How to Manage Your Improvement Metrics More Efficiently and Effectively

  • Published on
    22-Jan-2018

  • View
    724

  • Download
    1

Transcript

1. How to Manage Your Improvement Metrics More Efficiently and Effectively @MarkGraban (Presenter) VP of Improvement & Innovation Services Mark@KaiNexus.com @Jeff_Roussel (Host) VP of Sales Jeff.Roussel@KaiNexus.com 2. Agenda & Logistics Presentation(45minutes) Q&A(10minutes) UsetheGoToWebinar MeetingPanelto submitaquestionat anytime Recordinglink&slideswillbesentviaemail Also seetheHandoutsfeatureandChatbox 3. About Mark Graban 20+yearspracticingLean 10yearsinmanufacturing 11+yearsinhealthcare Books: LeanHospitals HealthcareKaizen (co-authorJoeSwartz) www.MarkGraban.com New3rd Edition! 4. Why Measure? 5. Are We Improving? 6. My Most Favorite Book Ever http://www.spcpress.com/ http://amzn.to/2jJ4fiN DonaldJ.Wheeler,PhD 7. Are We Improving? 8. Daily Lean Management 9. Source:ThinkingLeanatThedaCare (DVD) 10. How Are We Doing Compared to Our Goal? 11. "Bowling Chart" 12. Are We Improving? 13. Can We Tell From This? 14. A Better Dashboard Limitedinformationyouneedtomakedecisions 15. Easier to Tell From This? 400 450 500 550 600 650 Aug-05 Sep-05 Oct-05 Nov-05 Dec-05 Jan-06 Feb-06 Mar-06 Apr-06 May-06 Jun-06 Jul-06 Aug-06 TotalCases 16. In KaiNexus 17. Are We Improving? 18. Need to Avoid Bad Conclusions Theaveragepatientsatisfaction increasedfrom87.2to89% 86% 87% 88% 89% 90% Before After 19. Need to Avoid Bad Conclusions Theaveragepatientsatisfaction increasedfrom87.2to89% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Before After 20. Need to Avoid Bad Conclusions Theaveragepatientsatisfaction increasedfrom87.2to89% 21. Need to Avoid Bad Conclusions Theaveragepatientsatisfaction DECREASEDfrom87.2to85%?? 22. Are We Improving? 76 78 80 82 84 86 88 90 92 PatientSatisfaction(DifferentDataSet) 23. Linear Trendlines are Easy 24. Can Linear Trends Be Misleading? 76 78 80 82 84 86 88 90 92 PatientSatisfaction 25. Same Chart Different Timeframe 78 80 82 84 86 88 90 92 PatientSatisfaction 26. Are We Improving? 27. How Can We Tell? 28. How Should We React? 29. 0 10 20 30 40 50 60 3/1/07 3/2/07 3/3/07 3/4/07 3/5/07 3/6/07 3/7/07 3/8/07 3/9/07 3/10/07 3/11/07 3/12/07 Responding to Daily Changes KB GOAL DailyProductionAverage Praise Team PT PT Arewehelping?Isthisprocessstable? KB Kick Butt 30. Isntitalwaysthesystem? Its(almost)alwaysthesystem. 31. Signal vs. Noise? "Whileeverydatasetcontainsnoise, somedatasetsmaycontainsignals. Therefore,beforeyoucandetectasignal withinanygivendataset, youmustfirstfilteroutthenoise. 32. X Control Chart (Chart for Individual Values) Goal=25minutes UpperControlLimit LowerControlLimit 33. In KaiNexus 34. Surgical Cases Table 35. Surgical Control Chart 0 100 200 300 400 500 600 700 800 Aug-05 Sep-05 Oct-05 Nov-05 Dec-05 Jan-06 Feb-06 Mar-06 Apr-06 May-06 Jun-06 Jul-06 Aug-06 TotalCases NOISE 36. Patient Satisfaction Run Chart Theaveragepatientsatisfaction increasedfrom87.2to89% 37. Patient Sat. Control Chart 78 80 82 84 86 88 90 92 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 PatientSatisfaction NOISE 38. Lab Turnaround Time What Happened? SIGNAL 39. Another "Special Cause" What Happened? SIGNAL 40. X and MR Chart Combo 41. Does This Small Business Have Predictable Revenue? Xchart MRchart SIGNAL 42. Is My Blog Traffic Increasing? 43. Evaluate Over Time 0 500 1000 1500 2000 2500 3000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 LeanBlog.orgDailyPageLoads 44. Western Electric Rules Anysinglepointaboveorbelow3-sigmaLCLorUCL 8consecutivepointsonsamesideofmean 6consecutivepointsmovingsamedirection 14alternatingup/downpointsinarow Fullrules http://bit.ly/WErules 45. Evaluate Over Time 0 500 1000 1500 2000 2500 3000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 LeanBlog.orgDailyPageLoads 46. Shift the Limits as Indicated 0 500 1000 1500 2000 2500 3000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 LeanBlog.org DailyPageLoads 47. Example of Process Shift Ifyoumadeachangethatyouexpectedtoimprovethesystem, useacontrolcharttotestthehypothesis 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 ProcessShift DailyTAT 48. Example of Process Shift IfyoudidNOTmakeachange,youneedtoinvestigateto determinethecauseofthissignal 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 0 5 10 15 20 25 30 35 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 ProcessShift DailyTAT 49. Are We Hitting Our Goals? 50. Performance vs. Goals 51. System View vs. Reactive 52. Control Chart View 53. Another Example Goal 54. Control Chart View Goal 55. So We Should Do Nothing? 56. Improve the System! 57. NOT Understanding Variation Leads To Pressuringpeopletogetbetterresults byworkingharderwithinthesame system Wastingtimelookingforexplanations ofaperceivedtrendwhennothinghas changed Notfocusingonsystemicimprovements thatwouldshiftthemean 58. Our Next Webinar "TheIntersectionofCultureand Technology:CapturingImprovement WhereitHappens" MatthewCannistraro ThursdayFebruary23,1PMET KaiNexus.com/webinars 59. Ask Us Anything! MarkGraban&Dr.GregJacobson NextEpisodeFeb14,1pmET Register&submitquestionsvia http://kainexus.com/webinars Pastepisodesavailable onYouTube 60. Other Resources www.KaiNexus.com 61. Podcasts www.KaiNexus.com/podcasts Subscribevia: iTunes GooglePlay Stitcher 62. Thanks! Web: www.kainexus.com blog.kainexus.com www.MarkGraban.com WebinarsonDemand: www.kainexus.com/webinars SocialMedia: www.twitter.com/kainexus www.linkedin.com/company/kainexus www.facebook.com/kainexus @MarkGraban VP of Services Mark@KaiNexus.com @Jeff_Roussel VP of Sales Jeff.Roussel@KaiNexus.com BONUSRECORDINGWILLBESENT: HOWTOCREATECONTROLCHARTS