Re Engineering the Hospital: Taking a Systems Approach (Charleen Tachibana)

© 2015 Virginia Mason Institute

High Reliability Organizations

Ø Sensitive to Operations: deep knowledge of processes

Ø Reluctance to accept simple explanations: inquiry

Ø Preoccupied with failure: predicting and finding errors

Ø Deference to expertise: de-emphasis on hierarchy

Ø Resilience & Relentless: adapt & stay the course

© 2016 Virginia Mason Medical Center

© 2015 Virginia Mason Medical Center

Virginia Mason Production System

3

We adopted the Toyota Production System key philosophies and applied them to healthcare

Ø  Patient is always first Ø  Focus on the highest quality Ø  Obsession with Safety Ø  Engage all employees Ø  Strive for the highest satisfaction

© 2016 Virginia Mason Institute

Ø Patient Safety Alert Ø Standard Work Ø Embed mistake

proofing

Quality & Safety

4

Aligned Expectations

Leader Compact

5

Physician Compact

Board Compact

© 2015 Virginia Mason Medical Center

Annual Goals

Long Term Vision

VMPS Priorities

Departmental Plan/Goals

5 year Plans

Alignment & Accountability

Individual Goals

© 2015 Virginia Mason Institute

Respect and Culture

Respect

Engagement Teamwork

Culture of Safety

Reliability

© 2015 Virginia Mason Institute

Learnings

Ø Multi-year focus Ø Leader and Organizational Alignment Ø Embed Expectations and Accountabilities Ø Consistency of a Method Ø Standards Ø Structure to Sustain and Evolve Ø Respect for People Ø Constancy of Purpose

© 2015 Virginia Mason Institute

Contact Information

Charleen Tachibana, DPN, MN, RN, FAAN Sr. Vice President, Quality & Safety/Chief Nursing Officer Virginia Mason Medical Center Email: Charleen.Tachibana@virginiamason.org Website: http://www.virginiamason.org