Design for Six Sigma in healthcare: developing an employee influenza vaccination process

Nonclinical healthcare processes are sometimes created on an ad hoc basis and hence over time may grow unnecessarily complex and difficult to assess, teach, improve, or transfer. Intentionally designing processes are more likely to yield an efficient and effective process. Originally developed in industry, Design for Six Sigma (DFSS) is a method for planning new processes applicable to healthcare. Benefits from using DFSS include well-defined process steps and documentation that makes processes easier to teach, monitor, control, and transfer to other units. We describe the DFSS process and provide an example of its application to an employee influenza vaccination program at a New England hospital.