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2017 PiPEx Conference VA Boston Healthcare System September 28, 2017 1 MISSION VA Boston Healthcare System will provide the best healthcare to Veterans, advance medical knowledge through research, and train tomorrows healthcare


  1. 2017 PiPEx Conference VA Boston Healthcare System September 28, 2017

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  3. MISSION VA Boston Healthcare System will provide the best healthcare to Veterans, advance medical knowledge through research, and train tomorrow’s healthcare leaders. VETERANS HEALTH ADMINISTRATION 2

  4. VISION VA Boston Healthcare System will be a model for the nation in combining exceptional, patient-centered healthcare, innovative research, and outstanding education in a setting DIVIDER PAGE that values the contributions of all stakeholders. VETERANS HEALTH ADMINISTRATION

  5. CORE VALUES Because I CARE I will act with … Integrity Commitment Advocacy Respect Excellence VETERANS HEALTH ADMINISTRATION 4

  6. CORE COMPETENCIES CC-1: Expertise in care and services for conditions that are specific to and/or common in the Veteran population CC-2: Creation of an environment where the experience of military service is understood, respected, and honored CC-3: Integrated delivery of a broad scope of services across the healthcare continuum VETERANS HEALTH ADMINISTRATION 5

  7. VA BOSTON HEALTHCARE SYSTEM Tertiary referral center for VAs in New England 3 campuses and 5 outpatient clinics 4,300 employees 1,178 volunteers 3,440 Trainees 10 Centers of Excellence 130 Affiliation 2nd largest recipient of Agreements VA Research funds 63,400 patients/year 720K outpatient visits/year VETERANS HEALTH ADMINISTRATION 6 592 beds

  8. VA BOSTON HEALTHCARE SYSTEM VABHS has been on the Baldrige journey for many years: • As part of the larger VA New England Healthcare System application submissions: National submissions in 2011, 2012, 2013, 2015, 2016 Partners in Performance Excellence (PiPEx) submission- 2013 • Independent self assessments using the Baldrige Excellence Criteria • PiPEx Application Submission -2016 • Malcolm Baldrige Application Submission 2017 (site visit this week) VETERANS HEALTH ADMINISTRATION 7

  9. VA BOSTON HEALTHCARE SYSTEM LESSONS LEARNED • Annual organizational self-assessments assisted in identifying opportunities for improvements in processes and systems Focus our organization toward common goals • Submitting the annual self-assessment to PiPEx quality recognition program provided objective feedback on our level of performance • Time intensive - takes a team of people VETERANS HEALTH ADMINISTRATION 8

  10. VA BOSTON HEALTHCARE SYSTEM LESSONS LEARNED • Challenges in the ability to assess performance against the competition • Senior Leader involvement facilitated removal of barriers for moving improvement work forward (GEMBA, Wed AM report outs) • Facility level Baldrige Coaches Coordinate teams to complete annual Baldrige self- assessment, application submissions Staff education (NEO, LEAN, LEAD & supervisor training) VETERANS HEALTH ADMINISTRATION 9

  11. VA BOSTON HEALTHCARE SYSTEM LESSONS LEARNED • Communication across a large integrated Healthcare Organization is difficult • Celebrate failures as well as successes to guide further improvement • High level of commitment to fostering innovation • Learning cycles – PiPEx application facilitated National Malcolm Baldrige Application VETERANS HEALTH ADMINISTRATION 10

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