St. Sigma Hospital System. A virtual Gemba and case study simulation

Dive Into Process Improvement With a Virtual Trip to St. Sigma Hospital

Utilize the DMAIC process with a flexible and adaptive simulation focused on solidifying comprehension and application

St. Sigma Hospital System is an adaptive simulation designed to allow Facilitators the ability to marry real-world scenarios with process improvement lessons. Students can explore a virtual workspace and learn how to collect data, observe operations, get to the root cause of problems and impact change. St. Sigma can be utilized in multiple ways by instructors and students throughout the learning process. Set in a realistic healthcare lab, participants can walk through the DMAIC process asking the critical questions needed to identify problems and theorize solutions with Lean Six Sigma tools.

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Time to Complete


Number of Participants

Any number

Key Concepts Learned

Process Mapping, CTQCs, MSA, Takt Time, Process Capability, Root Cause Analysis, Balance Capacity, Solution Selection, Corrective Action Plan, Control Plan

Demonstration of St.Sigma displayed

A Tailored Experience For Every Audience

With 27 hands-on activities and data sets, St. Sigma is a robust case study all-in-one simulation that can be easily adapted to fit any audience. Facilitators can utilize the virtual Gemba to customize the pace, order, and depth of content to suit whatever level of mastery you wish your students to receive. Walk entry-level participants through high-level concepts and process mapping or have students with more understanding dive deeper and use critical thinking skills and DMAIC tools to problem solve issues discovered throughout the simulation.

Demonstration of St.Sigma displayed The flexible format gives you a single in-depth project that you can use to teach all levels of experience. Example use cases include:

  • A 1-2 day classroom workshop tool
  • A threaded case study for Study Halls in a Blended Learning model
  • A course capstone project
  • A supplemental exercise
  • A high-level example of successful projects

Practice-Based Problem Solving Designed with Health Care in Mind

Unlike other training simulations, St. Sigma is not a game where teams work independently or compete on a simulated project. St. Sigma is an immersive teaching tool where participants learn in a unique, comprehensive and realistic online environment.

St. Sigma Watson Image
St. Sigma Watson Image

St. Sigma begins with a background story involving St. Sigma Hospital, which is facing a serioius quality issue: the turn-around-time for lab tests is far too long, resulting in severe customer dissatisfaction. Participants, as part of the process excellence team, will focus on the cycle time of glucose testing, a high-volume analysis that should be quick to perform.

St. Sigma Watson Image
St. Sigma Popups Image

The Project

As students begin the simulation, they interact with a visual, online process map of a medical lab, interview lab technicians, and analyze data critical to the performance of testing. Each project phase throughout the project offers several options (activities) supported by data sets, templates and teaching lessons.

St. Sigma contains a variety of different activities, from creating a Project Charter to Balancing Capacity, and only requires Microsoft® Excel® or another spreadsheet editing program.

As students work through the activities, they begin to learn how to correctly apply the tools and templates of Lean Six Sigma to improve patient care and reduce operating costs. Participants learn critical thinking skills and how the outputs of various analytical tools are linked and used across the phases of the project.

St. Sigma Popups Image
St. Sigma Popups Image

Instructor Materials

The instructor version of St. Sigma offers an annotated set of solutions for every activity. Teaching tips and coaching suggestions are also included to help adapt each lesson a variety of ways.

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St. Sigma is meant for use by an instructor on a per instance (class) basis. This fee provides access to the instructor version, which includes the St. Sigma simulation along with an instructor guide and all of the solution files. Instructors may also purchase a Student Access License on a per student basis to allow students to be able to explore and download files on their own computers.

What's Included

Instructor License

  • Facilitator Access
  • Instruction Materials
  • Access to the Simulation for up to 60 Days
  • Annual pricing available

Student Access License*

  • Access to the Simulation
  • Access to files, data sets and more
  • Access for 60 Days
$50 when bundled with an eLearning Course

Contact Us to Get Started

*We do not allow student enrollments without an instructor enrollment.
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Join one of our live simulation demonstrations for a walk through of St. Sigma

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Is St. Sigma based on a real case study?

Yes. We worked with several customers in the Columbus, Ohio area who completed similar projects and then use the data to inform our simulation.

Does St. Sigma have a single best solution?

No. In the improve Phase, you have the choice to select among several combinations of improvement options, and each combination delivers a different result. As a learning moment, students can select dissimilar combinations and then compare the effects of their process improvement choices.

Do participants need to be registered through MoreSteam?

No, only the simulation facilitator is required to have a MoreSteam account.

What are the device/system requirements?

St. Sigma Facilitators (Computer Requirements):

Operating System: Microsoft Windows (8 and higher) or Apple Mac OS X

Browser: Google Chrome, Microsoft Edge, Mozilla Firefox, Safari.

St. Sigma Players (Mobile Requirements):

St. Sigma can be played from any modern smart phone.

Mobile Browsers: Google Chrome, Microsoft Edge, Mozilla Firefox, Safari, Samsung Internet Browser.

If you have trouble accessing St. Sigma, please switch to a supported browser listed above.

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