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The Use Of Systems Engineering Tools To Improve Processes in Healthcare: Six Sigma and Lean Improvement Methodologies as they Apply to Healthcare
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The Use Of Systems Engineering Tools To Improve Processes in Healthcare: Six Sigma and Lean Improvement Methodologies as they Apply to Healthcare. Speaker Contact info. Muhanad Hirzallah Quality Improvement Black Belt Quality Management Services Mayo Clinic 200 First St. SW - PowerPoint PPT Presentation
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The Use Of Systems Engineering Tools To Improve Processes in Healthcare:
Six Sigma and Lean Improvement Methodologies as they Apply to Healthcare
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Speaker Contact infoMuhanad Hirzallah Quality Improvement Black Belt Quality Management ServicesMayo Clinic200 First St. SWRochester, MN, USA(507) 266-3216 (phone)(507) 255-9689 (fax)[email protected]
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Engineering the Healthcare System
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Mayo Clinics Quality ExperienceProcess Improvement Section within the Quality Management Services Department
The Quality Academy: now part of Mayo Clinic College of Medicine.
Mayo Clinics System Wide Initiatives: IRB review cycle time
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The IRB experienceUnder federal regulations, an Institutional Review Board (IRB) is a constituted group formally designated to review and monitor research involving human subjects.
Its work must comply with the Federal Wide assurance agreement with the government in order to receive federal funding for research.
Delays in making a decision may result in loss of funding and delays in patients being offered access to potential new treatments.
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Problem & GoalThe IRB turnaround time for protocol review has been identified as a source of dissatisfaction by the researchers and the IRB Staff.
On average, the review of protocols took 38 days. The customers expect a more predictable and timely turnaround.
The goal is to reduce the protocol turnaround time to no more than 21 days, while maintaining the IRB responsibility to uphold the regulations.
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Team members:
Project Sponsor : Chair, Research AdministrationProcess Owner : IRB Medical Director Core Team: IRB AdministratorMeasurement Coordinator/ IRB Operations ManagerProject ManagerProcess Improvement Expert
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ResultsMetrics: BeforeAfterAverage Cycle time 38d16d- 21 days compliance27%83% For new submissionFull board
Average CT (w/out PI)31d11d- 21 days compliance38%100% For new submissionFull board
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DMAIC Methodology
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Project CharterAn explanation for the projectGoals and desired results in measurable termsProject plan and milestonesRoles and responsibilities
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Survey ofInvestigators
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Potential Impact for the CustomerPatients / ParticipantsGreater access to clinical trialsInvestigatorImproved satisfactionIndustryImproved satisfactionIRBEnhanced complianceImproved MoraleFederal AgenciesEnhanced compliance
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High Level Process Mapping
CS-IRB
IRB Process Improvement Project
Customer Satisfaction Survey
This survey is designed to measure your satisfaction with few aspects of the services provided by the IRB department
For questions 1-9, please choose from the following:
1: Very Unsatisfied (VU)4: Satisfied (S)
2: Unsatisfied (U)5: Very Satisfied (VS)
3: Neutral / Neither satisfied or unsatisfied (N)
Please feel free to add any comments on the back.
CharacteristicsRating
12345
VUUNSVS
1IRB training12345
2Clarity of the IRB function and approval process12345
3Expertise of the IRB staff (IRB specialists)12345
4Responsiveness, Open Communications and Interactions of the IRB staff12345
5Quality of the IRB approval process12345
6Speed of the IRB approval process12345
7Consistency of the IRB approval process12345
8Overall satisfaction with the IRB approval process12345
9How many submissions did you have to do of the last protocol (same protocol)12 to 56 to 10> 10
10How long did it take to approve your last protocol (including the several submissions of the same protocol)less than 14 days15-21 days22-28 days29-35 days> 35 days
11Was your last protocol a minimum risk OR greater than minimum riskminimum riskgreater than minimum risk
12How many protocols have you submitted in the last year12 to 56 to 10> 10
13How long did it take to approve your protocols (on average) for eachless than 14 days15-21 days22-28 days> 28 days
14If you could think of one change that you would most like the improvement team to ensure is included in their process improvement plan, what would that be and why?
15If you could think of one aspect of the IRB process as it exists presently that you would NOT want to have changed as this project is undertaken, what would that one aspect be and why?
Thank you for your support of the IRB process improvement project. Your input will be given strong consideration as the team embarks on identification of issues and opportunities.
Please return to: Muhanad Hirzallah, Quality Management Office, Mayo Clinic Rochester, MN 55905 OR fax to 507-266-6806 on / or before August 24, 2006.
CS-IRB (2)
CharacteristicsCustomers
Federal GovermentPrincipal Investigators / Research TeamPatients / ParticipantsSponsors
1IRB trainingX
2Clarity of the IRB function and approval processXX
3Expertise of the IRB staff (IRB specialists)XX
4Responsiveness, Open Communications and Interactions of the IRB staffX
5Quality of the IRB approval processXXXX
6Speed of the IRB approval processXXX
7Consistency of the IRB approval processXX
8Human Subjects ProtectionXXXX
Research Team submits protocol
IRB Intake person assigns a board
IRB Specialist reviews protocol & assign reviewer
IRB meets/ discusses/ decides
IRB Board member reviews protocol
IRB specialist communicates decision
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Measure
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Value Stream Mapping ToolExamine the flow of information and workLocate the largest sources of wasteEnvision a less wasteful stateDevelop plans for future activities
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Current State Value Stream MapHigh Error Rate in processing detected after 5 daysRework on submissions take about 6 days2-week Board Cycle means waiting time of at least 10-14 daysMinute Excerpts take about 5 days to go out to PIsBoard capacity not well defined, leads to inequitable distributionDouble layer intake results in redundancy
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Results of the Current State Value Stream Map:
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Chart5
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VA0.55
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0
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Sheet2
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IRB Wastes
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Data Collection# of IRB submissions# of submission outside the 21d target.Time to process a new submissionErrors
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Analyze
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Analysis for New SubmissionsWorking d/yr = 365 - weekends- PTO= 230 d/ yrAnnual Demand of new full protocols for yr 2005 = 345Daily Demand = 345/230= 1.5 protocols/dayWork time a day = (8 hrs X 60 min) (2 X 15 min Breaks) = 450 minutes
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Takt* = ( 450 min/ day) / (1.5 protocols/ day) = 300 min/ protocolVariation adjusted Takt = (.85)X(300)= 255 min
*The pace (German)
Analysis for New Submissions
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Operator Chart
Chart5
110
61.3
60
Time
CURRENT
2 days5.3 days6 days2.7 days2.7 days5.3 days
25-40 min35-63 min5-10 min1-2 min11.3 min15 - 30 min
W: 7 daysWait 7 days
P/T 77.1 - 89.1
Total Wait Time: 38
Total Process Time: 169.4 - 245.4 min
0.38 - 0.55 days
Total Lead Time (Turnaround): 38.38 - 38.55 days
Value Added Ratio: 1% - 1.43%
FUTURE
Future state Map
IRB - Process
Principal Investigators
FIFOFIFO
7 days
60 min11.3 min85.5 min22.5 min
Total Wait:7 days
Total Processing:178.3 min/ 0.4 days
Total Turnaround Time:7.4 days
Value added ratio:5.40%
P/T=37-83 (60 ave)C/T=37-83 (60 ave)Uptime (U/T)=98%First Pass Yield=95%# of shifts=1Available Time=450 min/day# of Staff =5
Review Protocol Prior to meeting-------------------IRB specialist
P/T=11.3C/T=11.3Uptime (U/T)=98%First Pass Yield=99%# of shifts=1Available Time=450# of Staff =1
Prepare agenda-------------------Administrative Assistant
P/T=C/T=76-95 (85.5 ave)Uptime (U/T)=First Pass Yield=# of shifts=Available Time=# of Staff =
Scientific Reviews + IRB Board Meeting and Decision Making
P/T=15-30 (22.5 ave)C/T=15-30 (22.5 ave)Uptime (U/T)=98%First Pass Yield=# of shifts=Available Time=# of Staff =5 Specialists + 1 AA
Inform PI and Communicate DecisionsSpecialist + AA
0
Standardize + waste elimination
Standardize + waste elimination
Error reduction/ knowledge management / Training
Meeting Times Re-structure
PDC Format & Improvement
Communication Plan
Operator Charts
40
63
10
2
11.3
5
20
30
60
Un-Utilized Capacity
Max Time
Process Steps
Max Time needed
Collective
110
61.3
60
Operator Chart
ProcessresponsibilityMax Time
Step 1I40
Step 2S63
Step 3S10
Step 4S2
Step 5A11.3
Step 6S5
Step 7A20
Step 8A & S30
Step 9R60
FunctionTime
Specialist110
Assistant61.3
Reviewer60
Operator Chart
0
0
0
Time
Untilized Capacity
MBD00006A30.vsd
XYZ Corp.
C/T =45 sec.
C/O =30 min.
3 shifts
2 % scrap
C/T = C/O = Uptime = % sec. availEPE = # operators
process name
detail
Production Control
MRP
I
quantitydescription
Weekly Schedule
double clickto type indetail info
outside sources
Company Name
Double-click here and type notes.
OXOX
Title
Double-click to type notes.Subselect "Title" to edit the title.
Company Name
Double-click to type notes. Subselect "CompanyName" to edit the title.
Company Name
new!
Tasks
Text
Title
Text
1
Drag the side handles to change the width of the text block.
Title
Info
Principal InvestigatorsResearch ParticipantsSponsors (funding Agencies)Regulatory
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P/T = 25 40 minC/T = 25 40 min# of Staff: 1First Pass Yield: 20%Errors from upstream 90%Batch Size = 1Uptime = 98%Unit of Work = 1 Protocol
Intake Person
Review Protocol for completeness and assign board
3
P/T = 35-63 minC/T = 35-63 min# of Staff: 5First Pass Yield: 95%Errors from upstream 80%Batch Size = 1Uptime = 98%Unit of Work = 1 Protocol
IRB Specialist
Review Protocol and address questions (if any)
9
P/T = 5-10 minC/T = 5-10 min# of Staff: 5First Pass Yield: 95%Errors from upstream 50%Batch Size = 1Uptime = 98%Unit of Work = 1 ProtocolWAIT: 7 days
IRB Specialist
Receive answers and re-Review Protocol
4
P/T = 1-2 minC/T = 1-2 min# of Staff: 5First Pass Yield: 99%Errors from upstream 0%Batch Size = 1Uptime = 98%Unit of Work = 1 Protocol
IRB Specialist
Assign protocol to reviewer and put on agenda
4
P/T = 3 hoursC/T = 11.3 min# of Staff: 5First Pass Yield: 99%Errors from upstream 1%Batch Size = 34Uptime = 98%Unit of Work = 1 Protocol
Admin Assistant
Prepare agenda
12
P/T =160 minC/T = 4.1 min# of Staff: 9First Pass Yield: ?Errors from upstream ?Batch Size = 39Uptime = 100%Unit of Work = 1 Protocol
IRB Board
Meet and Discuss
8
P/T = 1 hours?C/T = 60 min# of Staff: 3First Pass Yield: 99%Errors from upstream 1%Batch Size = 1Uptime = 100%Unit of Work = 1 Protocol
Scientific Reviewer
Review Protocol
12
C/T = 3-5 minC/T = 3-5 min# of Staff: 5First Pass Yield: 98%Errors from upstream 2%Batch Size =1Uptime = 98%Unit of Work = 1 Protocol
IRB Specialist
Create a draft minute
12
C/T = 10-20 minC/T = 10-20 min# of Staff: 5First Pass Yield: 95%Errors from upstream 2%Batch Size =1Uptime = 98%Unit of Work = 1 Protocol
Admin Assistant
Prepare Minute
P/T =15-30 minC/T = 15-30 min# of Staff: 10 (5/5)First Pass Yield: 95%Errors from upstream 1%Batch Size = 1Uptime = 98%Unit of Work = 1 Protocol
IRB Specialist & Admin Assistant
Finalize Minute, consent form and inform PI
Performing Labs DLMP LabsLab ConsultantsExternal Labs (Clinical Trials)
LAB3
P/T = C/T = Batch Size = C/O = Uptime = %Intro errors = %Inh errors = .%Unit of Work =
Total Wait time =
Total Process Time =
Total Lead Time (Turnaround) =
Last Update:
Sponsor:
Administrator:
V.S. Manager:
PatientsClients
Project Title
Date:
Sponsor:
Administrator:
V.S. Manager:
1
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Analyze PhaseIntake person has a very low yield (i.e. quality) IRB has more capacity than the demandRCA for errors required.
Conclusion: Opportunities for improvement
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Improve
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Brainstorm ImprovementsEliminate the Intake function IRB Specialist reviews 1st Standardize work elements.Mistake proofing to reduce errors.Communicate with the Research audienceContinuously improveSeek feedback from customersAnalyze data
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Standardize + waste eliminationEnhanced board functioningFuture State mapError reduction/ knowledge management/ trainingCommunication planPDC format improvement
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Future State map results
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Chart6
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VA0.4
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NVA0
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0
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Sheet2
Sheet3
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Validate Improvement Compliance
Compliance Chart
0.27Baseline
0.29/25 - 9/29
0.12510/2 - 10/6
0.545454545510/9 - 10/13
0.2510/16 - 10/20
0.555555555610/23 - 10/27
0.610/30 - 11/3
0.333333333311/6 - 11/10
0.555555555611/13 - 11/17
Improvement
Improvement
Improvement
Baseline
Baseline
New Protocol (full-Board)
Time period
Compliance
IRB Targets Compliance Chart
Chart2
0.270.690.690.270.95
0.20.87234042550.690.270.95
0.1250.85714285710.690.270.95
0.54545454550.85294117650.690.270.95
0.250.89285714290.690.270.95
0.55555555560.91666666670.690.270.95
0.60.83333333330.690.270.95
0.33333333330.8478260870.690.270.95
0.55555555560.86486486490.690.270.95
11/20 - 11/240.88636363640.690.270.95
New Protocol (full-Board)
Expedited (A&B)
Baseline Exp
Baseline New Full
Target
Time Periods
compliance
Compliance Chart
ChartIIE
0.27
0.2
0.125
0.5454545455
0.25
0.5555555556
0.6
0.3333333333
0.5555555556
0.71
0.75
0.83
Improvement
Compliance
Time
Percentage
Improvement over time
Sheet1
New ProtocolsModificationsExpedited A&B
Tine periodNew Protocol (full-Board)Total ## CompliedTotal ## CompliedTotal ## Complied
Baseline27.00%
9/25 - 9/2920.00%514741
10/2 - 10/612.50%813530
10/9 - 10/1354.55%1163429
10/16 - 10/2025.00%825650
10/23 - 10/2755.56%953633
10/30 - 11/360.00%533630
11/6 - 11/1033.33%1244639
11/13 - 11/1755.56%953732
4439
3/19-3/2371.00%
3/26-3/3075.00%
4/2 - 4/683.00%
Sheet2
Sheet3
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Validate Improvements Error Frequency
Errors Frequency
3020155
9204
2000
7030
6254
1317318
0203
0553
0360
67516527
9/27 - 10/6
10/6 - 10/27
10/30 - 11/13
11/13 - 12/6
Type
Frequency
Errors Frequency
Error Percentage
0.4477611940.39215686270.23076923080.1851851852
0.13432835820.039215686300.1481481481
0.0298507463000
0.104477611900.04615384620
0.08955223880.03921568630.07692307690.1481481481
0.19402985070.33333333330.47692307690.2962962963
00.039215686300.1111111111
00.09803921570.07692307690.1111111111
00.05882352940.09230769230
9/27 - 10/6
10/6 - 10/27
10/30 - 11/13
11/13 - 12/6
Type
Percentage
Errors percentage over time
Erros Bars
3020155
9204
2000
7030
6254
1317318
0203
0553
0360
9/27 - 10/6
10/6 - 10/27
10/30 - 11/13
11/13 - 12/6
Type of Error
Frequency
Error Frequency over time
Submission Problem Collection
DatesApplication/ Information ClarityAdim /Clerical ProblemsSponsor ProblemsMulti Site ProblemsIRBe ProblemsConsent Form ProblemsFDA ProblemsBudget ProblemsSub Committee ProblemsTotaldaysDatesApplication/ Information ClarityAdim /Clerical ProblemsSponsor ProblemsMulti Site ProblemsIRBe ProblemsConsent Form ProblemsFDA ProblemsBudget ProblemsSub Committee ProblemsTotal
9/27 - 10/6309276130006799/27 - 10/63.331.000.220.780.671.440.000.000.007.44
10/6 - 10/2720200217253512110/6 - 10/270.950.100.000.000.100.810.100.240.142.43
10/30 - 11/1315003531056651410/30 - 11/131.070.000.000.210.362.210.000.360.434.64
11/13 - 12/6540048330272411/13 - 12/60.210.170.000.000.170.330.130.130.001.13
DatesApplication /Information ClarityAdim /Clerical ProblemsSponsor ProblemsMulti Site ProblemsIRBe ProblemsConsent Form ProblemsFDA ProblemsBudget ProblemsSub Committee ProblemsDatesApplication /Information ClarityAdim /Clerical ProblemsSponsor ProblemsMulti Site ProblemsIRBe ProblemsConsent Form ProblemsFDA ProblemsBudget ProblemsSub Committee Problems
9/27 - 10/644.78%13.43%2.99%10.45%8.96%19.40%0.00%0.00%0.00%9/27 - 10/644.78%13.43%2.99%10.45%8.96%19.40%0.00%0.00%0.00%
10/6 - 10/2739.22%3.92%0.00%0.00%3.92%33.33%3.92%9.80%5.88%10/6 - 10/2739.22%3.92%0.00%0.00%3.92%33.33%3.92%9.80%5.88%
10/30 - 11/1323.08%0.00%0.00%4.62%7.69%47.69%0.00%7.69%9.23%10/30 - 11/1323.08%0.00%0.00%4.62%7.69%47.69%0.00%7.69%9.23%
11/13 - 12/618.52%14.81%0.00%0.00%14.81%29.63%11.11%11.11%0.00%11/13 - 12/618.52%14.81%0.00%0.00%14.81%29.63%11.11%11.11%0.00%
141.79%0.00%0.00%0.00%0.00%60.96%0.00%0.00%0.00%
&C&"Arial,Bold Italic"&12New Protocol Submission Problem Collection Main Category
Application Sub Category
Missing ProtocolStudy Design QuestionsClarify Enrollment NumbersContact Materials (wrong version, missing, clarification)Study Title different title on various formsClarify inclusion/exclusion criteriaClarification how pts. Will be identified/recruitedClarification renumeration/reimbursementClarify where data speciments are coming from (write in)Protocol/CF/Budget do not match Expedited Missing CFNeed DSMP/DSMB Charter
9/27 - 10/641510113131
10/6 - 10/272222
10/30 - 11/13353111115
11/13 - 12/0611114
&C&"Arial,Bold Italic"&12Application/Information Clarity: Sub-Category
Application Sub Category
0
0
0
0
0
0
0
0
0
0
Sheet11
Sheet10
Sheet9
Sheet8
Sheet7
Budget Problems
Need revised budget to reflect studyNIH Grant Information
9/27 - 10/06
10/06 - 10/2741
10/30 - 11/1341
11/13 - 12/063
FDA Problems
Response to FDA concerns neededIND/FDA letter questions (missing, incorrect letter)
9/27 - 10/61
10/6 - 10/2711
11/13 - 12/063
&C&"Arial,Bold Italic"&12FDA Problem: Sub-Category
FDA Problems
0
0
Sub-Committee Problems
Need detp. Approval minute excerptEnrollment of pregranet women Ob-Gyn approval clarificationQuestions related to Biospecimens Sub-Committee minutesNeed PI's response to Dept. concerns
9/27 - 10/61
10/6 - 10/273
&C&"Arial,Bold Italic"&12Sub-Committee Problems: Sub Category
Sub-Committee Problems
0
0
0
0
IRBe Problems
IRBe attachments illegible - need to re-sendIRB questions response errorsWaiver questionsContact Information
9/27 - 10/6
10/6 - 10/2655313
10/30 - 11/135
11/13 - 12/06224
Outside Gov. Agency Problems
9/27 - 10/6
10/6 - 10/26
Consent Form Problems
9/27 - 10/6Expedited Missing CFOthers
10/6 - 10/27116
10/30 - 11/13130
Multi Site Problems
Need to add/remove MCA site documents (Res Comm approval, bud)
9/27 - 10/6
10/6 - 10/27
10/30 - 11/133
Sponsor Problems
Sponsor Correspondance / memos missingOuestions on protocol forms with patient identifiers
9/27 - 10/6
10/6 - 10/27
AdministrativeClerical Problems
Expired Progress ReportsStudy Personel listed w/o COI board reviewFDA personnel problems (blank-illegible, names do not match)
9/25 - 10/69
10/6 - 10/272
10/30 - 11/13
&C&"Arial,Bold Italic"&12Administrative/Clerical Problems: Sub-Category
AdministrativeClerical Problems
0
0
0
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Pareto Chart for Errors
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Average Days Turnaround of New Full Board Protocols
Chart1
31
23
16
11
Period
Days
Average Turnaround Time (without PI delay)
Sheet1
Baseline31
Sept /Oct 0623
Nov. 0616
Apr. 0711
Sheet2
Sheet3
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Control
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Control Charts
March_2007_NEWMinRisk
Protocol IDStatusParent CommitteePI Delay (DAYS)IRB Delay (DAYS)UCLLCLCLUSLCompliance
07-001935ActiveExpedited Review A0.001.931606140
07-001573ActiveExpedited Review A0.000.971606140
07-001955ActiveExpedited Review A0.006.821606140
07-002326ActiveExpedited Review A1.1712.731606140
07-002470ActiveExpedited Review A0.016.751606140
07-002508ActiveExpedited Review A0.006.671606140
07-002358ActiveExpedited Review A0.006.621606140
07-000195ActiveExpedited Review B0.0026.941606141
07-001875ActiveExpedited Review B0.005.091606140
07-000349ActiveExpedited Review B34.8712.131606140
07-001554ActiveExpedited Review B0.004.921606140
07-001937ActiveExpedited Review B0.004.041606140
06-004969ActiveExpedited Review B0.003.931606140
07-001271ActiveExpedited Review B0.003.891606140
07-001569ActiveExpedited Review B0.003.041606140
07-001821ActiveExpedited Review B0.002.151606140
07-001945ActiveExpedited Review B0.158.551606140
07-000900ActiveExpedited Review B0.011.261606140
07-001916ActiveExpedited Review B0.008.291606140
07-001946ActiveExpedited Review B2.1413.771606140
07-001759ActiveExpedited Review B0.007.981606140
07-001871ActiveExpedited Review B0.007.951606140
07-001972ActiveExpedited Review B0.007.851606140
07-001982ActiveExpedited Review B0.007.711606140
07-001602ActiveExpedited Review B0.007.721606140
07-001809ActiveExpedited Review B0.0816.151606141
07-001166ActiveExpedited Review B3.134.001606140
07-001998ActiveExpedited Review B0.006.981606140
07-001996ActiveExpedited Review B0.006.951606140
07-001852ActiveExpedited Review B0.006.951606140
07-002003ActiveExpedited Review B0.006.851606140
07-002012ActiveExpedited Review B0.006.141606140
06-005275ActiveExpedited Review B3.083.061606140
07-001983ActiveExpedited Review B0.006.181606140
07-001851ActiveExpedited Review B0.176.031606140
07-002006ActiveExpedited Review B0.006.061606140
07-002031ActiveExpedited Review B0.006.051606140
07-002032ActiveExpedited Review B0.006.001606140
07-002043ActiveExpedited Review B0.006.001606140
06-008803ActiveExpedited Review B0.025.991606140
07-002044ActiveExpedited Review B6.666.231606140
07-001330ActiveExpedited Review B0.005.951606140
07-001971ActiveExpedited Review B4.198.661606140
07-001931ActiveExpedited Review B0.005.131606140
07-002011ActiveExpedited Review B5.040.061606140
07-002082ActiveExpedited Review B1.373.661606140
07-000739ActiveExpedited Review B0.005.041606140
07-002088ActiveExpedited Review B0.004.941606140
07-002114ActiveExpedited Review B0.004.041606140
07-002127ActiveExpedited Review B0.003.931606140
07-002125ActiveExpedited Review B1.402.541606140
07-001999ActiveExpedited Review B0.000.981606140
07-002074ActiveExpedited Review B20.248.641606140
07-002137ActiveExpedited Review B0.007.751606140
07-002159ActiveExpedited Review B0.007.641606140
07-002158ActiveExpedited Review B0.007.271606140
07-002165ActiveExpedited Review B0.007.171606140
07-002185ActiveExpedited Review B0.016.891606140
07-002073ActiveExpedited Review B0.026.901606140
07-002144ActiveExpedited Review B0.006.871606140
07-002208ActiveExpedited Review B0.006.001606140
07-002209ActiveExpedited Review B0.005.991606140
07-002076ActiveExpedited Review B0.005.951606140
07-002215ActiveExpedited Review B0.005.911606140
07-001966ActiveExpedited Review B0.015.911606140
07-002222ActiveExpedited Review B0.005.131606140
06-005796ActiveExpedited Review B7.684.481606140
07-001700ActiveExpedited Review B0.7411.431606140
07-002228ActiveExpedited Review B0.005.101606140
07-002149ActiveExpedited Review B0.005.021606140
07-002236ActiveExpedited Review B0.005.001606140
07-002241ActiveExpedited Review B22.573.381606140
06-006695ActiveExpedited Review B0.004.851606140
07-002257ActiveExpedited Review B0.004.121606140
07-002262ActiveExpedited Review B0.4410.551606140
07-000085ActiveExpedited Review B0.003.961606140
07-001911ActiveExpedited Review B0.0210.811606140
07-002249ActiveExpedited Review B0.129.961606140
07-002278ActiveExpedited Review B5.8410.331606140
07-002283ActiveExpedited Review B0.001.791606140
07-002284ActiveExpedited Review B0.001.771606140
07-002247ActiveExpedited Review B4.9010.781606140
07-002266ActiveExpedited Review B0.001.141606140
06-006983ActiveExpedited Review B13.198.741606140
07-002304ActiveExpedited Review B0.008.061606140
07-002308ActiveExpedited Review B0.007.861606140
07-002313ActiveExpedited Review B0.007.871606140
07-002255ActiveExpedited Review B0.007.181606140
07-002270ActiveExpedited Review B0.006.101606140
07-002368ActiveExpedited Review B0.035.951606140
07-002382ActiveExpedited Review B0.060.891606140
07-002379ActiveExpedited Review B1.044.721606140
07-002385ActiveExpedited Review B0.005.671606140
07-002392ActiveExpedited Review B0.005.191606140
07-002396ActiveExpedited Review B0.005.171606140
07-002397ActiveExpedited Review B0.005.191606140
07-002398ActiveExpedited Review B0.005.171606140
07-002389ActiveExpedited Review B0.005.131606140
07-002400ActiveExpedited Review B0.005.121606140
07-002401ActiveExpedited Review B0.005.111606140
07-001586ActiveExpedited Review B0.005.011606140
07-002345ActiveExpedited Review B0.000.771606140
07-002423ActiveExpedited Review B0.004.191606140
07-002408ActiveExpedited Review B0.004.211606140
07-002038ActiveExpedited Review B0.004.961606140
07-002436ActiveExpedited Review B0.0810.841606140
07-002441ActiveExpedited Review B0.0010.041606140
07-002234ActiveExpedited Review B0.019.231606140
07-002439ActiveExpedited Review B0.008.811606140
07-002435ActiveExpedited Review B0.009.011606140
07-002135ActiveExpedited Review B0.008.081606140
07-002455ActiveExpedited Review B0.7616.061606141
07-002459ActiveExpedited Review B0.007.981606140
07-002467ActiveExpedited Review B0.007.951606140
07-002347ActiveExpedited Review B0.007.841606140
07-002201ActiveExpedited Review B0.007.171606140
07-002494ActiveExpedited Review B0.006.951606140
07-001398ActiveExpedited Review B6.179.801606140
07-002504ActiveExpedited Review B4.279.681606140
07-002206ActiveExpedited Review B0.006.941606140
07-002500ActiveExpedited Review B5.117.951606140
07-002369ActiveExpedited Review B0.025.901606140
07-001987ActiveExpedited Review B0.005.871606140
07-002496ActiveExpedited Review B0.005.861606140
07-002267ActiveExpedited Review B0.005.681606140
07-002478ActiveExpedited Review B6.096.531606140
07-002203ActiveExpedited Review B0.015.051606140
07-002534ActiveExpedited Review B0.005.141606140
07-002327ActiveExpedited Review B0.005.001606140
07-002332ActiveExpedited Review B0.004.831606140
06-007020ActiveExpedited Review B0.004.081606140
07-002454ActiveExpedited Review B0.004.061606140
07-001717ActiveExpedited Review B0.004.071606140
07-002330ActiveExpedited Review B0.144.621606140
07-002360ActiveExpedited Review B0.003.941606140
07-002048ActiveExpedited Review E0.004.701606140
07-002056ExemptExpedited Review A49.274.711606140
07-002463ExemptExpedited Review A0.007.781606140
07-002533ExemptExpedited Review A0.005.011606140
07-001891ExemptExpedited Review B0.005.141606140
07-001905ExemptExpedited Review B26.196.711606140
07-001129ExemptExpedited Review B0.004.201606140
07-002019ExemptExpedited Review B0.006.151606140
07-002104ExemptExpedited Review B0.2311.571606140
07-002118ExemptExpedited Review B0.003.991606140
07-001877ExemptExpedited Review B0.0010.961606140
07-000506ExemptExpedited Review B0.0110.871606140
07-001924ExemptExpedited Review B0.006.871606140
07-001097ExemptExpedited Review B0.0011.861606140
06-006685ExemptExpedited Review B0.224.631606140
07-002287ExemptExpedited Review B6.918.121606140
07-002445ExemptExpedited Review B1.021.441606140
07-001974ExemptExpedited Review E0.142.531606140
07-001907ExemptExpedited Review E0.110.851606140
07-002314Not ResearchExpedited Review E0.002.611606140
07-002479Not ResearchExpedited Review E0.002.561606140
07-002498Not ResearchExpedited Review E0.001.801606140
average1.576.2998.09%
standard dev5.893.30
upper control limit16.20
lower control limit0
March_2007_NEWFULL
Protocol IDParent CommitteePI Delay (DAYS)IRB Delay (DAYS)Avg TATUCLLCLCLUSLNon-ComplianceCompliance%
07-000352Full-Blue Friday0.06413.91636013.7215297907210
06-007133Full-Blue Friday3.88211.37712.6536013.7215297907210100%
06-007194Full-Blue Thursday2.83311.07936013.7215297907210
06-008814Full-Blue Thursday13.16026.99836013.7215297907211
07-000960Full-Blue Thursday0.81714.47236013.7215297907210
06-007035Full-Blue Thursday7.74013.24836013.7215297907210
06-009671Full-Blue Thursday0.84919.00536013.7215297907210
07-001074Full-Blue Thursday1.76615.42036013.7215297907210
06-009690Full-Blue Thursday27.90613.99416.3236013.721529790721086%
07-001023Full-Orange Friday11.81220.10236013.7215297907210
07-001018Full-Orange Friday0.00015.09436013.7215297907210
06-009091Full-Orange Friday0.00023.89836013.7215297907211
07-001546Full-Orange Friday0.02026.35836013.7215297907211
06-005723Full-Orange Friday1.82115.95236013.7215297907210
07-001240Full-Orange Friday19.52818.40136013.7215297907210
07-001022Full-Orange Friday1.08317.85436013.7215297907210
07-000214Full-Orange Friday0.10221.80636013.7215297907211
07-001438Full-Orange Friday0.00317.82119.7036013.721529790721067%
06-003032Full-Orange Thursday5.02311.07236013.7215297907210
07-001301Full-Orange Thursday5.93814.17336013.7215297907210
06-004871Full-Orange Thursday3.06635.85636013.7215297907211
07-001301Full-Orange Thursday5.93811.01336013.7215297907210
07-001630Full-Orange Thursday1.10714.00636013.7215297907210
07-002526Full-Orange Thursday0.03622.78518.1536013.721529790721167%
07-000922IRB Wednesday Board17.93619.21836013.7215297907210
06-006358IRB Wednesday Board2.59010.10836013.7215297907210
07-000419IRB Wednesday Board0.00015.28436013.7215297907210
06-005559IRB Wednesday Board0.00013.98536013.7215297907210
07-001944IRB Wednesday Board0.12417.61636013.7215297907210
07-000543IRB Wednesday Board5.40310.50436013.7215297907210
06-009152IRB Wednesday Board20.17115.68436013.7215297907210
06-009173IRB Wednesday Board0.0606.04336013.7215297907210
06-006504IRB Wednesday Board0.0206.07536013.7215297907210
06-002969IRB Wednesday Board5.99015.94036013.7215297907210
07-000095IRB Wednesday Board13.4209.70436013.7215297907210
07-000495IRB Wednesday Board11.79120.41936013.7215297907210
07-000537IRB Wednesday Board0.08113.17136013.7215297907210
07-001001IRB Wednesday Board0.00012.00013.2736013.7215297907210100%
07-001825NO Assignment?65.0004.74836013.7215297907210
07-000097NO Assignment?65.0000.97936013.7215297907210
06-006539NO Assignment?64.0000.04636013.7215297907210
07-002133NO Assignment?59.0002.07836013.7215297907210
06-007193NO Assignment?15.8539.13336013.7215297907210
07-001173NO Assignment?51.0000.07436013.7215297907210
06-009380NO Assignment?49.0000.03436013.7215297907210
07-002574NO Assignment?0.0002.6462.4736013.722210
average12.19413.722
standard dev19.35418260427.4945020549
upper control limit36.2050359555
lower control limit0
April_2007_NEWMinRisk
Protocol IDParent CommitteePI Delay (DAYS)IRB Delay (DAYS)UCLLCLCLUSLCompliance
07-002582Expedited Review A0.007.9215.5206.0140
07-002181Expedited Review A0.005.7715.5206.0140
07-002612Expedited Review A0.004.9415.5206.0140
07-002617Expedited Review A0.024.8915.5206.0140
07-000225Expedited Review A0.004.8715.5206.0140
07-002580Expedited Review A0.004.4815.5206.0140
07-001631Expedited Review A0.003.9415.5206.0140
07-002627Expedited Review A0.005.9215.5206.0140
07-002626Expedited Review B0.158.1115.5206.0140
07-002565Expedited Review B0.007.8815.5206.0140
06-009458Expedited Review B0.107.7915.5206.0140
07-002552Expedited Review B0.007.2815.5206.0140
07-002642Expedited Review B0.047.2215.5206.0140
07-001270Expedited Review B0.117.0715.5206.0140
07-002641Expedited Review B0.007.1615.5206.0140
07-001224Expedited Review B0.007.9715.5206.0140
06-005772Expedited Review B0.007.0915.5206.0140
06-006926Expedited Review B37.000.0415.5206.0140
07-002615Expedited Review B0.046.8915.5206.0140
07-001194Expedited Review B0.006.8315.5206.0140
07-002376Expedited Review B0.875.7515.5206.0140
06-005503Expedited Review B4.1610.7715.5206.0140
07-002673Expedited Review B0.005.9815.5206.0140
07-002678Expedited Review B0.005.8815.5206.0140
07-002371Expedited Review B0.005.8415.5206.0140
07-002681Expedited Review B0.005.7315.5206.0140
07-002628Expedited Review B0.005.7415.5206.0140
07-002665Expedited Review B1.2311.2715.5206.0140
07-002607Expedited Review B0.005.1915.5206.0140
07-001217Expedited Review B14.1811.9915.5206.0140
06-008910Expedited Review B0.004.9815.5206.0140
07-002041Expedited Review B0.264.6215.5206.0140
07-002720Expedited Review B0.004.8915.5206.0140
07-002363Expedited Review B0.004.1315.5206.0140
07-002654Expedited Review B0.283.8115.5206.0140
07-002724Expedited Review B10.7214.4315.5206.0141
07-002731Expedited Review B0.034.0515.5206.0140
07-002089Expedited Review B0.004.1015.5206.0140
07-000710Expedited Review B0.003.9915.5206.0140
07-002707Expedited Review B0.0111.7715.5206.0140
07-002346Expedited Review B0.118.1515.5206.0140
06-005654Expedited Review B0.001.0115.5206.0140
06-009404Expedited Review B0.000.8615.5206.0140
07-002747Expedited Review B1.066.9215.5206.0140
07-002570Expedited Review B0.047.8415.5206.0140
07-002522Expedited Review B0.007.5715.5206.0140
07-002315Expedited Review B30.000.1115.5206.0140
07-000992Expedited Review B0.006.9115.5206.0140
07-002772Expedited Review B0.006.9215.5206.0140
07-001500Expedited Review B0.006.9415.5206.0140
07-002784Expedited Review B0.716.1615.5206.0140
06-006656Expedited Review B0.006.1215.5206.0140
07-001092Expedited Review B0.006.0315.5206.0140
07-002403Expedited Review B0.005.8815.5206.0140
07-002804Expedited Review B0.006.9315.5206.0140
07-002705Expedited Review B10.519.3915.5206.0140
07-001550Expedited Review B27.061.0215.5206.0140
07-002743Expedited Review B0.005.1315.5206.0140
07-002428Expedited Review B6.356.5115.5206.0140
07-001546Expedited Review B0.005.0415.5206.0140
07-002827Expedited Review B0.005.0215.5206.0140
07-000977Expedited Review B0.355.5215.5206.0140
07-002838Expedited Review B5.2513.6115.5206.0140
07-000221Expedited Review B0.004.7915.5206.0140
07-002845Expedited Review B0.004.9415.5206.0140
07-002725Expedited Review B1.0710.0315.5206.0140
07-000161Expedited Review B0.003.9815.5206.0140
07-001701Expedited Review B0.003.9115.5206.0140
07-002719Expedited Review B0.003.7515.5206.0140
07-002691Expedited Review B0.001.3415.5206.0140
07-002859Expedited Review B0.001.2515.5206.0140
07-002614Expedited Review B0.011.1315.5206.0140
07-000560Expedited Review B0.008.9515.5206.0140
06-004775Expedited Review B0.038.8215.5206.0140
07-000788Expedited Review B14.988.9615.5206.0140
07-001487Expedited Review B0.001.0615.5206.0140
06-002878Expedited Review B0.017.0815.5206.0140
07-000135Expedited Review B0.000.9715.5206.0140
06-009537Expedited Review B0.000.8715.5206.0140
07-002850Expedited Review B0.060.7915.5206.0140
07-002786Expedited Review B9.255.6315.5206.0140
07-002474Expedited Review B0.007.1815.5206.0140
07-002862Expedited Review B1.945.9415.5206.0140
07-002860Expedited Review B0.006.9815.5206.0140
07-002873Expedited Review B0.007.0015.5206.0140
07-002338Expedited Review B0.056.9115.5206.0140
07-002602Expedited Review B0.016.9615.5206.0140
07-002883Expedited Review B0.016.9515.5206.0140
07-002875Expedited Review B0.006.6415.5206.0140
07-000763Expedited Review B0.006.2015.5206.0140
07-002890Expedited Review B0.026.2215.5206.0140
07-002892Expedited Review B0.006.1315.5206.0140
07-002901Expedited Review B6.996.1015.5206.0140
07-000529Expedited Review B14.016.8515.5206.0140
07-002816Expedited Review B0.006.1115.5206.0140
07-002903Expedited Review B22.000.0915.5206.0140
07-002906Expedited Review B2.014.0115.5206.0140
07-002163Expedited Review B0.005.9215.5206.0140
07-002877Expedited Review B0.005.8815.5206.0140
07-002912Expedited Review B3.772.0815.5206.0140
07-002907Expedited Review B0.335.5315.5206.0140
07-002263Expedited Review B20.880.1615.5206.0140
07-002916Expedited Review B0.604.4315.5206.0140
07-002929Expedited Review B14.016.7315.5206.0140
07-002931Expedited Review B0.004.9515.5206.0140
06-009617Expedited Review B0.004.8715.5206.0140
06-006825Expedited Review B0.004.1315.5206.0140
07-002942Expedited Review B0.004.1315.5206.0140
07-002696Expedited Review B10.219.9815.5206.0140
07-001466Expedited Review B0.003.8215.5206.0140
07-002933Expedited Review B0.001.8815.5206.0140
07-002951Expedited Review B17.000.5115.5206.0140
07-002263Expedited Review B0.001.1715.5206.0140
07-002966Expedited Review B0.001.1015.5206.0140
07-002406Expedited Review B0.477.5815.5206.0140
07-002930Expedited Review B17.000.1315.5206.0140
07-002802Expedited Review B17.000.1615.5206.0140
07-002715Expedited Review B0.608.4215.5206.0140
07-002919Expedited Review B0.000.9215.5206.0140
07-002886Expedited Review B0.007.9615.5206.0140
07-002737Expedited Review B0.437.3715.5206.0140
07-002658Expedited Review B0.007.3415.5206.0140
07-002974Expedited Review B0.007.2415.5206.0140
06-008944Expedited Review B0.007.0815.5206.0140
07-002986Expedited Review B0.006.9715.5206.0140
07-002711Expedited Review B0.006.9415.5206.0140
07-002778Expedited Review B0.006.9115.5206.0140
07-001702Expedited Review B10.055.8315.5206.0140
06-005269Expedited Review B0.006.8015.5206.0140
06-006308Expedited Review B0.006.7415.5206.0140
07-001912Expedited Review B0.016.6615.5206.0140
07-002606Expedited Review B0.132.2615.5206.0140
07-002886Expedited Review B0.006.0815.5206.0140
06-008907Expedited Review B0.045.9415.5206.0140
07-001806Expedited Review B1.0113.8415.5206.0140
07-003005Expedited Review B2.753.1815.5206.0140
06-003926Expedited Review B7.007.1615.5206.0140
07-003010Expedited Review B6.797.1815.5206.0140
07-001147Expedited Review B1.7012.2915.5206.0140
07-003013Expedited Review B0.025.0315.5206.0140
07-003018Expedited Review B0.015.0215.5206.0140
07-003034Expedited Review B11.902.0415.5206.0140
07-002331Expedited Review B4.948.9915.5206.0140
07-003040Expedited Review B0.004.9115.5206.0140
07-003045Expedited Review B0.034.7715.5206.0140
07-003042Expedited Review B0.0013.8915.5206.0140
07-003055Expedited Review B0.0313.5815.5206.0140
07-001682Expedited Review B0.0013.4815.5206.0140
07-003060Expedited Review B0.004.1315.5206.0140
06-007008Expedited Review B0.004.1615.5206.0140
07-003024Expedited Review B0.0012.9415.5206.0140
07-002067Expedited Review B0.004.0615.5206.0140
07-003066Expedited Review B1.9111.0615.5206.0140
07-002950Expedited Review B0.0012.7815.5206.0140
07-001314Expedited Review B0.013.9415.5206.0140
07-001304Expedited Review B0.003.8815.5206.0140
07-002455Expedited Review B1.009.0115.5206.0140
07-003071Expedited Review B0.009.7915.5206.0140
07-002985Expedited Review B0.089.6615.5206.0140
07-003031Expedited Review B0.009.8115.5206.0140
06-005773Expedited Review B0.009.6115.5206.0140
06-009410Expedited Review B0.008.8215.5206.0140
07-001611Expedited Review E0.000.1215.5206.0140
07-003072Expedited Review E0.036.5615.5206.0140
07-002713Expedited Review E0.000.2615.5206.0140
average2.275.9999.39%
standard dev5.883.18
upper control limit15.52
lower control limit0
CC EXP 4-07
7.922627314815.522198058405.985894009514
5.773657407415.522198058405.985894009514
4.937395833315.522198058405.985894009514
4.885995370415.522198058405.985894009514
4.867372685215.522198058405.985894009514
4.481273148115.522198058405.985894009514
3.939340277815.522198058405.985894009514
5.921469907415.522198058405.985894009514
8.107777777815.522198058405.985894009514
7.884155092615.522198058405.985894009514
7.789594907415.522198058405.985894009514
7.279155092615.522198058405.985894009514
7.220289351915.522198058405.985894009514
7.070509259315.522198058405.985894009514
7.161307870415.522198058405.985894009514
7.97203703715.522198058405.985894009514
7.091273148115.522198058405.985894009514
0.037291666715.522198058405.985894009514
6.889675925915.522198058405.985894009514
6.829363425915.522198058405.985894009514
5.751608796315.522198058405.985894009514
10.765590277815.522198058405.985894009514
5.983969907415.522198058405.985894009514
5.883692129615.522198058405.985894009514
5.836157407415.522198058405.985894009514
5.730555555615.522198058405.985894009514
5.735925925915.522198058405.985894009514
11.267060185215.522198058405.985894009514
5.18641203715.522198058405.985894009514
11.990914351915.522198058405.985894009514
4.980833333315.522198058405.985894009514
4.624884259315.522198058405.985894009514
4.888842592615.522198058405.985894009514
4.128495370415.522198058405.985894009514
3.812395833315.522198058405.985894009514
14.432060185215.522198058405.985894009514
4.053888888915.522198058405.985894009514
4.102916666715.522198058405.985894009514
3.994004629615.522198058405.985894009514
11.773356481515.522198058405.985894009514
8.148321759315.522198058405.985894009514
1.014641203715.522198058405.985894009514
0.85921296315.522198058405.985894009514
6.922187515.522198058405.985894009514
7.836527777815.522198058405.985894009514
7.571574074115.522198058405.985894009514
0.106782407415.522198058405.985894009514
6.909594907415.522198058405.985894009514
6.924942129615.522198058405.985894009514
6.935821759315.522198058405.985894009514
6.162515.522198058405.985894009514
6.115891203715.522198058405.985894009514
6.032743055615.522198058405.985894009514
5.87702546315.522198058405.985894009514
6.933298611115.522198058405.985894009514
9.394293981515.522198058405.985894009514
1.023888888915.522198058405.985894009514
5.125034722215.522198058405.985894009514
6.510729166715.522198058405.985894009514
5.037638888915.522198058405.985894009514
5.020428240715.522198058405.985894009514
5.522245370415.522198058405.985894009514
13.609618055615.522198058405.985894009514
4.786307870415.522198058405.985894009514
4.941851851915.522198058405.985894009514
10.032013888915.522198058405.985894009514
3.976886574115.522198058405.985894009514
3.909432870415.522198058405.985894009514
3.74921296315.522198058405.985894009514
1.340717592615.522198058405.985894009514
1.247557870415.522198058405.985894009514
1.126574074115.522198058405.985894009514
8.946516203715.522198058405.985894009514
8.820023148115.522198058405.985894009514
8.957893518515.522198058405.985894009514
1.057824074115.522198058405.985894009514
7.084456018515.522198058405.985894009514
0.967766203715.522198058405.985894009514
0.870092592615.522198058405.985894009514
0.788402777815.522198058405.985894009514
5.625451388915.522198058405.985894009514
7.176747685215.522198058405.985894009514
5.941770833315.522198058405.985894009514
6.981354166715.522198058405.985894009514
6.997928240715.522198058405.985894009514
6.91171296315.522198058405.985894009514
6.963425925915.522198058405.985894009514
6.949780092615.522198058405.985894009514
6.641851851915.522198058405.985894009514
6.19702546315.522198058405.985894009514
6.21687515.522198058405.985894009514
6.129293981515.522198058405.985894009514
6.095370370415.522198058405.985894009514
6.850266203715.522198058405.985894009514
6.107233796315.522198058405.985894009514
0.094745370415.522198058405.985894009514
4.005254629615.522198058405.985894009514
5.920266203715.522198058405.985894009514
5.875254629615.522198058405.985894009514
2.082407407415.522198058405.985894009514
5.529675925915.522198058405.985894009514
0.164814814815.522198058405.985894009514
4.433668981515.522198058405.985894009514
6.733645833315.522198058405.985894009514
4.953356481515.522198058405.985894009514
4.866435185215.522198058405.985894009514
4.128333333315.522198058405.985894009514
4.126678240715.522198058405.985894009514
9.982395833315.522198058405.985894009514
3.81827546315.522198058405.985894009514
1.88171296315.522198058405.985894009514
0.508182870415.522198058405.985894009514
1.166851851915.522198058405.985894009514
1.09812515.522198058405.985894009514
7.581006944415.522198058405.985894009514
0.131678240715.522198058405.985894009514
0.164317129615.522198058405.985894009514
8.416342592615.522198058405.985894009514
0.92422453715.522198058405.985894009514
7.958541666715.522198058405.985894009514
7.372245370415.522198058405.985894009514
7.341296296315.522198058405.985894009514
7.236562515.522198058405.985894009514
7.084629629615.522198058405.985894009514
6.971863425915.522198058405.985894009514
6.942515.522198058405.985894009514
6.907638888915.522198058405.985894009514
5.828148148115.522198058405.985894009514
6.798240740715.522198058405.985894009514
6.743217592615.522198058405.985894009514
6.655717592615.522198058405.985894009514
2.259189814815.522198058405.985894009514
6.081666666715.522198058405.985894009514
5.943773148115.522198058405.985894009514
13.835578703715.522198058405.985894009514
3.175023148115.522198058405.985894009514
7.163541666715.522198058405.985894009514
7.181620370415.522198058405.985894009514
12.293043981515.522198058405.985894009514
5.03484953715.522198058405.985894009514
5.023576388915.522198058405.985894009514
2.043333333315.522198058405.985894009514
8.989340277815.522198058405.985894009514
4.914236111115.522198058405.985894009514
4.769062515.522198058405.985894009514
13.887515.522198058405.985894009514
13.581701388915.522198058405.985894009514
13.48422453715.522198058405.985894009514
4.131782407415.522198058405.985894009514
4.162754629615.522198058405.985894009514
12.942453703715.522198058405.985894009514
4.056817129615.522198058405.985894009514
11.06359953715.522198058405.985894009514
12.775520833315.522198058405.985894009514
3.944421296315.522198058405.985894009514
3.883726851915.522198058405.985894009514
9.010729166715.522198058405.985894009514
9.789513888915.522198058405.985894009514
9.663773148115.522198058405.985894009514
9.812916666715.522198058405.985894009514
9.60937515.522198058405.985894009514
8.824548611115.522198058405.985894009514
0.117048611115.522198058405.985894009514
6.564803240715.522198058405.985894009514
0.25952546315.522198058405.985894009514
IRB Delay (DAYS)
UCL
LCL
CL
USL
Control Charts for Expedited
April_2007_NewFULL
Protocol IDParent CommitteePI Delay (DAYS)IRB Delay (DAYS)Avg (IRB) TATUCLLCLCLUSLNon-ComplianceCompliance%
07-001194Full-Blue Friday4.4711.6225.90.011.4210
06-005503Full-Blue Friday0.6120.1325.90.011.4210
06-009404Full-Blue Friday0.0111.2525.90.011.4210
07-000529Full-Blue Friday24.000.5125.90.011.4210
06-006308Full-Blue Friday8.3113.6925.90.011.4210
06-007008Full-Blue Friday14.043.0925.90.011.4210
07-002497Full-Blue Friday0.7312.1710.3525.90.011.4210100%
07-001092Full-Blue Thursday5.2010.8825.90.011.4210
07-002428Full-Blue Thursday4.7810.2825.90.011.4210
07-001487Full-Blue Thursday27.790.1725.90.011.4210
07-002474Full-Blue Thursday15.7012.0725.90.011.4210
07-002338Full-Blue Thursday2.6310.5125.90.011.4210
07-001147Full-Blue Thursday4.9215.3325.90.011.4210
06-009410Full-Blue Thursday1.8814.2625.90.011.4210
07-001611Full-Blue Thursday1.7114.3525.90.011.4210
07-002685Full-Blue Thursday0.0614.9825.90.011.4210
07-000099Full-Blue Thursday3.0111.9011.4725.90.011.4210100%
07-001546Full-Orange Friday0.0219.0825.90.011.4210
07-000788Full-Orange Friday0.0018.0725.90.011.4210
06-009537Full-Orange Friday0.223.7325.90.011.4210
07-001682Full-Orange Friday1.9315.0525.90.011.4210
06-005773Full-Orange Friday2.6213.6725.90.011.4210
07-002524Full-Orange Friday1.7513.3325.90.011.4210
06-006437Full-Orange Friday1.0612.8413.6825.90.011.4210100%
06-005654Full-Orange Thursday0.0011.1325.90.011.4210
07-000763Full-Orange Thursday27.000.2025.90.011.4210
07-002410Full-Orange Thursday3.094.7125.90.011.4210
07-001136Full-Orange Thursday2.7410.1825.90.011.4210
06-005570Full-Orange Thursday6.036.866.6225.90.011.4210100%
06-009458IRB Wednesday Board0.0714.9525.90.011.4210
07-000710IRB Wednesday Board0.0811.8825.90.011.4210
06-006656IRB Wednesday Board12.2916.8125.90.011.4210
07-000161IRB Wednesday Board0.0014.5425.90.011.4210
06-005269IRB Wednesday Board1.1012.7725.90.011.4210
07-002067IRB Wednesday Board0.168.8125.90.011.4210
07-001314IRB Wednesday Board0.1515.7225.90.011.4210
07-001304IRB Wednesday Board0.7415.1325.90.011.4210
06-008852IRB Wednesday Board11.304.7825.90.011.4210
07-000419IRB Wednesday Board0.0014.2525.90.011.4210
07-002549IRB Wednesday Board4.659.4625.90.011.4210
07-001228IRB Wednesday Board1.0814.2225.90.011.4210
07-003161IRB Wednesday Board0.009.0312.4925.90.011.4210100%
average4.7111.39
standard dev7.154.84
upper control limit25.92
lower control limit0
min0.17
New Full - April 07
11.61983796325.9213153107011.390138337721
20.125173611125.9213153107011.390138337721
11.253472222225.9213153107011.390138337721
0.512083333325.9213153107011.390138337721
13.688229166625.9213153107011.390138337721
3.09187525.9213153107011.390138337721
12.170208333325.9213153107011.390138337721
10.876273148125.9213153107011.390138337721
10.283622685225.9213153107011.390138337721
0.171238425925.9213153107011.390138337721
12.073113425925.9213153107011.390138337721
10.506967592625.9213153107011.390138337721
15.327847222325.9213153107011.390138337721
14.263414351925.9213153107011.390138337721
14.35141203725.9213153107011.390138337721
14.980104166725.9213153107011.390138337721
11.897777777825.9213153107011.390138337721
19.082824074125.9213153107011.390138337721
18.069548611125.9213153107011.390138337721
3.729687525.9213153107011.390138337721
15.050196759325.9213153107011.390138337721
13.670532407425.9213153107011.390138337721
13.328020833325.9213153107011.390138337721
12.840821759325.9213153107011.390138337721
11.127881944425.9213153107011.390138337721
0.195254629625.9213153107011.390138337721
4.712592592625.9213153107011.390138337721
10.181145833325.9213153107011.390138337721
6.86015046325.9213153107011.390138337721
14.945405092625.9213153107011.390138337721
11.876678240725.9213153107011.390138337721
16.813888888925.9213153107011.390138337721
14.543229166725.9213153107011.390138337721
12.768402777825.9213153107011.390138337721
8.807303240725.9213153107011.390138337721
15.720023148125.9213153107011.390138337721
15.131307870425.9213153107011.390138337721
4.777743055625.9213153107011.390138337721
14.251990740725.9213153107011.390138337721
9.461759259325.9213153107011.390138337721
14.2187525.9213153107011.390138337721
9.028020833325.9213153107011.390138337721
IRB Delay (DAYS)
UCL
LCL
CL
USL
IRB Full Board Control Chart
DMAIC
Control PhaseConsistent and improved process Within control: Control Charts
Control planMeasurement System Assurance: Including monitor (Alerts) to ensure the process success.Reaction plan.
DMAIC
Lessons to shareDMAIC proved to be effective in Healthcare processes including administrative/ business processes.
Research Administration, as a result launched 3 system-wide process improvement teams and established their own Research Quality Office recently.
Other institutions benchmark with Mayo IRB
DMAIC
Lessons to shareStaff resistance to change!
Information Technology (IT) support
Process owners commitment is critical to the success of the initiative.
The right skills on the team.
Customer and External effect.
DMAIC
Thank You.Questions?
Track1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QCTrack1B.Hirzallah--8.20@2pm QC
