Using Six Sigma Methodology to Improve Timeliness of Hip Fracture Surgical Repair

Medical center evidence pointed to a delay in surgery beyond 48 hours for hip fracture patients as a contributing factor to poor patient outcomes and increased mortality. A team comprised of academic and community physicians and hospital quality and process experts was formed to address the times utilizing Lean/Six Sigma methodology.

Using DMAIC process steps, preparing patients for hip fracture surgery in a timely manner improved from a 2.7 sigma process to a 3.7 sigma process.

This case study is part of the Illinois Hospital Association's annual quality awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals in continually improving and transforming health care in the state. These hospitals are improving health by striving to achieve the Triple Aim--improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing the per capita cost of health care.

Award recipients achieve measurable and meaningful progress in providing care that is:

• Safe
• Timely
• Effective
• Efficient
• Equitable
• Patient-centered

(The Institute of Medicine's six aims for improvement.)