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Lean safe quality cycle
1. Excellence *Metrics / HRO Culture of Quality & Safety *Metrics / Programs
Readiness / HRO Metrics
Risk Management *Metrics / Programs
RiskExcellence
SafetyQuality
Employee
Patient
Patient
Employee
Culture
Satisfaction
Employee
Patient
Loyalty
Respect
Dailyinallareas
IndividualPatientCare
Learner-Coach-Teacher
Outcomes
Our Vision – Set the Army standard in healthcare and readiness by taking care of our patients, taking care of our employees, and taking care of ourselves.
Our Mission: RHC-A (P) transforms into a system for health; leading our communities to improve readiness, save lives, and advance wellness
through compassionate patient-centered care.
Regional Health Command - Atlantic (Provisional)
Patient and Employee Optimization Program and Learning Experience (PEOPLE) Campaign
Army Values and Army Civilian Corps Creed
RHC-A Lean Safe Quality Cycle
1. Lean for Time Mgmt (reduce waste) by SMEs
2. Performance Triad
3. Survey System, simple
4. Gemba Walks
Ref: (r)-(z) next page
1. Readiness
2. Education, Training / Skills, & Ability
3. TeamSTEPPS/PCTS
4. CPI, Lean & Kaizen
5. Access to Care
Ref: (a)-(h) next page
1a. Patient Safety annual assessment & goals
1b. Organizational Safety annual assessment & goals
2a. Frontend Reporting – simple & feedback
2b. Prevent, Investigate, Trend & Analysis
3. Counseling System, simple mental system
Ref: (i)-(q) next page
(j) RCA2
Improving Root Cause Analysis and Actions to
Prevent Harm. NPSF Jun 2015.
(i) Improving Patient and Worker Safety: Opportunities for
Synergy, Collaboration and Innovation. TJC Nov 2012.
(d) Designed to Adapt, Leading Healthcare in
Challenging Times, John Kenagy, MD, 2009.
(c) 100 Day Rapid Results!: How 100-Day Projects Build
the Capacity for Large-Scale Change, Robert H.
Schaffer, 2005.
(f) Out of Crisis, W. Edwards Deming, 2000.
(e) Toyota Kata: Managing People for Improvement,
Adaptiveness and Superior Results, Mike Rother, 2010.
(a) OPORD 15-28 PEOPLE Campaign Plan, Jan 2015.
(k) OPORD 15-47 (Key Three Counseling – Achieving HRO
through Safety Improvements) Feb 2015.
(l) RHC-A (P) FY16 Strategic Safety Plan, Nov 2015.
(r) The Respect Effect, Using the Science of
Neuroleadership to Inspire a More Loyal and
Productive Workplace, Paul Meshanko, 2013.(b) RHC-A (P) OPORD 16-13 HELOS Implementation,
Oct 2015. HELOS, Director of Quality & Safety (DCQS).
(n) PSR – AGAR. Safety Note SOP, 2015.
(m) Guide for use of the U.S. Army Soldier and Leader Risk
Reduction Tool (USA SLRRT) Low, Moderate or High Risk.
(o) DA Pamphlet 385-1 Small Unit Safety Officer/
Noncommissioned Officer Guide, May 2013.
(s) RHC-A (P) Q & S Employee Safety Pledge
(t) RHC-A (P) Q & S Employee Tri-fold
(u) RHC-A (P) Culture of Quality & Safety Posters
& Flyers
(y) RHC-A (P) SAV & OIP grouped
(w) RHC-A (P) Safety Council (PS/SOHAC)
References
(g) Lean Safety: Transforming your Safety Culture
with Lean Management, NSC, Robert Hafey, 2009.
(x) RHC-A (P) Safety Policy Memo
(p) RHC-A (P) Medical Risk Management System.
(h) (z) * NRMC Top 15 metrics(q)
(v) RHC-A (P) Culture of Quality & Safety Newsletter,
for SME focus, direction and teamship
Safety Note to
complement PSR /
Report it systems
Team SAVs / OIPS
Trifold
(example for DRUs)
Simplify staff
reporting,
improvement ideas
and feedback
system
How? Innovative teamship to reduce and simplify processes for staff. Why? Time savings, resource mgmt. & quality
Deliverables: 2016-2017
CG Safety Policy
Memo. PS & Org
Safety
SOHAC Qtrly Mtg
Blend in Patient
Safety
Safety Commitment
Pledge for new
employees (Org &
PS)
Reach all
employees
Developed &
promoted by SMEs
Reach SMEs
mindset s. Prep for
change. Sold on
vision.Merge into
one checklist.
Reach Command /
SO mindsets. Cover
PS semi-ann. Org
Safety semi-ann
Reach all
employees
Align incident
reporting,
investigation,
lessons learned &
record-keeping
systems for CPI
Align Risk
Management
process for RHC-
A(P)
Reach all
employeesBeta Test at DRU.
Reach all
employees
2. THE RISE & FALL
OF A SOCIETY,
COMMUNITY, CHURCH,
FAMILY OR INDIVIDUAL
Bondage
Selfishness and
Complacency
Abundance
Liberty
Apathy
Dependency
Courage
Spiritual Faith