Lean Six Sigma Can Reduce Health Care Costs

In his inauguration speech, President Obama called for improving health care quality and reducing costs. In 2008, U.S. health care costs exceeded $2.4 trillion and are expected to climb to $3.1 trillion by 2012, according to the National Coalition on Health Care.

Of these costs, 25 percent to 40 percent are caused by unnecessary delays, defects, and deviations that can be easily corrected with lean Six Sigma. That’s $600 billion to nearly $1 trillion dollars a year in unnecessary costs.

Although most visits to the emergency department (ED) take two to four hours (from admission to discharge), the Robert Wood Johnson University Hospital in Hamilton, New Jersey, a 2005 Baldrige Award winner, does it in 38 minutes for a discharged patient. Home Health Care Company in Noida, Indrapuram, Ghaziabad, Delh The hospital offers a 30-minute door-to-doctor guarantee. The staff accomplished this by rethinking the emergency experience from the patient’s point of view.

The clinical side isn’t the only issue to be addressed. Health care operations-billing, ordering, and so on-waste even more money. Insurance companies are quick to reject claims and slow to pay the claims they do accept, which causes more problems. One health care provider found ways, using lean Six Sigma, to reduce denied claims by $330,000 a month.

Step 1. Simplify (lean, 5S, gemba)
Every work area collects out-of-date equipment and materials. To trim costs and boost profits, start by going through every nook and cranny, and throwing out everything that isn’t related to the current way work is done. When the clutter is gone, it’s easier to streamline the workflow. Then visually organize and label the materials (e.g., gloves, bandages) and equipment into consistent locations.

Step 2. Streamline (lean value-stream mapping and redesign)
The next step is to streamline the business by redesigning the workflow to minimize resistance and delays. Health care suffers from “Lazy Patient Syndrome.” Although clinicians work on the patient for perhaps three minutes out of every hour, the patient sits idle for the other 57 minutes (the 3-57 rule). That’s why an ED’s elapsed time from start-to-discharge takes hours instead of minutes. Follow a patient from start to finish and notice just how little time is actually spent with the patient. Notice how much time an insurance claim spends in a queue waiting to be corrected.

Step 3. Optimize
Every business makes mistakes and errors or has defects in processes that result in rework, scrap, lost profit, and in health care, even death. To optimize care delivery, start counting and categorizing the mistakes, errors, and defects.

Count. How many mistakes (e.g., medication errors, patient falls) there are in the product or service. Include everything from registration to discharge.

Categorize. What are the most common type of errors, mistakes, or defects? Where do they occur and in which steps of the process? How costly is each type of mistake? By categorizing defects in a variety of ways, it’s easy to discover where they reside. Only four actions out of every 100 cause more than 50 percent of the mistakes, errors, defects, scrap, rework, and lost profit (the 4-50 rule).

Applying lean Six Sigma to health care
When you stop watching the doctors and nurses and focus on how long the patients are waiting for the next step in their care, it’s easy to see how to improve the process. When you find the 4 percent of the process that causes 50 percent of the delay, defects, and deviation, Neuro Care At Home Service in DELHI/NCR health care can easily boost quality, cut costs, and increase profits without breaking a sweat.

The good news is that any health care company can start today; the bad news is that the company will never be finished. But with focused effort, health care could easily save $1 trillion by the next presidential election.

This article originally appeared on NAHQ e-news.

Jay Arthur works with companies that want to plug the leaks in their cash flow using Lean Six Sigma. Jay is the only improvement specialist that understands and can help you pinpoint areas for improvement in processes, people, and technology. Jay is first and foremost a Money Belt; he knows how to use data to pinpoint broken processes. Jay helps teams understand their communication styles and restore broken connections. Jay has 30 years experience developing software on everything from mainframes to PCs.

Jay sells QI Macros, books, consulting services related to Six Sigma and Lean Six Sigma. He has a Bachelor’s Degree from the University of Arizona in Engineering, and a Master’s Degree from Rutgers. He is a member of the National Speakers Association, Association for Software Quality and many other organizations.

Chiropractor Treatment Costs

Many people consider chiropractors as being “quack” doctors. However, many swear by the relief that visiting a chiropractor has brought to them. For those who do not know, a chiropractor is someone who attempts to fix various conditions of the body by placing bones and joints in their “proper” alignment. Chiropractor treatment costs can vary due to several factors:

1) Distance – most chiropractors prefer to practice in their clinics although quite a few do make house calls. Chiropractor treatment costs often increase with the distance that a chiropractor has to travel in case of a house call. Of course, this is because of the fact that chiropractors do have to spend money in order to get to a house.

Distance also refers to the accessibility of the chiropractor. The chiropractor treatment costs increase if the chiropractor is easily accessible. Some who have out-of-the way clinics may charge lower rates for the simple reason that their inaccessibility lowers the number of their clients.

2) Medicine – the cost of the medicine that the chiropractor uses also affects the cost of the treatment. chiropractor near me It is often the case that a chiropractor will not prescribe a conventional medicine but rather use herbal or supplementary medicine. What you should know is the fact that there is often no fixed price on this type of medicine. Some medicines are seasonal and therefore change prices. Chiropractor treatment costs often vary with the medicine.

3) Nature of treatment – different chiropractors take different approaches to heal a patient’s ailments. The nature of the recommended remedy also affects the chiropractor treatment cost. Some chiropractors may attempt to remedy a problem using massage.

Some chiropractors use heat therapy in order to fix whatever is wrong with a patient. Others make use of water therapy in order to relax the stress felt by a patient that is causing the illness. Still other chiropractors make use of acupuncture in order to heal an ailment.

Depending on the nature and difficulty of the treatment, the chiropractor cost can either be very cheap or very expensive. Some chiropractor treatments make use of x-rays and ultrasound in order to determine what’s wrong. These procedures can add a bit more to the chiropractor treatment cost.

Daily Health Tips to Stay Fit Forever

Health should be the first and foremost priority of every individual. As with good health only you can feel energetic and fresh all the time. Healthy mind and body boost up your morale to work more efficiently. You cannot perform well without a healthy body.

Maintaining a good health is not at all an easy job to do. You need to take out time to focus on your health like by doing exercises, proper diet, gym etc.

You can find plenty of websites available on the internet that keep you updated with daily health tips. These sites provide you plenty of information about how to keep your body fit all the time. You just need to search the internet carefully to grab best information which you can follow on regular basis.

There are some tips which can be useful for you to keep your health in tone that is, drink as much water as you can. Much of our body and brain is made up by water. acchihealth.com So, it is necessary to keep hydrated and flush out toxins. Exercise is very important factor or tip to keep your body in shape and energetic. The various types of physical exercises generate flexibility and strength in the body. One should eat well. Fresh fruits and vegetables are the most important foods to eat to keep your body healthy. A proper diet plan should be from breakfast to dinner which should contain a balanced diet.

Sleeping is also one of the important tips to relax your body and mind from hectic schedule. When you sleep your muscles relax and grow. It is essential to sleep at least 6 hours at night. You are suggested to sleep well and do not take tension at all if you want a healthy body.

A regular adherence to these tips may increase your chances of living a healthy and enjoyable life.

Daily health tips providing sites work 24X7 for the welfare of the people. You can ask all your health related queries anytime and these sites also offer you expert approval guidance. These daily tips are not bound with any age group. No matter whether you are an adolescent or old aged, everyone can find numerous health tips daily. They understand the stress of work on your life; likewise they suggest you some exercises or technique which you can obtain while sitting at office only.

The experts from these sites guide you with best healthy vitamins and other pills available in the market which suits your body. So, start taking your health seriously to stay fit forever.

Top 10 Must-Not-Miss Thai Food

Thai cuisine is one of the best gourmets in the world. It is well known for the diversity of ingredients, outstanding spiciness and ample medicinal properties. Most of Thai food is cooked and refined with more than two types of herbs or spices which are beneficial to health.

The (mostly unconscious) principle Thai food is the balance of five flavors which are spicy, salty, sweet, sour and bitter. The one indispensable ingredient which is generally used in seasoning a majority of Thai cuisine is fish sauce. Thai food is eaten either as a single dish or with rice. Steamed rice is the staple food although sticky rice is more popular in the north and northeast of Thailand.

Thai food is one of many things that you should not miss while you are traveling in this beautiful “Land of Smiles”. Since there are numberless delectable Thai dishes, I am writing this guideline for you to select the most distinctive and authentic ones out of the plethora of Thai signature dishes.

The following list is a top 10 rank of Thai food most powerful immune boosting herbs that you must not miss. The consideration and ranking is based on the popularity, uniqueness and authenticity of the delicacies. Here are the winners.

1. Kai Pad Med Mamuang Himmapan (Stir-Fried Chicken with Cashew Nuts)

Even though Kai Pad Med Mamuang Himmapan does not represent the overview of Thai food but it is a very nice treat to your bland taste buds. Since it is by no means spicy or hot, this slightly sweet and salty chicken fried with crunchy cashew nuts is aptly satiating for children or beginners who are not used to spices.

2. Por Pia Tord (Fried Spring Roll)

Fried spring roll is one of the most popular appetizers among foreigners because it is not spicy and comes with sweet and sour dip. Spring rolls are crispy pastries with fried vegetable fillings. Though spring rolls are commonplace in many Southeast Asian countries, Thai Por Pia is different in flavors with a special dip prepared from Japanese apricot.

3. Panaeng (Meat in Spicy Coconut Cream)

Panaeng can be cooked using either pork, chicken or beef. Panaeng tastes like Thai red curry but the coconut milk sauce is relatively thicker and richer. Compared to Thai red curry, Panaeng is mildly spicy and sweet. Paneang is best served with warm steamed rice. There is nothing to dislike about Panaeng expect the fact that it can be too greasy or fleshy for some people.

4. Som Tam (Spicy Papaya Salad)

Som Tam is one of the most popular foods among Thai people for its fiercely spicy and sour flavors. Som Tam, which literally means “Sour Pounded”, is a spicy salad made from a mix of fresh vegetables including shredded unripened papaya, yardlong beans and tomato. Som Tam is unique that the spicy dressing and salad vegetables are pounded and mixed in the mortar using a pestle. Somtam is usually served with grilled chicken and sticky rice. Som Tam is good for your health that it contains no fat, low calorie and high vitamins. This is a truly authentic Thai dish that will make a great impression. The only reason why I’m ranking Som Tam at No.7 (though it deserves higher rank) is its strong spiciness that might leave your tongue burned and swollen. Just say “Mai phed” (not spicy) to your waiter if you really want to try.

5. Moo Sa-Te (Grilled Pork Sticks with Turmeric)

This tantalizing sweet-flavored grilled pork sticks are refined with rich, juicy sauce made of turmeric and curry powder. Moo Sa-Te makes a savory hors d’oeuvres that will appease any taste buds. These juicy grilled pork sticks are usually served with two saucy dips – one is a mildly spicy thick sauce with ground peanuts, coconut milk and curry powder and another one is a sweet and sour vinegar sauce with chopped shallot, pepper and cucumber to mitigate its oiliness.

Women’s Health and Fitness – How to Improve It

Health is wealth, that’s what they always say. And indeed, there’s nothing more important than one’s health. With all the health and fitness advices out there, sometimes, we get confused which is which. If we’re not careful, following someone else’s advice can even lead to peril rather than fitness. So, what is special with women’s Health and fitness compared to men’s?

 

Women’s Health and Fitness 101

Metabolism for women is generally slower than that of men’s. Although this fact is not always true, it gives meaning to why it’s harder for women to stay fit.

  • Women have the tendency to have poor blood circulation compared to men because of slower metabolism. This is usually expressed by the cold hands and feet in all kinds of seasons for the ladies.
  • Because of their monthly period, women have a totally different hormonal structure with that of men. This usually is the cause of their phenomenal mood swings.
  • With the given facts above, obviously women differ with men when they deal with stress, some of which can even lead to eating disorders.

 

How to Improve Women’s Health and Fitness

 

  • Increase one’s metabolism by exercising. Examples are jogging or power walking or a combination of both. Not only does it burn calories faster but it also improves blood circulation.
  • Because of slow metabolism, women are recommended to have a high fiber diet. A daily dose of fruits and vegetables are in order to keep one fit and healthy.
  • One measure of women’s health and fitness is the amount of fluids they take. It is advised to take at least two liters of water and other liquids per day. But this does not include coffee or tea as they contain caffeine.

 

Regular Visits

With regular check ups, women’s health and fitness can be monitored, if not further maintained. Make sure you keep up with your doctor and never skip a visit even if you think there’s nothing wrong. As they always say, prevention is better than cure.

 

On those Fitness Tips

Women’s health and fitness cannot be generalized. What works for another woman may not work for you so don’t just go on following anybody’s advice. Make sure you consult a professional.

Get in touch with an expert to further understand your body. Make sure you only follow a professional’s advice and maintain your health.