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This workbook is a place to note your reflections and relevant ideas to enhance your current hospital operations and flow initiatives. It is being offered to assist you in organizing your notes and daily relfections throughout the program in preparation for the “Putting It All Together” session on Day 4.

Table of Contents

Strategies to Achieve System-wide Flow (pp. 3-6)

Driver Diagram: Strategies to Achieve System-wide Flow

Hospital Flow: Strategies for System Optimization

Driver Diagram: Ideas to Improve Hopsital Flow

Graphic Depiction of a System of Hospital Flow

Notes and Reflections of Day 1 – Day 4 (pp. 7-15)

Putting It All Together: Portfolio of Projects (pp. 16-20)

Ideas to Improve Hospital Flow >> Portfolio of Projects (3)

Graphic Depiction of a System of Hospital Flow >> add high priority changes

Portfolio of Projects

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Notes and Reflections on Day 1 of the Hospital Flow Professional Development Program

Diagnostic Measures and Setting Goals

Where is your current performance unsatisfactory? What are your targets or goals for specific flow measures?

Are there measures that you will consider adding to your organization’s flow measurement strategy?

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Notes and Reflections on Day 1 of the Hospital Flow Professional Development Program

“Bright Spots” and Major Challenges

Hospital (Macro)Administrative

OR/Surgical ICU Med Surg ED Other

Challenges to Solve

Hospital (Macro)Administrative

OR/Surgical ICU Med Surg ED Other

What did you learn about “bright spots’ from other participants in the program?

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Notes and Reflections on Day 1 of the Hospital Flow Professional Development Program

Strategies to Achieve System-Wide Hospital Flow

New Ideas regarding proposed Flow Management Strategies?

Questions about Strategies to Achieve System-Wide Flow?

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Notes and Reflections on Day 1 of the Hospital Flow Professional Development Program

Notes and Reflections on Day 2 of the Hospital Flow Professional Development Program

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Notes and Reflections on Day 2 of the Hospital Flow Professional Development Program

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Notes and Reflections on Day 3 of the Hospital Flow Professional Development Program

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Notes and Reflections on Day 3 of the Hospital Flow Professional Development Program

13 | P a g eS7 Oversight system for hospital-wide operations to optimize patient flow

Match Capacity

and Demand

C7 Assess seasonal variations and changes in demand patterns and proactively plan for variations

C8 Daily flow planning huddles (improve predictions to synchronize admissions, discharges and discharges)C8 Real-time demand and capacity problem-solving (managing constraints and bottlenecks)

S8 Real-time demand and capacity management processes

Notes and Reflections on Day 4 of the Hospital Flow Professional Development Program

14 | P a g eUtilization of Hospital-wide Metrics to Guide Learning Within and Across Projects for Achieving Results

Accountable Executive Leadership Providing Oversight of System-Level Performance

Will

Strategic Priority and Aligned Incentives

Mutuality between Physicians and Hospital Executives

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Putting it all Together: Portfolio of Projects on Day 4

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