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treated rather than their underlying “diseases.” For example, if quality problems cause
                    schedule slippages that lead to customer complaints, the “solution” might be to keep a
                    large inventory and sort the good from the bad. The result is that the schedule is met
                    and customers stop complaining, but at huge cost. These opportunities are often greater
                    than those currently causing “pain,” but they are now built into business systems and
                    therefore very difficult to see. One solution to the hidden problem phenomenon is to
                    focus on processes rather than symptoms. Some guidelines for identifying
                    dysfunctional processes for potential improvement are shown in Table 12.
                              Table 12. Dysfunctional Process Symptoms and Underlying Diseases

                                Symptom                    Disease                    Cure

                        Extensive information     Arbitrary fragmentation of a   Discover why people need to
                        exchange, data redundancy,   natural process        communicate with each other
                        rekeying                                            so often; integrate the process
                        Inventory, buffers, and other   System slack to cope with   Remove the uncertainty
                        assets stockpiled         uncertainty
                        High ratio of checking and   Fragmentation          Eliminate the fragmentation,
                        control to value-added work                         integrate processes
                        (excessive test and inspection,
                        internal controls, audits, etc.)
                        Rework and iteration      Inadequate feedback in a long   Process control
                                                  work process

                        Complexity, exceptions, and   Accretion onto a simple base   Uncover original “clean”
                        special causes                                      process and create new
                                                                            process(es) for special
                                                                            situations; eliminate excessive
                                                                            standardization of processes

                    The “symptom” column is useful in identifying problems and setting priorities. The
                    “disease” column focuses attention on the underlying causes of the problem, and the
                    “cure” column is helpful in chartering quality improvement project teams and
                    preparing mission statements.

                    Prioritizing Projects with the Pareto Priority Index
                    After a serious search for improvement opportunities, the organization’s leaders will
                    probably find that there are more projects to pursue than resources. The Pareto Priority
                    Index (PPI) is a simple way of prioritizing these opportunities. The PPI is calculated as
                    follows (Six Sigma Handbook, p. 229):
                                                   ×
                                     PPI =  Savings   probability of success      (Equation 1)
                                                ×
                                           Cost   time to completion (years)


                    A close examination of the PPI equation shows that it is related to return on investment
                    adjusted for probability of success. The inputs are, of course, estimates and the result is



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