Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.

1. © 2015 Virginia Mason Institute
High Reliability Organizations
Ø Sensitive to Operations:
deep knowledge of processes
Ø Reluctance to accept simple explanations:
inquiry
Ø Preoccupied with failure:
predicting and finding errors
Ø Deference to expertise:
de-emphasis on hierarchy
Ø Resilience & Relentless:
adapt & stay the course

2. © 2016 Virginia Mason Medical Center

3. © 2015 Virginia Mason Medical Center
Virginia Mason Production System
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We adopted the Toyota Production System key
philosophies and applied them to healthcare
Ø Patient is always first
Ø Focus on the highest quality
Ø Obsession with Safety
Ø Engage all employees
Ø Strive for the highest satisfaction

4. © 2016 Virginia Mason Institute
Ø Patient Safety Alert
Ø Standard Work
Ø Embed mistake
proofing
Quality & Safety
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5. Aligned Expectations
Leader Compact
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Physician Compact
Board Compact

6. © 2015 Virginia Mason Medical Center
Annual Goals
Long Term Vision
VMPS Priorities
Departmental Plan/Goals
5 year Plans
Alignment & Accountability
Individual Goals

7. © 2015 Virginia Mason Institute
Respect and Culture
Respect
Engagement
Teamwork
Culture of
Safety
Reliability

8. © 2015 Virginia Mason Institute
Learnings
Ø Multi-year focus
Ø Leader and Organizational Alignment
Ø Embed Expectations and Accountabilities
Ø Consistency of a Method
Ø Standards
Ø Structure to Sustain and Evolve
Ø Respect for People
Ø Constancy of Purpose

9. © 2015 Virginia Mason Institute
Contact Information
Charleen Tachibana, DPN, MN, RN, FAAN
Sr. Vice President, Quality & Safety/Chief Nursing Officer
Virginia Mason Medical Center
Email: Charleen.Tachibana@virginiamason.org
Website: http://www.virginiamason.org