Improving patients’ satisfaction in a mobile hospital using Lean Six Sigma – a design-thinking intervention

Abstract

Lean Six Sigma (LSS) that offers a unique integration of Lean and Six Sigma has been accepted globally across services sectors. Previous studies that examined the application of LSS in healthcare were steered in traditional hospital settings. Apparently, there are no studies that highlight the application of LSS in mobile hospitals, an emerging trend in the healthcare sector. The aim of this article is to explore the applicability of LSS in a mobile hospital. The authors present a case study of improving patients’ satisfaction in a mobile hospital, through reducing turnaround time. Design-thinking intervention to LSS helped resolve a real-time problem using Define-Measure-Analyze-Design-Verify roadmap. This article contributes to the ‘healthcare quality” body of knowledge and is novel as it is the first of its kind of LSS application in a mobile hospital underpinning Design thinking. This study is unique as it demonstrates academia–industry collaboration in solving an organizational problem.     

Rejects reduction in a retail bank using Lean Six Sigma

Lean Six Sigma (LSS) is a majestic process improvement methodology that has been proved to be a powerful management strategy across services. The influential synergy of Six Sigma and Lean aims at improving the processes, focusing on both rapid and robust improvements, reducing waste and variation in the process. LSS generates successful results in key performance indicators (KPIs) based environments, where process data gets measured and leveraged for making essential management decisions. The aim of this paper is to highlight the importance of LSS in banking industry through a real-time process improvement study. The article establishes the literature for the need for LSS in banks detailing on customer facing metrics and process KPIs. An action-research study conducted in a retail bank is presented in LSS DMAIC methodology which reaped a benefit of INR 1.6 million and is a classic example of how LSS can bring bottom-line impact to an organisation, alongside contributing to the process improvement mind-set in employees.     

Implementation of Lean Six Sigma framework with environmental considerations in an Indian automotive component manufacturing firm: a case study

Lean Six Sigma is a systematic data driven methodology that integrates two powerful business improvement strategies Lean Manufacturing and Six Sigma with the goal of removing wastes and reducing process variation. Lean Six Sigma has a positive effect on environmental performance as defect reduction and reducing process variation leads to reduction in raw material consumption, energy consumption and reduced scrap which in turn reduces the overall environmental impacts. In this context, this study uses a Lean Six Sigma framework with environmental considerations to reduce overall defects and environmental impacts concurrently to improve the firm’s operational and environmental performance. The framework is based on Define Measure Analyze Improve Control methodology where traditional Lean Six Sigma and environmental impact assessment tools are integrated to systematically deploy LSS strategies with environmental considerations. The framework is validated with an industrial case study conducted in an Indian automotive component manufacturing organisation and the inferences are derived. On successful deployment of the framework, the internal defects was brought down to 6000 ppm from 16,000 ppm and environmental impacts was reduced to 33 Pt from 42 Pt. Deployment of the developed framework helped in improving the firm’s sigma level and also reduced the overall environmental impacts.     

Sensitisation of SMEs towards the implementation of Lean Six Sigma – an initialisation in a cylinder frames manufacturing Indian SME

This article suggests the adoption of a model on Lean Six Sigma for successfully implementing it in small and medium engineering enterprises (SMEs). This model is given the name Deficiency Overcoming Lean Anchorage Define Measure Analyse Improve Control Stabilise (DOLADMAICS). The DOLADMAICS model has been designed to lift up an SME through the implementation of Lean Six Sigma in five levels. The implementation study on first level of DOLADMAICS model conducted in an Indian SME, manufacturing a component called ‘cylinder frames’, has been reported in this article. After conducting this implementation study, it was found that the first level of DOLADMAICS model would act as a catalyst and guide for sensitising the management of SMEs to successfully implement Lean Six Sigma.     

A Lean Six Sigma framework for the reduction of ship loading commercial time in the iron ore pelletising industry

Evidence suggests that specifically designed frameworks to implement Lean Six Sigma (LSS) projects to tackle particular problems are more effective than ‘generic’ versions. This paper proposes an implementation framework to effectively deploy LSS to improve a key operation and performance indicator, i.e. ship loading commercial time, of one of the largest world producer of iron ore. This article therefore contributes with a refined framework to effectively implement LSS, and documents its successful application and effectiveness within the context of the case organisation. The LSS framework and project contributed in helping the studied organisation to improve both the capability of its ship loading process and commercial time by more than 30%, resulting in operational savings in the range of $300,000 USD per year. The systematic nature of the framework proposed also helped the organisation to establish a standardised routine to improve its operations. Managerial implications exposing the challenges faced during the implementation of LSS are also discussed to serve as lessons learnt to be considered in other LSS projects. Managers and engineers incharge of improving operations and processes can benefit from this paper as it can be used as a guide to direct the conduction of LSS projects and the empirical application of its principles and tools.     

Barriers in Green Lean implementation: a combined systematic literature review and interpretive structural modelling approach

Green Lean has recently emerged as an alternative strategy for organisations to pursue both operational and sustainability excellence. The interest on this approach has rapidly risen in both academic and industry circles. However, despite this interest, very limited research has focused on its implementation, and no research has investigated the barriers that hinder the success of such activity. This study investigates the Green Lean implementation barriers and their contextual relationships and effects on the integration and deployment of this approach. A Systematic Literature Review (SLR), Interpretative Structural Modelling and fuzzy Matriced’ Impacts Croise’s Multiplication Appliqée a UN Classement (MICMAC) analyses were carried out. Fifteen barriers were extracted from the SLR and then validated in consultation with industry and academic experts. The Interpretive Structural Modelling (ISM) method was used to understand the relationship between the fifteen barriers and to develop a hierarchical model of these. The different barriers were classified into ‘linkage’ and ‘dependent’ barriers by using MICMAC analysis. The results suggested that all the identified barriers play an important role, and hence can equally act as a significant hurdle to the implementation of Green Lean projects. This study can help managers and policy-makers in better understanding these barriers. Thus, they can be assisted in managing and prioritising barriers towards the successful implementation of Green Lean initiatives for better financial and environmental performance.     

Using Lean Six Sigma to improve mobile order fulfilment process in a telecom service sector

This study proposes and follows a specific and systematic framework for implementing Lean Six Sigma (LSS) methodology in a telecom company in order to improve customer satisfaction by minimizing the company’s response time to customer requirements. The goal of this study was achieved by utilizing several LSS tools under five phases of the DMAIC methodology. Unlike previous studies in the telecom sector that used only qualitative method, in this study, both qualitative and quantitative methods were utilized to draw meaningful conclusions. As a result of the implementation of the LSS methodology, the average order fulfilment lead time for sales orders (SO) and value-added service (VAS) orders was reduced from 10.3 to 5.9 days and from 1.5 to 0.5 days, respectively. The reduction in lead time resulted in an increase in the sigma level for SO and VAS orders from 0.44 to 1.26 and from 0.73 to 2.66, respectively. These improvements were expected to lead to a financial benefit in savings of over $600,000 per year in operational costs, enhancements to customer experience and an increase in revenue generating opportunities. Moreover, this article enriches the existing literature on the application of LSS concept in the service industry, and helps the company to speed up the response to customer requirements.     

Six Sigma implementation: a qualitative case study using grounded theory

Many organisations have implemented Six Sigma, but successful Six Sigma implementation has not been fully investigated. The purpose of this study is to explore the process of implementing Six Sigma in a manufacturing plant using qualitative case study methodology. Data were collected through in-depth interviews and analysed using grounded theory to identify the main factors that emerged from the interview data and the relationships between them. Consistent with previous studies, the findings emphasise the role of executive commitment, Six Sigma Champions, and training in successful implementation of Six Sigma projects. Furthermore, the study underlines the role of effective project selection and the coexistence of other management initiatives (e.g. lean manufacturing and continuous improvement) on successful implementations of Six Sigma projects. Our findings also suggest that Six Sigma implementation leads to higher levels of customer focus. The study contributes to the existing body of knowledge in effective implementation of Six Sigma. The results include a coding paradigm for the implementation process and implications for managers and practitioners.     

Lean Six Sigma applied to process performance and improvement model for the development of electric scooter water-cooling green motor assembly

Abstract

In response to the environmental issues triggered by global warming, worldwide companies gradually put the factor of carbon emission into the process of product lifecycle, developing green technology or adopting cleaner production aimed at sustainable development. Lean Six Sigma has advantages of cutting waste and facilitating process improvements as well as system analysis, helping enterprises create the overall business benefits in the value chain. Used in the renewable energy industry, it can promote the triple bottom line (TBL), the performance of sustainable production for corporate profit, social responsibility and environmental responsibility. Therefore, this work took the process performance of the electric scooter water-cooling green motor manufactured in Taiwan with the world’s highest density of scooters as a case study. The developed performance evaluation and improvement model for manufacturing scheduling and process quality achieved the goal of economic benefits of enhancing process quality performance by shortening manufacturing scheduling and reducing process variations with Lean Six Sigma. Besides, they could respond to the policy of energy saving and carbon reduction – replacing the traditional scooters of high-carbon emissions with the electric scooters of low emissions. Furthermore, they could bring enterprises into harmony with economic benefits, ecological benefits and social benefits.     

Eco-Six Sigma: integration of environmental variables into the Six Sigma technique

The impressive results achieved by several companies through the Six Sigma technique have motivated other organisations to follow their footsteps in search for competitiveness. As noticed in the literature, most Six Sigma projects in manufacturing have aimed to obtain process enhancements, focusing mostly on optimising product cycle times with almost none taking into consideration environmental aspects as part of their developments. Furthermore, organisations have been worrying worldwide about environmental issues, seeking to foster their eco-efficiency. As a result, the main objective of this paper is to formally introduce the environmental considerations into the Six Sigma technique by proposing a procedure to incorporate environmental variables into the DMAIC process as a way to increase the eco-efficiency level of the firms. Based on the literature review, a conceptual procedure to incorporate environmental variables into the Six Sigma DMAIC technique is proposed. To verify its possible application to real-life situations an action research was developed and could verify that the traditional Six Sigma approach (dealing only with the manufacturing process variables) was capable of improving the eco-efficiency level of the process area under study by 11%. The consideration of the environmental variables as part of the DMAIC technique as per the proposed approach allowed an additional 20% gain, which demonstrates its adequacy to increase the eco-efficiency level of the manufacturing area under evaluation.     

Towards sustainability by aligning operational programmes and sustainable performance measures

Abstract

In the last decades, sustainable concerns have increasingly gained importance to organizational survival, and Lean/Six Sigma approaches are becoming more and more outstanding in order to improve sustainability performance. This article aims to evaluate the degree of importance of sustainable performance measures of Brazilian organizations and to propose guidelines to achieve sustainability by aligning these measures with operational improvement programmes. Multiple data collection methods were applied as theoretical literature review, questionnaire survey and semi-structured interviews with industry professionals and academic researchers. The findings show that it is the corporate responsibility to focus their efforts on both operational improvement programmes and sustainable initiatives in order to achieve better environmental protection, corporate reputation, quality management, cost performance and suppliers relations, as they are considered to be more important on organizational sustainability.     

Six-sigma for improving Top-Box Customer Satisfaction score for a banking call centre

Six Sigma process improvement methodology has been accepted globally across the service industry. In past one decade, the application and success of Six Sigma in Services is remarkable across Information Technology organisations, Hospitality firms, Government, Healthcare firms and Banking & Financial Sector. The aim of this paper is to explore the role of Six Sigma within call centres where the metric based environment complements the application of Six Sigma for process improvements. The article establishes the literature for the need for Six Sigma in call centre environment elaborating on customer facing metrics in addition to internal performance measures and highlighting the advantages of Six Sigma. A case study is presented in the second part of the article to study the DMAIC project management approach of Six Sigma for improving the Top Box Customer Satisfaction score of a Banking call centre. The literature identifies the possible opportunities for improving the performance of call centre metrics using Six Sigma. The project case study presented as part of the paper delivered a saving of USD 0.27 million to the bank, and is a classic example of how Six Sigma can bring bottom-line impact to an organisation. The article is limited to elaborate the advantages of Six Sigma in call centre environment, emphasising on its need and its compatibility to go along successfully with change acceleration and project management processes. Managerial implications and lessons learned are discussed alongside the concluding notes.     

Lean Six Sigma approach in an Indian auto ancillary conglomerate: a case study

The purpose of this article is to illustrate how Lean Six Sigma (LSS) methodology was applied to an Auto ancillary conglomerate in India for achieving operational excellence. The research reported in this paper is based on a case study carried out using LSS methodology in improving yield of a semi-automated transfer line process of the organisation. The root causes for the problem were identified and validated through data based analysis from LSS tool box, at different stages in the study. The application of LSS methodology resulted in reduction of drilling defects while machining injector bodies and reduced the Defects Per Million Opportunities from 38,000 to 5600. The application of this methodology had a significant financial impact (saving of about INR 1.4 million per annum) on the bottom-line of the company.     

Six Sigma to reduce claims processing errors in a healthcare payer firm

Abstract

As a continuous improvement practice, Six Sigma has been accepted globally across the service industry. In the past decade, the application and success of Six Sigma in healthcare services has been remarkable. Despite the fact that several papers on Six Sigma have appeared in the erstwhile literature related to healthcare operations, there is a dearth of field studies highlighting the application of Six Sigma in healthcare outsourced firms, in specific to healthcare payers that engage in a non-clinical setup. The aim of this paper is to explore the role of Six Sigma within the healthcare payer outsourced firms, where error-free delivery becomes critical. The article contributes to the literature of Six Sigma in healthcare outsourcing highlighting how ‘Six Sigma as a methodology’ could help reduce claims adjudication errors in a healthcare payer firm. The Six Sigma DMAIC project case study presented as part of the paper delivered a saving of USD 0.53 million and is a classic example of how Six Sigma can bring bottom-line impact to healthcare outsourced organizations. Managerial implications and lessons learned are discussed alongside the concluding notes.     

Application of Design for Six Sigma tools in telecom service improvement

Abstract

Six Sigma is a systematic methodology aiming at operational excellence. Under the general umbrella of Six Sigma, DMAIC and Design for Six Sigma are usually be implemented to improve product and process quality. Facing quality bottlenecks in traditional improvement projects, tools in Design for Six Sigma is an efficient way to achieve better results. In this paper, to meet the high-quality requirement of key clients, a telecom service system improvement project is illustrated by redesigning troubleshooting and service delivery processes in company Shanghai Telecom Co. Ltd. (ST) with the aid of some Design for Six Sigma tools. Company ST improved its service system performance and obtained significant economic benefits from this project implementation. Four key factors that affect the success of Design for Six Sigma tools application in improvement projects are discussed at last.     

Mathematical modelling to improve Rolled Throughput Yield in a supply chain

The outspread of supply chains competition entails inevitable application of quality improvement methods, such as Six Sigma. It is less than a decade that Six Sigma methodology has entered the supply chain scope; however, researches undertaken in this field have massively increased. Most of these research works have been done towards the application of the Six Sigma method for supply chain improvement, yet nothing has been done about suitable entity selection in supply chain for improvement. The purpose of this article is to propose a method for individual entity selection in the supply chain. Accordingly, a mixed integer non-linear programming model is presented that shows which supply chain entity should be selected, and how much to improve, in order to maximise financial benefit. This article also presents new comprehensive criteria based on the previous approach, which can measure the performance of the supply chain. Moreover, the ability of the proposed criteria is shown through a numerical example. Finally, the optimisation model was applied for selecting individual entity in tweedy supply chain in order to illustrate the capability of the model. In addition, sensitivity analysis is carried out on the parameters of the model.     

Leadership and Six Sigma project success: the role of member cohesiveness and resource management

The primary purpose of this study was to determine whether the effect of leadership on Six Sigma project success (PS) may be mediated by member cohesiveness (MC). The second objective was to examine whether the impact of MC on PS was moderated by resource management. The effects of the project manager's leadership styles and MC on PS were also investigated in this research. To address the primary aims, a survey was used to measure the project manager's leadership styles, MC and the overall success of Six Sigma projects. The analyses suggest that MC may serve as a mediator between leadership and PS. The results also indicate that resource allocation has a moderating effect on the relationship between MC and PS.     

Improving the efficiency of IT help-desk service by Six Sigma management methodology (DMAIC) – a case study of C company

Six Sigma concept depicts a ‘Triangle Relationship’ that integrates three attributes such as customer quality, science manners and team work. By employing this concept with the required survey and data collection to carry out the continuous improvement, a company can truly take advantage of the minimum set of operational variables and the lowest cost procedures, and hence, result in an increasing competitive value for/to the company. This research is conducted based on the Six Sigma methodology, DMAIC (definition, measurement, analysis, improvement and control) principle, and it deals with project-related issues to improve the efficiency of information technology (IT) help-desk service through an eHelp-desk system. It is the authors’ belief that the use of eHelp-desk system can help case company to improve its service quality and efficiency. In addition, managerial implications and research limitations are discussed at the end of this article.