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/ John Toussaint Reflections – What Comes First Technology or Process? https://createvalue.org/articles_and_news/john-toussaint-reflections-comes-first-technology-process/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:2b15fa6d-70a7-ccd6-39b1-48ff4a0f74e5 Wed, 15 Sep 2021 05:15:30 -0500 <p>What comes first technology or process? As lean thinkers we know it’s always the process first. Healthcare is not wanting for technology. We’ve spent the last ten years implementing electronic health records, replacing legacy financial systems, and building information flow systems that allow caregivers to have access to real-time data at the point of care. [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/john-toussaint-reflections-comes-first-technology-process/">John Toussaint Reflections &#8211; What Comes First Technology or Process?</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> <p>What comes first technology or process? As lean thinkers we know it’s always the process first. Healthcare is not wanting for technology. We’ve spent the last ten years implementing electronic health records, replacing legacy financial systems, and building information flow systems that allow caregivers to have <a href="https://createvalue.org/articles_and_news/integrating-real-time-information-framework-daily-management-improve-flow-revenue/" target="_blank" rel="noopener">access to real-time data at the point of care</a>. No one would go back. The fact is the technology continues to evolve and can support more and care designs. The problem is health care processes are not keeping up.</p> <p>Making a poor process electronic-only makes the errors occur faster. Many EHR installs did not go well because leaders didn’t understand this. Those that chose to review and change care processes before implementation did the best and have continued to turn on more and more features of the EHR as they have continued to improve and redesign care processes.</p> <p>The good news is that more than 60% of hospitals in the US have recognized that a commitment to improving care processes is important. Those that robustly embrace lean management principles see lower readmission rates, higher profitability, lower cost, better HCAP scores, and fewer unnecessary tests ordered. In other words, better care processes lead to better value for patients. <a href="https://createvalue.org/articles_and_news/lean-management-hospital-performance-adoption-vs-implementation/" target="_blank" rel="noopener">Read more in The Join Commission Journal on Quality and Patient Safety</a>.</p> <p>Technology has a major role to play in delivering better patient processes but it’s not a leading role. Instead, it is a supporting role. I’ll explain using the example of a model cell.</p> <p>The model cell is where radical new ways of thinking should be embraced. The goal of model cell performance should always achieve a 50-100% improvement over the existing process. There are two ways to approach <a href="https://hbr.org/2018/03/why-process-is-u-s-health-cares-biggest-problem">creating a model cell</a>, both involve clinical redesign.  The most common is breakthrough value stream improvement. This approach involves front-line teams that are doing the work. The staff are convened to map the current state of care processes and information flow. A new ideal state is imagined, and the design of the new state is mapped by caregivers. A model cell area then tests the new design and creates standard work in rapid experiments. Careful measurement of the new processes confirms whether preestablished goals are met. During this process, IT professionals are consulted to determine what features of the EHR or other technology could support the new process. IT staff should be members of the design team because they can help the caregivers understand the technology that exists. This knowledge has a bearing on the possible design of new processes. Sometimes new care processes can stretch the development of new technology as well. When I was CEO, quite a few years ago, team-based care was not on the radar. But our team developed a new model of inpatient care deemed Collaborative Care <img src="https://s.w.org/images/core/emoji/13.0.1/72x72/2122.png" alt="™" class="wp-smiley" style="height: 1em; max-height: 1em;" />. This model required that all care givers use a single plan of care for each hospitalized patient. The problem was the EHR did not have a single plan of care documentation process. Our IT staff worked with the vendor to build a single plan of care that every staff member including physical therapy, respiratory therapy, nutrition, nursing, physicians, etc. all accessed and worked with together in an integrated fashion. This is standard process today.</p> <p>The second approach to model cell <a href="https://createvalue.org/designing-the-future-of-healthcare/" target="_blank" rel="noopener">development New Care Model design</a>. In other industries, this is R and D. A new care model is created by an innovation team as opposed to a frontline team and is based on deep customer research. New Care Model design is used when there is a need for a completely different and new care model. One that hasn’t existed before. It takes several weeks to gather the interview data and to understand what customers are telling us. The research is required because we tend to jump to conclusions based on our reality rather than truly understanding customer reality. An exploration process includes activities such as one on interviews, visits to customer environments, and observations of how existing processes impact the customer. The innovation team analyzes full transcription of interviews looking for descriptive phrases to identify true customer needs.  Once this information is collated ideas emerge for New Care Model development.</p> <p>One such idea emerged from work done at Atrius, a multi-specialty physician group in Boston. Following deep customer research, a patient told the team “I’d rather die than go to the hospital”. That concept eventually led to <a href="https://hbr.org/2016/12/how-atrius-health-is-making-the-shift-from-volume-to-value" target="_blank" rel="noopener">Care in Place</a>, which is a successful home care model. Nurses visit the patient’s home when they call the clinic with concerns. Rather than the medical assistant simply telling the patient to go to the ER the home care nurse visits the patient at home immediately. This new care model was tested in a model cell clinic and resulted in a 50% reduction in ER visits and much higher patient satisfaction. It subsequently was spread to all primary care clinics. Technology was clearly a supporting enabler. Care in place required technology support from the EHR for home care nurses, a phone triage system that identified callers, and an electronic follow-up system to assure the patient was doing well at home. But any one of those systems would have been useless if the new care model hadn’t been clearly defined including the roles and responsibilities of each team member.</p> <p>The process comes first, the technology then supports the process. The decision of whether to use breakthrough value stream mapping or New Care Model Development is the first decision. That determines the makeup of the team and the process and nature of the work ahead. The team should include IT team members, but everyone should remember technology is not going to save us from doing the hard work of creating a better care model.</p> <p><strong><a href="https://lp.constantcontactpages.com/su/dSydUhk" target="_blank" rel="noopener">Sign up to have John&#8217;s reflections sent directly to your inbox!</a></strong></p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/john-toussaint-reflections-comes-first-technology-process/">John Toussaint Reflections &#8211; What Comes First Technology or Process?</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> Podcast, The Lens – 35. Benefits of the Masters of Business Operational Excellence Program https://createvalue.org/articles_and_news/podcast-lens-34-benefits-masters-business-operational-excellence-program/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:b52c066b-c714-2fd2-bb80-0630363c16ee Mon, 23 Aug 2021 08:23:02 -0500 <p>            How do you create an organization where everyone is continuously learning, improving, and remaining committed to its purpose every day? Leaders from various industries including healthcare, information technology, manufacturing, and finance are constantly searching for the answer to this question. Laurie Spadaro, Director, MBOE, Fisher College of Business Executive [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/podcast-lens-34-benefits-masters-business-operational-excellence-program/">Podcast, The Lens &#8211; 35. Benefits of the Masters of Business Operational Excellence Program</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/35--Benefits-of-the-Master-of-Business-Operational-Excellence-Program-e165fv7" 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>How do you create an organization where everyone is continuously learning, improving, and remaining committed to its purpose every day? Leaders from various industries including healthcare, information technology, manufacturing, and finance are constantly searching for the answer to this question. Laurie Spadaro, Director, MBOE, Fisher College of Business Executive Education, joins us to talk about the MBOE Program. </p> <h3><strong>Related Items</strong></h3> <p><a href="https://createvalue.org/summit-usa/" target="_blank" rel="noopener">Lean Healthcare Transformation Summit</a></p> <p>Catalysis <a href="https://createvalue.org/networks/healthcare-value-network/" target="_blank" rel="noopener">Healthcare Value Network</a></p> <p><a href="https://createvalue.org/transformation-roadmap/" target="_blank" rel="noopener">Transformation Roadmap</a> Services</p> <p>Catalysis Academy <a href="https://createvalue.org/catalysis-academy-organizational-subscriptions/" target="_blank" rel="noopener">Organizational Subscriptions</a></p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/podcast-lens-34-benefits-masters-business-operational-excellence-program/">Podcast, The Lens &#8211; 35. Benefits of the Masters of Business Operational Excellence Program</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> What Hospitals Should Look for in a New PPE Supplier https://createvalue.org/articles_and_news/hospitals-look-new-ppe-supplier/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:543ef4d4-b305-3eca-55b1-a93b91f14729 Tue, 10 Aug 2021 12:23:36 -0500 <p>It’s hard to prepare for the next pandemic when you’re in the middle of the first one. But hospitals and their PPE providers have no choice. With the uncertainties around COVID-19 and new variants emerging, healthcare providers and PPE suppliers do not have the luxury of waiting. So, what can we learn from last year [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/hospitals-look-new-ppe-supplier/">What Hospitals Should Look for in a New PPE Supplier</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> <p>It’s hard to prepare for the next pandemic when you’re in the middle of the first one. But hospitals and their PPE providers have no choice. With the uncertainties around COVID-19 and new variants emerging, healthcare providers and PPE suppliers do not have the luxury of waiting. So, what can we learn from last year that may better prepare for whatever is next? A few things stand out.</p> <p><a href="https://createvalue.org/wp-content/uploads/honeywell-wp-june-2021.pdf" target="_blank" rel="noopener">Read full areticle</a></p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/hospitals-look-new-ppe-supplier/">What Hospitals Should Look for in a New PPE Supplier</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> Podcast, The Lens – 34. Putting Lean Thinking to Use in Vaccine Clinics and Lessons Learned https://createvalue.org/articles_and_news/podcast-lens-33-putting-lean-thinking-use-vaccine-clinics-lessons-learned/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:1e2f6af4-1852-cbd9-13be-afbf91a334b1 Mon, 09 Aug 2021 12:17:53 -0500 <p>              Peter Ward, Director, Center for Operational Excellence, discusses how lean thinking helped with establishing mass vaccination sites in metro areas across the country. As well as how this thinking translated in the transition to smaller vaccination sites after the initial rush.   Related Items Lean Healthcare Transformation Summit [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/podcast-lens-33-putting-lean-thinking-use-vaccine-clinics-lessons-learned/">Podcast, The Lens &#8211; 34. Putting Lean Thinking to Use in Vaccine Clinics and Lessons Learned</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/34--Putting-Lean-Thinking-to-Use-in-Vaccine-Clinics-and-Lessons-Learned-e15djg2" 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> </div> <div>Peter Ward, Director, Center for Operational Excellence, discusses how lean thinking helped with establishing mass vaccination sites in metro areas across the country. As well as how this thinking translated in the transition to smaller vaccination sites after the initial rush.</div> <div> </div> <h3><strong>Related Items</strong></h3> <p><a href="https://createvalue.org/summit-usa/" target="_blank" rel="noopener">Lean Healthcare Transformation Summit</a></p> <p>Catalysis <a href="https://createvalue.org/networks/healthcare-value-network/" target="_blank" rel="noopener">Healthcare Value Network</a></p> <p><a href="https://createvalue.org/transformation-roadmap/" target="_blank" rel="noopener">Transformation Roadmap</a> Services</p> <p>Catalysis Academy <a href="https://createvalue.org/catalysis-academy-organizational-subscriptions/" target="_blank" rel="noopener">Organizational Subscriptions</a></p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/podcast-lens-33-putting-lean-thinking-use-vaccine-clinics-lessons-learned/">Podcast, The Lens &#8211; 34. Putting Lean Thinking to Use in Vaccine Clinics and Lessons Learned</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p> Podcast, The Lens – 33. Discussion with Process Improvement Leaders https://createvalue.org/articles_and_news/podcast-lens-33-discussion-process-improvement-leaders/ ThedaCare Center for Healthcare Value » Articles & News urn:uuid:40aa539d-1601-dbff-372a-8f928d2345aa Mon, 12 Jul 2021 08:20:55 -0500 <p>            Today we have a special treat for our listeners. We will be sharing a segment of the PI leader discussion panel from our Summit in June. The panel features Penny Iannelli from UMass Memorial Health Care, Carlos Scholz from The Permanente Medical Group, and Yvett Sena from UNM Health [&#8230;]</p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/podcast-lens-33-discussion-process-improvement-leaders/">Podcast, The Lens &#8211; 33. Discussion with Process Improvement Leaders</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/33--Insights-from-Process-Improvement-Leaders-e146h98" 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>Today we have a special treat for our listeners. We will be sharing a segment of the PI leader discussion panel from our Summit in June. The panel features Penny Iannelli from UMass Memorial Health Care, Carlos Scholz from The Permanente Medical Group, and Yvett Sena from UNM Health System. The session is moderated by my colleague, Chris Weisbrod. These improvement leaders share insights about their lean journey.</p> <h3><strong>Related Items</strong></h3> <p><a href="https://createvalue.org/summit-usa/" target="_blank" rel="noopener">Lean Healthcare Transformation Summit</a></p> <p>Catalysis <a href="https://createvalue.org/networks/healthcare-value-network/" target="_blank" rel="noopener">Healthcare Value Network</a></p> <p><a href="https://createvalue.org/transformation-roadmap/" target="_blank" rel="noopener">Transformation Roadmap</a> Services</p> <p>Catalysis Academy <a href="https://createvalue.org/catalysis-academy-organizational-subscriptions/" target="_blank" rel="noopener">Organizational Subscriptions</a></p> <p>The post <a rel="nofollow" href="https://createvalue.org/articles_and_news/podcast-lens-33-discussion-process-improvement-leaders/">Podcast, The Lens &#8211; 33. Discussion with Process Improvement Leaders</a> appeared first on <a rel="nofollow" href="https://createvalue.org">Catalysis</a>.</p>