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 President’s Council Decision Point 2

2006 Leadership Meeting Reaching Our Summit Through Execution Excellence

Vision & Promise

Our Culture

Our Strategies & Safety

Our Brand Pyramid

Transformation to a High Reliability Organization August 14, 2006 A Call to Action on Patient Safety Transfusion Errors Serious Safety Events

Board Quality Structure MEMORIAL HERMANN HEALTH CARE SYSTEM BOARD OF DIRECTORS MEMORIAL HERMANN HOSPITAL SYSTEM BOARD OF DIRECTORS Delegated authority to approve SYSTEM QUALITY actions on behalf of the COMMITTEE Board of Directors SYSTEM QUALITY AND CENTRAL / SOUTHWEST NORTH / WEST PATIENT SAFETY QUALITY COMMITTEE QUALITY COMMITTEE COUNCIL MEDICAL EXECUTIVE MEDICAL EXECUTIVE COMMITTEES of: COMMITTEES of: Memorial Hermann Memorial Hermann Memorial Hermann TIRR University Place PaRC Memorial Hermann Memorial Hermann Memorial Hermann Memorial Hermann Texas Medical Center The Woodlands Northeast Hospital Ambulatory Surgical Hospital Hospital Centers Memorial Hermann Memorial Hermann Sugar Land Hospital Memorial Hermann Memorial Hermann Children’s Hospital Memorial City Hospital Northwest Hospital Memorial Hermann Memorial Hermann Southwest Hospital Memorial Hermann Katy Hospital Memorial Hermann Southeast Hospital Home Health

• 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

Red Rules Absolute Compliance 1. Patient Identification 2. Time Out 3. Two Provider Check

MHHS Safety Culture Training Hospital Training Complete >14,000 Employees Trained >1,000 Physicians Trained >540 Safety Coaches Trained >$18M Expense 13

Zero Hemolytic Transfusion Reactions (92,000 T+Cs) Transfusion Events 1 0.8 0.6 0.4 0.2 0 1 2 3 4 1 2 3 4 1 Q Q Q Q Q Q Q Q Q 7 7 7 7 8 8 8 8 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 2 2 2

Hospital Acquired Infections HAI Prevention Campaign 50 40 30 20 10 0 Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- 07 07 07 07 07 07 07 07 07 07 07 07 08 08 08 08 08 08 19 13 13 6 10 3 9 6 3 5 4 9 4 5 10 4 6 3 Sys Adult VAP 6 4 5 4 7 4 4 4 1 6 2 4 2 3 2 1 2 0 Sys Adult SSI 19 20 19 29 24 21 16 18 9 12 11 9 9 14 6 10 11 6 Sys Adult CR-BSI

Door to Percutaneous Coronary Intervention (PCI) Time Time to primary PCI Time to Primary PCI X Axis limited to 270 (3x target) July 2005 September 2008 250 200 I System - Time to PC 150 100 90 50 0 Jul-05 Aug -05 Sep -05 Oct-05 Nov-05 Dec-05 an-06 Feb-06 Mar-06 Apr-06 May-06 un-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov -06 Dec-06 Jan -07 Feb -07 Mar-07 Ap r-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 Jul-08 Aug-08 Sep-08 J J PCI Month System - F irst PCI Date

Hospital Standardized Mortality Ratio (HSMR) 2008 MHHS YTD HSMR: 57.1 2008 US National HSMR: 70.5 534 “lives saved”

Leadership Accountability On-Line Core Measures

Leadership Accountability On-Line Balanced Scorecard A B C D G H I E F

MH Katy Community Report Public Transparency

MH Katy Community Report Public Transparency

Transformation of a Healthcare System 2009 2009 1909 1909 Memorial Hermann Baptist Sanitarium Healthcare System