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Six Sigma

Six Sigma, like Lean, is used to improve the quality and efficiency of operational processes. During the past decade, these process improvement techniques increasingly have been applied outside of the manufacturing sector, for example, in healthcare.

While Lean focuses on identifying ways to streamline processes and reduce waste, Six Sigma aims predominantly to make processes, such as those used in clinical laboratories and pathology group labs, more uniform and precise through the application of statistical methods.

Along with Lean, this process improvement technique has become popular with labs as a way to streamline laboratory processes, reduce costs, increase productivity, and improve quality in a time when labs are increasingly pressured by downward price trends for lab tests. At the same time, labs are able to increase value offered to “customers,” that is, patients.

The principles of a Six Sigma-based system were originally developed by Bill Smith of Motorola in 1986 as a way of eliminating defects in manufacturing, where a defect is understood to be a product or process that fails to meet customers’ expectations and requirements. The name refers to a quality level defined as the near-perfect defect rate of 3.4 defects per million opportunities. As a process improvement strategy, it gained much attention through its association with General Electric and its former CEO Jack Welsh.

Six Sigma also involves the training and certification of designated process specialists (called black belts, green belts, or other similar titles) within organizations to help guide Six Sigma improvement efforts. Other distinctive features include the expectation that process quality improvements be translated into financial metrics to assess value and the active involvement of top management in all initiatives.

Six Sigma is often combined with Lean management techniques to produce a methodology that relies on a collaborative team effort to improve performance by systematically removing waste (Lean) as well as defects, overproduction, waiting, non-utilized talent, transportation, inventory, motion and extra-processing (Six Sigma).

Christian Hospital Laboratory Goes Lean with Solid Results

CEO SUMMARY: As part of a major restructuring program under way at Christian Hospital in St. Louis, Laboratory Administrator Bette J. Stanley decided to apply Lean quality management methods in projects to improve work processes in phlebotomy and the chemistry department. Using internal q…

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Many Trends in AP Spell Lots of Change Ahead

CEO SUMMARY: Every second year, THE DARK REPORT releases its list of key trends in anatomic pathology. These trends help shape an understanding about the state of the pathology profession. Our current list includes 11 identifiable trends. This is not an auspicious sign for pathologists wh…

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Sonora Quest Receives Highest AZ Quality Award

CEO SUMMARY: After several years of intense effort to implement quality management systems and Six Sigma techniques throughout its organization, Sonora Quest Laboratories earned the Arizona Quality Program’s highest honor—the Governor’s Award for Quality. This is an accomplishment w…

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Middleware Provides Opportunity For Labs to Gain New Functions

“Even as more laboratories begin to use middleware, the number of functions and uses for middleware continues to increase —Gregory R Vail, CEO, Data Innovations, Inc. CEO SUMMARY: Middleware is attracting attention throughout the laboratory ind…

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Canadian Lab Confab Reveals Useful Insights

CEO SUMMARY: Last month, a group of Canadian early-adopter pathologists and laboratory directors came together for the first-ever Executive Edge forum to share best practices and other cutting-edge developments in laboratory management. Among the noteworthy developments is Canada Health I…

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For Quest and LabCorp, The Story is “Molecular”

CEO SUMMARY: Wall Street likes the potential of molecular diagnostics to infuse new revenues and operating profits into the laboratory industry. That is one reason Quest Diagnostics Incorporated and Laboratory Corporation of America are assertively seeking exclusive access to new molecula…

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Pinkus DermPath Earns ISO-9000 Certification

CEO SUMMARY: After learning about quality management systems at a recent Executive War College, the lab director at Pinkus Dermatopathology recognized how such techniques could be used in his lab to improve quality, reduce errors, and create a better working environment for both pathologi…

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Nichols Diagnostics Stops Product Sales

CEO SUMMARY: It’s an odd story. One of the nation’s most respected names in diagnostics quietly ceases delivering products—and no one in the laboratory industry pays much attention. Last month, Nichols Institute Diagnostics, acknowledging production problems it has not yet resolved,…

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Laboratories Lead Healthcare on Quality Systems

IS THE REST OF HEALTHCARE CATCHING UP TO THE LABORATORY INDUSTRY when it comes to the use of quality management systems like ISO-9000, Six Sigma, and Lean? In the May 2, 2005 issue of Modern Healthcare, there’s a major story on quality management systems and how some hospitals are using sa…

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Lab Innovators Point Way At Executive War College

CEO SUMMARY: Now in its tenth year, this Executive War College attracted a record crowd, including laboratory leaders from Europe, Africa, South America, and Asia. The unexpected finding was that, along with the growing acceptance of Lean, Six Sigma and other quality management systems by…

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