Seven Leadership Leverage Points for Organization-Level Improvement in Health Care

Seven Leadership Leverage Points for Organization-Level Improvement in Health CarePresented by:Robert L. Colones, MBAPresident and Chief Executive OfficerFlorence, South Carolina

Seven Leadership Leverage Points for Organization-Level Improvement in Health Care
A Quality Leadership ChallengeWe have become good at making improvement happen for one condition, on one unit, for a while.We have not learned how to get measured results, quickly, and sustainably, across many conditions for the whole organization.

Give me a lever long enough, and I shall move the world.ARCHIMEDESThe leverage points are offered as a sort of hypothesis If leaders are to bring about system-level performance improvement, they must channel attention to and take action on these points.

1 Establish and Oversee System-Level Aims for Improvement at the Highest Board and Leadership Level

1 - System-Level Aims for Improvement
Chart2
0.02948169280.02440799590.02840322010.02041277160.03239844440.0164175473
0.02622289460.02440799590.02840322010.02041277160.03239844440.0164175473
0.03174603170.02440799590.02840322010.02041277160.03239844440.0164175473
0.02587800370.02440799590.02840322010.02041277160.03239844440.0164175473
0.02691721690.02440799590.02840322010.02041277160.03239844440.0164175473
0.03421532850.02440799590.02840322010.02041277160.03239844440.0164175473
0.02515090540.02440799590.02840322010.02041277160.03239844440.0164175473
0.02800579430.02440799590.02840322010.02041277160.03239844440.0164175473
0.02651325660.02440799590.02840322010.02041277160.03239844440.0164175473
0.02761904760.02440799590.02840322010.02041277160.03239844440.0164175473
0.02775119620.02440799590.02840322010.02041277160.03239844440.0164175473
0.02596153850.02440799590.02840322010.02041277160.03239844440.0164175473
0.01988071570.02440799590.02840322010.02041277160.03239844440.0164175473
0.02811244980.02440799590.02840322010.02041277160.03239844440.0164175473
0.02272727270.02440799590.02840322010.02041277160.03239844440.0164175473
0.01760228350.02440799590.02840322010.02041277160.03239844440.0164175473
0.02180232560.02440799590.02840322010.02041277160.03239844440.0164175473
0.02166666670.02440799590.02840322010.02041277160.03239844440.0164175473
0.0211946050.02440799590.02840322010.02041277160.03239844440.0164175473
0.01906090190.02440799590.02840322010.02041277160.03239844440.0164175473
0.02079482440.02440799590.02840322010.02041277160.03239844440.0164175473
0.02414113280.02440799590.02840322010.02041277160.03239844440.0164175473
0.01925545570.02440799590.02840322010.02041277160.03239844440.0164175473
0.02193187120.02440799590.02840322010.02041277160.03239844440.0164175473
0.02250.02440799590.02840322010.02041277160.03239844440.0164175473
0.02306967980.02440799590.02840322010.02041277160.03239844440.0164175473
0.01804511280.02440799590.02840322010.02041277160.03239844440.0164175473
0.02492668620.02440799590.02840322010.02041277160.03239844440.0164175473
0.02367472980.02440799590.02840322010.02041277160.03239844440.0164175473
0.02954545450.02440799590.02840322010.02041277160.03239844440.0164175473
0.02125279640.02440799590.02840322010.02041277160.03239844440.0164175473
0.02170.0243233710.02834717280.02029956920.03239844440.0164175473
0.02110.02422569310.02822567620.020225710.03239844440.0164175473
0.02760.02432493740.02830613080.0203437440.03239844440.0164175473
0.01970.02432493740.02830613080.0203437440.03239844440.0164175473
MRMC
Average
Avg+1Std
Avg-1Std
Avg+2Std
Avg-2Std
Mortality Rate - MRMC
mcleod health measures pg2
3.Percent of Patients Receiving "Perfect" CareDisease Specific Projects for HQI Demonstration, Joint Commission, CMS
McLeod Regional Medical Center - Florence
AMIPercent of Patients that had ALL Quality Indicators Met: Aspirin at arrival & discharge, Beta Blocker at arrival & discharge, Smoking counseling, LVSD assessment, & ACE/ARB at discharge for appropriate patients
CHFPercent of Patients that had ALL Quality Indicators Met: LVF Assessment, ACEI/ARB for LVSD, Smoking counseling, 6 components of Discharge Instructions
PNEUMONIAPercent of Patients that had ALL Quality Indicators Met: Antibiotic received within 4 hours of arrival , appropriate antibiotic, O2 assessment, Blood Cultures before Antibiotic. Pneumovax given, smoking counseling
CABGPercent of Patients that had ALL Quality Indicators Met: Antibiotic received within 1 hour of incision, appropriate antibiotic, Antibiotics discontinued within 24 hours of surgery, Aspirin at discharge
HIP & KNEE
Percent of Patients that had ALL Quality Indicators Met: Antibiotic received within 1 hour of incision, appropriate antibiotic, Antibiotics discontinued within 24 hours of surgery, appropriate VTE prophylaxis ordered, appropriate VTE prophylaxis ordered
McLeod Medical Center - Dillon
CHF
Jul-04Aug-04Sep-04Oct-04Nov-04Dec-04Jan-05Feb-05Mar-05Apr-05May-05Jun-05Jul-05Aug-05Sep-05Oct-05Nov-05Dec-05Jan-06Feb-06Mar-06
Dillon NNo report171722242091191171514211821
Apr-06May-06Jun-06Jul-06Aug-06Sep-06Oct-06Nov-06Dec-06Jan-07Feb-07Mar-07Apr-07May-07Jun-07Jul-07Aug-07Sep-07Oct-07Nov-07Dec-07
Dillon N2319171814101816111716132114
PNEUMONIA
Dillon NNo report1823271784145691811201829
Dillon N20131189151915232617252825
McLeod Medical Center - Darlington
CHF
Darlington N0533334109575444333955
Darlington N58521665855518
PNEUMONIA
Darlington N302327157463733142310109
Darlington N331011822591201
0.0286
0.0257
0.0285
0.0257
0.026
0.0331
0.0234
0.0258
0.0252
0.0267
0.0268
0.0262
0.0191
0.0278
0.0218
0.0176
0.0218
0.0217
0.0212
0.0191
0.0208
0.0241
0.0193
0.0219
0.0206
0.0231
0.021
0.0225
0.0216
0.0303
Actual Mortality Rate
Mortality Rate - MRMC
no not use
10.39.39.7
1.29.39.7
1.19.39.7
1.49.39.7
19.39.7
1.39.39.7
0.29.39.7
0.989.39.7
2.139.39.7
1.35555555569.39.7
McLeod Health
OSHA SC Benchmark
OSHA National Benchmark
Average days per case incident
Work Days Lost - McLeod Health
0.95555555560.966
0.94892915980.966
0.9550.966
0.97166666670.966
0.95945945950.966
0.94188034190.966
0.9860.966
0.9870.966
0.970.966
McLeod Health
2005 PRC Norm
Overall Quality of Care - McLeod Health% Patients Satisfied
MortRateSummary
0.95726495730.9523
0.9604612850.952
0.97166666670.952
0.97166666670.952
0.98141891890.952
0.96729776250.952
0.9750.952
0.9790.952
0.960.952
PRC Norm - annual benchmark
McLeod Health
2005 PRC Norm
Likelihood To Recommend - McLeod Health% Patients Satisfied
data sheet
0.8888888889
0.9574468085
0.8666666667
0.9523809524
0.9107142857
0.8846153846
0.8428571429
0.8909090909
0.9807692308
1
0.95
0.9365079365
0.875
0.9583333333
0.9464285714
0.9491525424
0.8524590164
0.9142857143
0.9253731343
0.9315068493
0.9491525424
0.9206349206
0.875
0.9206349206
0.9523809524
0.9
0.9850746269
1
0.875
0.9259259259
0.9130434783
0.9107142857
0.9245283019
0.9375
AMI
% of Patients
All Indicators Met - AMIMRMC
perfect care data
0.5692307692
0.4337349398
0.5833333333
0.425
0.476744186
0.6578947368
0.6282051282
0.5135135135
0.7246376812
0.7076923077
0.7868852459
0.6721311475
0.7213114754
0.7096774194
0.75
0.6794871795
0.776119403
0.8055555556
0.7894736842
0.8
0.8301886792
0.7714285714
0.8392857143
0.9215686275
0.7285714286
0.7931034483
0.8421052632
0.8771929825
0.7222222222
0.6964285714
0.8701298701
0.7575757576
0.7058823529
0.701754386
CHF
% of Patients
All Indicators Met - CHFMRMC
0.5
0.8285714286
0.796875
0.6808510638
0.8039215686
0.7638888889
0.5949367089
0.7572815534
0.7763157895
0.6470588235
0.8666666667
0.8947368421
0.8269230769
0.875
0.74358

Seven Leadership Leverage Points for Organization-Level Improvement in Health Care

Documents

leadership level

organizationlevel improvement

archimedesthe leverage

health carepresented

health care1

health caregive

highest board

sort of hypothesis

Transcript of Seven Leadership Leverage Points for Organization-Level Improvement in Health Care

Systems thinking - identifying leverage points for action ...icm. Systems thinking - identifying

Rsd3 presentation leverage points for transport interventions tim tompson

Leverage Points - Results for Am System that promotes evidence-based decision making and ... Nine Leverage Points in Consolidated ... One Cross-Cutting Leverage Point in

Key Leverage Points of Movie Production and How to Manage Them?

PEACE & patterns of diaspora intervention in conflicts and focus on leverage points for constructive

Leverage points for wicked problems

OTB: CGE Leverage Points and Development First Modeling Tara Caetano Date: 7 November 2014

Financial Value and Environmental Leverage Points (Peter

Yongey Mingyur Rinpoche - Seven Points of Mindtraining

Customer 720 view Solution for Insurers 230117 touch points, carriers must effectively leverage social

Working better, ... leaders leverage the inflection points, the critical moments they have to influence

Innovation Series 2008 Seven Leadership Leverage Points 1 Innovation Series: Seven Leadership Leverage

Innovation Series 2008 Seven Leadership Leverage 2018-07-29آ 3 Innovation Series: Seven Leadership

ESSA Leverage Points - Education ESSA 50 State Report_final.pdf¢ approaches to those ESSA leverage

SEVEN THUNDERS FIVE (5) KEY POINTS IN UNDERSTANDING THE

Leverage Points for Improving Educational Assessment Leverage Points for Improving Educational Assessment

Analysis of U.S. Residential Water Heater Stakeholder ... stakeholder system to identify leverage points

Wicked problems and leverage points

CLC Engaging the Workforce Focusing on Critical Leverage Points to Drive Employee Engagement

Examples for leverage points