Data Utilization and QI Tools
Data Utilization and QI Tools
"As much as 95% of quality related problems in the factory can be solved
with seven fundamental quantitative tools." - Kaoru Ishikawa
Why Are We Doing This?
The Deming Chain
Improve Quality
Decrease Costs
Improve Productivity
Decrease Price
Increase Market
Stay in Business
Provide More Jobs
Return on Investment
Six Problem Solving Steps
Identify
recognize the symptoms
Define
Agree on the problem and set boundaries
Investigate
Collect data
Analyze
Use quality tools to aid
Solve
Develop the solution and implement
Confirm
Follow up to ensure that the solution is effective
“We need research and development focused on
information integrity, data standardization, data capture,
and use.”
W. Edwards
Deming
Certified Health Data (Clinical
Data) Analyst
A New Role
Health Data Analyst Duties &
Responsibilities
Be responsible for the implementation, operation and
enhancement of clinical data validation systems and
processes
Participate in ongoing clinical data analysis and
documentation
Participate in the ongoing invention, testing and use of
clinical data quality systems
Work closely with Service management in clinical data
areas
Health Data Analyst Required
Experience and Skills
Bachelors Degree in a patient care or health information management
discipline or work equivalent
Experience working directly with physicians, nurses, and other healthcare
personnel
Minimum of 2 years of clinical data management experience
Working knowledge of health information systems
Working knowledge of standard clinical terminologies and coding systems
Ability to analyze user requests, define requirements, develop project plans
and report conclusions
Ability to work creatively and flexibly, both independently and as part of a
team
Attention to fine details and work processes
Desire and ability to learn new skills, systems and processes
Good organizational, and written and oral communications skills
Data Capture & Sharing
The Basic Seven (B7)
Tools of Quality Improvement
Where did the Basic Seven
come from?
Kaoru Ishikawa
No statistics involved
Typos
Source info incorrect
Wrong source info
Didn’t follow proc.
Po
Dyslexic
Wrong purchase order
or
Transposition
t ra
in i
ng Incorrect
shipping
Glare on documents
Temp. display Corrupt
data
No training
Environment
No procedure
Keyboard sticks
No communications
Software problem
Methods Machine
Fishbone Diagram Overview
Definition
Uses
Ishikawa
• As a group:
1. Establish problem (effect)
-state in clear terms
-agreed upon by entire group
Poor Service
(“backbone”)
(“head”)
Example (2 of 4)
Step 3 & 4:
Responsiveness
Appearance
Poor Service
Attention Reliability
Example (3 of 4)
Step 5, 6, & 7:
Appearance Responsiveness
equipment time
personnel
facility
Attention Reliability
Example (4 of 4)
Step 8 & 9:
Use tools to analyze and evaluate causes
Pareto diagrams, charts, and graphs
Statistical analysis for causes in processes
Decide and take action
Use fishbone diagram, analysis and evaluations to find
causes that can be fixed
Take action to eliminate and fix problem causes
Histograms
Bar chart
1) What is a Histogram?
2) What are some possible uses for a
Histogram?
3) Where did the Histogram come from?
4) How do Histograms work?
5) A real world example.
6) An exercise.
What is a Histogram?
A Histogram is a variation of a bar chart in
which data values are grouped together
and put into different classes.
This grouping allows you see how
frequently data in each class occur in the
data set.
Higher bars represent more data values
in a class.
Lower bars represent fewer data values in
a class.
Example of a Histogram
Uses for a Histogram
A Histogram can be used:
to display large amounts of data values in a
relatively simple chart form.
to tell relative frequency of occurrence.
to easily see the distribution of the data.
to see if there is variation in the data.
to make future predictions based on the data.
How do Histograms Work?
First, you need to pick a process to analyze.
Next, you need a large amount of data, at least
100 data values so that patterns can become
visible.
Then, you need to assemble a table of the data
values that you collected with regards to
frequency of data values.
Next, you need to calculate some statistics for
the Histogram, including: mean, minimum,
maximum, standard deviation, class width,
number of classes.
How do Histograms Work?
(cont)
After you have created a Histogram, it
will take one of five shapes:
Normal Distribution:
How do Histograms Work?
(cont)
Positively Skewed:
Negatively Skewed:
How do Histograms Work?
(cont)
Bi-Modal Distribution:
Multi-Modal Distribution:
How do Histograms Work?
(cont)
Once your Histogram is complete, you can
analyze its shape, as well as the statistics
that you came up with.
Thank You
Pareto Analysis
20
Frequency
15
10
Category
Chart
Pareto
10
20
30
40
50
60
70
0
Po
or
W De
ro s
n g ig
di n
(64)
m
De en
f ec
s io
ns
tiv
(13)
M e
ac pa
hi rts
ne
(10)
ca
O lib
pe ra
ra t io
to
(6)
re ns
De rro
f ec rs
tiv
(3)
e
m
Causes of poor quality
Su at
rfa er
ce ia
ls
(2)
ab
ra
s io
n s
(2)
Pareto Diagram
Method Usage Result
How is it done?
Create a preliminary list of
problem classifications.
Tally the occurrences in each
problem classification.
Arrange each classification
in order from highest to
lowest
Construct the bar chart
Pareto Charts
Benefits: 120
work on first
0
Dent Scratch Hole Others Crack Stain Gap
Defects 104 42 20 14 10 6 4
Pareto Charts
Weighted 600
Defect Total Cost cost
Gap 4 200 800 Weighted Cost 500
Stain 6 1 6
100
0
Gap Dent Hole Crack Scratch Others Stain
Weighted cost 800 208 100 80 42 14 6
Acme Pizza (Example 1)
Slices Frequency %
0 1 .3
1 33 13.09
2 65 25.79
3 8 3.17
4 12 4.76
5 0 0
6 0 0
7 1 .3
Acme Pizza (Example 1)
The completed Pareto Analysis results in the following graph:
70
# times ordered
60
50
40
30
20
10
0
21 1
2 43 34 75 56 67
Slices of Pizza
Acme Pizza (part 2)
Critical Thinking
How does the Pareto Analysis differ from
the Histogram?
Percent
60
Count
40 of failure “Design”
30 40
20
20
10
0 0
Design Faults
t
n en er
Defect s ig on ild
De mp Bu Oth
Co
100
Count 57 13 4 2
50
Percent 75.0 17.1 5.3 2.6
80
Cum % 75.0 92.1 97.4 100.0
40
Percent
60
Count
30
40
20
10 20
0 0
le n
ule rs rt du atio
od oto Sta Mo libr n
Defect nn
ec
tM
rqu
eM
Co
ld du
ce
r
IC
Ca IOP Imo
Co To ns AS
Tra
Count 21 10 8 8 5 3 2
Percent 36.8 17.5 14.0 14.0 8.8 5.3 3.5
Cum % 36.8 54.4 68.4 82.5 91.2 96.5 100.0
Flowcharts
A graphical picture of a PROCESS
END
5 - Action Assignee
performs detail
analysis of failure. No
Start Requests failure
analysis as needed. 11 - Fleet Analysis
Still monitors failure to
failing? ensure corrective
action is effective.
1- Fleet Analysis
Yes
utilizes data
Yes
warehouse reports to 6 - Action Assignee
create and distribute documents
a selection matrix. 10 - FRB determines
investigation
required corrective
findings.
action - i.e. QAM or
supplier corrective
2 - Other Groups action.
compile data as
determined by FRB.
7 - Action Assignee 9 - FRB Categorize
reports investigation Failure: Workmanship,
3 - FRB meets to results to FRB. Still component, material,
No
analyze data. failing? maintenance, or
design. Also fleet
wide or RSU.
Stay consistent
59
Scatter Diagram
Method Usage Result
•Used to identify a relationship
Scatter Diagram
between two matters. •Can identify
•Used to identify a relationship
y Axis
between two matters and
cause and effect
establish countermeasures relation.
Abrasion
y Axis
Abrasion (micron)
x Axis
Number of
Rotations
Acme Pizza
(Scatter Diagram) Example 1
Minutes Cooking Defective Pies
10 1
45 8
30 5
75 20
60 14
20 4
25 6
In this simple example, you can find the existing relationship without
much difficulty but…
Scatter Diagrams
25
•Easier to see direct
relationship 20
Defective Pizzas
15
10
0
0 20 40 60 80
20
Defective Pizzas 15
10
0
0 20 40 60 80
Measurement
What is it?
Run Charts are representing change
Time
in measurement over a sequence or time
How does it Work?
Gather Data
Organize Data
Measurements (y) must be confronted with time or
sequence of the events.
Chart Data
Interpreting Data
What is its use?
Determining Cyclic Events and there average character
Run Charts
Example
Oil consumption of a specific machine over a period of time.
Measurement
Time
Control Charts
Range
Control Charts
Y
Average/Spec
Statistical tool, showing whether
Lower limit
a process is in control or not
Y
Upper limit
Average/Spec
Lower limit
X
NB:
NB:
Check
Check Sheet
Sheet
Shifts
Defect Type
NB:
NB:
Check
Check Sheet
Sheet
COMPONENTS REPLACED BY LAB
TIME PERIOD: 22 Feb to 27 Feb 1998
REPAIR TECHNICIAN: Bob
Wrong Amount
A/R Errors
Wrong Account
Wrong Amount
Logical Order for B7 Tools
Big Data Data Problem
Picture Collection Analysis Identification Prioritization
Cause
Cause
Flow
Flow Check
Check Pareto
Pareto
Histograms
Histograms &&
Chart
Chart Sheet
Sheet Analysis
Analysis
Effect
Effect
Scatter
Scatter
Diagrams
Diagrams
Control
Control
Charts
Charts
Summary
Basic Seven Tools of Quality
Measuring data
Quality Analysis
“Democratized statistics”
Thank You