Kathy Luther Vice President “Building an Integrated Approach to Improvement with Lean, Six Sigma, and the Model for Improvement” Kathy Luther Vice President

Your turn… What is your approach? Lean, Six Sigma, Model for Improvement? Others? Combinations? How do you integrate? Decide?

Your Turn What are your questions? What would you most like to discuss today? What’s worked? What hasn’t?

You are Need to be Here Here GAP A P S D Target Condition A P S D BARRIER A P SD CONSTRAINT A P SD CAUSE Current Condition

Model for Improvement What are we trying to accomplish? Act Plan Study How will we know that a change is an improvement? What changes can we make that will result in an improvement? The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change. You may have heard of variations of this cycle – such as the Shewhart Cycle, Deming Cycle, and PDSA Cycle The cycle promotes a trial and learning approach to improvement efforts with encouragement to test an idea rather than do an extensive analysis— by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method, used for action-oriented learning. The cycle is used for learning, to develop changes, test, and implement changes Linking small tests of change helps overcome an organization's natural resistance to change and ensure buy-in. FAQs Note: Nolan’s model--three questions and PDSA, but not just one PDSA. Difference between this and Juran is the emphasis on repeated PDSA cycles Act Plan Study Do

Understand Value Stream Improvement Models DMAIC (Six Sigma) Lean Define Identify Value Measure Understand Value Stream Analyze Eliminate Waste Establish Flow Improve Enable Pull Pursue Perfection Control Source: The Improvement Guide, API