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

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

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

4. 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

5. 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

6. 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