Six Sigma
Valley Baptist Harlingen Initiatives

Wave I

  • ED Wait Time - Door to Doctor
  • Operating Room Turnaround Time
  • Nursing Activation of Orders
  • Staff Scheduling
  • Pharmacy Verification of Orders
  • Diabetes Management
  • Event Response
  • Family Practice Residency Clinic Patient Throughput
  • Advance Directives

Wave II

  • ED Wait Time – Doctor to Disposition
  • Operating Room Turnaround Time
  • Admissions
  • Discharge Process
  • Radiology – CT Turnaround to ED
  • Laboratory Turnaround Time
  • Polypharmacy Medication Management
  • HR Benefits
  • Capital Asset Management

Wave III

  • Surgery Patient Preparation/PATT
  • ED Wait Time – Doctor to Disposition
  • Nursing Admissions Assessment
  • Performance Management
  • RN New Hire Process
  • DRG Assurance of Accuracy
  • Outpatient Services Redesign
  • Patient Registration Accuracy
  • Harlingen Physician Network (HPN) Billing and Collections
  • Employee Onboarding
  • Patient Onboarding

Wave IV

  • Pathology Process Flow Improvement
  • STO Turnaround
  • Clinical Patient Safety - Abbreviations
  • Congestive Heart Failure
  • Late Charges, Days to Bill
  • Inpatient Floor to Floor Transfers
  • Golden Palms - MDS Coding Accuracy
  • Utilization of Ancillary Services by the ED
  • Pain Management
  • Acute Myocardial Infarction
  • Patient ID before treatments
  • Claims and Incident Reporting Process Improvement
  • Patient Complaints
  • Stroke Care
  • Timely & Safe Medication Turnaround
  • Document Management
  • OP Services Integration

Wave V

  • Interdisciplinary Communication in Care Planning
  • Ancillary Departments Results Availability
  • VBMC-Harlingen Accessibility
  • Pneumonia - Evidence Based Medicine
  • ED Registration and Accuracy
  • Valley Health Plan - Physician Pay for Performance

Wave VI

  • Patient Throughput
  • Medication Reconciliation
  • Cath Lab Capacity
  • Critical Care Glucose Management
  • CABG-Core Measures

Wave VII

  • Labor and Delivery Triage Turnaround Time
  • Prevent Ventilator Associated Pneumonia
  • Dialysis Patient Wait Times
  • Admissions Process
  • Radiology Turnaround Time
  • Food Service Accuracy
  • Harlingen Physician Network Charge Capture

Wave VIII

  • Acute Refractory Pain Reduction
  • Inpatient Diabetes Management
  • Nutritional Care in the ICU 
  • Central Line Care and Maintenance (Dual Campus Initiative) 
  • Door to Balloon (Dual Campus Initiative)
  • Application of Evidence Based Medicine to Hip and Knee Replacement Procedures (Dual Campus Initiative)

Wave IX

  • Indwelling Urinary Catheter Usage (Dual Campus Initiative)
  • Prevention and Management of Severe Sepsis and Septic Shock (Dual Campus)
  • Management of Medical Rental Equipment (Dual Campus)
  • Food Tray Timeliness and Accuracy (Dual Campus)
  • Heparin to Warfarin Conversion Protocol (Dual Campus)
  • Referrals to Owned/Partnered Entities (Dual Campus)
  • Time Away From Work
  • Stroke Core Measures
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2007 Valley Baptist Health System