The Front Lines Introduction 1 in 100 20% to 50% admitted will - - PowerPoint PPT Presentation

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Oct 30, 2023 296 likes •440 views

Healthcare Crisis From The Front Lines Introduction 1 in 100 20% to 50% admitted will die from a medical mistake diagnostic procedures are unnecessary 6 in 100 5% to 10% will be permanently disabled acquire a nosocomial infection 1 in 2

SLIDE 1

Healthcare Crisis From The Front Lines

SLIDE 2

All of these mistakes are preventable!

Introduction

Lean Six Sigma for Hospitals - Jay Arthur

1 in 100

admitted will die from a medical mistake

6 in 100

will be permanently disabled

1 in 2

(50%) will suffer some preventable harm

15 of 100

diagnoses are incorrect

20% to 50%

diagnostic procedures are unnecessary

5% to 10%

acquire a nosocomial infection

3 in 100

have incorrect ID band

SLIDE 3

2012 Performance

ED request to occupy ED hold times Left Without Treatment (LWOT) internal transport pending to in progress EVS total turn time request to assign for bed discharge window dead bed time

134 MINS >4 HOURS 4.25% 34 MINS 88 MINS 63 MINS 9.25 HOURS $4M~/YR

All numbers in average

SLIDE 4

What Are The Priorities?

SLIDE 5

Process Steps

Conduct value stream analysis

Identify and eliminate waste

Streamline documentation Set expectations and responsibilities by service provider

SLIDE 6

Drive To Excellence

Our Electronic Medical Record (EMR) doesn’t have capability to provide required throughput metrics The EMR doesn’t have a robust report writing application to push

ut metrics to the care team

SLIDE 7

Operational Platform

TeleTracking allowed true data analysis

We built over 200 reports in Customized Reporting Solutions (CRS)

Driving daily accountability to best practice metrics Real time notification upon non-performance

SLIDE 8

Care Traffic Control

Registration Case Management Direct Admissions Transfer/Access Center Bed Placement Helicopter Dispatch Electronic ICU (EICU)

SLIDE 9

Real-Time Dashboards

SLIDE 10

Emergency Department Outcomes

12% increase in ED visits Reduction in ED wait times >70% (33K hours) Request to assign time reduction of 81% (57 mins to 10 mins) Hospital acquired conditions reduced by 15% without rebound Reduction in Left Without Treatment (LWOT) to less than .25%

SLIDE 11

Hold Time In Dollars In The Emergency Dept

UCL $121,281 CL $61,867 LCL $2,452 $0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000 $140,000 $160,000 $180,000 1 5 9 13 17 21 25 29 33 37 41 45 49 53 57 61 65 69 73 77 81 85 89 93 97 101 105 109 113 117 121 125 129 133 137 141 145 149 153 157 161 165 169 173 177 181 Dollars Week

$3.8M/YR $1.3M/YR

SLIDE 12

1.11 2.11 3.11 4.11 5.11 6.11 7.11 8.11 9.11 10.11 11.11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Hours Month

Discharge Kaizen

DC Kaizen

DEFINE MEASURE ANALYZE IMPROVE CONTROL

IMPROVEMENT PROCESS

SLIDE 13