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Six Sigma [Green Belt Project]

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Chief Chris Hansen. Facilitators: DC Kim Dickerson. Capt. Art Garcia. D efine. M easure ... Patient care/employee driven Pine Island and Alva deployment ... – PowerPoint PPT presentation

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Title: Six Sigma [Green Belt Project]


1
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
2
Problem Statement
  • The current CQI process is inconsistent with
    new product evaluation, justification,
    implementation, and validation.

3
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

4
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.

5
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.

6
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

7
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

8
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

9
Preliminary Goal
  • To develop a process that results in enhanced
    patient care, demonstrates fiscal need and
    provides for long term sustainability.
  • Result risk avoidance

10
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.


11
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12
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13
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

14
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

15
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

16
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

17
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18
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
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