Most Recent
Why Don't We Use DMAIC?

After all, we are a lean six sigma operation, and DMAIC is a standard methodology. At Utah, we’ve adopted a revised improvement methodology. In this week’s post of Steve’s Dojo (or continuing Lean Six Sigma education), Steve explains why.

Is a Master of Culture Administration (MCA) the New MBA?

What is the most important skill that health care leaders need? According to a recent NEJM Catalyst survey, it's building culture. But what are "culture skills" and how does one actually build them? Chrissy Daniels curates culture lessons from Accelerate case studies and finds that, although our business school doesn't currently offer the MCA, when they do, we will have faculty ready to teach.

The Clarifying Power of Histograms and Run Charts

Why use the honest histogram and reliable run chart? They contain more information and communicate it with greater clarity than the deceptive duo of mean and standard deviation. In this week's post of Steve's Dojo (or continuing Lean Six Sigma education), Steve puts the data in plain perspective.

Practicing (Episode 2): Brad Wiggins and Dr. Steve Morris

Real teams are the antidote to the chaos of modern medicine. “Real teams know each other, feel loyalty to one another, trust one another, and would not want to disappoint one another” (Tom Lee, NEJM Catalyst 2016). Practicing are conversations between real team members about why the work matters. Our goal is to preserve and share the stories of the teams at University of Utah Healthcare.

What Will Be Valued in the Future?

In this article, Dr. Patrick Conway, Centers for Medicare and Medicaid Services Chief Medical Officer, and others write about how the three goals of the past Health and Human Services administration are at the heart of improving healthcare.

Why We Cover Health Care Payment Reform

Why dedicate space to the hot poker that is health law and policy on this website? Context. We are an improvement community. We believe providing context is an act of respect. Talking about "the why" of complex healthcare topics (payment reform included) allows our frontline clinicians and staff to be empowered and informed.

Greg Bell on How Payment Reform May Impact Utah

Former Lieutenant Governor Greg Bell on how congressional inaction could limit hospitals and doctors’ ability to provide healthcare in Utah (Photo credit: KUER, Utah Governor's Office).

Why Don’t We Teach the Eighth Waste?

The 8th waste is underutilization of employee talent. In this week's post of Steve's Dojo (or continuing Lean Six Sigma education), Steve revisits Taiichi Ohno’s "7 wastes" and answers why he doesn't teach the "8th waste" at University of Utah.

How Maintenance Management Systems Make Us a Safer Organization

Just under 40,000 pieces of physical equipment keep our hospital system humming—everything from hospital beds to air chillers. Casey Chandler manages the team that takes care of all 40,000 items. Here, he details the tools that keep us safe.

The Healthcare Value-Added Test

What if you could redesign healthcare from the ground up? If you were to start with the healthcare value-added test applied to each decision, what would healthcare delivery look, sound, and feel like? Would you be able to shake off the preconceived notions of what it takes to run a healthcare system? Would hospitals be recognizable? In this week's post of Steve's Dojo (or continuing Lean Six Sigma education), we revisit the healthcare value-added test.

Safe Systems, Safe Patients

Medical errors are a leading cause of death in the United States. What can we do to ensure our patients aren’t harmed while in our care? Former Chief Medical Quality Officer Bob Pendleton reflects on a simple concept to begin the conversation.

Lean Guard Rails: Using the EMR as a forcing function

The sepsis case study focused on the leadership challenges faced by hospitalists Kencee Graves and Devin Horton. This post is about the project’s technical achievement using a process improvement principle. Our system taught Epic, Utah’s electronic medical record (EMR) how to provide urgent, life-saving information to clinicians.