{"id":1044,"date":"2020-09-30T19:29:41","date_gmt":"2020-09-30T19:29:41","guid":{"rendered":"http:\/\/localhost:8081\/?p=1044"},"modified":"2026-09-19T16:14:27","modified_gmt":"2026-09-19T16:14:27","slug":"using-lean-six-sigma-healthcare-hospitals-can-reduce-healthcare-costs-real-time-analytics-lean-quality","status":"publish","type":"post","link":"https:\/\/ambientclinical.com\/2020\/09\/30\/using-lean-six-sigma-healthcare-hospitals-can-reduce-healthcare-costs-real-time-analytics-lean-quality\/","title":{"rendered":"Using Lean Six Sigma in Healthcare: How Hospitals Can Reduce Healthcare Costs with Real-Time Analytics and Lean Quality"},"content":{"rendered":"<p><em><strong>By Al Berning, CEO, Ambient Clinical Analytics<\/strong><\/em><\/p>\n<p>Ambient Clinical Analytics, a Rochester, Minnesota-based company, sells AWARE, a real time clinical analytics support platform with smart notification tools that reduce health care costs and improve patient outcomes. AWARE uses licensed Mayo Clinic technologies, that include over 1,200 proven rules and algorithms, to give critical care providers real-time access to vital point of-care information and analytics based smart notifications for conditions like Sepsis at the bedside. ACA has achieved FDA Class II Clearance, ing, and ISO 13485:2016 Certification on the AWARE platform.<\/p>\n<p><a href=\"https:\/\/ambientclinical.com\/solutions\/\"><img decoding=\"async\" class=\"alignnone size-medium wp-image-1139\" src=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Browse-Solutions-300x50.png\" alt=\"\" width=\"300\" height=\"50\" \/><\/a><\/p>\n<p><strong>Legacy of Ambient Clinical Analytics Tools<\/strong><\/p>\n<ul>\n<li>Based on Licensed Mayo Clinic Real-Time Analytics Technology Developed Over a 10 Year Period in the ICU and ED Units.<\/li>\n<li>The Ambient Clinical Analytics Team Has Over 2 Decades of Experience in Implementing Lean Six Sigma in Healthcare Quality Programs in both Medical Technology Products\/Software and Storage\/Semiconductor Technology Products.<\/li>\n<\/ul>\n<p><strong>Supports Lean Quality Methods: <\/strong><\/p>\n<ul>\n<li>Value Stream Mapping, Six Sigma, 5S, Plan-Do-Check-Act, Visual Management, Kaizen<\/li>\n<\/ul>\n<p>The AWARE platform has been utilized in clinical practice at Mayo Clinic since 2012 (US Patent #10,460,408). AWARE promotes situational awareness for patients in the acute care setting, and incorporates salient information displays, data analytics, context sensitive checklists and alerts (\u201csmart checklists\u201d and \u201csmart alerts\u201d), as well as reporting features to help clinicians track quality metrics in real time utilizing a single, integrated decision support system with high validity.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-1050\" src=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture1.jpg\" alt=\"Lean Six Sigma in Healthcare\" width=\"651\" height=\"367\" srcset=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture1.jpg 651w, https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture1-300x169.jpg 300w\" sizes=\"(max-width: 651px) 100vw, 651px\" \/><\/p>\n<p>AWARE Platform. Hospital floor situation awareness<br \/>\nThe AWARE platform supports Lean Six Sigma in Healthcare Quality initiatives in the following ways:<\/p>\n<p><strong>Use a Systematic and Statistically Valid Measurement of Processes using Control Limits<\/strong><\/p>\n<ul>\n<li>Mayo Clinic AWARE Rules Based Clinical Decision Support is an example of grading all clinical data using control limits:<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-1052\" src=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture2.png\" alt=\"Lean Six Sigma in Healthcare\" width=\"674\" height=\"365\" srcset=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture2.png 674w, https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture2-300x162.png 300w\" sizes=\"(max-width: 674px) 100vw, 674px\" \/><\/p>\n<p><strong>Promote Visual control Throughout the Workplace and Organization<\/strong><\/p>\n<ul>\n<li>Visual control means \u201cmanagement by sight\u201d, that is, the actual progress of work is always visible\u2026..having all department work processes as visible as possible to any employee\u2026have key parameters of work processes visible.<\/li>\n<\/ul>\n<p>AWARE YES Board is an example:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-1060\" src=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/pic3-1024x567.png\" alt=\"\" width=\"512\" height=\"281\" \/><\/p>\n<p><strong>Sequence Work and Standardize It<\/strong><br \/>\n<br \/>\nAWARE Platform Smart Rounding Checklists are an example of using analytics and checklists to automatically customize a checklist to each patient:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1054\" src=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture4.png\" alt=\"Lean Six Sigma in Healthcare\" width=\"553\" height=\"248\" srcset=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture4.png 553w, https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Picture4-300x135.png 300w\" sizes=\"(max-width: 553px) 100vw, 553px\" \/><\/p>\n<p>AWARE&#8217;s innovative dashboard and clinical decision support focuses on reducing information overload and makes it possible to prioritize clinically important information. Used by over a thousand clinicians across multiple hospitals, the AWARE implementations have been associated with marked improvement in clinical outcomes. Adjusted for illness severity, the odds for hospital mortality of critically ill patients treated after AWARE implementation were reduced by half (odds ratio 0.45, 95% confidence interval 0.30 to 0.70). In addition, the length of ICU stay decreased by 50%, length of hospital stay by 37%, and total charges for hospital stay by 30% ($43,745 per hospital admission) [1]. A series of peer-reviewed papers have been published demonstrating AWARE&#8217;s efficacy as a clinical decision support system. [Example 2]<\/p>\n<p><a href=\"https:\/\/ambientclinical.com\/solutions\/\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1139\" src=\"https:\/\/ambientclinical.com\/wp-content\/uploads\/2020\/09\/Browse-Solutions-300x50.png\" alt=\"Lean Six Sigma in Healthcare\" width=\"300\" height=\"50\" \/><\/a><\/p>\n<p>AWARE has been fully integrated with Epic, Cerner, Allscripts and Meditech and it has been demonstrated in a civilian setting to lead to improvements in provider and team performance, system processes of care reliability, and reduced resource utilization.<\/p>\n<p>Based on previous studies on AWARE, using a human centered interface design for acute care practice, the research has shown improved processes of care, improved patient outcomes and reduced costs. Key outcomes that have been measured include:<\/p>\n<ul>\n<li>Provider Level: cognitive load, safety culture, team communication, satisfaction, technology usage.<\/li>\n<li>System Level: Processes of care targets will be identified with local practice but may include items such as use of non-invasive and low tidal volume modes of ventilation , judicious fluid resuscitation and shock reversal, restricted blood product use, DVT prophylaxis, central device removal, goals of care discussion, and sepsis bundle of care compliance.<\/li>\n<li>Patient level: ICU and overall hospital mortality (unadjusted and severity of illness adjusted), ICU and overall hospital length of stay, ventilator free days, discharge location.<\/li>\n<li>Development of numerous algorithms covering all aspects of critical care.<\/li>\n<\/ul>\n<p><strong>Ambient Clinical Analytics Products are Designed to fit a Hospitals Lean Quality &amp; Lean Six Sigma in Healthcare Programs<\/strong><\/p>\n<ul>\n<li>Proven to Reduce Errors and Improve Efficiency as demonstrated in Mayo Clinic Published Research<\/li>\n<li>Products Align with all Key Lean Six Sigma \/ Quality Tools to Support a Hospital\u2019s Improvement Projects<\/li>\n<li>Easy to Install with minimal Hospital IT Support Required<\/li>\n<li>Intuitive\/User Friendly Design That Requires Little or No Training to Start Using the Products<\/li>\n<li>Reasonable Subscription Based Pricing That Will Show an ROI Payback Within Several Months<\/li>\n<li>Mayo Clinic Team is Available to Provide Support to Reinforce the Use of Products as Lean Six Sigma in Healthcare Quality Tools<\/li>\n<\/ul>\n<p><strong>Ambient Clinical Analytics<\/strong> provides the overall system integration and field deployment of the AWARE platform. Ambient has the development, system integration, field installation and support required for hospital and research projects. The AWARE platform of products has been installed and deployed in dozens of locations around the world. Ambient Clinical Analytics expertise includes regulatory skills in the SaMD category of Health IT products with FDA Class II Clearance, ing, and ISO 13485 Registration.<\/p>\n<ol>\n<li>Olchanski, N., et al., Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives? J Med Syst, 2017. 41(11): p. 171.<\/li>\n<li>Pickering, B.W., et al., The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial. Int J Med Inform, 2015. 84(5): p. 299-307.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>By Al Berning, CEO, Ambient Clinical Analytics Ambient Clinical Analytics,<\/p>\n","protected":false},"author":5,"featured_media":1050,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[8],"tags":[],"class_list":["post-1044","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Using Lean Six Sigma in Healthcare: How Hospitals Can Reduce Healthcare Costs with Real-Time Analytics and Lean Quality - Ambient<\/title>\n<meta name=\"description\" content=\"Ambient Clinical Analytics, a Rochester, Minnesota-based company, sells AWARE, a real time clinical analytics support 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