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Aging population (more demand, fewer workers), outrageously high costs (highest in the world by far) and poor quality (200,000 a year dying from infections and preventable errors). Uncertainty of what’s called the Patient Protection and Affordable Care Act (ObamaCare) – payments to hospitals are being cut… so many hospitals are laying off people.
Michel – it’s a short-term fix, but not a good fix
Staff morale patient sat and outcomes
So where is all of the improvement?He called these “self-development and the pursuit of completeness are “familiar themes in medical instruction and history.” Bad apples instead of improving the processNeed to lead people toward solutionsShift away from finger pointing, name blame and shame
The 2nd one is from Australia
What does THIS have to do with THIS? What if…. the story of the consultant thrown out of a hospital for suggesting a moving assembly line.
This isn’t about tools – it’s about defining an ideal condition and working tirelessly to close the gap between current state (ACCURATE version) and the ideal state. Can we challenge assumptions? Test – first day on your job--- ask why something is done or why can’t we do it a better way? How does the organization respond? Start from need…
Guideline = 120 min “door- to-balloon” – 70% success“Did not have a clear, standardized response to heart attacks.”Now 100% success against 90 minute targetFocus on the patient as customerRespect the patient’s timeIdentify systemic causes of patient waitingStandardized workVisual managementStaffing levelsScheduling practicesLook across the entire “value stream”Minimize delays from handoffs
Cost per case actually DECREASED compared to the 2006 baseline. Sometimes you
One dysfunction is thinking kaizen (or improvement) is about episodic events
Need ALL of these steps
Suggestion boxes are well intended… perhaps. I’ll give them that much credit. But they seem like they don’t usually work. It’s not the fault of the box… it’s how they are managed. What are the two common features of these boxes, and more you can buy online? The lock… and their opaqueness.
They have 100 idea boards
Berwick – stop looking for bad apples
Intermountain has similar data
36% 53% 75% of departments had at least ONE person participate in Kaizen
If you include POTENTIAL SAVINGS – this number was $3M in 2010. Keep in mind they do NOT add up the financial impact of everything…
CALL TO ACTION: GO BACK AND DO ONE KAIZEN WHEN BACK TO WORK