A KaiNexus Webinar from November 29 from 1:00 - 2:00 pm ET Presented by... John Toussaint, MD and Paul Pejsa of Catalysis In this webinar you will: Discover the three primary benefits of collaborating with peers Hear real-world examples of lean collaboration results Create an action plan to enhance your collaborating to drive lean transformation

1. When Leaders Collaborate: Finding the A-Ha
Moments that Lead to Lean Transformation
Mark Graban
VP of Improvement & Innovation Services
KaiNexus
@MarkGraban
Paul Pejsa
Network Director
Catalysis
@Paul_Pejsa
John Toussaint, MD
CEO
Catalysis
@JohnToussaintMD

2. Webinar Logistics
• Presentation (45 minutes)
• Q&A (10 minutes)
– Use the GoToWebinar
Meeting Panel to
submit a question at
any time
• Recording link & slides will be sent via email
– Also – see the “Handouts” feature and Chat box

3. Catalysis Healthcare Value Network
When Leaders Collaborate: Finding the A-Ha Moments
that Lead to Lean Transformation
John Toussaint
Paul Pejsa
November 29, 2017

5. • Founded as the ThedaCare Center for Healthcare
Value in 2008, by John Toussaint, MD, CEO
emeritus of ThedaCare.
• An independent 501(c)3 education institute.
• Headquarters in Appleton, WI with offices in
Traverse City, MI, Akron, OH, Ogden, UT, Phoenix,
AZ, Marco Island, FL, and Boston, MA.

6. • Rebranded as Catalysis in November 2016.
• We share new knowledge that accelerates change.
• We represent the thinking of hundreds of healthcare
system leaders around North America.

7. Mission- Transform the Industry

8. Vision
To transform the healthcare industry to deliver
higher value to patients through experiments,
collaboration and education that spreads learning
and accelerates improvement.

9. Our Approach to Transformation

10. Our Work
• Custom Educational Programs
• Peer to Peer Networks
• CEO Forum
• Products
• Executive Site Visits
• Annual North America Summit and European Summit
• Center for Lean Engagement and Research (CLEAR)
with UC Berkeley
• Resources via createvalue.org

11. Our Collaborators
• Lean Enterprise Institute (LEI)
• American College of Healthcare Executives
• UC Berkeley School of Public Health
• Institute for Healthcare Improvement
• Shingo Institute
• Consultants - KPMG, Value Capture, IEX
• Faculty - 21and growing
• Network Sponsors
• Toyota

12. Annual Lean Healthcare Transformation
Summit
Each year Catalysis delivers a high caliber two-day
conference highlighting advancements in lean healthcare.
Attendees from the lean healthcare community worldwide
come to learn, share and connect.
Participants learn from examples of care delivery redesign
supported by results, examples of payment systems that
reward patient value creation, and examples of
transparency of performance supporting business
intelligence.
Save the Date! June 14 – 15, 2018, Chicago, IL

13. Catalysis Healthcare Value Network

14. Network History
• Established in 2009
• Founded by the Lean Enterprise Institute and ThedaCare
Center for Healthcare Value
• 14 Founding Members
• Experiment - Peer to Peer Learning

15. Network Purpose
• Spread of current best practices
• Accelerate the transformation journey for each
organization
• Drive change in the larger healthcare system

16. Network Participants
• Engaged healthcare leaders who actively lead change
within their organizations
• Progressive thinkers with a spirit to learn from and share
with others and to spread to others…

17. Value of Collaboration

18. A-Ha Moments that Lead to Lean
Transformation
• Primary benefits of collaborating with peers
• Examples of lean healthcare collaboration results
• Action plan to enhance your collaborating to drive lean
transformation

19. Three primary benefits of collaborating with
peers
• Accelerates collaborating organizations lean
transformation
• Increases probability of engaging senior leaders through
peer-to-peer connections
• Decreases cost of implementation by avoiding known
pitfalls and overcoming already-learned barriers
• Identifies new improvement areas within an organization

20. Examples of lean healthcare collaboration
results
• Sponsor members collaboration at HealthEast to design
clinic of the future
• Revenue cycle collaborations with Intermountain Health
and Cleveland Clinic
• Lean Coffee at Indianapolis area CHVN members

21. Sponsor members collaboration at HealthEast
to design clinic of the future
• Sponsor members HGA and Herman
Miller along with guests from Epic joined
with HealthEast in learning cycles
focused on future state of ambulatory
care
• Team created mock ups based on best
known design practices, 3P thinking
• Result: reduced floor space 20%, from
15,000 sq. ft. target to 13,102 sq. ft.

22. Revenue cycle collaborations. Why? How
does collaboration start?
• Revenue cycle is emerging as an important value
stream to improve
• CHVN-facilitated conference calls highlighted best
practices for members to take back for experimentation
• Connections led to next steps…

23. Revenue cycle collaboration. What does
typical collaboration look like in CHVN?
• Cleveland Clinic invited to visited Intermountain Health for
gemba visit within revenue cycle value stream after first
introductory phone call
• Intermountain Health paid a return visit to Cleveland Clinic to
deepen understanding of revenue cycle value streams
• Spectrum Health saw the collaboration communication on
our CHVN members-only website, joined the Cleveland Clinic
visit to gain knowledge about revenue cycle as they
implement their EHR

24. Revenue cycle collaboration results
• Cleveland Clinic created a model cell in revenue cycle,
emphasizing the importance of leadership’s role
• Revenue cycle sharing event is in the early planning
stages for the spring of 2018
• Other organizations now ramping up revenue cycle work
based on these initial efforts:
Nemours Children's Hospital
Henry Ford Health System

25. Revenue cycle collaboration – personal
reflections
From participant Tom Smyth, Cleveland Clinic:
• “Confirmed the work that we are each doing. We aren’t
off wondering in the wilderness”
• “Lends credibility to the work. Other respected health
care institutions are on the same journey”
• “Sharing best practices has allowed us to use key ideas
that are working”
• “Leapfrog effect. We are able to spur each other to
improve the systems”

26. Indianapolis CHVN Members Lean Coffee
• Monthly Lean Coffees hosted by all five Indianapolis
area CHVN members, plus guests
• Topics include barrier-busting, arranging gemba walks,
creating networking opportunities
• Attendance has grown from 4-5 people to 50-60. Chris
Tucker, Acting Chief, System Redesign, Richard L.
Roudebush VA Medical Center: “It’s a great networking
function.”

27. Action plan to enhance collaboration to
drive lean transformation
• First step: Know thyself. A well developed lean transformation
A3 prepares an organization for collaboration
• Externally: Develop a collaboration rhythm w/in your network:
• CHVN members: Monthly with Catalysis CHVN team member
• Non-CHVN members: Make connections within your geography. Examples: San Francisco
Bay area monthly learning session, Indianapolis area Lean Coffee
• Internally: Create forums for sharing
• Develop a rhythm of improvement event report outs, invite broad audience
• Create sharing intranet / Share Point sites
• Recognize and reward translated improvements: between departments, between sites

28. Questions?

29. Announcements
(Then Q&A)

30. Our Next Webinars
• Register at www.KaiNexus.com/webinars
• December 7 :
"4 Components of an Employee-Led Lean Initiative"
– Simon Murray and Benny Ausmus, Big Change Agency
• More to come in 2018!

31. Other Resources
www.KaiNexus.com/webinars Blog.KaiNexus.com

32. KaiNexus Podcasts
• www.KaiNexus.com/podcasts
• Subscribe via:
– iTunes
– Google Play
– Stitcher

33. Q&A
• Web:
– www.kainexus.com
– blog.kainexus.com
– www.createvalue.org
• Webinars on Demand:
– www.kainexus.com/webinars
• Social Media:
– www.twitter.com/kainexus
– www.linkedin.com/company/kainexus
– www.facebook.com/kainexus
Mark Graban
VP of Improvement & Innovation Services
Mark@KaiNexus.com
@MarkGraban
Paul Pejsa
Network Director
Catalysis
@Paul_Pejsa
ppejsa@createvalue.org
John Toussaint, MD
CEO
Catalysis
@JohnToussaintMD
jtoussaint@createvalue.org