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Performance Improvement for Healthcare: Leading Change with Lean, Six Sigma, and Constraints Management

Performance Improvement for Healthcare: Leading Change with Lean, Six Sigma, and Constraints Management [Kindle Edition]

Bahadir Inozu , Dan Chauncey , Vickie Kamataris , Charles Mount , LLC NOVACES
5.0 out of 5 stars  See all reviews (1 customer review)

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Product Description

Product Description


"If I had to sum up this book in one word, the word would be 'brilliant'! This is one of the most insightful books on TOC, not just for healthcare, that I have ever read."

--BOB SPROULL, author of The Ultimate Improvement Cycle: Maximizing Profits through the Integration of Lean, Six Sigma, and the Theory of Constraints

Performance Improvement for Healthcare: Leading Change with Lean, Six Sigma, and Constraints Management lays out an integrated approach for using three industrially based methods to transform hospital operations in terms of patient outcomes and experience, financial viability, and employee satisfaction. This pioneering guide presents a scalable strategy for managing bottlenecks, eliminating waste, reducing errors, and containing costs in healthcare organizations, as well as sustaining the gains achieved. Real-world case studies illustrate successful performance improvement implementations that have realized breakthrough operational and financial results.


  • Constraints Management applications in healthcare
  • The NOVACES SystemCPI--an integrated performance improvement deployment approach
  • Three-part assessment--strategic gap analysis, system-level value stream analysis, and system constraint analysis
  • Planning a performance improvement program deployment to ensure timely and consistent execution
  • Applying the right tool to the right problem from a system perspective
  • Sustaining gains achieved by the performance improvement team
  • Defining a path to self-sufficiency

About the Author

Bahadir Inozu, Ph.D., is a Founding Partner and the Chief Executive Officer of NOVACES, LLC, a leading provider of continuous process improvement consulting and training services. He is a Lean Six Sigma Master Black Belt and a Theory of Constraints Jonah. Dr. Inozu has been teaching undergraduate, graduate, and adult education courses on Process Improvement, Lean, Six Sigma, Reliability and Maintenance Management, Marine Engineering, and Executive Leader Training courses on CPI for over 20 years.

Dan Chauncey is the Director of Deployment Services for NOVACES where he has served as the technical program manager for the deployment of CPI across patient care in the U.S. Navy Medical Enterprise. He also leads a team of five Master Black Belts embedded at mid-level commands across the Navy and led the CPI Deployment at United Health Services.

Vickie Kamataris is the Director of Commercial Healthcare Services for NOVACES. She is a registered nurse with more than twenty years of clinical experience, Vickie earned her BSN from Southwestern College where she graduated Valedictorian in 1988. She has achieved multiple specialty certifications including CPHQ and is a Lean Six Sigma Master Black Belt. As a NOVACES Master Black Belt for healthcare, Vickie provides Lean Six Sigma expertise and leadership to develop and guide Lean Six Sigma deployment strategies, develop and deliver training, lead complex, enterprise-level projects and events, and mentor Black Belt and Master Black Belt candidates. In her role as Quality Leader for General Electric Corporate Healthcare and Medical Programs, Vickie developed and deployed a balanced scorecard across GE's network of more than 240 clinics in 34 nations. She led multi-disciplinary, cross-functional global teams to improve mean performance related to cost/productivity, compliance, and medical quality indicators and led key global initiatives including implementation of an electronic health record, emergency medical response, travel medicine, health promotion and wellness, medical surveillance assurance, disability case management, and development of clinical protocol. She has extensive experience as an educator, serving as hospital education coordinator and adjunct faculty in the Biology department at Cowley College. She has presented at national and international venues and authored journal articles and papers on clinical and change leadership and quality-related topics including Lean, Six Sigma, TRIZ, and balanced scorecard. Vickie is a co-author of Leading Change with Lean, Six Sigma, and Constraints Management. Vickie has more than 30 years of experience leading clinical, business, and military teams and has received multiple academic and professional awards. She served as a noncommissioned officer in the US Air Force. Vickie is a member of Sigma Theta Tau International, National Association for Healthcare Quality, the American Society for Quality , the American College of Healthcare Executives, the Pennsylvania Organization of Nurse Leaders, and the International Society of Six Sigma Professionals.

Charles Mount, CAPT, USN (Ret.) is the Director of Government Healthcare Services and an ASQ-certified Lean Six Sigma Black Belt for NOVACES, LLC. He oversees the company’s services in Lean Six Sigma and Leadership programs to improve patient care, safety and satisfaction. He has 40 years experience serving defense & security organizations, as well as 28 years experience in Performance Improvement, leadership, management, and professional development. After almost 39 years on active duty, he retired from the military as a Captain from the Navy Medical Department. While in the Navy, CAPT Mount was Commanding Officer and Executive Officer of the Naval Schools of Health Sciences Training in Portsmouth, VA and San Diego, CA. At the Navy’s largest medical center in San Diego, Charles spearheaded the training, coaching, and implementation of Total Quality Management (TQM) for 5,000 employees and scores of patients. He created a 24-hospital group to fast track the implementation of healthcare quality, the Southern California Coalition for Improving Healthcare and served as its President for 6 years. He also served as Education Director, and later President, of the San Diego W. Edwards Deming User Group. As a Master Training Specialist, CAPT Mount has conducted strategic planning sessions for multiple organizations, with a specific emphasis on employee and executive development of the mission, vision, values, and guiding principles. He served as the Navy’s national faculty for Basic Life Support for the Navy Surgeon General for 17 years. As a member of the American Society for Training and Development (ASTD), CAPT Mount has made presentations to groups throughout the nation, including San Diego, Chicago, and Norfolk, VA. Over the years, he has written about managing change in healthcare for a variety of publications and consulted for numerous civilian and federal healthcare institutions. Charles is a graduate of the Institute for Federal Health Care Executives; he holds a B.Sc. Degree in Nursing from the University of Washington and a M.Ed. From the University of San Diego.

Product details

  • Format: Kindle Edition
  • File Size: 3562 KB
  • Print Length: 352 pages
  • Simultaneous Device Usage: Up to 4 simultaneous devices, per publisher limits
  • Publisher: McGraw-Hill Professional; 1 edition (24 Aug 2011)
  • Sold by: Amazon Media EU S.à r.l.
  • Language: English
  • Text-to-Speech: Enabled
  • X-Ray:
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (1 customer review)
  • Amazon Bestsellers Rank: #476,178 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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Most Helpful Customer Reviews
5.0 out of 5 stars Excellent Value 5 Nov 2011
This is an erudite, entertaining, state of the art overview of performance improvement.
The authors are experts in their field.
This book is a must buy.
Much better than older texts.
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Most Helpful Customer Reviews on (beta) 4.8 out of 5 stars  5 reviews
25 of 27 people found the following review helpful
5.0 out of 5 stars Performance Improvement for Healthcare 15 Sep 2011
By Tamer Acikalin - Published on
The book, Performance Improvement for Healthcare, by Bahadir Inozu et al., principles at NOVACES, LLC, explains how healthcare administrators can manage their companies by using contemporary management concepts of Lean, Six Sigma and Constraints Management. These concepts all have been around for a long time, employed widely in other economic sectors and to some degree in healthcare. The book teaches how to appropriately combine these methods in an important sector of the economy.
Healthcare still exhibits features of a cottage industry in the area of management, even while utilizing the most advanced technologies in patient care. Disproportionally increasing Healthcare expenses compared to the other expenses continue to be major concern for executives in government and private industry. Contemporary economy dictates efficiencies in every area and healthcare is not immune from it. Thus conditions are setting up a conflict-laden environment between payors and healthcare delivery apparatus. This book starts with a premise that good business and good patient care are paired. Good management will translate into more efficient and better healthcare delivery for the patients. The system is likely to fail everyone starting with the patient if one or another is not administered efficiently and effectively.
The book starts with basic terminology. This is important and shows good insight by the authors because many healthcare administrators come from professional backgrounds who may have ascended from a technical pathway rather than a management pathway to their current position. The book proceeds with examples of thinking process, buffer management and supply chain logistics to demonstrate how one can increase the throughput even in the face of adverse payor conditions and turn a profit. The book brings clarity to the operations and helps avoid artificial constraints for a more profitable organization. Critical role of the structured Performance Improvement is emphasized, which formalizes management's traditional role of planning, organizing and controlling
This book should reside on every healthcare administrator's desk regardless of their position. The future will present tremendous challenges to healthcare institutions and people who run them. An executive administrator needs to know and understand the concepts explained in this book to be able to steer their organizations through the treacherous waters of the current economy. Failure will mean replacement. The subject matter of Lean, Six Sigma and Constraints Management will be thought of more extensively in Master of Healthcare Management programs, and the more competent and younger graduates will push their way upward and dislodge any middle or upper manager who fails to learn, understand and employ these modern management techniques in an ever shortening horizon.

Tamer Acikalin, M.D, MBA
4 of 4 people found the following review helpful
5.0 out of 5 stars If you are a medical professional interested in improving, read this book! 18 Jun 2012
By Charlene Spoede Budd - Published on
Format:Hardcover|Verified Purchase
Because I have relatives in the medical field (and have written on lean, six sigma, and constraints management), I read this book so I would know if I should recommend it. The answer is YES - read this book before you begin to implement ANY improvement process; it will save you time, money, and agony.

Previous reviews have highlighted how the authors skillfully weave the three most popular improvement methodologies together and tell you when and how each should be applied. I agree wholeheartedly with their assessments. What they did not mention is the positive attitude the authors apply to current operations (no finger pointing, "you should have known better", etc.) They simply state prevalent current practice with incredible understanding and then suggest a way to achieve much better results. (As an accounting educator, I especially appreciate their understanding of GAAP and GASB, and the difference between external reporting and an internal decision support system.)

The breadth of coverage of this book, along with its detailed and clear explanations, examples and cases, is incredible. Even TRIZ (Theory of Inventive Problem Solving), a methodology to analyze and solve particularly incorrigible problems, is introduced. Despite the broad and detailed coverage, the book reads quickly. However, because the material is exciting, I found it best not to read in bed at night.
4 of 4 people found the following review helpful
5.0 out of 5 stars Patient Safety and Quality through 3 lenses 1 May 2012
By Fran Charney, RN, MSHA, CPHQ, CPPS, CPSO, CPHRM, FASHRM - Published on
This book, in my opinion, allows an integrated approach to performance improvement. This integrated approach is comparable to looking thorough three lenses into a system: Lean, Six Sigma, and Constraints Management lenses. Constraint management was a new lens for me. Constraint Management "is like looking at the forest from a hot air balloon and selecting the best tree from which to pick the fruit." The Lean lens shows us the most simplest way to pick the low hanging fruit with very little effort and the six sigma lens shows us how to consistently pick the bulk of the sweeter fruits, without bruising them, at higher and difficult to reach branches of the tree. Put all three lenses together that is a vision for performance improvement for Healthcare.
4 of 4 people found the following review helpful
5.0 out of 5 stars Not Just Theory - A Useful Text Book 24 April 2012
By Steve Maguire - Published on
I was expecting all theory, but was impressed to find it to be more of a text book. I can easily imagine people in the hospital being trained and then a few of them, as change agents, referring back to the book frequently for guidance, tools, and further understanding. The case studies were great -- just the right level of detail. So often case studies are just puff pieces (not enough detail) or sometimes the opposite, so detailed that the concept is lost. Now I better understand the authors' comment that seeing the waste and the fix are the easy part, compared to implementation in the culture of a hospital, its unique stakeholder needs, etc.

Let me tell you what the book said to me personally. As I read, I thought about what it was like to write the book, working with others to define a system CPI solution that would work in many environments, combining tools (lean-sigma-constraints) and defining when/where to use which parts. I realized how much I miss working on such solutions in a team environment. My compliments to the authors.
4.0 out of 5 stars A different method to explain TOC 23 Jun 2014
By Utkan Uluçay - Published on
I like the book.

This is the first book I have ever read on TOC written without Socratic method. I found it more friendly and feel more comfortable. I believe there are cultural differences between western and eastern societies. I think the friendly way of this book well complies with eastern culture.

I like the light brief of TOC - Lean - 6sigma. This was a very frank brief since it is not attempting to explain everything. There is a wide list of references for those interested readers.

I like the reasoning and focus on "Why to use it?" since I believe this is the most cruical part. Authors stay objective between Lean - 6sigma - TOC techniques. They are promoting CPI method which is a version of iTLS mentioned in Epiphanized book.

I like the way of promotion also. I do not feel that they are trying to sell me a product. I feel that this is a very reasonable combination of these three techniques, evolved with experience. I feel inside the desire to meet the team rather than challenging to "do it yourself".

I am not from healthcare industry but my brother and my father are surgeons. I could say I am not too distant to hospitals. I think the structure for CPI in a hospital is bureaucratic but I am not aware of internal Dynamics of a hospital anyway. I wish to have a structure based on the scale of hospital not to frighten small clinics. I feel myself secure if I sense that in CPI it is possible for Novaces to handle this bureaucracy onbehalf of us.

I hope the authors will consider the possibility to rewrite the book in Turkish and this time as a business novel :)

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