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Creativity and Innovation in Healthcare
May 12th, 2011WCBF Lean Six Sigma & Process Improvement
in Healthcare Summit
Discussion Agenda
1. Firm Foundation (The first 5 years) (Strategy, Executive Support, Dedicated Team, Integrated Approach)
2. Current: 2011 Initiative
3. Future: 2-3 Year Sustainability Strategy
© Columbus Regional Hospital
Key Takeaways
1. Executive Team Support (Strategy)
2. Dedicated Resources
3. Value Proposition
4. Adaptability (Innovation / Standardization)
5. Timelines, Deliverables, Budgets (Results & Outcomes)
6. Good, Bad, Ugly
7. 80 / 20 (Relationships/Methods)
Columbus Regional Hospital
• 225 bed not-for-profit, county-owned hospital founded in 1917 – largest hospital in southeastern Indiana
• 1,625 employees – second largest employer in county
• 220 physicians on staff in 35 medical specialties
• Building design by internationally renowned architect Robert A.M. Stern – Columbus ranks sixth in the U.S. for architectural innovation and design by the American Institute of Architects
Mission, Vision, and Values
Mission:
Improve the health and well-being of the people we serve.
Vision:
To be the best in the country at everything we do.
Values:
- Strong Leadership - Personal Excellence
- Teamwork - Ethics
- Commitment - Caring
- Citizenship - Quality
A Culture of Excellence
Two-time award finalist
Ranked six straight years
1st Magnet nursing hospital in Indiana
© Columbus Regional Hospital
#1 Firm Foundation:• Team• Value• Integration
Lean Sigma Team
Sharon Chandler
Debbie Hudson
Todd Lammert
Linda Sneed
Natalie Thieret
Doug Sabotin
Marlene Weatherwax
© Columbus Regional Hospital
Lean Sigma 2005 – Present…..
Value = Quality + Safety + Satisfaction Cost
Simplify, Standardize, Automate
• Very Strong Executive Team Support & Commitment
• Resources Dedicated to PI (at least 6 at all times since 2005)
• External Expert Consultant: SBTI (Dr. Ian Wedgwood)
• Over 70 Improvement Projects
• $18.4 Million Net Return to Organization
Integrated Approach
• Lean / Six Sigma
• Baldrige
• Studer
• Project Management
• Human Centered Design
• Simulation
• Leadership: Shakespeare
Login | My Cart (0) | Contact Us
00954780UTF-8Searchwww.stude
© Columbus Regional Hospital
#2: 2011 Case Study
Process Standardization
Improvement is important….Standardization is critical so that we know what to improve
© Columbus Regional Hospital
2011 Strategic Theme:Process Standardization Theme
Lead: VP Professional & Support ServicesCo-Lead: VP/CIO
Members:VP/Strategy OfficerVP/CNOVP Business Dev. & OP ServicesManager Human ResourcesManager NursingDirector Auxiliary ServicesDirector NursingDirector Nursing
Director RadiologyDirector LabDirector Facilities Mgt.Director Registration / Pt Financial SrvcsDirector Information ServicesDirector Lean SigmaAdministrative AssistantBlack Belt/Team Facilitator
© Columbus Regional Hospital
2011 – Process Standardization
2 Must Haves….
1.Events (Projects)
2.Management Coaching, Mentoring, Support
How will this work and what will we do?
Prep Event Implement
Management Focus
Process Focus2 weeks 3 days 3 weeks
8 - 10 weeks
© Columbus Regional Hospital
What & How
• Events (Projects):1. Process Map (Locked Down)2. Standard Work Instructions3. Control Plan Summary4. Process Board
Process Map: Where Do We Listen??
Standard Work Instructions - Scripting
How do I know how we’re doing??
© Columbus Regional Hospital
Process Step
Step Owner
Control Element (What will be monitored)
Measurement (How is it
measured/monitored)
Owner (Who will
monitor/measure)
Frequency (How often will it be
monitored/measured)
Sample Size (How many should be measured/monitored)
Goal (Target for the
process)
Process Specifications
(Level of minimum performance)
Reaction Plan (What will be done if process measure falls below specification)
Tracking Board for Metrics data
Real Time Process Board
© Columbus Regional Hospital
© Columbus Regional Hospital
What are we really doing here?
Management Coaching, Mentoring, Support• D.R.U.M.
© Columbus Regional Hospital
The scorecard….
2-3 Weeks 3 Days 5 Weeks
EVENT & PM PREP EVENT PM SUPPORT MGR/DIR MGR/DIR MGR/DIR MGR/DIR MGR/DIR MGR/DIR
DIR/VP DIR/VP DIR/VP DIR/VP DIR/VP DIR/VP
3 4 5
4-6 Weeks (30-45 Days) TBD Period of Time
3Event & Process Mgt Support Complete
(Event & PM Deliverables Complete)
Closure/Sign-off meeting includes:1.) Manager2.) Director3.) Belt4.) Director Lean Sigma
*Meeting Scheduled By Belt
4Theme Team Review/Audit (in dept)
(Control Plan Demonstrated Use)(Maturity Matrix Review - Score TBD)
Meeting includes:1.) Manager, Director, VP3.) Theme Team Sub-Committee
*Meeting Scheduled By Theme Team
5Manager/Director Requests
Re-engagement from Theme Team
(Control Plan Demonstrated Use)(Maturity Matrix Review - Score TBD)
Meeting includes:1.) Manager, Director, VP3.) Theme Team Sub-Committee
*Meeting Requested By Manager/Dir
Phase 1 - Rollout Schedule
© Columbus Regional Hospital
Event & Process Management Checklist
© Columbus Regional Hospital
Process Standardization Next Steps
Q1 & Q2 2011 (Phase 1): One process in each departmentLeadership (Management) Support
Future (Phase 2):Management DevelopmentControlled improvements (Change)Additional process eventsIntegration with I.T.
© Columbus Regional Hospital
2011 & Beyond – Innovation
Innovation:• Incremental• Substantial• Disruptive
LeanSix Sigma
InnovationHuman Centered Design
Simulation
Office of Project & Strategy
Management
Methods Tools
Clinical Quality & Safety
© Columbus Regional Hospital
Leadership Learnings
© Columbus Regional Hospital
Key Takeaways
1. Executive Team Support (Strategy)
2. Dedicated Resources
3. Value Proposition
4. Adaptability (Innovation & Standardization)
5. Timelines, Deliverables, Budgets Oh My!!
6. Good, Bad, Ugly
7. 80 / 20 (Relationships/Methods)
Questions?
© Columbus Regional Hospital