Reducing Cost Looking Beyond the Waste In Healthcare Laura Silvoy - - PowerPoint PPT Presentation
AcademyHealth ARM 06.27.2017 Reducing Cost Looking Beyond the Waste In Healthcare Laura Silvoy Healthcare Systems Engineer, Senior Associate Array Advisors @LauraSilvoy /LauraSilvoy AcademyHealth ARM 06.27.2017 SHRINKING MARGINS
Reducing Cost
Looking Beyond the Waste In Healthcare AcademyHealth ARM • 06.27.2017
Laura Silvoy
Healthcare Systems Engineer, Senior Associate Array Advisors @LauraSilvoy /LauraSilvoy
AcademyHealth ARM • 06.27.2017
SHRINKING MARGINS Getting paid less for the same service
AcademyHealth ARM • 06.27.2017
SHRINKING MARGINS Can’t reduce the quality of service
AcademyHealth ARM • 06.27.2017
SHRINKING MARGINS GOAL: Reduce cost and improve outcomes
AcademyHealth ARM • 06.27.2017
LEGISLATION IMPLICATIONS
Bill or no bill, we still need to move forward and continue our focus on improving health and health care for our patients and our communities while reducing costs. Now is the time to double down on our work.” ~IHI Leadership Alliance, NEJM Catalyst
Lower the cost of healthcare:
Experience]
[Reducing Costs, Care Team Well- Being]
within the community [Population Health]
Patient Experience Population Health Care Team Well-Being Reducing Costs
Quadruple Aim
AcademyHealth ARM • 06.27.2017
Identify and eliminate waste
AcademyHealth ARM • 06.27.2017
VALUE STREAM FOCUS
AcademyHealth ARM • 06.27.2017
CASE STUDY
AcademyHealth ARM • 06.27.2017
Build more beds
CASE STUDY
Viccellio, MD, FACEP, Peter. (2017, May). Introduction to the Problem and Discussion of Full Capacity Protocol. Presentation at the Hospital Flow Seminar of ACEP, Boston, MA. AcademyHealth ARM • 06.27.2017
CASE STUDY
Census
Elective Admissions Unscheduled Admissions
Viccellio, MD, FACEP, Peter. (2017, May). Introduction to the Problem and Discussion of Full Capacity Protocol. Presentation at the Hospital Flow Seminar of ACEP, Boston, MA. AcademyHealth ARM • 06.27.2017
1000 2000 3000 4000 5000 6000 7000
Elective Emergency
CASE STUDY
Viccellio, MD, FACEP, Peter. (2017, May). Introduction to the Problem and Discussion of Full Capacity Protocol. Presentation at the Hospital Flow Seminar of ACEP, Boston, MA. AcademyHealth ARM • 06.27.2017
CASE STUDY
Reduce or Eliminate Boarding Level Load Elective Surgeries
Viccellio, MD, FACEP, Peter. (2017, May). Introduction to the Problem and Discussion of Full Capacity Protocol. Presentation at the Hospital Flow Seminar of ACEP, Boston, MA. AcademyHealth ARM • 06.27.2017
CAPITAL PROJECT AS A CATALYST
AcademyHealth ARM • 06.27.2017
LEAN
Lean in healthcare design tries to identify the effective and efficient design solutions for value generation.”
~Zhang, Y., Evidence-Based Design in Healthcare - a Lean Perspective with an Emphasis on Value Generation.
AcademyHealth ARM • 06.27.2017
MULTIDISCIPLINARY FOCUS
AcademyHealth ARM • 06.27.2017
EVIDENCE-BASED DESIGN (EBD)
Design solutions for healthcare buildings to create environments that are therapeutic, supportive of family involvement, efficient for staff performance, and restorative for workers under stress.”
~D. Hamilton, The Four Levels of Evidence-Based Practice
AcademyHealth ARM • 06.27.2017
LINKING LEAN AND EBD
Lean: Value Generation EBD: Design Decision- Making
Lean: Maximize the value Lean: Consider customer needs Lean: Minimize the life-cycle cost EBD: Optimize the healing environment EBD: Guide the investment decision EBD: Focus on user- centered design
AcademyHealth ARM • 06.27.2017
FINAL THOUGHTS
Patient Experience Population Health Care Team Well-Being Reducing Costs
Quadruple Aim
Now more than ever, we need to do this work together.”
~IHI Leadership Alliance, NEJM Catalyst
Reducing Costs
environment [Patient Experience]
Well-Being, Patient Experience]
the community [Population Health]