best practices presentation: driving change with evidenced-based process improvement
TRANSCRIPT
Jason Tessari, Hospital Operations Manager, Mainspring Brian Reed, Equipment Distribution Center Manager, SUNY
Dick Billharz, Director of Clinical Engineering, SUNY
Using Evidenced Based Data to Drive Process Improvement
2
Partnership History
Pre-Program Functionality• All CES requests through phone/Voicera• Equipment delivery times averaged 30-60 mins
Pre-Program Facts:
Nursing Satisfaction Level: Poor
Employee Accountability: Low
Employee Productivity: Unknown
Asset Tracking: Poor
Workflow Automation: Poor
3
Current Program Functionality
Mainspring
National Average %
Complete visibility into the flow of equipment
to inform Nursing of any possible delays of care
Automated proactive response to Equipment Recalls/Overdue PMs utilizing passive RFID
and workflow automation tools
Strong relationship between CES and
Nursing and Biomed to streamline operational
compliance
Nursing Satisfaction, Patient Care & Safety and Operational Compliance
4
Staying Connected
• SUNY Upstate and Mainspring are committed to:• Our customers• Service Excellence• Continuous Improvement
…because we work together to start at the root cause, improve and automate vital work flow and maintain a platformfor sustainable operational success that reacheseveryone within the SUNY healthcare system.
Mainspring
“I cant believe how easy it is to make a request for equipment. We were very skeptical”Charge Nurse, 12F
“When I request equipment now, it comes up extremely fast”Nurse 9F
5
Key Performance Metrics
• Nursing Compliance– All requests go through request system– Soiled equipment placed in soiled equipment room
• Demand– Visual displays allow to view all incoming requests– SUNY and Mainspring monitor demand to proactively predict the need
• Delays/Availability– Visual displays allow to view real time delays and react proactively
• Trip Times/Staff Productivity– Management are able to view in real time, productivity of staff and
report on weekly/monthly benchmarks
6
“When I request equipment now, it comes
up extremely fast”Nurse 9F
Nursing ComplianceKey
Performance Metrics
“I cant believe how easy it is to make a request for equipment.
We were very skeptical”Charge Nurse, 12F
0
200
400
600
800
1000
1200
1400
1600
1800
1055
1435
1652
7
Key Performance
Metrics Equipment Demand
5A Surge
ry Unit
5B Surge
ry Unit
6A Med
icine U
nit
6B Med
icine
6H Med
icine I
CU
6I Surgi
cal IC
U
8E Coro
nary Icu
9E Neu
ro St
epdown
8G Med
icine U
nit
7A Orth
opedic U
nit
9F Neu
ro Icu
9G Neuro
surgi
cal
ED-A
, Emerg
ency
Dept -
Adult
8F Card
iopulmonary
10E Onco
logy
11E Ped
iatric
Step
10G Onc. O
verfl
ow
6K CT Step
down
6E Burn
Icu
12E Ped
iatric
Unit0
50
100
150
200
250
Requests made by Department by Month (Top 20)
JanuaryFebruaryMarch
8
Delivery DelaysKey
Performance Metrics
Air MattressesBladder Scanners
BrainsChairs
CommodesElebedw/scale
FansFeeding Pumps
Heating PadsIsolation Carts
Lift SlingsLVPChannels
PCA`sPolesSCD`s
Seizure PadsSeizure Pads New
StretchersSuction GaugesSyringe Pumps
WheelchairsWheeled Walker
0 10 20 30 40 50 60 70 80 9011
277
5232
813
610
6962
845
4828
1414
29
578
What was delayed?
Number of Delayed Devices
1.82%2.54%5.10%
12.16%
0.70%
5.09%2.88%4.04%
1.73%3.92%
23.66%
18.30%
5.65%1.66%2.86%1.88%2.50%
39.69%
4.09%1.47%
11.22%
Percent of Orders that are De-layed per Device
Percent of Orders that are Delayed per Device
9
Delivery DelaysKey
Performance Metrics
10
Sustainability
Mainspring
National Average %
Determine specific workflow improvements to increase productivity based on observations
to date and nursing satisfaction survey.
Enhance and improve RFID deployment.
Nursing Satisfaction, Patient Care & Safety and Operational Compliance
11
Questions/Comments?
Mainspring