best practices presentation: driving change with evidenced-based process improvement

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Jason Tessari, Hospital Operations Manager, Mainspring Brian Reed, Equipment Distribution Center Manager, SUNY Dick Billharz, Director of Clinical Using Evidenced Based Data to Drive Process Improvement

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Page 1: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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

Page 2: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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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

Page 3: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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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

Page 4: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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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

Page 5: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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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

Page 6: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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“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

Page 7: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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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

Page 8: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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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

Page 9: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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Delivery DelaysKey

Performance Metrics

Page 10: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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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

Page 11: Best Practices Presentation: Driving Change with Evidenced-Based Process Improvement

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Questions/Comments?

Mainspring