Six Sigma [Green Belt Project]

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Six Sigma Green Belt Project

• Continuous Quality Improvement
• Purchasing Justification Process

EMT-P Jason Ausman FTO Jim Bonham LT. Michael
Hamel EMT Robert Hofstetter EMT-P Angela Holbrook
Team
Sponsor
Chief Chris Hansen
Facilitators
DC Kim Dickerson Capt. Art Garcia
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Problem Statement

• The current CQI process is inconsistent with
  new product evaluation, justification,
  implementation, and validation.

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Business Case

• Develop a process that involves research
  justification of a demonstrated need for new
  equipment. The process will include timely
  training as well as periodic evaluation and
  validation.
• Alignment to Business Strategy
• BoCC FY 2007 Goals

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Business Case

• Goal 2
• Make Lee County Government the benchmark county
  in Florida for innovation and excellence in
  customer service and technological operations.
• Objective 1 Continue assessment of
  organizational practices through continuous
  improvement techniques.

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Business Case

• Goal 4
• Answer What is the business of Lee County
  Government? by identifying and defining,
  periodically evaluating, and maintaining, core
  levels of services that can be shared and
  understood by the public.
• Objective 2 Early on in the annual budget
  development process, identify through a fact
  based analysis a target percentage for
  operational increases for the coming fiscal year
  that will be communicated, as a goal, to county
  departments an Constitutional Officers.
• Objective 6 Continue fiscal solvency by
  monitoring, evaluating and maintaining core
  services. Assure a full and complete evaluation
  of any changes in levels of core services,
  including budgetary impacts.

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Define Phase

• Previous Expenditures CCEMT-P course
• 30,000 budgeted
• Actual expense closer to 300,000
• 11/05    5 Students CCEMT-P
• Pittsburg, PA            
                          18,830.20
• 1/06     5 Students CCEMT-P
• Augusta, GA       
  15,320.75
• 4/06      2 Students CCEMT-P
• Augusta, GA 
          7122.48
•                    Total               
  41,273.43

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Define Phase

• Previous Expenditures
• Narcotic Bags- 8/2005
• 50 Narc.Personal/Safe Boxes
• (Koons Locksmiths) _at_ 11.95 ea    597.50  
• No provision for cost to continue program
• No implementation evaluation/validation

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Define Phase

• Previous Expenditures
• Ambulance Cameras
• 40 Kodak Easy Share C310
• Digital Zoom Camera 87.00 Each     3,480.00
• 40 Kingston Flash Memory
• Card-128MB-SD       14.50 Each          
  580.00
•                                  
  Total                 4,060.00
• No provision for cost to continue program
• No implementation evaluation /validation

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Preliminary Goal

• To develop a process that results in enhanced
  patient care, demonstrates fiscal need and
  provides for long term sustainability.
• Result risk avoidance

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The Project Scope

• Request made to purchase the Auto Pulse
• Do we really need it?
• How will it make a difference?
• Is it financially achievable and sustainable?
• Periodic evaluation and validation.

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Previous Expenditures

• Cameras
• Mandate No
• Patient care/employee driven Trauma Services
  request
• Immediate implementation required No
• Evidence based questionable
• Non-evidence based Trauma Services opinion
• Refer to CQI committee no
• Financial resources available non-budgeted item
• Other financial resources July spending
• Recurring resources accounted for - no
• Training/Educational resources minimal
• Can we get what we need in a timely manner yes
• Acceptable overall risk - yes
• Purchase - yes

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Previous Expenditures

• Narcotic Bags
• Mandate No
• Patient care/employee driven Pine Island and
  Alva deployment
• Immediate implementation required Yes
• Evidence based questionable
• Non-evidence based Opinion generated
• Refer to CQI committee no
• Financial resources available non-budgeted item
• Other financial resources July spending
• Recurring resources accounted for - no
• Training/Educational resources minimal
  (non-budgeted)
• Can we get what we need in a timely manner yes
• Acceptable overall risk yes (questionable at
  this time)
• Purchase - yes

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Previous Expenditures

• CCEMT-P course
• Mandate No
• Patient care/employee driven Pediatric Services
  request (LMH)
• Immediate implementation required No
• Evidence based questionable
• Non-evidence based Pediatric Services opinion
• Refer to CQI committee no
• Financial resources available 30,000.00
  budgeted
• Other financial resources none
• Recurring resources accounted for - no
• Training/Educational resources not accounted
  for
• Can we get what we need in a timely manner yes
• Acceptable overall risk - yes
• Purchase - yes

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Measure Phase

• Auto Pulse
• 15,000 per unit
• 750,000 for 50 ambulances
• 125 per chest strap
• 7 bio-shield
• 526 cardiac arrests in 2006
• 69,432 disposable cost

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Conclusion

• Define Project Implementation March 1, 2007
• Measure Project Completion after 25 Cardiac
  Arrests
• Analyze Analyze data collected against current
  process of manual CPR during the same time
  frame
• Improve Determine justified need for purchase
• Control Project referred to Continuous Quality
  Assurance/ Improvement Committee

Design By FTO Dominick C. Watts, NREMT-P, FP-C