Quoteworthy
It’s important as health care providers to not assume what someone’s journey might look like but to be aware of the services offered to patients."
Ariel Malan and Andy Rivera

Most Recent
Perpetual High Alert Is Not a Safety Plan

When a mistake happens, we promise we will never let it happen again. The problem is that a personal vow doesn’t change the way the system operates. Value engineers Steve Johnson, Cindy Spangler and Will McNett look at common personal incident—backing into the lamppost in your own front yard—as a lens for eliminating risk.

The Case Against Pie Charts

Why do we like pie charts so much? Because it’s food? Is it the fun colors? Are we soothed by the paradox of an unending cycle implied by something so perfectly complete? Elton John’s lyrics are true, no? “All are agreed as they join the stampede...” pie charts are overused.

A Look Back at the Project Charter

In this week’s dojo Steve takes a look back at the Project Charter with a dramatic retelling of actual history.

How Utah Shares and Spreads Improvement Using the Value Summary

The Value Summary is the currency of value improvement work at University of Utah Health. It creates a common improvement language through a one-page summary document. It visually guides the improver through our standardized improvement methodology while teaching improvement science principles in real time. The online Value Summary portal creates a forum to share and spread ideas and a path to earn maintenance of certification credit.

Are Emotions Driving Health Care Cost?

Much of the national dialogue about health care costs focuses on payment reform and the power of market forces. Researchers compared the price-sensitivity of decisions between health care and pet care. The big idea—don’t lose sight of emotions when tackling the problem of health care costs.

Box and Whisker Plots (Part 1)

What is a box and whisker plot? Why do I need a box and whisker plot? How do I construct a box and whisker plot (sometimes shortened to “box plot”) in Excel 2013 or lower? It's a day in the deep weeds, dojo folks. Steve heard your questions and has dedicated the next two dojos to giving you all the answers.

Box and Whisker Plots (Part 2)

Part 1 was on how to build a box and whisker plot. In Part 2 we're defining whisker length and visualizing variation within and between the variable groups. This time we're giving you answers to the questions no one has asked.

Unraveling Payment: Voluntary vs. Mandatory Bundles

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 outlines the difference between voluntary and mandatory bundles.

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.

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.

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).