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ASQ really needs to do more work in this area. First, you should target only hospitals with 300+ beds as they are large enough to sustain a program. Second, you need to follow up on the larger hospitals and understand for those doing a good job with lean six sigma what works or does not work.
--Vin Capasso , 08-10-2009

I'm surprised that clinical laboratory wasn't one of the ancillary services mentioned in the survey. I'm aware of many hospitals, including ours, where Lean started in the laboratory and then moved into other areas. Did the surveyors fail to include laboratory as a choice, or did survey respondents fail to mention laboratory? The clinical laboratory is a natural place to start a lean or six sigma initiative. The lab is more like a production environment than any other place in a hospital and lab scientists already know the principles of the scientific method (DMAIC) and experimentation, so it is an easy "sell" to them.
--Tom Persoon, 08-04-2009
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I expected to see more reported success with LEAN and Six Sigma in healthcare in the current recession and political climate. I was surprised to see that about 25% of the respondents were LEAN/Six Sigma Leaders. I just finished a book, titled Improving Healthcare Quality and Cost with Six Sigma, by Dr. Brett Trusko at the Mayo Clinic, and other LEAN Six Sigma experts. It was exciting to read of the many successful case studies, and list of so many new converts to LEAN Six Sigma.
This survey was in contrast to the results reported in the book.
Will there be another survey in another year? Perhaps there will be more respondents and better LEAN implementation. I'm just a bit biased.
--Kenneth Wu, 08-10-2009