g7 driving waste out of the system - c. kennedy

Download G7 Driving Waste Out of the System - C. Kennedy

Post on 22-Apr-2015

228 views

Category:

Health & Medicine

1 download

Embed Size (px)

DESCRIPTION

 

TRANSCRIPT

  • 1. Identifying Waste At The Front-LineInstitute for Healthcare ImprovementHospital Inpatient WasteIdentification Tool
  • 2. IHI Hospital Waste Identification Tool How Interior What is It? Try it Out! Health Has Used It Background, Experience, Application
  • 3. IHI Hospital Inpatient Waste Identification ToolWhat Is It?
  • 4. connecting front-line staff with system levelImprovement
  • 5. Procedure Adverse Drug Complications Events Flow Delays Unnecessary HospitalizationsClinical Care Delays Healthcare Associated Infections
  • 6. ..hospital resources that are used, consumed, spent orexpended where, from the perspective of the patient, thehospital, or the community, patient care is not enhanced as aresults of such expenditures (IHI, May 2010) Waste
  • 7. Five DiagnosisModules Module Intended to becustomized for the area of use Patient Patient Module Care ModuleWard Module Treatment Module
  • 8. Identify and categorize actual or potential waste from the perspective of front-line staff Assess if waste is present Move from qualitative to quantitative dataWaste Reduction
  • 9. Qualitative to QuantitativeUse to prioritize action, furtherreview, and develop a businesscase for improvement .
  • 10. Front-Line LeadershipQualitative QuantitativeEvaluation EvaluationModules ImplementSelectedWards Selected StrategiesTool Instruction Decision to ResourceReview FinancialConducted ImplicationsPotential Waste Enriched ReviewID Engagement
  • 11. IHI Hospital Inpatient Waste Identification ToolTry It Out!
  • 12. Try it Out!Ward Module Review Module Instructions Watch Video Complete Ward Module Discuss Results Discuss Next Steps
  • 13. Review Ward ModuleReview Ward Module andInstructions
  • 14. Review Ward ModuleCount Down
  • 15. Review Ward ModuleCount Down
  • 16. Review Ward ModuleCount Down
  • 17. ExperiencePlay Trailer and Video Simulation
  • 18. Waste Tool Trailer
  • 19. Waste Tool Sample Patients What wastes do you identify? What percentage waste is there (of the 3 patients)? What might be some next steps?
  • 20. Waste Tool Sample Patients
  • 21. Discuss Waste Identified, Percentage Waste and Next StepsCount Down
  • 22. Discuss Waste Identified, Percentage Waste and Next StepsCount Down
  • 23. Discuss Waste Identified, Percentage Waste and Next StepsCount Down
  • 24. Discuss Waste Identified, Percentage Waste and Next StepsCount Down
  • 25. Discuss Waste Identified, Percentage Waste and Next StepsCount Down
  • 26. What wastes did your table identify? What percentage waste did you see? What might be some next steps? Debrief
  • 27. IHI Hospital Inpatient Waste Identification ToolHow Interior Health Has Used It
  • 28. Still Early. On the Journey
  • 29. Our ExperienceIdentified a site and an inpatient wardIdentified reviewer (s)Selected module (s)PDSA cycles Trialed and customizedFront-line staff used the tool Indicated yes/no if waste was present At moment of module useTotal # of beds (percentage waste)
  • 30. In PracticeWard Module (Medical & Surgical Wards)Combined Treatment/Ward Module(ICU/SDU)Patient Care Module in Planning Phase(Medical Ward)
  • 31. IHI Waste Tool in 6 NorthSurgical WardModified Ward Module
  • 32. In Practice 6 N Results 6 North Total Waste per audit100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0%
  • 33. In Practice 6 N Results Clinical Care Delay70.0%60.0%50.0%40.0% Clinical Care Delay30.0%20.0%10.0% 0.0% Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12
  • 34. In Practice 6 N ResultsClinical Care Delay Diagnostic Imaging Commitment from Leadership to Address Almost Immediate ResultsCreeping up Again Order Delays an Issue
  • 35. In Practice 6 N Results Procedure Complication25.0%20.0%15.0% Procedure Complication10.0% 5.0% 0.0% Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12

Recommended

View more >