SRM 1/5/08 In Pursuit of Excellence Implementing Across AHA and Beyond Opportunities to Lead.
-
Upload
everett-boyd -
Category
Documents
-
view
212 -
download
0
Transcript of SRM 1/5/08 In Pursuit of Excellence Implementing Across AHA and Beyond Opportunities to Lead.
SRM 1/5/08
In Pursuit of ExcellenceImplementing Across AHA and Beyond
Opportunities to Lead
SRM 1/5/08
Opportunities for Leadership: Hospitals
SafeMake effective use of information and clinical technology
designed to improve safety.Implement specific practices shown effective in improving
safety.Redesign care processes to eliminate defects.Collect and report errors in care to patient safety
organizations.Support patients, their families, doctors and other caregivers
when patient harm occurs. TimelyReduce emergency department wait times.Reduce the time between scheduling an appointment and
seeing a health care practitioner.Speed procedures, test results, patient diagnosis and
treatment.Smooth the movement of patients throughout their care
delivery experience. EffectiveEnsure the use of current best evidence in patient care.Share information with clinicians on how their clinical
practice compares to "best practices" or "benchmarks”. Ban unhealthy products on hospital campuses, such as
tobacco, use of trans fats, or availability of unhealthy foods.Promote better nutrition and fitness among our own hospital
employees and within the broader community.Lead community based initiatives to reduce obesity,
diabetes, HIV or other local needs. EfficientEmploy techniques to optimize performance.Reduce process variation to improve reliability of care.Manage organizational variability to streamline processes.Adopt health information technology to eliminate duplication
of effort and reduce administrative costs.
Efficient (cont.)Participate in payment approaches that reward
efficiency and quality.Track patients with chronic conditions and provide them
with effective chronic care management to avoid hospitalization.
EquitableCollect patient data on race, ethnicity and language to
look more closely at hospital quality and patient satisfaction.
Make translation services available for patients and their families.
Strengthen the diversity of hospital governance, management teams and workforce.
Provide employees training in cultural competence.Work with community leaders and organizations that
serve racial or ethnic minorities or other groups to reduce care disparities.
Patient-centeredEncourage active patient and family involvement in
care delivery and decision-making.Customize care to meet each individual patient’s needs
and preferences.Educate patients and families on palliative care and
end-of-life care options.Embrace transparency in the reporting of quality and
pricing information to help people be better educated patients.
Ensure the protection of patient privacy and the confidentiality of medical information.
Expand the health care literacy of communities and patients served.
Integrate the care delivered by physicians, nurses and others to create a coordinated, seamless continuum of care for patients.
Examples of ways to reach the goal:
SRM 1/5/08
In Pursuit of Excellence: What Is It?
• WHAT: A field-wide focus on performance excellence in hospitals and health systems to accelerate performance improvement and enhance hospitals’ ability to deliver safe, timely, effective, efficient, equitable and patient-focused care
• WHO: Executive, trustee and physician leadership as well as other clinical and non-clinical leaders and managers in America’s hospitals and health systems
• WHERE: Local, Regional and National • WHEN: Starting NOW.• HOW: (1) engage leaders, (2) align our efforts, (3)
provide services and resources, and (4) measure performance and progress etc. Collect and spread proven innovations—spanning the Boardroom to the Bedside—across the hospital field
SRM 1/5/08
1. Hospitals become clinically, operationally and financially more capable, effective and efficient.
2. Patients gain equal access to safer, higher quality and more affordable care.
3. Hospitals become better connected to their patients and the communities they serve.
Goals
Focused on 3 Main Goals
SRM 1/5/08
Engage Leaders
-Systemness
-Culture
-Structure
-Strategy
-Process environment
-Process Excellence
-Competencies
-Team
-Training
In Pursuit of Excellence Requires Collaborative Leadership
Context Leaders(executive, trustee, physician leaders)
Content Leaders(clinical and non-
clinical)
Information From:Proven Performers/
Proven Practices
Case Studies
-Better Practices
-Etc.
Information To:The Field
-Create initiatives
-Adopt Better Practices
-Etc.
Co
llab
ora
tion
Co
mm
un
ica
tion
SRM 1/5/08
In Pursuit of Excellence COMMUNICATION
Communication Planning•Key messages•Branding•Channel selection/usage•Integration with H4L
Channels•Web (QC, etc.)•Publications •Journals and magazines•Presentations•A2•State Associations•National Partners•Etc.
CONSULTATION/COLLABORATION
Stakeholders•CEOs/C-suite•State Assoc•Physician Leaders•QI Leaders•Change Management Experts•Consumer Voice•Business •Insurer/Payer•Disparity Leaders•Other
Internal Alignment•Incorporation of POE in business unit plans•Consistent messaging•Consistent Identity
MEASUREMENT AND REPORTING
Internal Measurement•Member satisfaction•Focus groups
External Measurement•HCAHPS•Hospital Compare•Other•In conjunction with Data and Research Strategy Team
“In Our Hands” Resource Guide
Leadership Education
Consistent Identity and Presence
National Advisory Group
Hospital Performance Measurement Tool
CONTENTEngage Leaders: system thinking for process excellence
Principles of Performance Excellence•Patient focus for everything•Create Culture of Reliability•Manage organizational variation (smooth census)•Remove waste•Eliminate defects•Reduce process variability
Achieve IOM Six AimsSafe EfficientTimely EquitableEffective Patient-Focused
Initial Areas of Focus•Throughput/flow (efficiency)E.D. waitsElective surgery•Hospital-acquired infections•Medication management (prescribing, dispensing, administering)
ADEs•Patient safety (ulcers, falls, etc.)•Patient & Provider Communication