Lean Six Sigma Management III

Assignment #4 (100 points)

Directions: Provide detailed responses to each of the assignment parts below.

Part 1.

Assess and prioritize the three project charters (attached) for this assignment using the Project Prioritization spreadsheet (also attached). Assume all projects must be executed, but not all at once.

Submit:

a. The spreadsheet containing your ratings details.

b. A benefit effort diagram - this can be a simple rectangle showing benefit along one axis and Effort along the other axis. Simply co-locate the 3 projects relative to one another on the Benefit / Effort continuum.

c. A summary containing the project priorities with your rationale for each, and comment on what additional criteria you would recommend making the prioritization assessment better.

Project charter 3

Project Charter Project Name: Affiliate / SHSS: Project Plan Outpatient Clinician Basin Medical Center (BMC) Milestones / Timelines Documentation- ED focus Project Type (DMAIC, DMADV, Lean, Start Date: xxx Solution Implement): DMAIC End Date: xxx Project Sponsor (Champion): Dashboard Metrics Addressed: Milestone 1: XXX Medicare Cost Executive Sponsor (Champion): Milestone 2: pocx Process Owner: Strategic Initiative Addressed Milestone 3: pcxox Medicare Performance to Best Practice Project Leader: Levels Milestone 4 xx MBB (if applicable): Other Issues Addressed: Scorecard: Milestone 5: Net Income Project Definition Project Primary Metric(s): % of Outpatient clinician documentation queries (queries per inpatient accounts coded) Problem Statement: An Audit July 2008- of outpatient- ED clinician documentation at Basin Medical Center estimates that (num= # of accounts holding and amount of $$ holding needing MD clarification/incomplete chart= 24 accounts/$41,860 , den.= # of July ED visits = 3961= 0.6%) XX% of ED outpatient clinician documentation required a query for clarifying information. This results in coding being delayed which can impact our ability to achieve full eligible reimbursement. Full eligible reimbursement is critical in reducing Medicare losses. Goal Statement: Reduce the percentage of ED outpatient clinician documentation queries (accounts being held for ED MD query response) from XX% to X% as measured by documentation audit, by date tbd. Expected Benefits: - Reduced days in AR (a day in AR is estimated at ~$1.2M) Reduced queries per account coded improved net revenue per adjusted recharge by x% Project Scope / Boundaries In Scope: - All outpatient documentation by clinical hospital staff, excluding physicians In scope- we don't query hospital staff documentation on OP's - only OP category we query is ED physician documentation Out of Scope: - physician documentation Process Start: Xxx Process Stop: xxx Resources/Team Members/Roles Support Services: xxx Affiliate: xxx Other Resources: xxx Financial Analyst: xxxProject Charter Project Name: Affiliate / SHSS: Project Plan Weekend Impact to LOS Basin Medical Center (BMC) Milestones / Timelines Project Type (DMAIC, DMADV, Lean, Start Date: Feb 28 Solution Implement): DMAIC End Date: June 30 Project Sponsor (Champion): Dashboard Metrics Addressed: Milestone 1: Susan Jones Medicare Cost Executive Sponsor (Champion): Milestone 2 Gary Johnson Process Owner: Strategic Initiative Addressed: Milestone 3: Brion Ames, M.D. VPMA Medicare Performance to Best Practice Project Leader: Levels Milestone 4: Jane Smith (Black Belt) MBB (if applicable): Other Issues Addressed: Customer Milestone 5: Paul Jackson Satisfaction scores, Net Income Project Definition Project Primary Metric(s): Number of actual weekend discharges as a percent of budgeted weekend discharges Problem Statement: Based on audit results from the past 8 months (Jan- Aug 2008), BMC did not meet the budgeted number of weekend discharges 61% of the time. This results in increased length of stay which ulitmately impacts Medicare affordability. (Estimated impact over $500K annually) Goal Statement: Decrease the number of weekend days that we don't meet our discharge budget from 61% to 20% or less by June 30, 2010. Expected Benefits: $500,000 validated cost savings annually. Project Scope / Boundaries In Scope: Inpatient only; All resources are within CEO (Gary) span of control Out of Scope: na Process Start: na Process Stop: na Resources/Team Members/Roles Support Services: I.T. Brown Affiliate: R.U. Reddy (Case Mgmt), Stan Duppsheer (Ancillary), Dr. Dume (Non Hospitalist Physician), Nursing (Sue Mi) Other Resources: Jane Smith - BB Financial Analyst: Mr. GreenProject Charter Project Name: Affiliate / SHSS: Project Plan Interdisciplinary Care Basin Medical Center Milestones / Timelines Coordination Project Type (DMAIC, DMADV, Lean, Start Date: April 2010 Solution Implement): Solution Implementation End Date: June 2010 Project Sponsor (Champion): Dashboard Metrics Addressed: Milestone 1: XXX Medicare Cost Executive Sponsor (Champion): Milestone 2: Process Owner: Strategic Initiative Addressed: Milestone 3: Jack Black To Be Determined Project Leader: Milestone 4: MBB (if applicable): Other Issues Addressed: Customer Milestone 5: Satisfaction, tbd Project Definition Project Primary Metric(s): % Adoption of an Interdsciplinary Care Coordination plan currently do not have any documentation (one place/document in chart) that is used to document Interdisciplinary care coord. Problem Statement: Interdisciplinary care coordination at admission is inconsistent or does not formally exist. Interdisciplinary care coordination is a vitial component to ensure a timely discharge and therefore reduced length of stay (LOS). LOS directly influences Medicare affordability. Goal Statement: Increase adoption of an interdisciplinary care coordination plan at admission across affiliates. Expected Benefits: consistent care coordination length of stay reduction by X Project Scope / Boundaries In Scope: - appropriate hand-offs Jack's area and all internal customers and suppliers Out of Scope: xxx Process Start: xxx Process Stop: Xxx Resources/Team Members/Roles Support Services: xxx Affiliate: Xxx Other Resources: xxx Financial Analyst: xxxClipboard Alignment Number Styles Cells Editing Font C11 v : X fx A B C D E F G H J K W N- BENEFIT ("So What" test) EFFORT (Feasibility test Impact on Non- Financial Time to Likelihood of Resources Total Project Strategic financial impact Implement Success Available Priority Initiatives Impact High = 9 High = 9 High = 9 High = 9 High = 9 High = 9 Max Score Notes Medium = 3 Medium = 3 Medium = 3 Medium = 3 Medium = 3 Medium = 3 IS Low = 1 Low = 1 Low = 1 Low = 1 Low = 1 Low = 1 54.00 600% No. Goal Project Concept 100% 100% 100% 100% 100% 100% 8 0.00 0.00 10 0.00 3 0.00 12 0.00 13 0.00 14 0.00 15 0.00 16 0.00 17 0.00 18 0.00 19 0.00 20 0.00 21 0.00 0.00 23 0.00 24