Baptist Management System PDSA Model based on the Toyota Kata book - - PowerPoint PPT Presentation

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Baptist Management System PDSA Model based on the Toyota Kata book - - PowerPoint PPT Presentation

May 19, 2023 168 likes •515 views

Baptist Management System PDSA Model based on the Toyota Kata book & research by Mike Rother The information presented in the following presentation are meant as a showcase of what our best, most motivated users have achieved. Expected

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Baptist Management System

The information presented in the following presentation are meant as a showcase of what our best, most motivated users have achieved. Expected

  • utcomes and results may vary. All testimonials are real, may not

reflect another user's experience, and are not intended to represent or guarantee that anyone will achieve the same or similar results.

PDSA

Model based on the Toyota Kata book & research by Mike Rother

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Baptist Memorial Health Care & KATA

How does KATA and play with others at Baptist Memorial Health Care?

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Deliberate Practice of new Behaviors KATA STARTS HERE.…….. SO WE CAN MOVE THIS Drives the formation of new Habits Habit formation leads to either an open or closed Mindset The sum an

  • rganization’s

Mindsets and Behaviors = Culture

Main Thoughts on DAILY, DELIBERATE PRACTICE of

Kata Experimentation on Organizational

Culture...

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What is a

KATA?

www.katatogrow.com
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A is a routine you deliberately practice, so its pattern becomes an automatic habit that gives you some new skills!

www.katatogrow.com
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Show me your thinking

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  • 1. All hospitals
  • 2. BMG
  • 3. Corporate HR
  • 4. Baptist Trinity
  • 5. Baptist Technology Services
  • 6. Research
  • 7. Baptist College of Health

Sciences

  • 8. Baptist & Semmes

Murphey joint venture

  • 9. Semmes Murphey

Daily Practice Routines (KATA)

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Our Mental Model

Model based on the Toyota Kata book & research by Mike Rother

A Meta-Routine stays the same regardless of the circumstances-a routine way of acting and thinking. Kata is an iterative process! PDSA

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These are the headings in our coaching cycles

Coaching: The Five Question Card

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A Culture Built on Principles

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TWI: JI, JR, JM A3 Strategic Deployment Leader Standard Work Toyota KATA Value Stream Mapping

The Baptist Management System (BMS)

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What is a System?

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“All models are wrong, but some are useful”.

George Box

Model to explain BMS

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PDSA at Every Level of the Organization

“All models are wrong, but some are useful”.

George Box
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Coach is responsible for teaching the improvement KATA, and for the results Learner & Team own the target condition and work to achieve it Process

Supervisor Manager Director

Learner Coach

The Roles – different Skills

2nd Coach is responsible for assuring the development of the coach and assuring alignment to

  • rganization

goals. 2nd Coach

Team

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Skill Levels as it pertains to Learner, Coach, 2nd Coach Shepherding Groups

BAPTIST MANAGEMENT SYSTEM

ETERNAL LEARNER PROFICIENT COMPETENT ADVANCED BEGINNER NOVICE

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Our Mental Model

Kata Deployment at Baptist Memorial Healthcare

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Kata: OR TAT < 25 min +/-5 min; Started 5/2016

BAPTI ST MEMPHI S DEPLOYMENT

28 28 29 27 28 26 29 29 27 25 24 25 5 10 15 20 25 30 35 May-16 Aug-16 Nov-16 Feb-17 Time (HR:MM)

Room Turnover

Room TOT Challenge = Kata Started here I love the thought process that is generated using KATA. KATA can be used in every aspect of life when attempting to solve a problem
  • Linwood White, Director of Emergency
Services, RN,
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Kata: OR TAT < 25 min +/-5 min ; Started 5/2016

BAPTI ST MEMPHI S DEPLOYMENT

8% 2%
  • 6%
12% 4% 5% 21% 5% 19% 7% 4% 7%
  • 10%
  • 5%
0% 5% 10% 15% 20% 25% 850 900 950 1000 1050 1100 1150 May-16 Aug-16 Nov-16 Feb-17 % Change Monthly Volume

Monthly Volume Change

Volume YTD Variance Kata Started here Kata has given us a system of thinking that has allowed us to move the dial in regards to operating room efficiency like we never have before. Not only has Kata provided a catalyst for rapid change, but allowed us to shape behaviors and change a culture.
  • Matthew Dane, Associate CNO, RN, DNP
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Kata: Lab Turnaround Time (Receive to Verify); Started 5/2016

BAPTI ST MEMPHI S DEPLOYMENT

0.0 5.0 10.0 15.0 20.0 25.0 30.0 CMP Tropo nin Lactic Acid/ Reflex CBC PT UA Qual HCG - Blood ED Qual HCG - Urine FY15 26.9 27.6 24.7 10.8 20.2 26.5 19.2 14.8 FY16 24.2 22.1 22.6 7.9 17.4 20.3 16.7 11.3 YTD (Oct-FEB) FY17 23.0 22.0 22.0 7.5 16.5 18.0 15.0 11.5 Receive to Verify Minutes Lab Test Type Lab Kata on Turnaround Time Receive to Verify FY15 FY16 YTD (Oct-FEB) FY17 “Your guidance as a coach has been GAME CHANGING, Brandon. I and the entire lab KATA team appreciate and applaud your patience, leadership and expertise. We couldn’t have achieved our successes without you! ”
  • Tony Beard, Lab Manager
  • 5%
  • 0.4%
  • 2.6%
  • 5.3%
  • 12%
  • 10%
  • 1.5%
  • 5.3%
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Kata: ED Length of Stay

BAPTI ST MEMPHI S DEPLOYMENT

50 100 150 200 250 300 350 Oct Nov Dec Jan Feb Mar Apr YTD Length of Stay - Admit FY 16 FY 17 LOS Admitted
  • 11%
50 100 150 200 250 Oct Nov Dec Jan Feb Mar Apr YTD Length of Stay - Discharged FY 16 FY 17 LOS Discharged
  • 10%
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Kata: ED Length of Stay

BAPTI ST MEMPHI S DEPLOYMENT

500 1,000 1,500 2,000 2,500 3,000 3,500 Oct Nov Dec Jan Feb Mar Apr YTD Hold Hours FY 16 FY 17 Hold Hours
  • 2%
0.00% 0.50% 1.00% 1.50% 2.00% 2.50% 3.00% Oct Nov Dec Jan Feb Mar Apr YTD Left W/o Being Seen % FY 16 LWBS
  • 54%
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SLIDE 24 “Pioneering the KATA TWI Shepherd group has been a challenging journey that is showing great outcomes for the members, our staff and our patients. Without the leadership of the Shepherds, we are certain that TWI training, use of JIB’s and continued deployment that TWI would not have been embraced in the positive manner we have seen. Thus, our outcomes would have been reduced and processes less effective.”
  • Judy Mann, TWI-JI Shepherd, Education
Started Kata May FY 16 Started TWI - JI Shepherding Kata work on CLABSI - Oct FY 17 50 100 150 FY 14 FY 15 FY 16 FY 17 133 104 43 6

CLABSIs

BAPTI ST MEMPHI S DEPLOYMENT

Kata: Reduce Central Line Acquired Blood Stream Infection (CLABSI) A single CLABSI can cost the

  • rganization $40,000

Kata has reduced CLABSIs from 43 – 6 = 37 fewer patients experienced a CLABSI FY16 over FY17 YTD

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SLIDE 25 “Most significantly the deployment of Foley Insertion/Peri Care JIB’s to nursing, with the contingency that only nurses who have received the JIB training can insert foley catheters. We are confident this has led to the steady decline in CAUTI events in our hospital due to the JIB, TWI training, and validation on-going. TWI training with the JIB has provided our staff the training and tools for standard work to prevent harm and reduce infections relating to foley catheters. “
  • Judy Mann, TWI-JI Shepherd, Education

Kata: Catheter-associated Urinary Tract Infections (CAUTI)

A single CAUTI can cost the organization $9,000 Kata has reduced CAUTIs from 19 – 6 = 13 fewer patients experienced a CAUTI FY16 over FY17 YTD

BAPTI ST MEMPHI S DEPLOYMENT

Started Kata May 2016
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Kata: Falls 4 West – Med-Surg Kata Storyboard 1st Area that was started 5/2016

BAPTI ST MEMPHI S DEPLOYMENT

1.65 1.7 1.75 1.8 1.85 1.9 1.95 2 2.05 2.1 2.15

4 West Falls per 2 Week

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Kata: Med-Surg & Float Pool Falls Master Kata Storyboard

BAPTI ST MEMPHI S DEPLOYMENT

10 20 30 40 50 60

% Assisted Falls

2 4 6 8 10 12 14 Baseline 2/3/2017 2/17/2017 3/3/2017 3/17/2017 4/3/2017 4/28/2017 5/12/2017 5/26/2017

Fall per 2 Week Target Condition Since Kata

Added 4N
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Kata: 5 West - Stepdown Reduce Turnover to < 14% for FY 17

BAPTI ST MEMPHI S DEPLOYMENT

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% Q3 - FY16 Q4 - FY16 Q1 - FY17 Q2 - FY17 Q3 - FY17 30.9% 22.0% 0.0% 0.0% 4.2% RN Voluntary TO
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Memphis Hospital

23 Improvement Katas launched in 12 months FY16 vs FY 17 Estimated ROI

Approximately 55 x investment

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Model based on the Toyota Kata book & research by Mike Rother

A Meta-Routine stays the same regardless of the circumstances-a routine way of acting and thinking. Kata is an iterative process! PDSA

Our Mental Model

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YES Kata Plays Very Well with Others

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Show me your thinking

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Main Thoughts on DAILY, DELIBERATE PRACTICE of

Kata Experimentation on Organizational

Culture...

Deliberate Practice of new Behaviors KATA STARTS HERE.…….. SO WE CAN MOVE THIS Drives the formation of new Habits Habit formation leads to either an open or closed Mindset The sum an

  • rganization’s

Mindsets and Behaviors = Culture

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THANK YOU,

For the Gift of Your Time Today!

“Focus on the People, and the numbers will come… Focus on the numbers, and the people will Go!”

TM

Brandon Brown, P. E. brandon@katamastercoach.com 479-856-1919