This document discusses how hospitals can use Lean principles and processes to improve quality of care, patient safety, employee satisfaction while reducing costs. It provides examples of hospitals that saved millions of dollars through Lean initiatives. Key challenges hospitals face are increasing costs, decreasing reimbursements, quality and safety issues. Lean focuses on eliminating waste in processes like unnecessary travel for staff during patient care. Hospitals have reduced infections and saved millions through Lean projects focused on standardizing supplies and exam rooms. Information technology must be used to support workflow and eliminate redundant data collection without simply automating existing waste.
GeneCIS Communicating the Patient JourneyDMF-Systems
GeneCIS is DMF Systems suite of Clinical Information Systems. GeneCIS communicates the patient journey from the referral right through to discharge. The suite consists of eReferrals, eScheduler, MediViewer, Clinical Summaries and eDischarge.
All of the solutions within the GeneCIS suite can be implemented on a modular basis to ensure you get exactly what you require. Each additional module can be bolted on seamlessly as required. This enables organisations to utilise scarce resources to meet pertinent needs and then grow from there as resources become available.
GeneCIS improves patient outcomes, significantly reduces costs and leads to superior use of scarce hospital resources.
All of the modules can be integrated with the hospital PAS to reduce data entry.
Integration services can also be utilised to revive legacy systems.
ARRA & EMR Usability: What Providers Need to KnowJeffery Belden
What if US healthcare providers dramatically adopted EMRs in increasing numbers, worked hard to achieve meaningful use, but never benefited financially or in efficiency or quality?
Meaningful use will be dependent on adequate EMR usability. Discover how usability relates to a number of meaningful use criteria. We offer a usability checklist to assist providers in shopping for a new EMR, or to use during implementation of an existing EMR, in order to achieve efficiency, effectiveness, and usefulness.
Presentation to HIMSS 2010 with co-presenter Janey Barnes PhD.
As population health management goes mainstream, providers need robust, integrated software solutions to aggregate and analyze data, coordinate care, engage patients and clinicians, and provide full administrative and financial functionality. Population Health Management is a journey, and the number of approaches to population health are varied.
Resetting Payer-Provider Arrangements for COVID-19 and the Evolving Improveme...Health Catalyst
As the healthcare industry recovers from COVID-19, providers are re-evaluating the financial arrangements that motivate them to improve their processes while benefiting payers and patients.
With the pandemic driving lower provider volumes and straining hospital resources, the industry has a renewed urgency for policies that drive better outcomes while lowering cost and improving revenue. Moving forward, healthcare must reset its payer-provider performance standards to the post COVID-19 environment.
Renewed approaches to the following models will consider the impact of remote care, how to reimburse telehealth services, and the need for consistent payments to providers:
1. Pay for performance.
2. Bundled payments.
3. ACOs.
GeneCIS Communicating the Patient JourneyDMF-Systems
GeneCIS is DMF Systems suite of Clinical Information Systems. GeneCIS communicates the patient journey from the referral right through to discharge. The suite consists of eReferrals, eScheduler, MediViewer, Clinical Summaries and eDischarge.
All of the solutions within the GeneCIS suite can be implemented on a modular basis to ensure you get exactly what you require. Each additional module can be bolted on seamlessly as required. This enables organisations to utilise scarce resources to meet pertinent needs and then grow from there as resources become available.
GeneCIS improves patient outcomes, significantly reduces costs and leads to superior use of scarce hospital resources.
All of the modules can be integrated with the hospital PAS to reduce data entry.
Integration services can also be utilised to revive legacy systems.
ARRA & EMR Usability: What Providers Need to KnowJeffery Belden
What if US healthcare providers dramatically adopted EMRs in increasing numbers, worked hard to achieve meaningful use, but never benefited financially or in efficiency or quality?
Meaningful use will be dependent on adequate EMR usability. Discover how usability relates to a number of meaningful use criteria. We offer a usability checklist to assist providers in shopping for a new EMR, or to use during implementation of an existing EMR, in order to achieve efficiency, effectiveness, and usefulness.
Presentation to HIMSS 2010 with co-presenter Janey Barnes PhD.
As population health management goes mainstream, providers need robust, integrated software solutions to aggregate and analyze data, coordinate care, engage patients and clinicians, and provide full administrative and financial functionality. Population Health Management is a journey, and the number of approaches to population health are varied.
Resetting Payer-Provider Arrangements for COVID-19 and the Evolving Improveme...Health Catalyst
As the healthcare industry recovers from COVID-19, providers are re-evaluating the financial arrangements that motivate them to improve their processes while benefiting payers and patients.
With the pandemic driving lower provider volumes and straining hospital resources, the industry has a renewed urgency for policies that drive better outcomes while lowering cost and improving revenue. Moving forward, healthcare must reset its payer-provider performance standards to the post COVID-19 environment.
Renewed approaches to the following models will consider the impact of remote care, how to reimburse telehealth services, and the need for consistent payments to providers:
1. Pay for performance.
2. Bundled payments.
3. ACOs.
Closed-Loop EHR Integration Targets Burnout, Improves WorkflowsHealth Catalyst
The widespread adoption of EHRs has significantly altered the workflows of physicians and other healthcare workers. However, while EHRs were developed to better organize patient data and improve care coordination, most require significant and sometimes duplicative documentation, often resulting in workforce burnout.
Health Catalyst’s new Closed-Loop Analytics™ service tackles the EHR workload challenge by helping healthcare providers optimize their use of analytics in existing workflows. Closed-Loop Analytics leverages the knowhow of Health Catalyst clinical workflow experts with work experience at EHR vendors such as Epic, Cerner, and Allscripts. The team works with health systems to deploy analytics solutions directly into the EHR and better leverage analytics to simplify workflows and improve outcomes.
In this webinar, you will learn how Closed-Loop Analytics can help you:
- Determine where end-users are wasting time on duplicative tasks and how to optimize the EHR build to develop efficiencies.
- Develop analytical tools and deploy them into the EHR for increased utilization and improved insights at the point of decision-making.
- See the value of expanded integration capabilities with an analytics tool embedded into the EHR, such as launching to a patient’s chart or initiating an update to a treatment team.
- Understand how interoperability and FHIR are revolutionizing workflow integration and how you can put them to work.
Why Accurate Financial Data is Critical for Successful Value TransformationHealth Catalyst
Approximately 50 percent of CMS payments are now tied to a value component. The CMS Innovation Center has allocated nearly $5.4 billion to implement 37 value-based payment models, with 55 percent of those funds marked for development and implementation of additional value-based models. The shift towards value and consumerism is pushing providers to adopt a novel financial mindset and strategy. The key component? Accurate financial data.
In this webinar Steve Vance, senior vice president and executive advisor at Health Catalyst, explores why accurate financial data, coupled with specific tools and strategies, is critical for successful transformation.
View this webinar for key insights into thriving in a value-based environment:
- Why it’s time to embrace new payment methodologies.
- What role financial and clinical data play in value- and risk-based contracts.
- Various organizational and operational strategies for successful financial transformation.
- How Health Catalyst solutions support an innovative data-driven financial process.
AppwoRx delivers mobile clinical photography, patient engagement, care collaboration and telemedicine solutions. RxPhoto is a robust mobile and cloud based clinical photography and collaboration solution. AppRx is a patient engagement and marketing tool.
Behind the front-end mobile functionality is a comprehensive online management system providing rich data aggregation and analytic capabilities.
Learn how a shift in processes, leadership and culture to an integrated solution can put your hospital on track to achieve improved clinical outcomes, metrics and patient experiences, each of which can have a potentially dramatic financial impact.
ACO = HIE + Analytics - a Healthcare IT PresentationPerficient, Inc.
With the release of the Accountable Care Organization (ACO) regulations, healthcare providers must be able to identify, access, and seamlessly share patient information to drive efficiencies and enjoy a potential share in ACO program incentives. Additionally, more than half of the 93 draft National Committee for Quality Assurance (NCQA) ACO measures are also Meaningful Use measures, which further elevates the need to achieve meaningful use stage 2 or higher.
Given these goals, success will ultimately depend on an organization’s ability to share patient data at the point of care and its ability to gain meaning from historical and longitudinal data for use in managing population health. Healthcare organizations will need to give focused attention to the IT strategies, appropriate architectures, and roadmaps they will use to move from desired state to reality.
We discuss the practical architectural approach for creating an ACO. As Health Information Exchanges (HIEs) evolve into their second generation, they are able to the support the functional ACO tasks of delivering and managing care for a defined population, accept payment, distribute savings to participants, and perform disease management with predictive modeling to improve outcomes. We will also discuss the need to achieve meaningful use stage 2 or higher and the data/analytics requirements for ACO participants.
Presenter Martin Sizemore is the Director of Healthcare Strategy for Perficient. Martin has been a consultant and trusted advisor to CEOs, COOs, CIOs and senior managers for global multi-national companies and healthcare organizations, and is a certified Enterprise Architect with specialized skills in Enterprise Application Integration (EAI) and Service Oriented Architecture (SOA).
Drive Better Outcomes with Four Data-Informed Patient Engagement TacticsHealth Catalyst
Increased patient engagement leads to better clinical outcomes, but organizations still struggle to engage patients and their families in their care. To start, patients have different levels of interest in their care and competency regarding healthcare, which adds to the challenge of treating each patient like a member of the care team.
However difficult these patient engagement roadblocks are, organizations can use data to overcome them. Access to data allows healthcare leaders and providers to identify opportunities to optimize patient engagement. By implementing four data-informed tactics, systems can increase patient engagement and improve health outcomes:
1. Implement shared decision-making interventions.
2. Advance health equity.
3. Prioritize patient feedback.
4. Provide patient-centered education.
OPERATIONAL INTEGRATION: CREATING A HIGH-PERFORMING HEALTHCARE ORGANIZATIONEmCare
What strategies are in your arsenal to combat and conquer the thorny challenges
of healthcare reform? Reducing costs? Improving quality, productivity and efficiency? Redesigning processes? Improving the patient experience? Transforming your organization from one that delivers episodic sick care to one that nurtures wellness and personal responsibility is daunting, but absolutely necessary. While consultants
have prospered by touting the “solution-of-the-day,” a handful of approaches have gained traction. One of those is clinical integration.
Transform Your Labor Cost Management Strategy: Introducing the Health Catalys...Health Catalyst
Labor costs encompass nearly 60 percent of the typical healthcare budget and are growing faster than healthcare systems can afford. COVID-19 responses only exacerbated this financial pressure. Controlling escalating labor costs means eliminating waste and using data to find where budgeted staffing hours exceed or fall short of patient needs. Most organizations have the wrong tools to understand labor demands and instead try to guess future patient volumes and staffing needs by using retrospective data that lacks timeliness.
The Health Catalyst PowerLabor application leverages augmented intelligence (AI)-powered forecasting capabilities to deliver accurate labor data to operational leaders. With timely workforce insight, health systems can close the gap between staff budgeting and future patient volumes, control labor expenses, and track progress toward budget and staffing targets.
Join John Hansmann, Senior Vice President of Strategic Consulting Operations at Health Catalyst, and Sean Latimer, Senior Director of Product Management at Health Catalyst, as they demonstrate how PowerLabor can help your organization increase productivity while ensuring resources for excellent patient care.
What You’ll Learn About PowerLabor:
• View Comprehensive Labor Data in One Place: Department and unit managers can analyze labor costs with an integrated view of all labor productivity data, including cost and hours, by system, location, department, team, and job role in one location.
• Proactively Schedule to Volume: With a complete view of categorized labor hours in relation to costs (e.g., contracts, premiums, overtime, and staffing mix), decision makers can easily identify labor trends, comparisons, and rollups across departments to accurately predict labor needs, plan for changes in staffing, and optimize staff to patient ratios.
• Drive Adoption with Expert Guidance: To maximize the PowerLabor application, Health Catalyst experts help categorize and refine data through an initial assessment and data integration from multiple data sources (e.g., EMR, billing, HR/payroll, time and attendance, and general ledger). Our implementation teams also provide train-the-trainer sessions to drive the most effective adoption.
Learn how Relevant's High Performance Surgery Network can save employers and their employees thousands of dollars on surgical procedures. In most cases, savings can reach 50% or more below what an employer is paying today through its healthplan and PPO
Delivering Analytic Insights from the Warehouse to the Front Lines: Your Most...Health Catalyst
As clinicians contend with having too much on their plates, they also rarely get all the information they need to be most effective. Meanwhile, your organization has an expansive amount of data—more data than anyone will ever read on even a single patient. Managing this data load to deliver just-in-time insights, decision support, and analytics is the key to supporting care teams and allowing them to focus on providing the best care to the patients in front of them.
What You'll Learn:
- Effective methods for delivering data to your providers.
- Building analytics into every workflow.
- Empowering your team with technology-driven clinical decision support.
- Streamlining your data delivery to provider better care, drive revenue, and make your system more efficient.
Using Advanced Analytics for Value-based Healthcare DeliveryMichael Joseph
Promoting Value-based Healthcare Delivery
The fundamental principles of the Affordable Care Act recognize that the volume-based, fee-for-service payment model is unsustainable and that a value-based healthcare delivery system is essential. With the emergence of Accountable Care Organizations (ACOs), providers are incentivized to implement payment reforms and participate in shared savings programs that seek to balance quality of care, access to care and cost of care.
Our healthcare analytics payment model uses predictive analytics to assist ACOs in patient attribution, budget development, bench-marking and performance monitoring to maximize incentives through shared savings and quality improvements.
A 360° view of value-based healthcare: how to position your facility for successSourceMed
The shift from volume to value-based healthcare is underway and many outpatient providers are already participating. How are you preparing for this transition?
This presentation will explore the move to value-based care, and share ways for your facility to adapt what it is doing today to thrive under collaborative service delivery models, including: revenue cycle management, data analytics, patient engagement and system interoperability.
How to thrive in the new value based care delivery worldHealth Catalyst
As Healthcare shifts from fee-for-service towards value-based care, many healthcare systems struggle with this challenging transition.
Join Tom Burton, Co-founder of Health Catalyst, as he describes the journey of many health systems working through the complexities, capabilities and strategies required to thrive through the transition.
You will come to understand:
How analytics can help to better manage at risk contracts in value-based care delivery settings
How network optimization through appropriate provider selection can reduce out of network leakage
How a balanced approach to care management increases your return on investment
The three key capabilities required for systematic population health management
Getting to the Wrong Answer Faster with Your Analytics: Shifting to a Better ...Health Catalyst
Wrong conclusions in your analytics can cause waste and disillusionment, not to mention suboptimal outcomes that may take months or even years to recover from. But analytic analysis isn’t about perfection—it’s about getting to the right answer by quickly getting to the wrong one.
In this interactive webinar, Jason Jones, chief data scientist at Health Catalyst, walks through scenarios that illustrate how commonly used analytic methods can lead analysts and leaders to the wrong conclusions, and shares how to course correct if this happens to you. In health and healthcare, leaders drive change by understanding and supporting better approaches, and analytics provide the best foundation for informed change management. Let’s work together to shift towards a better use of AI in healthcare.
View this webinar to learn:
- How analysis of the same data set can result in different conclusions.
- Tools and techniques to get your organization back on track after a misstep.
- Lessons from two case studies that will help you drive better analytics in your own organization.
Sharing a New Ideal: How Tomorrow’s Understaffed, Multi-Site Lab Organization...mhartman1309
This presentation was presented by Chris Christopher at the Lab Quality Confab Conference on Nov 2, 2010. It shows how medical laboratories are using automation, technology and lean sigma improvement methodologies to meet organizational needs.
Lean Facility Design as an Agent of Organizational Change for the Future of H...The Neenan Company
Presented on April 16, 2011 at the 2011 American Medical Group Management (AMGA) Annual Conference in Washington, DC
Presenters:
Dr. Randall Huss, President, Mercy St. John's Clinic - Rolla Division
Gerald Dowdy, Vice President, Mercy St. John's Clinic - Rolla Division
Whitney Churchill, AIA, Architect, The Neenan Company
Dan Garofalo, Vice President Business Development, The Neenan Company
Using the acclaimed and highly innovative St. John's Clinic - Rolla facility as the kick-off for discussion, the presenters described how the Lean facility design served to drive Lean process improvement and a new model of patient-centered care. Presenters provided one-and-half-year follow-up data, including voice of the customer surveys, patient satisfaction, call center metrics, provider feedback, and lessons learned. An emerging national trend in healthcare organizations utilizing Lean facility design, as well as results that can be obtained, was discussed.
Closed-Loop EHR Integration Targets Burnout, Improves WorkflowsHealth Catalyst
The widespread adoption of EHRs has significantly altered the workflows of physicians and other healthcare workers. However, while EHRs were developed to better organize patient data and improve care coordination, most require significant and sometimes duplicative documentation, often resulting in workforce burnout.
Health Catalyst’s new Closed-Loop Analytics™ service tackles the EHR workload challenge by helping healthcare providers optimize their use of analytics in existing workflows. Closed-Loop Analytics leverages the knowhow of Health Catalyst clinical workflow experts with work experience at EHR vendors such as Epic, Cerner, and Allscripts. The team works with health systems to deploy analytics solutions directly into the EHR and better leverage analytics to simplify workflows and improve outcomes.
In this webinar, you will learn how Closed-Loop Analytics can help you:
- Determine where end-users are wasting time on duplicative tasks and how to optimize the EHR build to develop efficiencies.
- Develop analytical tools and deploy them into the EHR for increased utilization and improved insights at the point of decision-making.
- See the value of expanded integration capabilities with an analytics tool embedded into the EHR, such as launching to a patient’s chart or initiating an update to a treatment team.
- Understand how interoperability and FHIR are revolutionizing workflow integration and how you can put them to work.
Why Accurate Financial Data is Critical for Successful Value TransformationHealth Catalyst
Approximately 50 percent of CMS payments are now tied to a value component. The CMS Innovation Center has allocated nearly $5.4 billion to implement 37 value-based payment models, with 55 percent of those funds marked for development and implementation of additional value-based models. The shift towards value and consumerism is pushing providers to adopt a novel financial mindset and strategy. The key component? Accurate financial data.
In this webinar Steve Vance, senior vice president and executive advisor at Health Catalyst, explores why accurate financial data, coupled with specific tools and strategies, is critical for successful transformation.
View this webinar for key insights into thriving in a value-based environment:
- Why it’s time to embrace new payment methodologies.
- What role financial and clinical data play in value- and risk-based contracts.
- Various organizational and operational strategies for successful financial transformation.
- How Health Catalyst solutions support an innovative data-driven financial process.
AppwoRx delivers mobile clinical photography, patient engagement, care collaboration and telemedicine solutions. RxPhoto is a robust mobile and cloud based clinical photography and collaboration solution. AppRx is a patient engagement and marketing tool.
Behind the front-end mobile functionality is a comprehensive online management system providing rich data aggregation and analytic capabilities.
Learn how a shift in processes, leadership and culture to an integrated solution can put your hospital on track to achieve improved clinical outcomes, metrics and patient experiences, each of which can have a potentially dramatic financial impact.
ACO = HIE + Analytics - a Healthcare IT PresentationPerficient, Inc.
With the release of the Accountable Care Organization (ACO) regulations, healthcare providers must be able to identify, access, and seamlessly share patient information to drive efficiencies and enjoy a potential share in ACO program incentives. Additionally, more than half of the 93 draft National Committee for Quality Assurance (NCQA) ACO measures are also Meaningful Use measures, which further elevates the need to achieve meaningful use stage 2 or higher.
Given these goals, success will ultimately depend on an organization’s ability to share patient data at the point of care and its ability to gain meaning from historical and longitudinal data for use in managing population health. Healthcare organizations will need to give focused attention to the IT strategies, appropriate architectures, and roadmaps they will use to move from desired state to reality.
We discuss the practical architectural approach for creating an ACO. As Health Information Exchanges (HIEs) evolve into their second generation, they are able to the support the functional ACO tasks of delivering and managing care for a defined population, accept payment, distribute savings to participants, and perform disease management with predictive modeling to improve outcomes. We will also discuss the need to achieve meaningful use stage 2 or higher and the data/analytics requirements for ACO participants.
Presenter Martin Sizemore is the Director of Healthcare Strategy for Perficient. Martin has been a consultant and trusted advisor to CEOs, COOs, CIOs and senior managers for global multi-national companies and healthcare organizations, and is a certified Enterprise Architect with specialized skills in Enterprise Application Integration (EAI) and Service Oriented Architecture (SOA).
Drive Better Outcomes with Four Data-Informed Patient Engagement TacticsHealth Catalyst
Increased patient engagement leads to better clinical outcomes, but organizations still struggle to engage patients and their families in their care. To start, patients have different levels of interest in their care and competency regarding healthcare, which adds to the challenge of treating each patient like a member of the care team.
However difficult these patient engagement roadblocks are, organizations can use data to overcome them. Access to data allows healthcare leaders and providers to identify opportunities to optimize patient engagement. By implementing four data-informed tactics, systems can increase patient engagement and improve health outcomes:
1. Implement shared decision-making interventions.
2. Advance health equity.
3. Prioritize patient feedback.
4. Provide patient-centered education.
OPERATIONAL INTEGRATION: CREATING A HIGH-PERFORMING HEALTHCARE ORGANIZATIONEmCare
What strategies are in your arsenal to combat and conquer the thorny challenges
of healthcare reform? Reducing costs? Improving quality, productivity and efficiency? Redesigning processes? Improving the patient experience? Transforming your organization from one that delivers episodic sick care to one that nurtures wellness and personal responsibility is daunting, but absolutely necessary. While consultants
have prospered by touting the “solution-of-the-day,” a handful of approaches have gained traction. One of those is clinical integration.
Transform Your Labor Cost Management Strategy: Introducing the Health Catalys...Health Catalyst
Labor costs encompass nearly 60 percent of the typical healthcare budget and are growing faster than healthcare systems can afford. COVID-19 responses only exacerbated this financial pressure. Controlling escalating labor costs means eliminating waste and using data to find where budgeted staffing hours exceed or fall short of patient needs. Most organizations have the wrong tools to understand labor demands and instead try to guess future patient volumes and staffing needs by using retrospective data that lacks timeliness.
The Health Catalyst PowerLabor application leverages augmented intelligence (AI)-powered forecasting capabilities to deliver accurate labor data to operational leaders. With timely workforce insight, health systems can close the gap between staff budgeting and future patient volumes, control labor expenses, and track progress toward budget and staffing targets.
Join John Hansmann, Senior Vice President of Strategic Consulting Operations at Health Catalyst, and Sean Latimer, Senior Director of Product Management at Health Catalyst, as they demonstrate how PowerLabor can help your organization increase productivity while ensuring resources for excellent patient care.
What You’ll Learn About PowerLabor:
• View Comprehensive Labor Data in One Place: Department and unit managers can analyze labor costs with an integrated view of all labor productivity data, including cost and hours, by system, location, department, team, and job role in one location.
• Proactively Schedule to Volume: With a complete view of categorized labor hours in relation to costs (e.g., contracts, premiums, overtime, and staffing mix), decision makers can easily identify labor trends, comparisons, and rollups across departments to accurately predict labor needs, plan for changes in staffing, and optimize staff to patient ratios.
• Drive Adoption with Expert Guidance: To maximize the PowerLabor application, Health Catalyst experts help categorize and refine data through an initial assessment and data integration from multiple data sources (e.g., EMR, billing, HR/payroll, time and attendance, and general ledger). Our implementation teams also provide train-the-trainer sessions to drive the most effective adoption.
Learn how Relevant's High Performance Surgery Network can save employers and their employees thousands of dollars on surgical procedures. In most cases, savings can reach 50% or more below what an employer is paying today through its healthplan and PPO
Delivering Analytic Insights from the Warehouse to the Front Lines: Your Most...Health Catalyst
As clinicians contend with having too much on their plates, they also rarely get all the information they need to be most effective. Meanwhile, your organization has an expansive amount of data—more data than anyone will ever read on even a single patient. Managing this data load to deliver just-in-time insights, decision support, and analytics is the key to supporting care teams and allowing them to focus on providing the best care to the patients in front of them.
What You'll Learn:
- Effective methods for delivering data to your providers.
- Building analytics into every workflow.
- Empowering your team with technology-driven clinical decision support.
- Streamlining your data delivery to provider better care, drive revenue, and make your system more efficient.
Using Advanced Analytics for Value-based Healthcare DeliveryMichael Joseph
Promoting Value-based Healthcare Delivery
The fundamental principles of the Affordable Care Act recognize that the volume-based, fee-for-service payment model is unsustainable and that a value-based healthcare delivery system is essential. With the emergence of Accountable Care Organizations (ACOs), providers are incentivized to implement payment reforms and participate in shared savings programs that seek to balance quality of care, access to care and cost of care.
Our healthcare analytics payment model uses predictive analytics to assist ACOs in patient attribution, budget development, bench-marking and performance monitoring to maximize incentives through shared savings and quality improvements.
A 360° view of value-based healthcare: how to position your facility for successSourceMed
The shift from volume to value-based healthcare is underway and many outpatient providers are already participating. How are you preparing for this transition?
This presentation will explore the move to value-based care, and share ways for your facility to adapt what it is doing today to thrive under collaborative service delivery models, including: revenue cycle management, data analytics, patient engagement and system interoperability.
How to thrive in the new value based care delivery worldHealth Catalyst
As Healthcare shifts from fee-for-service towards value-based care, many healthcare systems struggle with this challenging transition.
Join Tom Burton, Co-founder of Health Catalyst, as he describes the journey of many health systems working through the complexities, capabilities and strategies required to thrive through the transition.
You will come to understand:
How analytics can help to better manage at risk contracts in value-based care delivery settings
How network optimization through appropriate provider selection can reduce out of network leakage
How a balanced approach to care management increases your return on investment
The three key capabilities required for systematic population health management
Getting to the Wrong Answer Faster with Your Analytics: Shifting to a Better ...Health Catalyst
Wrong conclusions in your analytics can cause waste and disillusionment, not to mention suboptimal outcomes that may take months or even years to recover from. But analytic analysis isn’t about perfection—it’s about getting to the right answer by quickly getting to the wrong one.
In this interactive webinar, Jason Jones, chief data scientist at Health Catalyst, walks through scenarios that illustrate how commonly used analytic methods can lead analysts and leaders to the wrong conclusions, and shares how to course correct if this happens to you. In health and healthcare, leaders drive change by understanding and supporting better approaches, and analytics provide the best foundation for informed change management. Let’s work together to shift towards a better use of AI in healthcare.
View this webinar to learn:
- How analysis of the same data set can result in different conclusions.
- Tools and techniques to get your organization back on track after a misstep.
- Lessons from two case studies that will help you drive better analytics in your own organization.
Sharing a New Ideal: How Tomorrow’s Understaffed, Multi-Site Lab Organization...mhartman1309
This presentation was presented by Chris Christopher at the Lab Quality Confab Conference on Nov 2, 2010. It shows how medical laboratories are using automation, technology and lean sigma improvement methodologies to meet organizational needs.
Lean Facility Design as an Agent of Organizational Change for the Future of H...The Neenan Company
Presented on April 16, 2011 at the 2011 American Medical Group Management (AMGA) Annual Conference in Washington, DC
Presenters:
Dr. Randall Huss, President, Mercy St. John's Clinic - Rolla Division
Gerald Dowdy, Vice President, Mercy St. John's Clinic - Rolla Division
Whitney Churchill, AIA, Architect, The Neenan Company
Dan Garofalo, Vice President Business Development, The Neenan Company
Using the acclaimed and highly innovative St. John's Clinic - Rolla facility as the kick-off for discussion, the presenters described how the Lean facility design served to drive Lean process improvement and a new model of patient-centered care. Presenters provided one-and-half-year follow-up data, including voice of the customer surveys, patient satisfaction, call center metrics, provider feedback, and lessons learned. An emerging national trend in healthcare organizations utilizing Lean facility design, as well as results that can be obtained, was discussed.
An overview of clinical healthcare data analytics from the perspective of an interventional cardiology registry. This was initially presented as part of a workshop at the University of Illinois College of Computer Science on April 20, 2017.
Perspectives on health information systems in indian hospitals dr devtaneja_m...DrDevTaneja
The Health Information Systems in Indian hospital is in an evolutionary phase. As the Indian Healthcare Industry is maturing, there is need for Strategic IT solutions vis-a-vis prevailing Transaction reorting IT solutions. The Challenges are both at the vendor level as well as Owner level. Plus there is also lack of Healthcare IT Consulting talent in the country.
GUIDELINES FOR PREPARING CASE CRITIQUEDeadline for submittinJeanmarieColbert3
GUIDELINES FOR PREPARING CASE CRITIQUE
Deadline for submitting formatted critique: By the midnight before the critique day
FORMAT AND SUBMISSION GUIDELINES
Title
The title of the paper should be all caps, bold type, single-spaced, and centered. It should be Times New Roman – 12 point font.
Authors
The authors (your team member’s names), followed by email address, should be centered, single-spaced. The authors should appear one line space below the title. Use Times New Roman, 12-point font. One line per author.
Text
· The text should appear one line space below the authors.
· The line-spacing should be single line.
· 250 to 350 words. Word count should not include the title and authors.
· Text must be typed using Times New Roman – 12 point font.
· Margins should be set to 1 inch top, bottom, left, and right.
· Do not indent first line of paragraph
· Check grammar and spelling of the abstract before submission.
Example:
CRITIQUE FOR CASE READING:
WHEN DATA CREATES COMPETITIVE AADVANTAGES
Jeffrey Maxfield, [email protected]
Amy Fisher, [email protected]
Text begins here...
FEATURE THE IT TRANSFORMATION HEALTH CARE NEEDS
G
ET
TY
IM
A
G
ES
/H
IR
O
SH
I W
AT
A
N
A
BE
The IT
Transformation
Health Care
Needs
BY NIKHIL R. SAHNI,
ROBERT S. HUCKMAN,
ANURAAG CHIGURUPATI,
AND DAVID M. CUTLER
NOVEMBER–DECEMBER 2017 HARVARD BUSINESS REVIEW 129
THE MID-1990S, EVERYONE knew that health care orga-
nizations across the United States were plagued by
wasteful spending. The question for Intermountain
Healthcare, which serves residents of Utah and Idaho,
was where to start looking for savings internally.
Data analyses quickly identified the most promis-
ing targets: 104 of the 1,440 clinical conditions that
Intermountain treated accounted for 95% of the care
it provided, and two services—newborn delivery and
treatment of ischemic heart disease—accounted for
21% of its work.
Quality-improvement teams focused first on those
two services. Armed with a sophisticated electronic
health record (EHR) system and a separate informa-
tion technology system that detailed the costs of ac-
tivities, the teams used evidence-based guidelines
and the experience of Intermountain’s physicians to
redesign clinical workflows. The top executives, the
board of trustees, physicians, and nurses all worked
together to support the drive to improve care. Today
more than 60 services have been revamped, and
Intermountain is recognized as a national leader in
quality improvement and cost management. None of
it would have been possible without its IT systems.
This example is impressive. Unfortunately, it is
still a rarity. The more common story in health care
is one of large IT investments but little to show for
them. Spurred by examples like Intermountain, the
U.S. government’s Centers for Medicare and Medicaid
Services spent $37 billion just in incentive payments
for health care IT from 2011 to May 2017. By 2016,
more than 50 ...
Tech-Enabled Managed Services: Not Your Average OutsourcingHealth Catalyst
During this webinar you'll learn the following:
The importance of optimizing performance, reducing labor costs and sourcing talent given current market challenges.
Highlighting the need for a balanced approach to cost reduction.
How to reap the benefits of outsourcing (cost cutting, expertise, etc) while protecting yourself from the collateral damage that often comes with them.
Extending Your EMR with Business Intelligence SolutionsPerficient, Inc.
The best business intelligence applications start with one part EMR, one part financial applications, and one part operational applications stirred into real insights. These slides show examples from speakers that have successfully extended EMRs into managing costs, transmitting information to disease registries and improving patient care.
There are many missed opportunities for revenue retention in today’s healthcare call centers. Would you like to increase your captured revenue. We highlight a $25M case study.
Ambulatory Health Care Facility of the Future: Integrating Lean Workflow Rede...The Neenan Company
For more information, go to http://neenan.com or call 970.493.8747
As presented on March 19, 2010 at the 2010 AMGA Annual Conference
Presented by: Randall Huss, M.D., President, and Gerald Dowdy, VP Operations, St. John’s Clinic – Rolla Division; and Miguel Burbano de Lara, AIA, NCARB, Senior VP Healthcare, The Neenan Company
When faced with the opportunity of designing a new ambulatory facility to house a multi-specialty clinic practice, ASC and other outpatient services to be completed a year after implementation of their EHR, the St. John’s Clinic-Rolla team partnered with a progressive architectural team, The Neenan Company, to design and build a facility around the new electronic workflows. They integrated Lean workflow redesign and Lean facility design elements to achieve a facility capable of supporting the digital, paperless ambulatory practice of the future.
The Operational Excellence Healthcare Alliance (OEHA) is an innovative membership organization dedicated to improving clinical, operational, and financial outcomes by shaping the future of healthcare operations.
Align Patient Outcomes with Financial Data: a Formula for Correlating Cost an...Perficient, Inc.
This slideshare discusses the cost crisis in healthcare, challenges healthcare organizations are facing, and how to:
Uncover true patient costs and value based purchasing
Understand quality and cost outcomes by aligning clinical and financial data
Identify trends and opportunities, and create actionable steps to improve business
Accelerate data integration with Perficient's High-Performance Costing Expressway
Leverage actionable visuals via dashboards with Oracle Business Intelligence tools
Evaluate patient complications, outcomes and detailed costs with Oracle’s Enterprise Healthcare Analytics Data Model
Similar to Mark Graban Slides - HIMSS and FormFast (20)
Our Favorite Mistakes: Creating a Culture of Learning from MistakesMark Graban
Presented by Mark Graban for the Lean Leadership Week event hosted by Lean Frontiers.
We all make mistakes, even the most successful people we know. Are people successful because they avoid mistakes or because they make sure to learn from them? Mark Graban thinks it’s the latter based on podcast conversations he’s had with corporate CEOs, athletes, entrepreneurs, and entertainers – and former Toyota employees.
Are we willing to admit mistakes to ourselves, yet alone our colleagues, employees, or leaders? Do our organizations create a culture where it’s safe to talk about mistakes, as a first step toward preventing future mistakes? Can we shift from blaming and shaming to building a culture of continuous improvement?
In this talk, you will learn and hear stories about:
• Why it’s important to admit mistakes
• How to reflect on mistakes without being too hard on ourselves (or others)
• How to prevent repeating mistakes
• What key leader behaviors create a culture where it’s safe for people to admit mistakes
Mark Graban is an independent consultant, professional speaker, and entrepreneur. He is also a senior advisor for the technology company KaiNexus and advises healthcare clients through the firm Value Capture.
He is the author of Measures of Success: React Less, Lead Better, Improve More. Mark’s previous books include the Shingo-Award winning Lean Hospitals and Healthcare Kaizen. He was creator and editor of the anthology Practicing Lean.
Mark hosts many podcasts including “Lean Blog Interviews,” “Habitual Excellence, Presented by Value Capture” and “My Favorite Mistake.”
Mark has a B.S. in Industrial Engineering from Northwestern University, along with an M.S. in Mechanical Engineering and an M.B.A. from the Massachusetts Institute of Technology.
Today’s Effective Leader: Shifting From Cop to Coach and CounselorMark Graban
A webinar presented by Mark Graban for the Iowa Lean Consortium
This webinar, facilitated by Mark Graban, will provide practical approaches for changing the way you lead.
How often do we hear phrases like "If only people would just do what they're told," or "They're being resistant to change"? High quality organizations realize that "resistance to change" actually should be the beginning of a conversation about change, not the end.
This webinar will feature Mark Graban, an internationally recognized consultant, explaining how organizations can shift from a culture of compliance to a culture of continuous improvement – and in the process, get on the path to better quality and higher levels of performance.
Using real-life examples, Mark will share practical approaches for changing the way you lead to engage everyone in ongoing and sustainable continuous improvement. Mark also will introduce innovation mindsets and tactics from a surprising place – clinical counseling and addiction therapy – and share proven methods that have helped Toyota and other companies realize that "resistance to change" is a normal part of the change process.
The Steps You Need to Take to Get Your Business Ready to Reopen (Proactive Ma...Mark Graban
As our businesses enter the new phases of a return to post-pandemic life, it will be critically important for leaders to be proactive with their employees and customers – for the sake of the health of our people and our organizations.
By the end of this webinar, you will:
- Recognize the difference between merely containing a COVID-19 related problems and preventing them from occurring again, especially if we see a fall resurgence.
- Learn why it’s important to see problems, solve problems, and share problems in your organization.
- Understand how to use methods like FMEA (“Failure Mode Effects Analysis”) and root-cause problem solving to be more proactive in your management and improvement efforts post crisis.
Hosted by Mark Graban, M.B.A., M.S., a top expert in Lean Management. Graban is the author of “Measures of Success: React Less, Lead Better, Improve More” a book about using simple, yet practical statistical methods that help leaders overreact less to their metrics, which frees up time for real, focused, sustainable improvement. While he works with startups, entrepreneurs and midsized businesses, Mark previously worked for General Motors, Dell, Honeywell, and divisions of Johnson & Johnson. Graban is a guest lecturer at MIT, Wharton, Ohio State University, and several international universities.
Getting from Data to Analysis and Insight in the Covid-19 Pandemic (Final)Mark Graban
Presented by Mark Graban and Christopher R. Chapman.
The aim of this webinar is to expose attendees to the “Process Behavior Chart” methodology, using data and examples related to the current pandemic. Mark will provide a quick introduction to the method, using a few charts from healthcare organizations. Chris will share a deeper dive using data from the province of Ontario related to testing and cases over time.
Learning objectives:
* Learn how Process Behavior Charts are more helpful than rolling averages and two-data-point comparisons
* Understand how to determine if performance is getting better or getting worse? Or is it just fluctuating around a stable average?
* Know how to better understand cause-and-effect when a system is changed
* Forecast how the system will behave and under what conditions
Mark Graban is President of Constancy, Inc. and is author of the book "Measures of Success: React Less, Lead Better, Improve More."
Christopher R. Chapman is Owner and Chief Agile/Lean Coach, Derailleur Consulting, Inc., based in Toronto.
Busting Myths About Just in Time: The Implications for Healthcare Supply ChainsMark Graban
During the Covid-19 crisis, some have blamed “just in time” or “Lean” for the current (and tragic) shortages of life-saving items like masks and ventilators. JIT has been vilified after nearly every major natural disaster that has disrupted supply chains. Is this fair?
In this webinar, Mark Graban, a Shingo award-winning author, will dispel some common myths about just in time and Lean management. He will share a broader context of JIT and Lean, along with practical suggestions that can help organizations in various industries.
How Authors Can Stress Less Over Their MetricsMark Graban
This is a webinar presented by Mark Graban, author of the book "Measures of Success: React Less, Lead Better, Improve More."
The webinar was hosted by Cathy Fyock, "The Business Book Strategist." https://www.cathyfyock.com/
Cathy coached me through the book writing process and I am grateful to her and her community of authors.
She invited me to give this presentation for her group of authors... so I tried to tailor a talk that focuses on authors, their metrics, and how to best manage them in a way that reduces stress and overreaction.
YouTube recording:
https://www.youtube.com/watch?v=5kRaxGiKOAY
Improve Your Lean Management System With a Simple ChartMark Graban
Many organizations have discovered the benefits of Lean management system practices, ranging from Strategy Deployment in the boardroom (and on down the organization) and Lean Daily Management practices at the front lines (and on up).
In our zeal to reduce waste in the actual work, how often are we introducing additional waste through our management practices? Too often, in the varied experience of our webinar presenter, Mark Graban. Reacting to every up and down in a metric or demanding a root cause explanation for every below average data point (or any data point that doesn’t hit a target) might be consuming time that would be better spent actually improving the system that generates your results.
In this webinar, you’ll learn practical tips and methods for being more effective in your Lean improvement efforts, including:
• Why two data points are not a trend (except for the few cases when they are)
• Why Run Charts or, better yet, “Process Behavior Charts” are far more helpful than red/green color-coded tables of numbers, a.k.a. “Bowling Charts”
• How to create a Process Behavior Chart for a metric
• How to use a Process Behavior Chart over time to separate “signal” from “noise,” which shows you when to react and look for a root cause for that last data point – and when to step back and improve more systematically
Mark will share lessons from his new book, Measures of Success: React Less, Lead Better, Improve More. Less
Measures of Success: React Less, Lead Better, Improve MoreMark Graban
In this webinar, Mark Graban shares key insights from his new book that will help you be more effective with your Lean management system. He will share the practical methods and mindsets of “Process Behavior Charts” that apply at the boardroom strategy deployment level and for frontline unit huddle boards. Every metric shows variation over time, but if we react to every change in every metric, then nothing is a priority. This approach can help us waste less time, which means we can improve more effectively and sustainably.
In this webinar, participants will:
Know the three questions people should ask about their metrics and the system that leads to those results
Learn how to interpret their metrics with “Process Behavior Charts”
Determine when to react to a change in a metric, based on three simple rules for determining that we have found a “signal” in the noise
Understand how Process Behavior Charts are more effective than “Bowling Charts” or “red/green” analysis
Respect for People and Continuous Improvement for HealthcareMark Graban
Presented by Mark Graban to a healthcare conference gathering in Turkey in April 2018. Mark Graban is the author of the book "Lean Hospitals" and co-author of "Healthcare Kaizen," the books that are essentially source material for this talk.
Memorandum Of Association Constitution of Company.pptseri bangash
www.seribangash.com
A Memorandum of Association (MOA) is a legal document that outlines the fundamental principles and objectives upon which a company operates. It serves as the company's charter or constitution and defines the scope of its activities. Here's a detailed note on the MOA:
Contents of Memorandum of Association:
Name Clause: This clause states the name of the company, which should end with words like "Limited" or "Ltd." for a public limited company and "Private Limited" or "Pvt. Ltd." for a private limited company.
https://seribangash.com/article-of-association-is-legal-doc-of-company/
Registered Office Clause: It specifies the location where the company's registered office is situated. This office is where all official communications and notices are sent.
Objective Clause: This clause delineates the main objectives for which the company is formed. It's important to define these objectives clearly, as the company cannot undertake activities beyond those mentioned in this clause.
www.seribangash.com
Liability Clause: It outlines the extent of liability of the company's members. In the case of companies limited by shares, the liability of members is limited to the amount unpaid on their shares. For companies limited by guarantee, members' liability is limited to the amount they undertake to contribute if the company is wound up.
https://seribangash.com/promotors-is-person-conceived-formation-company/
Capital Clause: This clause specifies the authorized capital of the company, i.e., the maximum amount of share capital the company is authorized to issue. It also mentions the division of this capital into shares and their respective nominal value.
Association Clause: It simply states that the subscribers wish to form a company and agree to become members of it, in accordance with the terms of the MOA.
Importance of Memorandum of Association:
Legal Requirement: The MOA is a legal requirement for the formation of a company. It must be filed with the Registrar of Companies during the incorporation process.
Constitutional Document: It serves as the company's constitutional document, defining its scope, powers, and limitations.
Protection of Members: It protects the interests of the company's members by clearly defining the objectives and limiting their liability.
External Communication: It provides clarity to external parties, such as investors, creditors, and regulatory authorities, regarding the company's objectives and powers.
https://seribangash.com/difference-public-and-private-company-law/
Binding Authority: The company and its members are bound by the provisions of the MOA. Any action taken beyond its scope may be considered ultra vires (beyond the powers) of the company and therefore void.
Amendment of MOA:
While the MOA lays down the company's fundamental principles, it is not entirely immutable. It can be amended, but only under specific circumstances and in compliance with legal procedures. Amendments typically require shareholder
Attending a job Interview for B1 and B2 Englsih learnersErika906060
It is a sample of an interview for a business english class for pre-intermediate and intermediate english students with emphasis on the speking ability.
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
Putting the SPARK into Virtual Training.pptxCynthia Clay
This 60-minute webinar, sponsored by Adobe, was delivered for the Training Mag Network. It explored the five elements of SPARK: Storytelling, Purpose, Action, Relationships, and Kudos. Knowing how to tell a well-structured story is key to building long-term memory. Stating a clear purpose that doesn't take away from the discovery learning process is critical. Ensuring that people move from theory to practical application is imperative. Creating strong social learning is the key to commitment and engagement. Validating and affirming participants' comments is the way to create a positive learning environment.
Affordable Stationery Printing Services in Jaipur | Navpack n PrintNavpack & Print
Looking for professional printing services in Jaipur? Navpack n Print offers high-quality and affordable stationery printing for all your business needs. Stand out with custom stationery designs and fast turnaround times. Contact us today for a quote!
VAT Registration Outlined In UAE: Benefits and Requirementsuae taxgpt
Vat Registration is a legal obligation for businesses meeting the threshold requirement, helping companies avoid fines and ramifications. Contact now!
https://viralsocialtrends.com/vat-registration-outlined-in-uae/
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Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujarat’s DholeraAvirahi City Dholera
The Tata Group, a titan of Indian industry, is making waves with its advanced talks with Taiwanese chipmakers Powerchip Semiconductor Manufacturing Corporation (PSMC) and UMC Group. The goal? Establishing a cutting-edge semiconductor fabrication unit (fab) in Dholera, Gujarat. This isn’t just any project; it’s a potential game changer for India’s chipmaking aspirations and a boon for investors seeking promising residential projects in dholera sir.
Visit : https://www.avirahi.com/blog/tata-group-dials-taiwan-for-its-chipmaking-ambition-in-gujarats-dholera/
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
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"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
2. Challenges Hospitals Face Increasing Cost of Providing Care Decreasing Reimbursements Quality & Patient Safety Problems Increasing Patient Populations Staffing Shortages Increasingly Complex Information Systems Decreasing IT Staff & Budgets
3. Examples of Lean $$ Results ThedaCare (WI) $27M savings over 4 years Doubled operating margin Park Nicollet (MN) $7.5M savings in 2004 Florida Health System $11M building cost avoidance Dr. Sami Bahri, D.D.S. Increased volume & prod. Paid off office mortage New York H&HC $5M savings from JIT $4M savings from rationalizing O.R. supplies Delnor Hospital (IL) Defer $80 capital expansion Denver Health Increased revenue $520k at one clinic Total savings $29M $2.3M revenue boost
4. Quality & Cost “Lean is a quality initiative, it isn’t a cost-cutting initiative. But the end result is, if you improve your quality, costs will go down.” Bill Douglas, CFO of Riverside Medical Center (IL) Allegheny Medical Center: Reduced central line infections by 95% Hospital lost $26,839 per case (~16 cases/yr) = ~$500k/year Beth Israel Deaconess Medical Center: Avoided 300 V.A.P. cases in one year $12M cost savings
6. Waste in Primary Care 670 ft for single procedure prep (pre-Lean walking pattern) MDs, PA, RNs: Poor organization Supplies in inconvenient locations Missing information The system causes this Exam Procedure Lab
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9. With today’s technology, why do our processes wait on interoffice envelopes, push carts, and committee meetings? Identify Your Waste 9
10. The Toyota Way – Technology Principle #8 (of 14): Use only reliable, thoroughly tested technology that serves your people and processes 10
11. The Information Manager’s Role In A Lean Hospital Manage Information Effectively & Efficiently Provide Broad Value Stream Solutions Eliminate Waste, Including Redundant Information Collection Reduce Potential For Human Error Provide Automation Solutions Supporting Processes, Workflow, and Patient Flow Allowing Skilled Workers To Focus On Their Core Competencies Rather Than Simple Tasks Leverage IT Tools Wisely
12. How IT Can Support a Lean Hospital Get End Users Involved in System Selection, Design & Implementation Synchronize Workflow & Software Don’t Just Automate the Waste Participate in “Kaizen Events” as Team Member
Why Lean? We need to “start from need” and not just be pushing lean tools, our focus needs to be on using Lean methods to solve important problems and to improve our hospital culture
Not just cost savings – but quality and safety improvementsThedaCare Dean Gruner =“quit counting” after $20M for a while. Freed up $12 M by better managing revenue cycle. Another hospital that developed a process for catching unpaid emergency-room bills brought in an extra $3 million a year.NYC – gloves & suchDelnor That's exactly what happened at one hospital, which mulled an $80 million expansion to its maternity ward but then found that once a nurse was dedicated to the discharge process, the existing facility could keep up with demand.Examples of not expanding the ED – improving flow (only 16 rooms instead of 24 at Avera)Riverside clinic – in the black for the first time ever with leanLean techniques have helped Denver Health's doctors see more patients — mainly by eliminating paperwork and rearranging offices so that the physicians don't have to do as much walking. In just one clinic, such moves have generated an extra $520,000 in revenue since 2007.As part of fixing the revenue cycle, Burnette's team zeroed in on patients whose care is partly paid for through grants. The hospital often recouped the grant-funded portion of the patient's bill while neglecting to bill insurance for the rest, potentially missing out on as much as $18,000. The team came up with a reliable communications system between the grant oversight office and the patient-billing department, boosting revenue by $2.3 million.No new people or no new equipment or no new space unless you look at it with Lean first.
At Allegheny General Hospital, the average payment for a patient who developed a central line-associated bloodstream infection (CLAB) was $68,894, but the actual average cost of treating the patient was $91,733, leading to a gross loss of $26,839 per case. The hospital had 54 such cases in the medical intensive care unit and coronary care unit between July 2002 and June 2005. The infections resulted in a total economic loss to the hospital of $1,449,306. 2,000,000 Estimated infections per yearX$15,275(Average additional hospital costs when apatient contracts an infection)= $30.5 Billion
Toyota is not a luddite company. They do indeed use software. Their factories aren’t run using the traditional MRP planning methods that most non-Lean manufacturers would take for granted. But Toyota certainly uses computers for many appropriate functions, including long-term forecasting for their supply chain. They use technology that serves their process and their people. Technology serves them, as opposed to changing your processes to fit the “best practices” embedded in some software system (whether that’s ERP for manufacturers or EMR for hospitals).