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Looking for a way to focus and coordinate improvement initiatives? A3, which is named after the size of paper it is meant to be printed on. The aim is to have a summary of your improvement project from background through resolution all communicated on one sheet of paper! A3 becomes a merger of a charter document and a DMAIC improvement process.

BACKGROUND:

  • Note any contextual or background information necessary to fully understand the issue.
  • Indicate how this problem affects the company’s goals or is related to its values.

CURRENT CONDITION:

  • Insert a diagram that illustrates how the current process works.
  • Label the diagram so that anyone knowledgeable about the process can understand.
  • Note the major problems (we like to put them in storm bursts to set them apart)
  • Include quantified measures of the extent of the problem – graphical representations are best!

ROOT CAUSE ANALYSIS:

  • List the main problem(s)
  • Ask appropriate “why?” questions until you reach the root cause. A rule-of-thumb: you haven’t reached the root cause until you’ve asked “why?” at least 5 times!
  • List the answers to each why question

Problem

9 first immediate cause

9 cause for the first immediate cause

9 deeper cause to the preceding cause

9 etc.

TARGET CONDITION:

  • Insert a diagram that illustrates how the proposed process will work, with labels.
  • Note or list the countermeasure(s) that will address the root cause(s) identified.
  • Predict the expected improvement in the measure of interest (specifically and quantitatively)

IMPLEMENTATION PLAN:

  • List the actions which must be done in order to realize the Target Condition, along with the individual responsible for the action and a due date.
  • Add other items, such as cost, that are relevant to the implementation.

Action

Responsibility

Deadline

Action 1

D. Smith

Oct. 1

Action 2

N. Jones

Nov. 5

Action 3

M. Jordan

Nov. 28

Etc.

COST: no expenditures required

FOLLOW-UP:

Plan

Actual

  • Note the plan to measure the effectiveness of the proposed change.

  • Indicate when it will be measured, and by whom.

  • Leave blank initially

  • After follow-up, record the results of implementation

  • Record the date of actual follow-up

NEXT TIME How Quality Tools & High Performing Homes Programs fit into the NHQA Criteria PLUS schedule of next blog topics

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