Carolyn Pexton

Merriam-Webster’s dictionary states, “skepticism implies an unwillingness to believe without conclusive evidence.” Sometimes a little skepticism – or at least curiosity – can be a healthy thing. For instance, one should probably not begin taking a new medication without asking a few pertinent questions such as, “What are the side effects,” “How will this interact […]

Making the decision to bring Six Sigma into your organization is just the first step on a long journey. Although this approach has proven successful for a variety of industries (including manufacturing, transactional and professional services), the best-laid plans may go awry if the focus is solely on the technical side, without considering the cultural […]

A recent report from the Centers for Disease Control and Prevention indicates that over the past decade trips to emergency departments (ED) rose 20 percent, while the number of available emergency centers fell by 15 percent. Another study from the American Hospital Association indicated that 62 percent of hospitals feel they are at or over […]

Finding solutions to staffing issues in the orthopedic unit at Valley Baptist Health System required a dual emphasis on productivity and quality.

Before exploring the various ways Six Sigma is currently being used, we should set the stage and understand the challenging environment where this methodology is being put to the test, a relatively small, but growing segment of the healthcare industry. Healthcare today is a vast web of complexity and contradiction. It offers astounding advances in […]

With many issues facing the U.S. healthcare system the task of “fixing” it seems insurmountable, but the appropriate implementation With so many different issues facing the U.S. healthcare system the task of “fixing” it can seem insurmountable. Every healthcare executive knows the litany of challenges: rising costs, inadequate insurance coverage, capacity constraints, patient safety concerns, […]

Since 2001, Thibodaux Regional Medical Center (TRMC) in Louisiana has applied Six Sigma and change management methods to a range of clinical and operational issues. One project that clearly aligned with the hospital’s strategic plan was an initiative to reduce nosocomial or hospital-acquired pressure ulcers, because this is one of the key performance metrics indicating […]

Making the decision to bring Six Sigma into an organization is the first step on a long journey. Although this decision has proven successful for a variety of industries (including healthcare), the best-laid plans may go awry if the focus is solely on the technical side, without considering the cultural and communication aspects of the […]

To increase operational efficiency and access within its perioperative department, The Children’s Hospital in Denver, Colorado, USA, began a focused improvement initiative in 2005. The next year, the hospital project had produced significant results.

Demonstrating clear alignment between Six Sigma projects and a healthcare organization’s strategic imperatives, vision or mission has been an elusive exercise for many organizations. Judging from a random sampling of web sites and hospital lobbies, most mission statements represent variations on a theme and relate to common issues such as clinical quality, cost management, service […]

At a high level, there is usually agreement on the big issues in any healthcare organization. Through observation and feedback alone, key stakeholders may realize there are problems with excessive wait time in the emergency department, or that the first surgical case of the day rarely starts on time, or that it is taking too […]

Research has shown that 95 percent of diets fail over the long term. Oddly enough, various studies show that 60 to 80 percent of major change initiatives also fail. In both cases, it is certainly not for lack of good intentions. For a person who has been on a successful diet, it is frustrating to […]

There is no need for another survey to confirm what healthcare professionals already know – healthcare delivery is overdue for a major renovation. New management models and strategies must be adopted that will: Enable quick, sustainable results around immediate issues. Equip teams with solid problem-solving skills and proven best practices. Empower the organization with a […]

A distinguished panel of healthcare executives recently shared their thoughts on the importance of leaders taking an active and visible role in their organization’s quality initiatives. They also agreed on the need for organizations to develop the right management systems and structures to adequately support their quality efforts, measure outcomes and encourage accountability. Speaking on […]

After embarking on a Six Sigma journey, many organizations soon realize that one of the most significant benefits is also one of the most difficult to quantify. It cannot be measured in terms of “Z” scores or analyzed using a box plot. This benefit is the “people value” (no relation to p-value). It is the […]

Little more than five years after launching an ambitious, system-wide Six Sigma improvement initiative, Virtua Health in New Jersey, USA, is now considered a high-performing healthcare organization and a model for others to follow.

Reactions from healthcare professionals to Six Sigma can vary greatly, from “It’s the most reliable approach to process improvement we’ve found,” to “It’s just one of several tools we use to solve problems,” and even “Hate it…not interested…too hard…just another management fad.” Six Sigma is probably not for everyone and it is certainly not a […]

A growing number of healthcare organizations are striving to differentiate themselves by seeking awards and recognition. Hospitals vie for coveted positions on lists of top hospitals from U.S. News and World Report, Modern Healthcare, Solucient and others. Numerous state, regional and national awards are given each year for excellence in specific service lines, patient safety, […]

With half a dozen years of experience, this may be a good time for the healthcare industry to revisit the question which titled a frequently cited article published in 1998, “Is Health Care Ready for Six Sigma?” The question may best be answered by examining how Six Sigma and related improvement methods have been deployed […]

Since the discovery of X-rays in 1895, the field of diagnostic imaging has undergone dramatic changes. Within a year after its introduction, the application of X-rays to diagnosis and therapy had already become an established part of medicine. The decades to follow produced a steadily increasing stream of innovation – including the advent of nuclear […]

With the demand for surgical services growing, especially with ambulatory and cosmetic procedures, hospitals continue learning that Six Sigma is a useful tool.

As startling as the 1999 report from the Institute of Medicine was – estimating that medical errors may cause 98,000 deaths annually – a new national study indicates the problem may actually be much worse. According to the report released in July by HealthGrades, a Denver-based healthcare ranking group, the number of hospital patients who […]

The fact that patients are not entirely safe in a hospital is not breaking news. Errors in healthcare delivery were occurring long before the 1999 report by the Institute of Medicine exposed significant gaps in the healthcare system in the United States. The institute’s report, To Err Is Human: Building a Safer Health System, found […]

James G. Springfield, president and CEO of Valley Baptist Health System in Harlingen, Texas (USA), shares his thoughts on the concerns of healthcare administrators today and his vision of healthcare’s future. His views offer a profile in Six Sigma leadership. James G. Springfield President and CEO Valley Baptist Health System Harlingen, Texas Those who know […]