Kenney Transforming Health Care

Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience
Erscheinungsjahr 2010
ISBN: 978-1-4398-8721-9
Verlag: Taylor & Francis
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 248 Seiten

For decades, the manufacturing industry has employed the Toyota Production System — the most powerful production method in the world — to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compelling vision to become The Quality Leader and to fulfill that vision, adopted the Toyota Production System as its management method.

Winner of the Shingo Research and Professional Publication Award!

Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience takes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. The results speak for themselves, including:

- An innovative patient safety alert system

- Reduction in professional liability insurance expenses

- Foundational changes that make it possible for nurses to spend 90% of their time with patients

- A computerized module that sorts through electronic medical charts and automatically identifies when disease management and preventative testing due

Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's journey as it seeks to provide perfection to its customer – the patient. This book shows you how you use this system to transform your own organization.

Autoren/Hrsg.

Kenney, Charles

Fachgebiete

• Technische Wissenschaften Verfahrenstechnik | Chemieingenieurwesen | Biotechnologie Andere Fertigungstechnologien
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Gesundheitssystem, Gesundheitswesen
• Wirtschaftswissenschaften Betriebswirtschaft Management Qualitätsmanagement, Qualitätssicherung (QS), Total Quality Management (TQM)

Inhaltsverzeichnis

PREFACE: A SURPRISING VISIT

A NEW IDEA
Change or Die
Physician-Centric
Germ of a New Idea
Toyota Mantra: Eliminate Waste

JOURNEY TO JAPAN
A Daring New Path
Skepticism
The First Trip
An Industrial Symphony
"Aren’t You Ashamed?"
The Missing Piece
"This Is Ludicrous"
No Going Back

THE BLUE YARN
A Revealing Value Stream
The Patient’s Voice
New Space, New Process
Continuous Improvement
Standard Work
A Singular Success

SAFETY CRUSADE
Patient Safety Alerts™
A Nurse’s Courage
A Doctor’s Courage
Why Shouldn’t Everybody Get a Flu Shot?
Mrs. Mary McClinton
Mistake Proofing
A Culture of Safety
Evolution of the PSA System

AMBULATORY CARE BREAKTHROUGH
Stress on Primary Care
Moving the Mountain of Waits
Mistake-Proofing Care: Early Steps
Creating a New Tool
Inventing the Flow Station
Breakthrough
Skill–Task Alignment
Primary Care Transformed
Going to Jidoka
External Setup
Biggest Room in the House

TRANSFORMING PROCEDURAL CARE
Creating a New Ambulatory Surgical Experience
Design Challenge
Listening to Patients
Setup Reduction
Breakthrough
Center for Hyperbaric Medicine
Ask Why
Patient Focused

TRANSFORMING INPATIENT CARE
Geographic Cells
Report/Handoff
In-Room Documentation
Visual Work Environment
Medical Emergency Teams
Hourly Rounding: From Reactive to Proactive
Knowing the Frontline Work
Dramatic Change in Nurse Culture
Shorter Length of Stay

BETTER, FASTER, MORE AFFORDABLE
Identifying The Customer
"We Can Do Better"
Value Stream Reveals Huge Waste
Same-Day Access
Marketplace Defines Quality
Home Run
Financial Conundrum
Perverse Incentives

MANAGEMENT METHOD
Seeing Virginia Mason with Fresh Eyes
Structure and Discipline
Training within Industry
Standard Work: Hand Hygiene
World-Class Management
Daily Management
"The State of the Union Every Tuesday Morning"
"Everybody Can Be a Leader"
Leadership

THE JOURNEY CONTINUES
Will You Teach Us?
If You Build It
Role Model
The Virginia Mason Institute
"Accountable Outside Our Own Walls"
The Obstacle of Arrogance
A Nonsystem
A Sense of Hope
The Journey Continues
"We’re Just Getting Started"

SOURCE NOTES

APPENDIX
Applying VMPS to Business Functions
Relentless Attack on Waste
Bringing Flow Stations to Specialty Department
General Internal Medicine: Spreading Innovation in Ambulatory Care
Breaking Down Silos
Skill–Task Alignment
Uphill Battle
Restructuring
Introducing Flow Stations
The New GIM