General Surgery resident Riann Robbins is on a journey to reduce unnecessary tests. She recently shared her team's work to tackle ABG testing in critical care at the annual Department of Surgery Value Symposium. What did she learn? Be patient and persistent. As Seuss said, “Unless someone like you cares a whole awful lot, nothing is going to get better. It’s not.”
Visual cues in the workflow reduce cognitive load and help process stakeholders make the right decision. Steve Johnson interviews Dan Vargo in this Lean Behind the Scenes exclusive.
When health care is designed around patient needs, it doesn't just benefit the patient — it can also help providers find fulfillment in their work. But what does that look like in practice? Physician Joy English opened the Orthopaedic Injury Clinic, an innovative service that delivers better value to patients. Her success is a case study in how to achieve both provider and patient happiness.
Improvement work isn’t easy, especially when it attempts to address rising health care costs. Solid organ transplant coordinator Sharon Ugolini and her team led award-winning work implementing new protocols for common tests. That led to more than just reduced patient charges, though — ordering appropriate tests increases value and quality, as well.
Improvement in patient experience is often the hardest part of managers’ jobs. It takes consistent work engaging your team. There are no shortcuts. In this occasional series, we’ll be sharing the lessons learned the hard way from people working on the front lines to deliver care. In this post, Urology and Pelvic Care outpatient services manager Leslie Bardsley gives practical advice for involving your entire team in improvement.
Is zero possible? In the case of central line infections, the answer was once no. A CLABSI (central line associated blood stream infection) was once considered a car crash, or an expected inevitability of care. When University of Utah’s Burn Trauma Intensive Care Unit started treating CLABSIs like a plane crash, or a tragedy demanding in-depth investigation and cultural change, zero became possible.
Sterile Processing runs a lean operation, delivering millions of instruments to University of Utah Health’s procedural teams. Director of value engineering Steve Johnson, assisted by the video wizardry of Charlie Ehlert, sheds light on our system’s unseen infection prevention heroes.
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.
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.
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 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.
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.
