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Health Care

Help Is Here for Hospitals Preparing for the Affordable Care Act

Proven strategies for revolutionizing health care systems

Published: Friday, September 30, 2011 - 10:49

(McGraw-Hill: New York) -- The case studies throughout the book, Performance Improvement for Healthcare: Leading Change with Lean, Six Sigma, and Constraints Management (McGraw-Hill, 2011), illustrate successful performance improvement implementations that show how the combination of lean, Six Sigma, and constraints management, which is based on the theory of constraints (TOC), can solve the critical problems that prevent hospitals from being prepared for the changes required by the Affordable Care Act and the Accountable Care Organization (ACO) payment model.

The authors, Bahadir Inozu, Ph.D., Dan Chauncey, Vickie Kamataris, and Charles Mount, provide a scalable strategy for managing bottlenecks, eliminating waste, reducing errors, and containing costs in health care organizations, and they lay a framework for sustaining the gains achieved. This integrated approach using lean, Six Sigma, and constraints management has transformed hospital operations in terms of patient outcomes and experience, financial viability, and employee satisfaction.

Chapter topics include:
• Performance improvement in health care
• Constraints management applications in health care
• An integrated performance improvement deployment approach—The NOVACES SystemCPI
• Three-part assessment: strategic gap analysis, system-level value stream analysis, and system constraint analysis
• Planning a performance improvement program deployment to ensure timely and consistent execution
• Applying the right tool to the right problem from a system perspective
• Sustaining gains achieved by the performance improvement team
• Defining a path to self-sufficiency


About the authors

Bahadir Inozu, Ph.D., is a founding partner and the CEO of NOVACES LLC, a leading provider of continuous process improvement consulting and training services. He is a Lean Six Sigma Master Black Belt and a Theory of Constraints Jonah. Inozu has been teaching undergraduate, graduate, and adult education courses on process improvement, lean, Six Sigma, reliability and maintenance management, marine engineering, and executive leader training on continuous process improvement for more than 20 years.

Dan Chauncey is the director of deployment services for NOVACES, where he has served as the technical program manager for the deployment of continuous process improvement across patient care in the U.S. Navy Medical Enterprise. He currently leads a team of five Master Black Belts embedded at midlevel commands across Navy medicine. He has previously provided consulting and training for deployments at United Health Services, and Somerset Medical Center and also served as director of the process improvement and organizational development at University Health System.

Vickie Kamataris is an advisory board member for NOVACES. She is a registered nurse with more than 25 years of clinical experience. As a Lean Six Sigma Master Black Belt with more than 15 years of performance improvement experience, Kamataris has successfully applied lean, Six Sigma, the theory of constraints, and other quality tools and methods to a wide range of health care processes, leading clinical, business, and military teams to achieve extraordinary results.

Captain Charles Mount (Ret.) is the director of government health-care services and an ASQ-certified Lean Six Sigma Black Belt for NOVACES LLC. He has 40 years experience serving health care, defense, and security organizations, as well as 28 years experience in performance improvement, leadership, management, and professional development. After almost 39 years on active duty, Mount retired from the U.S. Navy as a captain from the Navy medical department. He served on the Navy’s national faculty for basic life support for the Navy surgeon general for 17 years.


About The Author

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