Open Letter to Hospital Chairperson of the Board

Hospital Chairman of the Board

Dear Chairperson:

Firstly, let me paint a picture of your future Hospital System after implementing the expertise of the 6+ Sigma Toyota Production System. The advantages of a maniacal  focus on processes:

  • Everyone in the Hospital System is directed toward success,
  • Above all, the Hospital System focuses on the value they produce,
Hospitals Protect Patients
  • Consequently, everyone on a Value Stream becomes a quality inspector through the use of andon:
    1. Certainly, Hospital-Acquired Infection Rate plummets,
    2. Insurance costs decrease,
    3. Lawyer costs decrease
    4. Reputation increases, and
    5. Patients are happy.
Take Control of Suppliers
  • Consequently, suppliers work to create a just-in-time system where they can decrease your costs,
  • All smaller but often purchased items can be put into a double bin system to decrease inventory costs and increase availability,
Hospital System Seeks Perfection
  • Hospital System Seeking Perfection:
    1. At a rate of about 1 idea a month,
    2. Management defines idea direction,
    3. Toyota will not expand to a new plant unless they have a critical mass of employees that know this procedure,
    4. This is how come no competitor will ever catch Toyota, and
    5. Therefore, your culture changes to one of winning.
  • Implement the Pull Methodology wherever possible to increase process speed and minimize inventory waste,
  • Certainly, decrease Emergency Room costs with a new innovative Emergency Room Design,
  • Lastly, implement Lean Six Sigma to:
    1. Consequently, increase process velocity,
    2. Decrease process costs, and
    3. Increase process quality.
  • Report success metrics to management, and
  • Your organization no longer worries about the competition but welcomes them. Your Hospital System will get stronger year after year.

The Toyota Production System is a 6+ Sigma System and there’s no reason how come your Hospital Organization cannot strive for that level of performance. Think about making progress towards a Malcolm Baldrige Award (indicating the realization of Operational Excellence, a competitive advantage). The above list is but a short summary of how your future Hospital Organization will function.


Jim FitzGerald

Lean Six Sigma Master Black Belt


Apply the Tools of The Six Sigma Toyota Production System to Hospitals.

Build Your6+ Sigma Hospital.