You are the new project / quality manager at Health Clinic Quality Improvement Experts LLC, a local company for the past 12 years in the Indianapolis, IN area. Your first assignment will be for theDr. Donald Snickerbush, Hamilton County, Colonoscopy Clinic. The clinic has five teams performing colonoscopies at their Carmel, IN facility. Each team consist of an Admittance Expert, a Triage and Preparation Nurse, an Anesthesiologist, a Procedure Nurse, a Proctologist, a Post Procedure Nurse Specialist and a Closure Nurse. The clinic has the ability and facilities to run five lines of work at any one point in time and a separate patient arrival area / waiting room. The clinic has some concerns as to its business and increasing revenue as well as the quality of its services.

Our Corporate / Six Sigma Project Objectives in this engagement include:

• Reduce the number of colonoscopy process errors system wide.
• Improve documentation of colonoscopy administration.
• Reduce waste in product and time in colonoscopy administration.
• Improve patient satisfaction with their colonoscopy experience.
• Improve bed flow for patients receiving a colonoscopy.

Our overall objective is to increase our patient turn-around per day while at the same time increasing our patient customer satisfaction results, increasing our clientele and decreasing medical errors.

In order to complete the needed objectives we will apply a Six Sigma full DMAIC process.

• What Might be Causing the Problem? Elaborate the root cause for the problem.
• Verify the Cause(s) of the Problem.
• What are some of the solutions That Might Fix the Problem at least three? and Select the Practical Solutions
• Develop Maps of Processes Based on Different Solutions in the previous question.
• Select the Best Solution(s) out of the above mentioned solutions

Please provide detailed notes for the above topics.