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Winona Health Continuous Systems Improvement

Winona Health Continuous Systems Improvement. May 2011 Linda Wadewitz, Director of CSI Ann Baker, Director of Imaging. History. 1894 – Non-profit, independent, community-owned hospital founded

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Winona Health Continuous Systems Improvement

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  1. Winona HealthContinuous Systems Improvement May 2011 Linda Wadewitz, Director of CSI Ann Baker, Director of Imaging

  2. History • 1894 – Non-profit, independent, community-owned hospital founded • 1990s – Winona Health formed as an “umbrella” non-profit organization for the community’s growing healthcare needs, encompassing: • Community Memorial Hospital • Winona Senior Services • Winona Health Physician Clinics • Winona Health Foundation • Parkview Pharmacy • 2008-2009 – Clinic mergers

  3. Our Mission • Devoted to improving the health and well-being of our family, friends, and neighbors Our Vision • To be a recognized leader in the revolutionary transformation of community healthcare Our Values IntegrityDo no harm ServiceServe with compassion, dignity, & respect Loyalty Build relationships that exceed expectations ExcellenceImprove performance through learning & innovation

  4. STATEGIC PLANNING • Enhance the patient/resident experience • Improve health/outcomes • Reduce/control costs TRIPLE AIM TRUE NORTH VISION STRATEGY DEPLOYMENT

  5. Continues Systems Improvement (CSI) Process aligns with Baldrige Criteria • Organizational alignment with Baldrige criteria drives success of CSI initiatives (Cat. 2 – Strategic Planning) • Focuses on value in the eyes of our patients/residents while building and improving processes (Cat. 3 – Focus on Patients, Other Customers and Markets) • Data driven improvement (Cat. 4 – Measurement, Analysis and Knowledge Management and Cat. 7 – Organizational Results) • Employees engagement thru Kaizens, 5S, CIP and JDI projects (Cat. 5 – Workforce Focus) • The PDCA cycle is embedded in our work systems and key work processes to achieve better performance (Cat. 6 – Process Management) • CSI Process is leadership-driven (Category 1 – Leadership)

  6. Organizational Structure

  7. Organizational Structure

  8. Culture Change • CEO Leadership-Observations-Walk the Talk • Leadership Driven; Empowering Staff • Reorganized structure • Physician Leadership • Systems Thinking-Innovations • Gemba Time-”No meeting zone” • Involve community members, organizations and patients in continuous improvement projects

  9. MCQ Exit Comments • Innovations: • Commitment to community • Focus on the Customer: • Start the Kaizen mapping with patient perspective • Information Technology • Integration of EHR technology into workflows • Super user group: breadth and depth of its role • Clinical downtime recovery and backfill policy and procedure Notable Strengths: CSI Culture of change Culture of Community/engagement Living the mission, vision, and values “Revolutionary transformation of community health care” Integration of EHR into work processes using CSI framework Diagnostic technologies

  10. Winona Health’s Lean Management System

  11. Learning CSI Higher Learning Consultant Leadership Train the Trainer CSI Trained Established CSI Team

  12. Box Score

  13. CSI Events Care Coordination - Visual board containing care coordination details for all admitted patients. Immediate buy-in by staff and providers. Reviewed twice a day. Decision to Incision - Decreased time to Operating room from ED by 45% Pathology Labeling - Zero defects per million Volunteers - Improved retention of volunteers in long term care Medication Reconciliation – Accurate medication list Pre-Visit Planning – Improves the value of the visit for the patient and provider

  14. AODA – Alcohol & Other Drug Abuse and associated mental disease Involved community members and organizations: City and County Law Enforcement Community Mental Health In-patient Mental Health MD/nurse Ambulance Service Emergency MD/nurse ICU nurse Social Worker/Hospital & County

  15. Lessons Learned Pre-Work T-6 Well planned Event Week Team Leader Training Improved Sustaining Better planning during events Reading Circles How to apply Lean to healthcare Leadership developed Pull system Requests for mapping/standard work A3 requirements Learning Pursuit of perfection with CSI process

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