This Resources Section contains:
Manager Non-Negotiable Goal-Setting Workshop, as uncovered in our national Financial Quantum Improvers study, the traditional method of setting goals using comparative benchmarks fails. That bears repetition. The accepted method for establishing goals for managers delays implementation by six months to 1 year. Our Financial Quantum Improvers study found that Quantum Improvers utilize a radically different goal-setting process that gets into and out of the goal-setting process in one to four weeks, moving on the most vital action planning and implementation phase. This workshop aids to rapidly set non-negotiable goals for managers 1 week to 4 weeks prior to the kick-off of the 100-Day Workout Productivity Series.
100-Day Plan Management Series Onsite Programs.
Free Downloads Library. A complete library of tools, forms, pre-designed presentations, and other useful materials available at no charge.
For a printable version of the 100-Day Workout, click here. (Not have the free version of Adobe necessary to print it out?
The 100-Day Workout Productivity Series, an adaptation of GM's PICOs approach, GE's Workout, and IHI's Lean Improvement methods, enables organizations to enjoy the benefits of Lean-Six Sigma without having to invest heavily in "Big 5" firms. And, it focuses on an oft-forgotten process - Productivity Optimization, "In Quality"/ "Out of Quality" staffing, and rapid response contigency plans to+/- 2% daily variances in goal worked hours per department.
Why a 100-Day Workout Productivity Series? Before reading further, how do you know if a 100-Day Workout Productivity Series is right for your organization? If one or more of the following statements is true for your organization, a 100-Day Workout Productivity Series was designed to alleviate these issues:
- We have exhausted most cost reduction approaches currently in use in the industry.
- We know we need help, but we don't think a costly "Big 5" slash & burn is necessary yet.
- We have always been on the leading edge - we were the first to embrace quality improvement, the first to tackle medical errors, the first to deploy clinical case management, PICOs, and other improvement methods.
- We have a serious cost problem.
- We would like to accelerate improvement in a precise process - ED, Imaging, Patient Satisfaction, Operations Cost Improvement, Clinical Excellence, Supply Chain, Revenue Cycle, or others.
- We desire to build the capability in our organization so that managers and facilitators can lead 100-Day Workouts across the entire organization.
- We have a very effective strategic goal-setting and budgeting process, but would like to enhance progress toward our goals by introducing new tools and methods.
100-Day Workout Productivity Series to achieve quantum improvement in cost position
A revolutionary approach designed to drive quantum improvement in major strategic initiatives - The 100-Day Workout Productivity Series, following the 100-Day Plan management system, is designed to recover up to $300,000 in process waste for each 100-day project.
- Productivity Optimization/ "In Quality"-"Out of Quality" staffing.
- Emergency Department
- Patient Care Throughput/ Discharge Time of Day
- Clinical Effectiveness
- Supply Chain
- Span of Control
- Revenue Cycle / Cash Acceleration
- Other high leverage focus areas as determined
Key aspects of the 100-Day Workout Productivity Series include:
- Manageable focus.
- Cost of Quality recovery.
- Accountable infrastructure.
- Stretch goals from comparative benchmarks.
- Disciplined execution intensity.
- Apprenticing your staff.
100-Day Workout Productivity Series Features
Of the four methods in the Lean-Six Sigma suite, the 100-Day Workout Productivity Series process remains the most powerful in terms of rapid results and execution. The 100-Day Workout Productivity Series is built upon six critical success factors:
1. Manageable focus. A well known critical failure factor for achieving quantum results is biting off more than we can achieve - "scope creep" as it is sometimes called. Disciplining ourselves to set reasonable, measurable boundaries enables the organization to move past the planning phase quickly and into the all-important execution phase. To start, we organize to the high leverage processes:
- Productivity Optimization/ "In Quality"-"Out of Quality" staffing.
- Emergency Department
- Patient Care Throughput
- Clinical Effectiveness
- Supply Chain
- Span of Control
- Revenue Cycle / Cash Acceleration
- Other high leverage focus areas as determined
100-Day Workout Productivity Series can be tailored to any process as long as the cost of quality recovery potential justifies the intensity of a 100-Day Workout Productivity Series.
2. Cost of Quality Recovery. Every process is fraught with waste and needless complexity. These costs come in the form of inspection, rework, and work-arounds. In order to balance quality and cost goals, the 100-Day Workout Productivity Series encompasses tools and techniques to recover these costs versus the past "slash & burn" approach.
3. Accountable infrastructure. The most common failure factor found in financial disasters is the absence of the organizational will to execute. Establishing an effective infrastructure containing a proper linkage to the Balanced Scorecard, rewards & consequences management, and contingency planning is central to the 100-Day Workout Productivity Series process.
4. Comparative benchmarks to set non-negotiable goals for both cost and speed. The objective of this step is to get into and out of it as quickly as possible. Many organizations spend six months in "analysis paralysis." The 100-Day Workout Productivity Series accelerates this process by engaging managers to immediately begin executing toward 50% of the benchmark, saving the debate over the exact target until after successful Workout results have been achieved. This key "lesson learned" from our research of over 200 hospitals' improvement in cost position is vital to accelerate toward implementation versus waiting six to nine months to agree that the comparative benchmarks are valid.
5. Waste Reduction Solution Set Execution. If your managers are like most in today's environment, they may be heard saying, "I understand my comparative benchmark, but I have simply run out of both ideas and steam. We don't know where to turn". Provision of a process to generate an inexhaustible solution set is a non-delegable task of senior leadership, yet so many leave this activity to the managers - and they are failing. The 100-Day Workout Productivity Series provides numerous solution set development activities:
- Waste Walk - managers engage in a 3-hour "waste walk" of their departments, after training in the seven categories of waste, to uncover opportunities to insert into their 100-Day Action Plans to recovery Cost of Quality.
- 18 Productivity Optimization Solution Set. Based on Tom Nolan's 70 proven techniques to eliminate waste, managers are trained in application of the 18 change concepts to insert into their 100-Day Action Plans to recovery Cost of Quality.
- Subject-Matter Experts (if needed).
6. Apprenticing organizational leaders. Building the organization's capability to launch 100-Day Workout Productivity Series across all strategic service lines and functional departments is critical to building the capacity to execute rapidly over time.
100-Day Workout Productivity Approach
- Senior Leader Commitment. 2 weeks. Set 100-Day Workout Productivity Series expectations & create infrastructure.
- Manager Non-Negotiable Goal-Setting Workshop. After acquisition of aggressive benchmarks using CCA's LA Confidential or another aggressive dataset, managers commit to close the gap - 1 week to 4 weeks. Set manager targets for fiscal year & Workout.
- Kick-off. 1 week to 4 weeks after Goal-Setting Workshop.
- 3-day kick-off. At conclusion of the 3-day launch, managers have executed the DO NOW tasks & planned to execute for the entire 100-Day Workout.
- Monthly Progress Report. Every month, managers report status using a disciplined structure using EXCELerator (below).
- Summation.
- Stretch goal assessment and relaunch 100-Day Workout for the next cyle. 10-days.
Deployment Options
- Apprentice Model. Our staff conduct the 100-Day Workout Productivity Series to assure rapid cost recovery and avoidance of pitfalls / false starts of attempting to self-implement, while apprenticing your staff to build your capabilities for rapid replication of this powerful method after our staff leave.
- Training and "Behind the Scenes" Executive Team Coaching. Access our growing solution sets via web-based tools and engage with others pursuing similar goals at one-tenth the cost of comparable advisory boards.
FAQs. To review FAQs (Frequently Asked Questions), click here
To schedule a 100-Day Workout Productivity Series or learn more.
To schedule a 100-Day Workout Productivity Series or to learn more about joining one or more, email us.
- Aggressive Cost Recovery and Productivity Optimization - click here.
- Emergency, Surgery, and Patient Care Throughput to reduce worked hours per patient day- click here.
Lean-Six Sigma onsite Forums are an exciting way to acquire knowledge in critical new areas or to teach others in your organization. Lean-Six Sigma Forums contain:
- Internet accessilbe Powerpoint slide show.
- Downloadable written summaries for most topics.
- Opportunity to discuss accelerating results in your organization.
Lean-Six Sigma Forum Offerings.
- Productivity Optimization. To accelerate development by urging more aggressive development, email us.
- Operations & Productivity Non-Negotiable Goal-setting Workshop. Interpreting and Setting Stretch Goals using aggressive benchmarks.
- Executive Team Education and Apprenticing. Setting up and managing an aggressive productivity and cost recovery program with our staff coaching behind the scenes.
- Lean-Six Sigma Forum series. Offerings include Leading a 100-Day Workout: A Rapid Improvement approach to cost recovery, Lean-Six Sigma Strategy Deployment for Senior Leaders (Parts 1 & 2), and Advanced Statistics for Black Belts. Also download, without fee the 12-part healthleaders.com series, "Achieving Quantum Improvement through Six Sigma" in the Free Downloads section farther down the page. These onsite programs accelerate results in strategy deployment. email us.
- Balanced Scorecarding for Six Sigma. Based on the Healthleaders.com series, Balanced Scorecarding for Lean-Six Sigma by Chip Caldwell and 1-day course, this Forum provides 9 Key Concepts for Balanced Scorecarding. Click here for more info on the Six Sigma Forum series, click here.
- American College of Healthcare Administrators course, Medication Satefy & Cost Recovery: A Four-Step Executive Guide. This course, based on the Health Administration Press book by Chip Caldwell and Charles Denham, MD, is available directly through ACHE and qualifies for ACHE continuing education credit hours. To register or learn more, click here to go directly to ACHE's site (but don't forget to come back.)
Announcing the 100-Day Plan Management Series, an exciting series of five 1-day onsite course offerings to enable you and your organization to achieve Quantum Improvement.
Five 1-day programs from which to mix and match to meet your team's needs
· Match Staffing to Demand: Advanced Cost Reduction
· Strategic Considerations of Lean-6 Sigma for Executives & Quality Professionals
· Merge Lean-6 Sigma Tools into PI Methods for Patient Safety & Cost Recovery
· Medication Safety & Cost Recovery: A 100-Day Plan Approach
· Speeding Up Your PI Methods & Execution: Lessons from Accelerated ApproachesTo schedule or learn more, email us to inquire about offering on onsite program.
Don’t have Acrobat Reader for the survey? Click here for a free download.
- 100-Day Operations Waste Workout. Download a PDF describing the power of using the 100-Day Workout approach to reduce $1 million or more by concentrating on reducing the Seven Categories of Waste.
- SMART Hospital, the Self-Improving Hospital using RFID technology. Download a PDF describing an innovative technological solution to wire the medical center using RFID technology enabling rapid cycle testing (1 shift, 1 day, 1 week) of throughput, cost, and productivity ideas.
- HFMA, Region 9, Keynote, "Good to Great in Healthcare: Lessons from Financial Turnarounds", December 2, 2004. View Powerpoint Show highlighting research of over 200 healthcare organizations' improvement in cost position and the key drivers found among "Quantum Improvers" (top quartile) versus "Non-Starters" (bottom quartile).
- VA "Carrying The Torch", August 17, 2004.
- Lean-Six Sigma "Achieving Quantum Improvement through Six Sigma" articles, Parts 1 through 12. Download the consolidated article set covering this 12-part HealthLeaders.com Lean-Six Sigma Series for use within your own organization to orient others to Lean-Six Sigma, Cost of Quality recovery, and strategy deployment lessons. This Series serves as the backbone of ASQ Press book, Improving Cost Using Lean-Six Sigma: An Executive Leader Guide.
- Good to Great in Healthcare article & Senior Leader Discussion Guide- Review the results of our assessment, in partnership with HMC, of characteristics of quantum improvers vs non-starters. This analysis of 36 organizations' cost data over the last year suggests differences between those that improved vs those that did not improve.
- Good to Great in Healthcare, VA-ACHE National Tele-Conference, 3/25/04 slides- Download slides of the results of our assessment, in partnership with HMC, of characteristics of quantum improvers vs non-starters. This analysis of over 200 California hospitals in our "LA Confidential" analysis reveals 16 differentiators between Quantum Improvers (top quartile) and Non-Starters (bottom quartile). Also included is our Good to Great in Healthcare Quantum Improver Model.
- "The Business Case for Lean-SIx Sigma & Other Quality Systems, Texas Rural & Community Hospital Assn, Dallas, 3/18/04 slides- Download the slides used at this conference, plus additional information.
- Lean-Six Sigma Executive Overview. Online viewable Powerpoint slideshow to provide executives with a sense of the strategic side of Six Sigma. Used for onsite training by Chip Caldwell.
- HealthLeaders "Importance of Belief System Transformation in Lean-Six Sigma Work" Original article, published May 9, 2003.
- Healthleaders Lean-Six Sigma Senior Executive Role Self-Assessment. Based on the July 2003, Healthleaders.com article "The Senior Executive's Role in Six Sigma Strategy Deployment: Part 1 - Deploying for Strategic Results" by Chip Caldwell, this online self-assessment enables your executive team to prioritize critical success factors, develop action plans, and reassess every 6 months.
- HealthLeaders "MCO Claims Care Improves Quality While Recovering $500,000" Case Study Storyboard. Original article with run charts & graphs.
- HealthLeaders ED Morton Plant Case Study article. Three-part Healthleaders.com case study highlighting a 3-year strategic approach to LEan-Six Sigma (vs traditional "one project at a time" approach) resulting in a 50% improvement in patient satisfaction while recovering over $ 4 million in cost of quality See also the background slides from the Healthleaders.com Cost of Quality Series article below.
- HealthLeaders ED Morton Plant Case Study Slideshow. Background slides accompanying the Healthleaders.com Cost of Quality Series article.
- "Clinical Quality Cost Recovery Identifies $8.6 M Variance" - a Lean-6 Sigma Care Optimization 100-Day DMAIC Case Study (Powerpoint show & PDF).
- HealthLeaders CAMC SIx Sigma Pharmacy Case Study Slideshow. Background slides from the Healthleaders.com Cost of Quality Series article.
- HealthLeaders River Region Lean-SIx Sigma ED Case Study Slideshow. Background slides from the Healthleaders.com Cost of Quality Series article demonstrating a 38 % reduction in LOS with a $771,000 quality cost recovery..
- "Nine Disciplines of Worldclass Performance" articles. Download the consolidated article set covering the HealthLeaders.com Nine Disciplines series for use within your own organization at management meetings, retreats, internal assessments or learning sessions.
- Executive Team Coaching Self-Assessment. Based on the July 19, 2002, Healthleaders.com article by Don Hutton & Chip Caldwell, "The Role of the Executive Coach in Driving To Six Sigma Performance", this online self-assessment compares your responses to other leading senior leaders.
- "Baldrige as a Quantum Improvement Assessment Tool" articles. Download the consolidated article set covering the HealthLeaders.com "Baldrige as a Quantum Improvement Assessment Tool" series by Sherry Bright and Chip Caldwell.
- Download this self-assessment tool, Baldrige Leadership Assessment Tool" for use within your own organization.
- PDCA-type Method Self-Assessment & Six Sigma Enhancement. This simple self-assessment can be helpful in testing for widespread use of the six disciplines contained in any effective PDCA approach.
- Sample 100-Day Plan. This revolutionary management system enables organizations to track results and project status.
- 100-Day Workout agenda. Download this sample agenda to see how a 100-Day Workout functions.
- 100-Day Plan Quantum Improvement Assessment. This simple to use assessment will help spot areas of strength and opportunities to improve and has been used by leading health systems to re-charter the course.
- CEO Role in Quantum Improvement Assessment. Do your CEO and other "O"s struggle with their roles? This handy assessment tool outlines critical areas of focus for CEOs and senior leaders who desire to achieve quantum improvement.
- Belief System Transformation Workshop Agenda & Facilitation Guide. As Don Berwick, MD, CEO, Institute for Healthcare Improvement, observes, quantum improvement begins and ends with the organization's will to achieve worldclass performance. Organizational will is manafest in the demonstrated organizational belief system. This tool lays out a 1-day agenda and facilitator tools.
- Non Value-added Spreadsheet. This tool helps managers uncover opportunities to improve quality, reduce wait times, and reduce costs. Recently a nurse manager found, through use of the tool, that 55 of her 300
FTEs were devoted to non value-added work.- Measurement templates. Download this Powerpoint file containing a template Balanced Scorecard/ Spider Diagram, 100-Day Milestones Tracking Form, and Match Staffing to Demand Report Card. For information on how to construct a Balanced Scorecard, order below Chip Caldwell's book, Mentoring Strategic Change in Healthcare.
For additional information or pointers in use of any of these tools, email chipc@chipcaldwellassoc.com.
To order Chip’s four books, shown below, click on either to go directly to www.qualitypress.asq.org or Amazon.com.
"Mentoring Strategic Change in Health Care"
www.qualitypress.asq.org, search "Caldwell".
"The Handbook Managing Change Health Care"
www.qualitypress.asq.org, search "Caldwell".
"Medication Safety and Cost Recovery: A Four-Step Executive Guide" Available September 2001. Click here to order. "Lean-Six Sigma for Healthcare: A Senior Leader Guide to Improve Cost & Throughput"
www.qualitypress.asq.org, search "Caldwell".
