ThedaCare's business performance system: sustaining continuous daily improvement through hospital management in a lean environment.
Background: For 2003-2008, ThedaCare, a community health system in Wisconsin, achieved significant improvements in quality and the elimination of waste through the development of an improvement system, which included Value Stream analysis, rapid improvement events, and projects applied to specific p...
| Publicado en: | Joint Commission Journal on Quality & Patient Safety Vol. 37; no. 9; pp. 387 - 400 |
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| Autor principal: | |
| Formato: | case study research tables/charts Journal Article |
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Elsevier B.V.
2011 Sep
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108258903&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108258903 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15537250 17W5 jtl: Joint Commission Journal on Quality & Patient Safety issn: 15537250 maglogo: N pubinfo: dt: 2011 Sep vid: 37 iid: 9 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 108258903 108258903 2011276372 NLM21995255 108258903 ppf: 387 ppct: 13 formats: tig: atl: ThedaCare's business performance system: sustaining continuous daily improvement through hospital management in a lean environment. aug: au: Barnas, Kim affil: System Vice President, ThedaCare, Appleton, WI; Kim.Barnas@thedacare.org sug: subj: Health Facility Administration Quality Improvement Business Consumer Satisfaction Focus Groups Hospitals, Community Human Hypothesis Inpatients Leadership Obstetric Care Oncologic Care Orthopedic Care Outcomes (Health Care) Patient Safety Performance Measurement Systems Pilot Studies Problem Solving Productivity Prospective Studies Quality of Health Care Root Cause Analysis Wisconsin ab: Background: For 2003-2008, ThedaCare, a community health system in Wisconsin, achieved significant improvements in quality and the elimination of waste through the development of an improvement system, which included Value Stream analysis, rapid improvement events, and projects applied to specific processes. However, to meet its continuous daily improvement goals, particularly the goal of increasing productivity by 10% annually, ThedaCare needed to change the way its managers and leaders (in its hospital division) conduct and manage their daily work. Accordingly, it developed its Business Performance System[TM] (BPS) to achieve and sustain continuous daily improvement. Building the BPS: ThedaCare devised a multipart pilot project, consisting of 'learning to see' and then, 'problem solving.' On completion of the 15-week alpha phase (6 units) in July 2009, the BPS was spread to the beta pilot (12 units; September 2009-January 2010) and then to cohort 3 (10 units; September 2010-January 2011). Results: Each alpha unit improved performance on (1) the key driver metric of increasing productivity from 2008 to year-end 2009 (by 1%-11%) and (2) its respective safety/quality drivers over the respective 2008 baselines. For 2010, improvements across the alpha, beta, and cohort 3 units were found for 11 of the 14 safety/quality drivers -- 85% of the 11 customer satisfaction drivers, 83% of 6 people engagement drivers; and 48% of 23 financial stewardship drivers. Conclusions: The tools developed for the BPS have enabled teams to see, prioritize, and pursue continuous daily improvement opportunities. Unit leaders now have a structured management reporting system to reduce variation in their management styles. Leaders all now follow leadership standard work, and their daily work is now consistently aligned with the hospital and system strategy. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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