PP102 – Reducing 30-day readmission rates for patients with CHF and COPD while utilizing Six Sigma (DMAIC) methodology
In 2016, Huntington Hospital’s readmission rate for Heart Failure patient was 23.8 percent and 27.6 percent for COPD patient. These rates were both above the Northwell Hospital Systems Benchmark for CHF (20.5%) and COPD (18.6%) as well as the National Benchmark for CHF (20.2 %) and COPD (22%). In addition, Huntington Hospital ranked three out of five stars under the CMS star rating system. As these markers emerged, so did the acknowledgement of opportunity for improvement, resulting in the partnership with the Center for Learning and Innovation (CLI). As previously noted, the phenomenon of avoidable readmissions is known to affect institutions similarly throughout the health industry. Therefore, the CLI team led a system-wide initiative utilizing the six-sigma methodology with the goal of learning and reducing readmission across the health system.In April 2017, five members of the Huntington Hospital joined in collaborative efforts to improve the discharge process for CHF and COPD patients. The goal is to reduce the combined readmission rate by 10 percent for Medicare patients with the diagnosis of CHF and COPD. Our subsequent goal is to increase patient satisfaction in relation to the transition of care. Huntington Hospital’s reduction in readmissions project revolved around six sigma methodology. Six Sigma methodology was used because it decreases variance and defects in the process while it increases patient satisfaction. It also provides a sustainable methodology for improving patient outcome. While our big Y was the 30-day readmissions rate for CHF and COPD, our sub Y was the ratio of defects on the readmitted patient survey tool. Defects in the process are determined through a sigma score (George, Rowlands, Price, & Maxey, 2005). The higher the sigma score, the fewer defects there is in the process (George, Rowlands, Price, & Maxey, 2005). The 5 phases of six sigma methodology will be explained along with the tools used on each phase.
1. Identify and discuss the 5 five phases in six sigma methodology.
2. Identify and discuss tools used in six sigma DMAIC methodology.
3. Discuss collaborative efforts in reducing re admissions for CHF and COPD population.