Saving Lives with Baldrige Rulon F. Stacey, PhD, FACHE - - PowerPoint PPT Presentation

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Saving Lives with Baldrige Rulon F. Stacey, PhD, FACHE - - PowerPoint PPT Presentation

Sep 25, 2023 295 likes •654 views

Saving Lives with Baldrige Rulon F. Stacey, PhD, FACHE President/CEO Po dre Valle Health S stem President/CEO, Poudre Valley Health System Poudre Valley Health System Private, locally owned, not-for-profit P i t l ll d t f fit

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SLIDE 1

Saving Lives with Baldrige

Rulon F. Stacey, PhD, FACHE President/CEO Po dre Valle Health S stem President/CEO, Poudre Valley Health System

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SLIDE 2

Poudre Valley Health System

P i t l ll d t f fit

  • Private, locally owned, not-for-profit
  • Full spectrum of healthcare services

– 2 tertiary hospitals, outpatient campus, 2 tertiary hospitals, outpatient campus, numerous satellite clinics – Regional medical hub for cardiac & trauma services orthopedics trauma services, orthopedics,

  • ncology, neonatal intensive care &

bariatric surgery

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SLIDE 3

Poudre Valley Health System

S i N th C l d W i & N b k

  • Service area: Northern Colorado, Wyoming & Nebraska
  • 4,500 employees, 600 primarily independent physicians

& 800 volunteers & 800 volunteers

  • $1 billion in annual revenue
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SLIDE 4

Where Our Journey Started

  • Community hospital serving Fort Collins, Colorado
  • 1,500 employees, 300 independent physicians & 575

volunteers volunteers

  • 24% annual employee turnover
  • 5 CEOs in 4 years

$250 million in annual revenue

  • $250 million in annual revenue
  • Changing healthcare market
  • Demand for physician integration
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SLIDE 5

The Baldrige Journey

  • Leadership: Find an improvement model
  • The Work Horse Philosophy
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SLIDE 6

Our Vision

To provide world-class health care health care

Wendy Oncology patient

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SLIDE 7

Definition of World‐Class

Striving for results in the 90th percentile

  • r top 10% of available national

comparative databases

Craig Trauma patient

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SLIDE 8

Communicate Direction Set Direction Our Beliefs

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SLIDE 9

Communicate Direction

N E l O i i

  • New Employee Orientation
  • Forums for Employees & Volunteers

– Quarterly updates on performance & action plans that support each Strategic Objective plans that support each Strategic Objective

  • Name Badges
  • Meeting Templates
  • Learn & Lead Program

g

  • Vision/Mission/Values Team
  • Leadership Meetings
  • Medical Executive Committees
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SLIDE 10

Plan & Align

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SLIDE 11

Core Competencies

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Partnering: An Innovative Strategy

  • Identify strategic opportunities

– How can we provide a lifetime of care?

  • Align economic incentives & build
  • Align economic incentives & build

relationships – Outpatient services, home health, sub- acute care third-party administrator acute care, third-party administrator, strategic vendor relationships – Win-win for PVHS, other healthcare providers patients & community providers, patients & community

  • Improve clinical quality
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SLIDE 13

The Ultimate Partnership

PVHS & Regional West Medical Center PVHS & Regional West Medical Center

  • Rural dilemma

– Insufficient volumes to ensure quality q y – Choice: Revenue or optimal outcomes?

  • New alternative

PVHS R i l W t M di l C t – PVHS + Regional West Medical Center = Medical Center of the Rockies – Improved outcomes & revenues for all p

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SLIDE 14

Execute the Plan & Drive Performance

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SLIDE 15

Execute the Plan & Drive Performance

Balanced Scorecard Process Balanced Scorecard Process

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SLIDE 16

Develop People

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SLIDE 17

Develop People

  • Performance Review Process
  • Reward & Recognition, including Peer-to-Peer Coupons

O ti l P f Pl

  • Optional Performance Plan
  • Learn & Lead, Building Blocks of Leadership
  • Learn & Grow
  • Grand Rounds, Tuesday Afternoon Conferences
  • Mentoring Program
  • Tuition Reimbursement

Tuition Reimbursement

  • Professional Associations, Conferences
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SLIDE 18

Develop People

  • Performance Review Process

– Best Practice: Integration of Values, Behavior Standards, Core Competencies, Key Customer Requirements & Personal Goal Cards

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SLIDE 19

Execute the Plan & Drive Performance

Personal Goal Cards Personal Goal Cards

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SLIDE 20

Learn, Share & Innovate

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SLIDE 21

Learn, Share & Innovate

  • Performance Excellence Teams

– Baldrige-driven improvements

  • PDCA Model for Process Improvement
  • Process Design

– Best practices: Stakeholder involvement & Voice of the Customer

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SLIDE 22

An Example: Medical Center of the Rockies

  • 20 interdisciplinary teams with staff, physicians, partners,

vendors & community members

  • Community focus groups

Community focus groups – Wayfinding, spirituality, furniture, menus, naming

  • National site visits with physicians, staff & vendors

M k f OR t it ti t & l t

  • Mock-ups for OR, trauma suite, patient room & elevator
  • Day-in-a-Life Scenarios
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SLIDE 23

Results

Gabriel, NICU “Graduate”

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Healthcare Outcomes

Risk-Adjusted Mortality Rate Risk Adjusted Mortality Rate

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SLIDE 25

Customer‐Focused Outcomes

Top Box Scores for Patient Satisfaction Top Box Scores for Patient Satisfaction

8 years of consistent improvement

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SLIDE 26

Customer‐Focused Outcomes

HCAHPS*

*Hospital Consumer Assessment of Healthcare Providers & Systems

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SLIDE 27

Financial & Market Outcomes

Patient Discharges: 50% increase since 1st Baldrige application Patient Discharges: 50% increase since 1 Baldrige application

50% increase in PVHS discharges from 2000 to 2008 11% population growth in Larimer County from 2000 to 2008 18% increase in Competitor discharges from 2000 to 2008 39% population growth in Competitor’s home county from 2000 to 2008 County from 2000 to 2008 home county from 2000 to 2008

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SLIDE 28

Workforce‐Focused Outcomes

Staff Voluntary Turnover Staff Voluntary Turnover

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SLIDE 29

Workforce‐Focused Outcomes

Employee Satisfaction & Engagement

  • Engaging Employees in Excellence Award, MSA, 2009

– Top 3 organizations in national MSA database Employee Satisfaction & Engagement

  • 93rd percentile in national database (2009)
  • Top 100 Best Places to Work, Modern Healthcare,

2008 2009 2008, 2009

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Workforce‐Focused Outcomes

Physician Engagement Scorecard Physician Engagement Scorecard

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SLIDE 31

Remaining Competitive

Hospital Charges Hospital Charges

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SLIDE 32

Community Benefit

  • Charity Care
  • Family Medicine Center
  • Community Case Management
  • Patient Navigators
  • Poudre Valley Nurse Line

Poudre Valley Nurse Line

  • Mental Health & Substance Abuse

Partnership

  • Lifestyle Challenge
  • Healthy Kids Club
  • Healthy Kids Club
  • Well City Initiative
  • Poudre Valley Prenatal
  • Aspen Club
  • Safe Kids Coalition
  • Teen Motor Vehicle Safety

Coalition

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Challenging Times…

  • Increased hospital discharges almost 50%

with only 11% population growth

  • Doubled the workforce

Doubled the workforce

  • Added 2nd hospital, outpatient campus &

numerous offsite clinics

  • Expanded service area from Fort Collins
  • Expanded service area from Fort Collins

community to 50,000 square miles in Colorado, Wyoming, Nebraska

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World‐Class Results

  • Top 10% for inpatient mortality, patient satisfaction,

employee satisfaction & physician engagement

  • Thomson Reuters Top 100 Hospital for 5 consecutive years
  • Top 100 Best Places to Work for last 2 years, Modern

Healthcare

  • Magnet designation since 2000
  • NDNQI Outstanding Nursing Quality Award for last 3 years
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SLIDE 35

Our Vision

To provide p world-class health care health care

Molly 4th generation treated at PVH