Application of the Methodology of Six Sigma in Public Health Institution

Elizabeta Mitreva, Filip Kirovski

© 2021 Elizabeta Mitreva, published by UIKTEN. This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International. (CC BY-NC 4.0).

Citation Information: SAR Journal. Volume 4, Issue 3, Pages 107-113, ISSN 2619-9955,, September 2021.

Received: 23 July 2021.
Revised:   04 September 2021.
Accepted: 10 September 2021.
Published: 23 September 2021.


New world trends in product quality assurance and processes in companies around the world are based on quality control in all processes (basic and logistics). Quality control is in all processes: receiving requests from clients, implementation of required services, issuing final results, maintenance of instruments, procurement, providing quality and trained staff, and commercial service. Health care institutions in Republic of North Macedonia has got old models of management. By accepting the new world philosophies, the healthcare institutions are oriented towards a different quality system, transformation of the organizational structure, patient involvement, monitoring the key processes, implementing data management tools and team work. The TQM (Total Quality Management) system in a healthcare institution is based on the main principles of this philosophy: sanitary standardization, full commitment of patients, involvement of all employees in the organization and teamwork, continuous improvement and implement of six sigma methodology. The aim of the research is to implement and apply the six-sigma methodology as a tool for improving business processes in the Public Health Institution. With proactive application of the methodology six sigma in the department of clinical microbiology were determinedbusiness processes, potential operational errors, statistical processing of the obtained data and finding a solution for the identified defects in business processes. The research conducted in the Department of Clinical Microbiology showed that with the practical application of the 6-sigma methodology, excellent improvements were obtained in all business processes by: involving more employees, correction the time for delivery of materials to admission department, and complete training for employees.

Keywords – quality, Health care institutions, TQM(Total Quality Management) system.


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