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Memorial Hermann Healthcare System
Cultural Transformation from Board to Bedside & Community
Dan Wolterman President and CEO
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Memorial Hermann Healthcare System Cultural Transformation from - - PowerPoint PPT Presentation
Memorial Hermann Healthcare System Cultural Transformation from - - PowerPoint PPT Presentation
Memorial Hermann Healthcare System Cultural Transformation from Board to Bedside & Community Dan Wolterman President and CEO The Burning Platform 2003 Presidents Council Decision Point 2 2006 Leadership Meeting Reaching Our Summit
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2006 Leadership Meeting
Reaching Our Summit Through Execution Excellence
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Vision & Promise
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Our Culture
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& Safety
Our Strategies
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Our Brand Pyramid
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Transfusion Errors Serious Safety Events Transformation to a High Reliability Organization August 14, 2006
A Call to Action
- n Patient Safety
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Board Quality Structure
MEDICAL EXECUTIVE COMMITTEES of: MEMORIAL HERMANN HOSPITAL SYSTEM BOARD OF DIRECTORS Delegated authority to approve actions on behalf of the Board of Directors
Memorial Hermann University Place
SYSTEM QUALITY COMMITTEE CENTRAL / SOUTHWEST QUALITY COMMITTEE SYSTEM QUALITY AND PATIENT SAFETY COUNCIL NORTH / WEST
Memorial Hermann Northeast Hospital Memorial Hermann Sugar Land Hospital Memorial Hermann Texas Medical Center Hospital Memorial Hermann TIRR Memorial Hermann Children’s Hospital Memorial Hermann Southwest Hospital Memorial Hermann Southeast Hospital
MEDICAL EXECUTIVE COMMITTEES of:
Memorial Hermann The Woodlands Hospital Memorial Hermann Memorial City Hospital Memorial Hermann Ambulatory Surgical Centers Memorial Hermann PaRC Memorial Hermann Northwest Hospital Memorial Hermann Katy Hospital Memorial Hermann Home Health
MEMORIAL HERMANN HEALTH CARE SYSTEM BOARD OF DIRECTORS QUALITY COMMITTEE
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- Step 1: Set Behavior
Expectations Define Safety Behaviors & Error Prevention Tools proven to help reduce human error
- Step 2: Educate
Educate our staff and medical staff about the Safety Behaviors and Error Prevention Tools
- Step 3: Reinforce & Build
Accountability Practice the Safety Behaviors and make them our personal work habits
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Red Rules Absolute Compliance
- 1. Patient Identification
- 2. Time Out
- 3. Two Provider Check
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MHHS Safety Culture Training
Hospital Training Complete >1,000 Physicians Trained >14,000 Employees Trained >540 Safety Coaches Trained >$18M Expense
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0.2 0.4 0.6 0.8 1 2 7 Q 1 2 7 Q 2 2 7 Q 3 2 7 Q 4 2 8 Q 1 2 8 Q 2 2 8 Q 3 2 8 Q 4 2 9 Q 1
Zero Hemolytic Transfusion Reactions (92,000 T+Cs)
Transfusion Events
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Hospital Acquired Infections
10 20 30 40 50 Sys Adult VAP 19 13 13 6 10 3 9 6 3 5 4 9 4 5 10 4 6 3 Sys Adult SSI 6 4 5 4 7 4 4 4 1 6 2 4 2 3 2 1 2 Sys Adult CR-BSI 19 20 19 29 24 21 16 18 9 12 11 9 9 14 6 10 11 6 Jan- 07 Feb- 07 Mar- 07 Apr- 07 May- 07 Jun- 07 Jul- 07 Aug- 07 Sep- 07 Oct- 07 Nov- 07 Dec- 07 Jan- 08 Feb- 08 Mar- 08 Apr- 08 May- 08 Jun- 08
HAI Prevention Campaign
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Sep-08 Aug-08 Jul-08 Jun -08 May -08 Apr-08 Mar-08 Feb-08 Jan-08 Dec-07 Nov-07 Oct-07 Sep-07 Aug-07 Jul-07 Jun-07 May-07 Ap r-07 Mar-07 Feb -07 Jan -07 Dec-06 Nov -06 Oct-06 Sep-06 Aug-06 Jul-06 J un-06 May-06 Apr-06 Mar-06 Feb-06 J an-06 Dec-05 Nov-05 Oct-05 Sep -05 Aug -05 Jul-05
250 200 150 100 50
System - F irst PCI Date System - Time to PC I
90
Time to primary PCI
X Axis limited to 270 (3x target)
Door to Percutaneous Coronary Intervention (PCI) Time
Time to Primary PCI
July 2005 September 2008 PCI Month
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Hospital Standardized Mortality Ratio (HSMR)
534 “lives saved”
2008 MHHS YTD HSMR: 57.1 2008 US National HSMR: 70.5
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Leadership Accountability On-Line Core Measures
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A B C E G F H D I
Leadership Accountability
On-Line Balanced Scorecard
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Public Transparency MH Katy Community Report
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Public Transparency MH Katy Community Report
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Transformation of a Healthcare System
1909 1909 Baptist Sanitarium 2009 2009 Memorial Hermann Healthcare System
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