Catalysis News http://feed.informer.com/digests/KLQN7YPJZV/feeder Catalysis News Respective post owners and feed distributors Tue, 22 Nov 2016 12:42:09 -0600 Feed Informer http://feed.informer.com/ Podcast, The Lens – 27. Let Your Daily Management System Reduce the Need for Root Cause Analyses https://createvalue.org/articles_and_news/podcast-lens-27-let-daily-management-system-reduce-need-root-cause-analyses/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:46281b6e-068e-61d9-b256-97385788a0ee Mon, 05 Apr 2021 08:36:26 -0500 <p>            Dr. Lee Erickson, a long-time lean leader with experience in multiple healthcare organizations, discusses with us how a daily management system can help reduce the need for a full-blown root cause analysis. Related Items Creating a Lean Management System virtual workshop The Lean Management System Modular Implementation Program Catalysis Healthcare [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/podcast-lens-27-let-daily-management-system-reduce-need-root-cause-analyses/">Podcast, The Lens – 27. Let Your Daily Management System Reduce the Need for Root Cause Analyses</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> <p><iframe src="https://anchor.fm/the-lens-by-catalysis/embed/episodes/27--Let-Your-Daily-Management-System-Reduce-the-Need-for-Root-Cause-Analyses-ete27k" width="400px" height="102px" frameborder="0" scrolling="no"></iframe></p> <div><a href="https://podcasts.apple.com/us/podcast/the-lens/id1498519918?uo=4"><img loading="lazy" class=" wp-image-15447 alignnone" src="https://createvalue.org/wp-content/uploads/apple-podcasts-300x90.jpg" alt="" width="253" height="76" srcset="https://createvalue.org/wp-content/uploads/apple-podcasts-300x90.jpg 300w, https://createvalue.org/wp-content/uploads/apple-podcasts-1024x308.jpg 1024w, https://createvalue.org/wp-content/uploads/apple-podcasts-768x231.jpg 768w, https://createvalue.org/wp-content/uploads/apple-podcasts-90x27.jpg 90w, https://createvalue.org/wp-content/uploads/apple-podcasts-150x45.jpg 150w, https://createvalue.org/wp-content/uploads/apple-podcasts-250x75.jpg 250w, https://createvalue.org/wp-content/uploads/apple-podcasts.jpg 1129w" sizes="(max-width: 253px) 100vw, 253px" /></a>             <a href="https://open.spotify.com/show/5X3IctwRvIYFKgHCPzGB6f" target="_blank" rel="noopener noreferrer"><img loading="lazy" class=" wp-image-15448 alignnone" src="https://createvalue.org/wp-content/uploads/images-300x83.png" alt="" width="246" height="68" srcset="https://createvalue.org/wp-content/uploads/images-300x83.png 300w, https://createvalue.org/wp-content/uploads/images-90x25.png 90w, https://createvalue.org/wp-content/uploads/images-150x41.png 150w, https://createvalue.org/wp-content/uploads/images-250x69.png 250w, https://createvalue.org/wp-content/uploads/images.png 428w" sizes="(max-width: 246px) 100vw, 246px" /></a></div> <p>Dr. Lee Erickson, a long-time lean leader with experience in multiple healthcare organizations, discusses with us how a daily management system can help reduce the need for a full-blown root cause analysis.</p> <h3><strong>Related Items</strong></h3> <p><a href="https://createvalue.org/workshops/" target="_blank" rel="noopener">Creating a Lean Management System</a> virtual workshop</p> <p><a href="https://createvalue.org/customized-services/lean-management-system-modular-implementation-program/" target="_blank" rel="noopener">The Lean Management System Modular Implementation Program</a></p> <p><a href="https://createvalue.org/networks/healthcare-value-network/" target="_blank" rel="noopener">Catalysis Healthcare Value Network</a></p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/podcast-lens-27-let-daily-management-system-reduce-need-root-cause-analyses/">Podcast, The Lens – 27. Let Your Daily Management System Reduce the Need for Root Cause Analyses</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> Podcast, The Lens – 26. How Executives Model the Way to Build an Improvement Culture https://createvalue.org/articles_and_news/26-how-executives-model-the-way-to-build-an-improvement-culture/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:e1422234-21d6-5d0d-2903-33bee2a319c0 Mon, 22 Mar 2021 08:41:15 -0500 <p>            John Toussaint, MD, founder of Catalysis and co-author of Becoming the Change, explains why leader behaviors are fundamental to building a culture of improvement. Related Items Becoming the Change: Leadership Behavior Strategies for Continuous Improvement in Healthcare by John Toussaint and Kim Barnas Principles and Behaviors of Organizational Excellence [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/26-how-executives-model-the-way-to-build-an-improvement-culture/">Podcast, The Lens &#8211; 26. How Executives Model the Way to Build an Improvement Culture</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> <p><iframe src="https://anchor.fm/the-lens-by-catalysis/embed/episodes/26--How-Executives-Model-the-Way-to-Build-an-Improvement-Culture-eslbm9" width="400px" height="102px" frameborder="0" scrolling="no"></iframe></p> <div><a href="https://podcasts.apple.com/us/podcast/the-lens/id1498519918?uo=4"><img loading="lazy" class=" wp-image-15447 alignnone" src="https://createvalue.org/wp-content/uploads/apple-podcasts-300x90.jpg" alt="" width="253" height="76" srcset="https://createvalue.org/wp-content/uploads/apple-podcasts-300x90.jpg 300w, https://createvalue.org/wp-content/uploads/apple-podcasts-1024x308.jpg 1024w, https://createvalue.org/wp-content/uploads/apple-podcasts-768x231.jpg 768w, https://createvalue.org/wp-content/uploads/apple-podcasts-90x27.jpg 90w, https://createvalue.org/wp-content/uploads/apple-podcasts-150x45.jpg 150w, https://createvalue.org/wp-content/uploads/apple-podcasts-250x75.jpg 250w, https://createvalue.org/wp-content/uploads/apple-podcasts.jpg 1129w" sizes="(max-width: 253px) 100vw, 253px" /></a>             <a href="https://open.spotify.com/show/5X3IctwRvIYFKgHCPzGB6f" target="_blank" rel="noopener noreferrer"><img loading="lazy" class=" wp-image-15448 alignnone" src="https://createvalue.org/wp-content/uploads/images-300x83.png" alt="" width="246" height="68" srcset="https://createvalue.org/wp-content/uploads/images-300x83.png 300w, https://createvalue.org/wp-content/uploads/images-90x25.png 90w, https://createvalue.org/wp-content/uploads/images-150x41.png 150w, https://createvalue.org/wp-content/uploads/images-250x69.png 250w, https://createvalue.org/wp-content/uploads/images.png 428w" sizes="(max-width: 246px) 100vw, 246px" /></a></div> <div> <p>John Toussaint, MD, founder of Catalysis and co-author of <em>Becoming the Change</em>, explains why leader behaviors are fundamental to building a culture of improvement.</p> <h3><strong>Related Items</strong></h3> <p class="product_title entry-title"><a href="https://createvalue.org/product/becoming-the-change/" target="_blank" rel="noopener"><em>Becoming the Change: Leadership Behavior Strategies for Continuous Improvement in Healthcare</em></a> by John Toussaint and Kim Barnas</p> <p>Principles and Behaviors of Organizational Excellence on <a href="https://createvalue.org/catalysis-academy/" target="_blank" rel="noopener">Catalysis Academy</a></p> <p>Principles and Behaviors of Organizational Excellence <a href="https://createvalue.org/workshops/" target="_blank" rel="noopener">Virtual Workshop</a></p> <p><a href="https://createvalue.org/summit-usa/" target="_blank" rel="noopener">Lean Healthcare Transformation Summit</a></p> </div> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/26-how-executives-model-the-way-to-build-an-improvement-culture/">Podcast, The Lens &#8211; 26. How Executives Model the Way to Build an Improvement Culture</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> Healthcare Professionals Can Earn Continuing Education Credits with New Online Learning Platform https://createvalue.org/articles_and_news/healthcare-professionals-can-earn-continuing-education-credits-new-online-learning-platform/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:9d0405d1-2f4d-2c97-30ca-ba751d6b26be Thu, 18 Mar 2021 12:10:41 -0500 <p>Appleton, Wis. 3/18/2021 – Catalysis, Inc. has launched a new on-demand learning platform designed to help healthcare professionals create a culture of continuous improvement. Some courses are approved for continuing education credits. The types of continuing education (CE) credit available are: Continuing Medical Education (CME) Nursing Continuing Professional Development contact hours American College of Healthcare [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/healthcare-professionals-can-earn-continuing-education-credits-new-online-learning-platform/">Healthcare Professionals Can Earn Continuing Education Credits with New Online Learning Platform</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> <p><strong>Appleton, Wis. 3/18/2021 </strong>– Catalysis, Inc. has launched a new on-demand learning platform designed to help healthcare professionals create a culture of continuous improvement. Some courses are approved for continuing education credits.</p> <p>The types of continuing education (CE) credit available are:</p> <ul> <li>Continuing Medical Education (CME)</li> <li>Nursing Continuing Professional Development contact hours</li> <li>American College of Healthcare Executives (ACHE) credit</li> <li>A CME attendance certificate is also available to learners who would like documentation of course completion.</li> </ul> <p>Upon completion of any Catalysis Academy course learners will receive a certificate of completion. Some licensing Boards and certifying agencies may accept completion certificates toward their specific professional education requirements.</p> <p>Courses are broken down into chapters and lessons that include video lessons, assignments, and downloadable templates. “We offer a series of learning activities that keeps you focused on the next goal that you have to achieve while learning something new,” John Toussaint, MD, founder and Executive Chairman of the Board, Catalysis.</p> <p>“This online format gives people the opportunity to go and practice, to share what they are learning, and gain confidence in trying something a different way,” Kim Barnas, CEO of Catalysis</p> <p>Visit <a href="https://createvalue.org/catalysis-academy/" target="_blank" rel="noopener">createvalue.org/catalysis-academy/</a> to enroll.</p> <p><strong>About Catalysis</strong></p> <p>Catalysis inspires healthcare leaders and accelerates change. Our goal is to build a global learning system based on new knowledge generated through linkages with healthcare leaders and researchers around the world. We share this knowledge openly with leaders; helping them transform their organizations to a culture of improvement, delivering continually higher value outcomes for patients, staff, and communities. Learn more at: <a href="http://www.createvalue.org">createvalue.org</a>.</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/healthcare-professionals-can-earn-continuing-education-credits-new-online-learning-platform/">Healthcare Professionals Can Earn Continuing Education Credits with New Online Learning Platform</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> John Toussaint’s Monthly Reflections – New Research Shows Lean Thinking is Making a Difference in Healthcare https://createvalue.org/articles_and_news/john-toussaints-monthly-reflections-new-research-shows-lean-thinking-making-difference-healthcare/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:030da812-7868-9208-dd10-aab81728c63e Thu, 18 Mar 2021 08:30:18 -0500 <p>I am sure at some point in your career you have had to make the argument that lean thinking will work in your healthcare organization. The first time I had this conversation was with my senior executive team some 20 years ago. At that time, I knew we needed to do better but I also [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/john-toussaints-monthly-reflections-new-research-shows-lean-thinking-making-difference-healthcare/">John Toussaint&#8217;s Monthly Reflections &#8211; New Research Shows Lean Thinking is Making a Difference in Healthcare</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> <div></div> <div>I am sure at some point in your career you have had to make the argument that lean thinking will work in your healthcare organization. The first time I had this conversation was with my senior executive team some 20 years ago. At that time, I knew we needed to do better but I also did not know what I did not know about lean. I took it on faith that the same method my mentors espoused, which had brought greatness to manufacturing, would work the same in my complex health care organization. It was an uphill battle with my team to garner their support. How has it been with yours? Here is some good news that may help. <a href="https://youtu.be/x0VyJkEz28o" target="_blank" rel="noopener noreferrer">View this message on YouTube.</a></div> <div></div> <div>A new extensive research paper titled <a href="https://createvalue.org/articles_and_news/lean-management-hospital-performance-adoption-vs-implementation/" target="_blank" rel="noopener noreferrer">Lean Management and Hospital Performance: Adoption vs. Implementation</a><a href="https://createvalue.org/articles_and_news/lean-management-hospital-performance-adoption-vs-implementation/" target="_blank" rel="noopener noreferrer">,</a> based on data from 1200 U.S. hospitals, published by Steve Shortell MBA PHD and his colleagues at U.C. Berkeley, now shows how healthcare organizations extensively practicing lean thinking, meaning the method is demonstrated in most hospital departments and outpatient clinics, perform better than hospitals not practicing lean. In fact, the lean hospitals have lower adjusted inpatient expense per discharge. Armed with this knowledge you now should get support in the finance department. These health systems also have better HCAHPS scores, so marketing and patient experience leaders will have reason to get on board. The lean hospitals also had lower 30-day readmission rates. You can avoid Medicare penalties. That should make your CEO happy because your hospital will not show up negatively in the newspaper. Finally, these health systems had better results for the appropriate use of imaging. That means less wasteful, better value care, which is what employers are clamoring for.</div> <div></div> <div>What the study did not show was better clinical quality performance on such measures as risk- adjusted mortality rates. I have been wondering about this result because my experience as CEO was there were significant improvements in quality. Anecdotally at places like UMass Memorial in Worcester, Massachusetts and others practicing lean thinking, there have been as much as 30% improvements in year over year actual vs. expected mortality, the ultimate quality outcome measure.</div> <div></div> <div>One reason may be that efforts focused on improving performance in targeted units, departments, or programs do not quickly improve the organization-wide performance measures that are publicly available and examined in this study. As others have suggested some of the publicly available quality measures may not be the best measures of quality of care and may not be sufficiently “sensitive” to the types of changes that lean organizations make to improve care quality.</div> <div></div> <div>The paper concludes that lean is more than tools and we need to think of it as a transformational management system that is based on a set of principles and behaviors, as the <a href="https://shingo.org/shingo-model/" target="_blank" rel="noopener noreferrer">Shingo Model</a> describes. Clearly research determining the long-term effects on clinical outcomes is in order but in the meantime, we finally have a solid argument for bosses, peers, and subordinates that lean thinking, when practiced system wide, works in healthcare to lower cost, improve efficiency, deliver better value, and improve customer satisfaction. Hooray!!</div> <div></div> <div>But back to the bug. I received great feedback from some of you on COVID after my last letter and we published the results <a href="https://createvalue.org/articles_and_news/catalysis-community-members-managing-vaccine-process-new-processes-patient-flow/" target="_blank" rel="noopener noreferrer">here</a>. There is light at the end of the tunnel with the new Johnson and Johnson vaccine being FDA approved but we still have hospitals full of patients with COVID and states opening bars will only increase that number. So, we all still must hunker down for a while yet.</div> <div></div> <div>Teams have been hit especially hard at Mt. Sinai Morningside hospital in New York City. The staff are exhausted the second wave has pounded them. Winter and the slow roll out of vaccinations has compounded the pain. But the lean management system has been their saving grace and allowed them to unleash the creativity of every staff member to solve problems.</div> <div></div> <div>Dr. Lucy Xenophon, the Chief Transformation Officer, and her team have built an elegant information flow system that complements the lean management system. Information is displayed on large TV Screens and updated every few minutes via the electronic health record and other legacy software. This allows the managers and team members to huddle in the command center each morning and throughout the day to decide where to focus their effort and resources that day. They know how many patients are in the ED with COVID, how many beds are available where, and where they have bottlenecks to flow. Using this system, they increased the number of patient discharges by 1500 over a single year. We published the full article in the NEJM Catalyst, and <a href="https://createvalue.org/articles_and_news/integrating-real-time-information-framework-daily-management-improve-flow-revenue/" target="_blank" rel="noopener noreferrer">y</a><a href="https://createvalue.org/articles_and_news/integrating-real-time-information-framework-daily-management-improve-flow-revenue/" target="_blank" rel="noopener noreferrer">ou can read it here.</a> You can also <a href="https://valuecapturellc.com/dr-lucy-xeonophon-arthur-gianelli-covid-and-vaccination-lessons-from-new-york/" target="_blank" rel="noopener noreferrer">l</a><a href="https://valuecapturellc.com/dr-lucy-xeonophon-arthur-gianelli-covid-and-vaccination-lessons-from-new-york/" target="_blank" rel="noopener noreferrer">isten to a podcast by Dr. Xenophon here</a>.</div> <div></div> <div>I would love to know how you are improving hospital and clinic flow during the pandemic. Share what you have been learning with me at <a href="mailto:john.toussaint@createvalue.org" target="_blank" rel="noopener noreferrer">john.toussaint@createvalue.org</a>.</div> <div></div> <h3><a href="https://lp.constantcontactpages.com/su/dSydUhk" target="_blank" rel="noopener">Sign up to get John Toussaint&#8217;s Monthly Reflections delivered to your inbox</a></h3> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/john-toussaints-monthly-reflections-new-research-shows-lean-thinking-making-difference-healthcare/">John Toussaint&#8217;s Monthly Reflections &#8211; New Research Shows Lean Thinking is Making a Difference in Healthcare</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> How Catalysis Community Members are Managing the Vaccine process and New Processes for Patient Flow https://createvalue.org/articles_and_news/catalysis-community-members-managing-vaccine-process-new-processes-patient-flow/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:0a08f49f-ed43-d93e-e89d-0c95d8559200 Fri, 12 Mar 2021 08:57:41 -0600 <p>We have had many reflections sent to us after my first email letter went out last month. Here are a few highlights: First for vaccinations: From Dr. Joy Dobson in Saskatchewan “We are designing  a U cell of six spots around a centre that has everything to do &#8220;one chair work&#8221; for the client &#8211;  [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/catalysis-community-members-managing-vaccine-process-new-processes-patient-flow/">How Catalysis Community Members are Managing the Vaccine process and New Processes for Patient Flow</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> <p>We have had many reflections sent to us after my first email letter went out last month. Here are a few highlights:</p> <h3><strong>First for vaccinations:</strong></h3> <p><strong>From Dr. Joy Dobson in Saskatchewan</strong></p> <p>“We are designing  a U cell of six spots around a centre that has everything to do &#8220;one chair work&#8221; for the client &#8211;  registration and recovery. A vaccinator could be assigned to multiple cells as their work is the fastest. It is small batches but I think it will work!”</p> <p><strong>From Rick Kennedy PI leader at Presbyterian health in Albuquerque N.M.</strong></p> <p>“All vaccination registration and prioritization goes through the Department of Health (DOH). <a href="http://www.cvvaccine.nmhealth.org">www.cvvaccine.nmhealth.org</a>    All NM residents register with DOH, who then prioritizes and schedules at established vaccination sites operated by UNM, Presbyterian, Walgreens, etc.  Once our vaccination site is connected to the DOH portal, all we have to do is manage the supply of vaccine that the state provides (that matches the patients they’ve scheduled with us) and manage our own vaccination sites.  Prioritizing the populace, scheduling second doses, rescheduling no-shows, symptom screening, etc. are all managed by the state.  It’s pretty slick.  It’s not perfect &#8211; we have to verify insurance if we want to bill insurance for the administration, and there are some public complaints about the prioritization.  But it’s a lot better than if we were sent vaccine and told good luck. Presbyterian’s mass vaccination site goes live next week, with an eventual capacity of 2-4,000 per day”.</p> <p><strong>From David Ferrin, Operations Innovation Engineer at Honor Health</strong></p> <p>“We have had numerous innovations during this past year with the challenges we’ve all been experiencing.  First off, we decided to use computer simulation to update our surge plan in light of the impact of Covid and optimize identification of our triggers for our system-wide surge plan.  We also did a model which looked into the question of “could we have one Covid hospital in the HonorHealth system which would take all Covid patients.  When the vaccine came out we were part of the primary design team of the vaccination administration process in the HonorHealth drive-through POD in our county.  Day one, first hour it was heralded as one of the best customer service oriented processes to be found will little to no patient waiting at any point in the process.  We have since moved into the clinic setting which will be the next resource for administering the vaccines. Two of these clinics have already been implemented.</p> <p>Simulation is a lean, six sigma advanced tool primarily used in the DFSS (Design For Six Sigma) phase of projects.  When built well by experienced teams it will tell you the impact of an alternative process with high accuracy.  With the Covid Vaccination process, the senior management team wanted great customer experience combined with no waiting.  Although there wasn’t a set budget, they wanted good efficiency.  The models delivered on all fronts.  Our average patient cycle time from entering the property to leaving the property was just under 25 minutes including the 15/30 minute observation time.  Employee/Volunteer efficiency was 80-85%.  Above that range and the process experienced significant queuing.  Also provided every evening to the site command for the following day, was an hour by hour staffing plan  based upon expected patients.  The process hummed like a finely tuned engine.  It was truly a ‘fun’ project”.</p> <h3><strong>Second for New Care Model Development.</strong></h3> <p>Sam Nordberg Behavioral Health director at Reliant Health and former Atrius Innovation team member described a wonderful new process that has increased metal health patient flow and diverted more than 1700 patients from what would have been an ER visit to other more effective treatment options. It starts with the PCP office. Any patient identified by as needing behavioral health intervention is immediately referred to a person described as a behavioral health partner. These people are trained in assessing mental health problems and within 72 hours the outpatient is placed into either a video visit or other treatment option. There are 25 behavioral health partners for 140 PCPs. The patients are happier and better care for and their problems are quickly addresses. The savings in ER visits alone pays for the program. It’s a great example of a new care model.</p> <p>Thanks to all who have shared with me.</p> <p>John</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/catalysis-community-members-managing-vaccine-process-new-processes-patient-flow/">How Catalysis Community Members are Managing the Vaccine process and New Processes for Patient Flow</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p>