With trademark warmth and candor, pediatrician Diane Liu reflects, “I wasn’t always patient-centered.” In this podcast, Chief Medical Quality Officer Bob Pendleton follows Dr. Liu's journey of self-discovery that began with one person’s suffering—her grandmother—to her current work empowering future physicians with the knowledge, skills and compassion to transform health care.
Value Improvement Leaders (VIL) is a 13 week leadership course offered at University of Utah Health that teaches the skills needed to provide sponsorship and leadership for value improvement work. Principles taught are taken from Lean, Six Sigma, and PDSA methodologies. The course explains theory, provides healthcare examples of many specific leadership techniques, and uses an applied learning model. Not everyone can take the course, but everyone can follow along with the lesson plan.
Today in the Dojo, Steve discusses how standard work in health care differs from standard work in manufacturing environments. If that’s not enticement enough, the post contains some macro-economics, and a touch of linguistics.
When dermatologist Dr. Stephanie Klein proposed a clinic for urgent skin care needs, she thought it would be easy. Reserve the clinic rooms, schedule the appointments—done! She quickly found out that moving from idea to reality would require leadership skills that she hadn’t been taught in medical training and ten years of practice. Accelerate’s Mari Ransco found out how Klein transformed from busy clinician to leader.
If Apple Maps and Garmin can provide just-in-time information, why can’t health care? Lots of legitimate reasons, but we’re making significant strides. This week, the Dojo goes moto as Ken Kawamoto, Associate Chief Medical Information Officer and Director of Knowledge Management and Mobilization, helps us understand how we’re creating better information at the right time.
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.
We asked Zac Watne, Utah’s payment innovation manager (he gets paid to understand the volatile world of payment reform) to give us a primer on “bundles.” Regardless of change happening in health care, thought leaders predict that payment reform, and specifically, bundled payments, are here to stay. Why? Bundles deliver care with improved outcomes at a lower price all over the United States. In this post, Zac addresses how long it takes to get paid.
Improving value in health care means tackling long-standing problems. These problems have seemingly simple solutions, but just won’t stay fixed. Fixing the old problems of health care requires new problem solving skills. Nurse manager Jamie D’Ausilio used University of Utah Health’s value improvement methodology to confront one of the most common management challenges—unnecessary overtime. Using concepts from lean and six sigma, D’Ausilio identified waste, prioritized root causes, and engaged her team to design interventions to create new workflow design.
Pareto analyses separate the vital few from the trivial many. It’s a narrowing tool used by data-driven lean six sigma facilitators to bring focus to a value improvement effort. Steve walks us through an example in today’s Dojo.
We all love the “great save” stories. But heroism in the context of health care improvement isn’t always so exciting. When you’re pursuing more reliable, more patient-centered, and more affordable health care, providers have to rely on a different kind of gratification.
Department of family and preventive medicine physician Kyle Bradford Jones explains why our health care system feels so piecemeal (it’s designed that way) and suggests that better teamwork might be the only practical antidote.
This little list is to help lean six sigma (LSS) practitioners communicate more effectively. Communicating is 50-80% of the work in LSS and the concepts are often counterintuitive, so Steve's developed this list to make your life easier—avoid these.
