Six Sigma and patient satisfaction in Orthopaedic Clinic

  • George Zafiropoulos University of South Wales
Keywords: Six Sigma, quality, healthcare, patient satisfaction

Abstract

Purpose: Productivity and efficiency are key factors for an improved well-functioning organisation. Six Sigma Methodology uses tools that can help quantify the improvement achieved. Healthcare organisations are known to apply these tools to check quality of their services and patient satisfaction.

Design/Methodology/Approach: The study performed at a District General Hospital attempted clarification of reasons influencing the delays observed in Orthopaedic Outpatient Clinic. To achieve it, two audits were performed following managerial and open departmental meetings. The first audit was planned to investigate the potential reasons for the delays. Following organisational alterations according to the findings the second audit would close the loop and analyse the learned lessons using Six Sigma Methodology..

Findings: In the initial audit, run for two month, 2110 patients replied, after consenting verbally, to questionnaires asking their opinion of possible reasons influencing their late arrival. Analysis found that their main complaints were parking and the sitting area of the clinic. Six Sigma analysis was performed. After alterations a second audit closed the loop running for similar time period collecting 2530 questionnaires. Significant improvement to patient satisfaction was found on the targeted problems. Further issues resurfaced. The conclusion of the study reinforced the use of Six Sigma as a tool of analysing and controlling the quality in Healthcare.

Originality: Applying Six Sigma Methodology as a tool in Health care proven to be important as quality improvement is visible, measurable and everyone is able to understand and follow it.

 

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References

Bleaustein C, Rothchild DB, Valen A, Valatis E, Schweilzer L, Jones R. (2014), “Wait times, patient satisfaction scores and the perception of care”, American Journal of Managed Care, Vol. 20 No. 5, pp. 393 – 400.
Cima R, Brown MJ, Hebl JR, Moore R, Rogers JC, Kollengode A, Amstutz G, Weisbrod CA, Narr BJ, Deschamps C (2011), “Use of lean and six sigma methodology to improve operating room efficiency in high-volume tertiary-care academic medical centre”, Journal American College of Surgeons, Vol. 213 No. 1, pp. 83 – 92.
Dinesh TA, Sanjeev S, Prem N, Remya TR (2013), “Reducing waiting time in outpatient services of large university teaching hospital – a six sigma approach”, Management in Health Quality, Vol. 17 No.1, pp. 31 – 37.
Fischman D (2010), “Applying lean sixi sigma methodologies to improve efficiency, timeless of care and quality of care in an internal medicine residency clinic”, Quality Management in Health Care, Vol. 19 No. 3, pp. 201 – 210.
Habidin NF, Yahya NZ, Ramli MFS (2015), “Using LSS DMAIC in improving emergency department waiting time”, International Journal of Pharmaceutical Sciences Review and Research, Vol. 35 No. 2, pp. 151 – 155.
Ho ETL (2014), “Improving waiting time and operational clinic flow in tertiary diabetes centre”, British Medical Journal Quality Improvement Reports, Vol. 2 No. 2, pp. 1 – 5.
Kallen MA, Terrell JA, Lewis- Patterson P, Hwang JP (2012), “Improving wait time for chemotherapy in an outpatient clinic at a comprehensive cancer centre”, Journal of Oncology Practice, Vol. 8 No. 1, pp. 1 – 7.
Lin SY, Gavney D, Ishman SL, Cady-Reh J (2013), “Use of lean sigma principles in a tertiary care otolaryngology clinic to improve efficiency”, The Laryngoscope, Vol. 123 No.11, pp. 2643 – 2648.
Lizaur-Utrilla A, Martinez-Mendez D, Mirales-Munor FA, Marco-Gomez L, Lopez-Prats FA (2016), “Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome”, International Orthopaedics, Vol. 40 No.11, pp. 2303 – 2307.
Mikel H, Schroeder R (2006), “Six sigma: the breakthrough management strategy revolutionising the world’s top corporations” Currency Publications, New York, pp. 6.
Mohebbifar R, Hasanpoor E, Mohseni M, Sokhanvar M, Khosravizadeh O, Isfahani HM (2013), “Outpatient waiting time in health services and teaching hospitals: a case study in Iran”, Global Journal of Health Science, Vol. 6 No.1, pp. 172 – 180.
Ohno, T (1988), “Toyota Production System: Beyond Large-Scale Production”, Productivity Press, Portland, Oregon. pp. 75–76.
Pons J (2012), “Improving patient flow through an eye clinic” Community Eye Health Journal, Vol. 25 No.78, pp. 31 – 33.
Street J, Khan W, Tong A, Shanbhag V. (2017), “Improving waiting times in orthopaedic outpatient clinic” British Medical Journal Open Quality, Vol. 6 No 2, pp. 1 – 4.
Tennant G (2017), “Six sigma: SPC and TQM in manufacturing and services”, Routledge Taylor and Francis Group, London – New York, pp 4 – 10.
Zafiropoulos G (2015), “How six sigma methodology improved doctors’ performance”, Educational Research and Reviews, Vol. 10 No. 18, pp. 2590 – 2598
Zafiropoulos G (2015), “Educational programmes: Saving money in healthcare”, British Journal of Healthcare Management, Vo. 21 No.12, pp. 225 – 230.
Published
2019-02-26
How to Cite
Zafiropoulos, G. (2019). Six Sigma and patient satisfaction in Orthopaedic Clinic. IJRDO - Journal of Social Science and Humanities Research, 4(2), 89-97. https://doi.org/10.53555/sshr.v4i2.2708