All Features
Dirk Dusharme @ Quality Digest
All the talk of health care reform has resulted in many hospitals turning to lean Six Sigma to help improve efficiency and aid in cost cutting. However, health care efficiency expert Ron Wince contends that many of these facilities are not applying the tools properly and therefore will not reap…
Matthew J. Savage
As companies downsize, they cut down on the number of employees, or move, or close, and thousands find themselves without jobs in a highly competitive job market that they never anticipated. A 55-year-old former NCR systems engineer is in line for jobs along with whiz-bang new college graduates,…
The Un-Comfort Zone With Robert Wilson
“Writing is not a job; it’s a hobby!” thundered my father when I told him my plans for college. “You need to get a profession: Medicine, law, engineering, or accounting.”
I cheerlessly acquiesced and enrolled in a pre-med program, but at the end of my first year, after struggling through…
Chris Hardee
As moviegoers, we have all seen a wide range of animation—from early Disney features, such as “Snow White,” to Japanese anime, and Pixar’s “Toy Story,” to an assortment of recent blockbusters that seamlessly integrate animation with real actors. With each release, the movie magic gets more amazing…
Donald J. Wheeler
Following my article on Leptokurtophobics (Do You Have Leptokurtophobia?) it was almost inevitable that we should hear from one. We were fortunate to have someone as articulate as Forrest Breyfogle III to write the response. However, rather than offering a critique of the points raised in my…
Mark Graban
A couple of Sundays ago, I read this New York Times article about Apple's "App Store" for the iPhone and iPod Touch (I've been a pretty happy iPhone user for the past three months after switching over from BlackBerry).
I'm going to try to use this example to teach about two concepts that can be…
Bill Kalmar
The band “Chicago” sang those words about "time" decades ago. The second line “Does anybody really care?” seems to sum up what is still in vogue today, especially in the workplace. Just as with vacations where workers are reluctant to leave for fear that someone will discover that their job is…
David C. Crosby
When I say quality manager, of course I’m talking about the department he or she manages as well.
I’ve been in the “quality business” for fifty years now. That’s right, fifty years. Much of my career—from source inspector to quality engineer, to corporate director of quality—was spent in other…
Georgia Institute of Technology
In 2008, Children’s Healthcare of Atlanta saw more than 170,000 patients across all three of its three emergency departments. That kind of volume demands an effective and efficient process, and staff spent the past three years developing a master facility plan to do just that. However, moving into…
Davis Balestracci
Click here to read part 1 of this series.
Analytic statistical methods are in very strong contrast with what is normally taught in most statistics textbooks, which describe the problem as one of “accepting” or “rejecting” hypotheses. In the real world of quality improvement, we must look for…
The New Yorker magazine featured a cartoon showing a discussion between a salesman and his sales manager. The despondent salesman asked, “I know you’re always telling us to sell the sizzle and not the steak, Mr. Bollinger, but just what is the sizzle of a 90º elbow, flexible-copper fitting?”…
Donald J. Wheeler
Some authors recommend that you have to wait until you have the range chart “in control” before you can compute the limits for the average chart or the X chart. Why this is not true will be the subject of this column.
To illustrate the issues we will once again use the NB10 data. The 100 values are…
H. James Harrington
I often get assignments at organizations where I am required to take aside a group of people, either within the building facility or off campus, to focus on issues or problems. Typically these groups spend a considerable amount of time to summarize and present a well-defined problem. The next step…
David C. Crosby
The most important element in producing a quality product or service is the attitude of the people doing the work—not only the worker—but the attitude of all levels of management. Employee attitude about the product, about the work, about the boss, and about the company will pretty well determine…
Minitab LLC
A $1 billion annual budget may sound ample, but a few years ago, the costs of services ranging from law enforcement to cleaning county buildings had squeezed the government of Erie County, New York, to its limit. Residents faced a painful choice: raise taxes or slash services. But Chris Collins,…
Dale Hershfield
Twitter is the latest new thing. Want to follow John McCain or Al Gore throughout their day? Easy. Just sign up to receive their tweets. While their tweets may provide insights, or just entertainment (Ashton Kutcher and 50 Cent also tweet), does Twitter have value for business management?
The…
Laurel Thoennes @ QD
“You can put your clothes back on,” the doctor says as he walks out. Before you know it, he’s back and you’re still hopping around the cold floor, aiming for your pant leg and with your sweater on backward. There’s no time for embarrassment, because the doctor declares that you need surgery. You…
Craig Cochran
When I first got into quality, I really hated verifying the effectiveness of actions taken to correct a problem. After all, I was young and inexperienced. All of the people whose actions I was verifying were older, wiser, and more experienced than I was. Who was I to say that their actions were…
Geoff Bilau
Geoff Bilau, senior writer for the International Association for Plumbing and Mechanical Officials (IAPMO) Group, was awarded first place for his paper by the American National Standards Institute (ANSI) for describing the importants of quality standards and accreditation.
--Editor
I
t was…
James Odom
Charles Kettering, the famous inventor, once said: “A problem well stated is a problem half solved.” This implies that a good portion of problem solving should be devoted to a thorough understanding of what’s going on before any corrective action steps are taken.
In many cases, too much time is…
Bill Kalmar
None of us, I suspect, are fond of visiting our physician, making an unexpected trip to the hospital emergency room, or undergoing an operation. From time to time, we hear about the unanticipated results of a botched operation where the wrong leg was removed or an incorrect diagnosis resulted in…
Lysosomal storage disorders may not sound as dire as diseases such as cancer or Alzheimer’s, but to the people that suffer from them, life can be a nightmare. In fact, three of the primary disorders in this category—Gaucher’s Disease, Fabry Disease, and Pompe Disease—aren’t only characterized by a…
Nancy Fullbright
Alan Kent, president and CEO of Meadows Regional Medical Center in Vidalia, Ga., was a champion for implementing lean principles in the hospital’s emergency department. Photo by Gary Meek Emergency rooms in the United States aren’t known for their…
Patrice L. Spath
Measurements of patient care continuity should encompass all of the components of health care delivery—structure, process, and outcome. “Structure” in health care delivery refers to the way a health care entity organizes itself and sets up operations. Health care structures include elements such…
Wini Hayes
A well-respected surgical group requests a new surgical device that they swear will revolutionize how surgery is performed in your hospital. The price tag is well into seven figures, with significant annual maintenance and training costs. A competing hospital is advertising to consumers that they…
