Quoteworthy
Shared decision-making with patients, though often time-consuming, creates a checks-and-balances approach between patient and doctor to achieve a shared solution.
Kyle Bradford Jones

Most Recent
A Framework to Measure Value-added Time in Health Care

The dojo welcomes guest author and senior value engineer Will McNett with a deep dive into clinic capacity utilization. McNett borrows from manufacturing to offer a framework to measure and increase what really matters to patients: time spent with their provider.

Dr. Sean Stokes on Improving Opioid Prescribing Patterns

Using improvement methodology to solve one piece of America’s opioid epidemic. Dr. Sean Stokes and team used the practice of scoping to focus on one population and one procedure to achieve manageable, measurable improvement.

Unraveling Reform: The Future of Bundled Payments

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 predicts the future of bundles.

The Two Rules of Process Mapping

Process mapping is easy. But also hard. This is a common conundrum with value improvement. Here's part 1 of 4, wherein rules are distinguished from guidance.

Reasons to Build a Process Map

It’s part 2 of 4 in our series on process mapping. This post is about the reasons to build a process map. They’re inexpensive and so very often bear fruit for your effort.

Common Facilitation Challenges When Process Mapping

It’s the third consecutive post in the Dojo’s summer of process mapping. Today I discuss 4 common facilitation issues LSS practitioners can avoid prior to, and during a mapping effort.

How UNI Decreased Delay to Admission (And Improved Team Engagement)

Want to show your new employees that you respect them and you’re committed to making things better? Social work manager Kevin Curtis used University of Utah Health’s value improvement methodology to confront one of the most common challenges in health care—getting patients from the ED to a bed. Using concepts from lean and six sigma, Curtis identified waste, prioritized root causes, and fostered his team’s shared purpose in getting patients quickly to care.

Avoiding a Fashion Faux-pas: 6 Steps To the Perfect Tie Length

Improvement science is about making everyday tasks easier and faster. This week, Steve uses the 6-phase value improvement methodology to build a highly-reliable morning routine.

There’s No Place Like Home After Joint Replacement

The joint replacement team—Drs. Pelt, Gililland, Peters, PA Jill Erickson, and clinic manager Piper Ferrell—explain why going home after a joint replacement is better than going to a post-acute care facility. Their data shows that going home means better value for the patient: a healthier recovery at a lower cost.

Unraveling Payment: Retrospective vs. Prospective Payment

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 healthcare, 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 outlines the difference between retrospective and prospective payment.

Check Sheets: One Weird Trick to Gather Meaningful Data

This week, Steve describes a genius (yet simple) data collection tool: the check sheet. Colline Prasad and the SSTU nursing team used check sheets in their work reducing call lights, a project that turned out to be a triple-win; an intervention that improved patient perception of responsiveness, increased patient safety, and decreased nurse distraction.

Standard Work in Health Care: Examples (Part 2)

Last time in the Dojo, the topic was standard work. This time, Steve gives local examples of great standard work within our walls. Though we still have a long way to go, we’re off to a great start.