1. Art and science of improvement
prescription for healthcare
Oct 1st, 2011

2. The Orchestra

3. Medical advancement
drastically reduced patients
mortality rate

6. The healthcare system is
getting more complex

7. Breast Cancer treatment
in the 50’s

8. …now

9. Risks
=

11. Focus on the patient
Providing the patient with
the right service, when it is
needed, the right way, the
first time.

12. Focus on system vs. parts

13. Department vs. Patient focus
ED Lab testing Portering Inpatient Pharmacy Housekeeping
Unit
Patient

14. Architect Metaphor

16. Involving everybody
Impact
Everyone is
consistently
working on the
Direction exists but right things
inconsistent
Best efforts of discipline
few individuals
but different
directions

17. An army of problem solvers

18. An army of problem solvers

19. Improvement is not a series of sprints

21. Problem solving methodology
Teat
Assess
Plan

22. n
Visior
f o er
tom
Cus
t
Nex t
e
Tar g ion
dit
Con
c le s
O b st a
ent
Cur r ition
d
Con

24. High
Character
Low Aptitude High

25. “No written words, no spoken plea,
can teach our [staff] [how] they should be.
Nor all the [policies] on all the shelves
It’s [how] the [leaders] are themselves”
Adapted from coach John Wooden

27. “Every day, we have an opportunity to make
a difference in people’s lives. We must care
for people in a way that touches their soul,
so that everyone including ourselves – is in
some way healed.”
“What we do is more than a job, more than
a career. It is a sacred trust”