Title 2013-2014 Annual Report 1 Agenda Introduction of Executive - - PowerPoint PPT Presentation

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Title 2013-2014 Annual Report 1 Agenda Introduction of Executive - - PowerPoint PPT Presentation

San Francisco General Hospital Subtitle and Trauma Center Title 2013-2014 Annual Report 1 Agenda Introduction of Executive Leadership Hospital Rebuild/Transition Lean Management System Quality Improvement Environment of


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SLIDE 1

Title

Subtitle

1

San Francisco General Hospital and Trauma Center

2013-2014 Annual Report

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SLIDE 2
  • Introduction of Executive Leadership
  • Hospital Rebuild/Transition
  • Lean Management System
  • Quality Improvement
  • Environment of Care Report
  • Policies
  • Hospital Plan for Provision of Patient Care
  • Performance Improvement and Patient

Safety Program

Agenda

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SLIDE 3

SFGH Executive Leadership

SFGH Executive Leaders

  • Sue Currin, Chief Executive Officer
  • Iman Nazeeri-Simmons, Chief Operating Officer
  • Terry Dentoni, Chief Nursing Officer
  • Valerie Inouye, Chief Financial Officer
  • David Woods, Chief Pharmacy Officer
  • Troy Williams, Chief Quality Officer
  • Margaret Damiano, Director of Operations,

Dean’s Office

  • Kathy Murphy, Deputy City Attorney
  • Shermineh Jafarieh, Administrator of

Diagnostics and Wellness Services, F&NS

  • Aiyana Johnson, Chief Care Experience Officer
  • Elaine Lee, Director, Human Resources
  • Winona Mindolovich, Director, Information

Systems

  • Lillian Chan, Director of Transition
  • Anson Moon, Dir., Administrative Operations
  • Kathy Jung, Director of Support Services

SFGH Executive Medical Staff Leaders

  • Sue Carlisle, M.D., UCSF Vice Dean, SFGH
  • Todd May, M.D., Chief Medical Officer
  • James Marks, M.D., Chief of Medical Staff
  • Alice Chen, M.D., SFGH Chief Integration Officer
  • Jeff Critchfield, M.D., Medical Director, Care

Experience and Risk Management

  • William Huen, M.D., Associate Chief Medical

Officer

  • Jenson Wong, M.D., Chief Medical Informatics

Officer

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SLIDE 4

Hospital Rebuild/Transition

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SLIDE 5

Hospital Rebuild/Transition

ICU Nurse Station

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SLIDE 6

Hospital Rebuild/Transition

Medical/Surgical Inpatient Room

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SLIDE 7

Future State Model: Patient Centered Coordinated Care

Flow Simulations in the new floor plan

Inpatient Services Workflow

3P Design

Order / Admit /Discharge

The Team

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SLIDE 8

Surgical and Procedural Services Workflow

3P Design

The Really Big Paradigm-Shifting Fish Future State Table Top Models Visiting the Gemba Finding Teamwork in Nature Reviewing Our Data Working as Teams

0% 20% 40% 60% 80% 100% 120% 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000

2013 VOLUME BY SERVICE LINE

TOTAL PARETO %

0% 20% 40% 60% 80% 100% 120% 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 GI Radiology Ortho Gen Surg Urology Cardiology Opth Plastic Surg ENT Neurosurg Gyn Oral Surg ECT Pulmonary

2013 VOLUME BY SERVICE LINE

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SLIDE 9

Reviewing Our Data Presenting the Floor Plan

Emergency Services Workflow

3P Design

Patient Perspective Future State Table Top Models Workflow Mapping with Blueprints Working as Teams

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SLIDE 10

Improving Care

Lean Management System

5D Medical/Surgical Nursing Unit Production Board

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SLIDE 11

Improving Care

Lean Management System

Outpatient Pharmacy Prescription Refills

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SLIDE 12

ACSCOT Level 1 Trauma Accreditation The Joint Commission Stroke and Traumatic Brain Injury Certifications CDPH Long Term Care Accreditation Baby Friendly USA Re-designation CoC Cancer Program Accreditation The Joint Commission Triennial Accreditation

Quality Improvement

Accreditations and Certifications

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SLIDE 13

Quality Improvement

Sepsis

SFGH rank fifth of 122 UHC academic medical center for lowest mortality rate due to Sepsis in Quarter 1 2014 Selected By CAPH/SNI for its 2014 Quality Leaders Award

20% 18% 12.9% 10.7% 9.5%

0% 5% 10% 15% 20% 25% 2010 2011 2012 2013 2014*

Mortality Rate

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SLIDE 14

 Goal of the Environment of Care (EOC) Program is to provide a safe, functional and effective environment for patients, staff and visitors  Use of metrics to identify

  • Trends and risks
  • Training needs
  • Ensure compliance with Joint Commission EOC requirements

 Selected Program Highlights and Accomplishments

  • Safety Management

 Code Green  Violence in the Workplace  Falls Prevention

Environment of Care Report

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SLIDE 15

Environment of Care Report

 Selected Program Highlights and Accomplishments

  • Security Management

 New and expanded leadership  Mandatory training requirements for all SFSD staff  Establishment of operational protocols  Communications  Performance metrics auditing performance accountability

  • Life Safety Management

 Campus wide fire alarm study

  • Utilities Management

 Modernization of Building 5 Elevators

  • Emergency Management

 Response to crash of Asiana Flight

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SLIDE 16

Policies for Approvals

8.09 Hospital Plan for Provision of Patient Care

  • Patient demographics

updated.

17.01 Performance Improvement and Patient Safety Program

  • Review process for Patient

Safety Plan

  • Functions of Quality

Council updated

  • Minor edits
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SLIDE 17
  • Environment of Care Report
  • Policies
  • Hospital Plan for Provision of Patient Care
  • Performance Improvement and Patient

Safety Program

Approval Needed

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SLIDE 18

SF: Leading Center of Health, Healing and Hope

2014 SF Health Sector Impact Report

  • Health: an essential part of the City’s

infrastructure

  • 22% of all SF jobs
  • $4.9 billion investment in new facilities
  • $28.4 billion added to SF’s economy
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SLIDE 19

https://vimeo.com/84845122

Trauma Prevention