Usage of
Space
Cost & TAT
Staff
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It is just not cost reduction.
It is It is improvement in
process
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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
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Lean Doctor is an Doctor is an Oxymoron
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Pa
tie
nt
Pro
ce
ss
Pa
tie
nt
Pro
ce
ss
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Space Management – Functional Design
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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
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Cross Cross Training
Underemployment of manpower is the bane of industry
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QC needs Clinical Data and that is not
available in hospitals
IT Blanket is the solution
Manufacturing
Service
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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
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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
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Best Quality Methodology
Get IT Right
Right Process
Common Sense
Right People
Common Sense
Customer not Patient
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Biz Consultants need to coach
the entire the entire manpower
Top to Bottom
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Chronic Care
& &
Day Care
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Personality Driven Driven
Industry
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Free Pizzas
if not delivered in 30 minutes
Free Consultation if Doctor does not meet Patient within 15 minutes of
appointment
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SCM SCM Digitized
EcosystemDigitized
Ecosystem
Complete Value Chain
Complete Value Chain
SCM
To
CRM
SCM
To
CRM
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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
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More Useful for small clinics, nursing small clinics, nursing homes family owned business rather than big hospital chains
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ChanakyaThe Original The Original
Author of Lean Management
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End to End Patient Patient
Journey -TAT
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Standards & Protocol & Protocol
Based
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Capable of Automation Automation IT Integration
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Computers are Digital Digital
Kaleidoscopes
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Outcome Outcome Measurement
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* 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
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Bio Vedas can save a minimum of 15 % of opex in 95 % of labs in India.of opex in 95 % of labs in India.
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