Quality Leadership In Health Care


Published on

Published in: Health & Medicine, Business
  • Be the first to comment

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Quality Leadership In Health Care

  1. 1. Quality Leadership in Health Care: Creating a Culture for SuccessDecember 2009<br />John G. Reiling<br />President/CEO<br />
  2. 2. Background - IOM Report<br /><ul><li>The risk of dying as a result of medical error far surpasses the risk of dying in an airline accident.
  3. 3. Death on domestic flights: </li></ul>1 in 8,000,000 flights.<br />2<br />
  4. 4. Background - IOM Report(continued)<br /><ul><li>Death in hospitals from medical errors: </li></ul> 1 in 343 admits to 1 in 764 admits.<br /><ul><li> Adverse Events in Hospitals:</li></ul> 1 in 27 admits to 1 in 34 admits.<br />3<br />
  5. 5. Safety in Healthcare<br /><ul><li>The environment (facilities, equipment, technology) </li></ul>affects performance.<br /><ul><li>The processes affect performance.
  6. 6. The culture affects performance.</li></li></ul><li>The National Learning Lab<br /> The participants:<br /><ul><li>AHA - MGMA
  7. 7. AMA - NPSF
  8. 8. AphA - PSI
  9. 9. ASQ - WHA
  10. 10. Center for Patient - UW-Milwaukee
  11. 11. Safety at VA - University of MN
  12. 12. IHI - VHA
  13. 13. ISMP
  14. 14. JCAHO </li></ul>5<br />
  15. 15. Creating a Culture of Safety<br /><ul><li>Shared Values/Beliefs about Safety within the Organization
  16. 16. Always Anticipating Precarious Events
  17. 17. Informed Employees and Medical Staff
  18. 18. Culture of Reporting
  19. 19. Learning Culture
  20. 20. “Just” Culture
  21. 21. Blame-Free Environment Recognizing Human Fallibility
  22. 22. Physician Team Work
  23. 23. Culture of Continuous Improvement
  24. 24. Empowering Families to Participate in Care of Patients
  25. 25. Informed & Activated Patient</li></ul>6<br />
  26. 26. National Advisory Committee(Invitees)<br />Jim Adams, Exec. Director & Fellow, IBM Center of Healthcare Management<br />Frank T. Brogan, President, Florida Atlantic University<br />Carolyn Clancy, MD, MPH, Director of Agency for Healthcare Research & Quality<br />William F. Coyne, PhD., Former Senior VP for R&D for 3M, Healthcare for 3M, and 3M Canada<br />Tim Flaherty, M.D., Past Chairman, NPSF & Past Chair of American Medical Association<br />Lillee Smith Gelinas, RN, BSN, MSN, FAAN, Vice President & Chief Nursing Officer of VHA, Inc.<br />Pascal Goldschmidt, MD, Senior Vice President & Dean, University of Miami Miller School of Medicine<br />Donald Holmquest, M.D., Ph.D., J.D., President & CEO of California Regional Health Information Org<br />Beverly Johnson, President & CEO, Institute for Family Centered Healthcare<br />Lucian L. Leape, MD, Adjunct Professor, Harvard Univ. School of Public Health<br />Kathy Malloch, PhD., MBA, RN, FAAN, Pres of Malloch & Assoc & Director of the MHI Program at ASU<br />David Marx, J.D., President of Outcome Engineering, LLC<br />David Nash, M.D., M.B.A., FACP, Chairman, Jefferson Medical College, Thomas Jefferson University<br />Richard Norling, Chief Executive Officer and Director of Premier, Inc.<br />Dennis O’Leary, President Emeritus of Joint Commission<br />Paul O’Neill, Former Secretary of the U.S. Treasury<br />Mary A. Pittman, Ph.D., American Hospital Association & Current President of the Public Health Institute & Past President of the Health Research and Educational Trust<br />William Rupp, MD, Past President of Luther Midelfort & Immanuel St. Joseph’s-Mayo Health Systems & Institute for Healthcare Improvement<br />Donna E. Shalala, Ph.D, President, University of Miami<br />Gail Warden, President Emeritus, Henry Ford Health Systems<br />Bennet Waters, D.H.A., Chief of Staff for the US Dept. of Homeland Security, Office of Chief Medi Officer <br />7<br />
  27. 27. Results of NAC Leadership<br />Keys:<br />Transparency<br />Leadership<br />
  28. 28. Leadership<br />Management, CEO<br />Medical Staff <br />Board<br />
  29. 29. Deming’s 14 Points<br />1). Create Constancy of Purpose for the Improvement of Product and Service<br />2). Adopt the New Philosophy<br />3). Cease Dependence on Mass Inspection<br />4). End the Practice of Awarding Business on Price Tag Alone<br />5). Improve Constantly and Forever the System of Production and Service<br />
  30. 30. Deming’s 14 Points<br />6). Institute Training and Retraining<br />7). Institute of Leadership<br />8). Drive Out Fear<br />9). Break Down Barriers Between Staff Areas<br />10). Eliminate Slogans, Exhortations, and Targets for the Workforce<br />
  31. 31. Deming’s 14 Points<br />11). Eliminate Numerical Quotas<br />12). Remove Barriers to Pride of Workmanship<br />13). Institute a Vigorous Program of Education and Retraining<br />14). Take Action to Accomplish the Transformation<br />