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.

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.

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.

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.

Healthcare isn’t the only industry experiencing whiplash-inducing change. Think about the significant change in the way we travel. We used to hear about a place or a particular hotel from a travel agent or friend, or gasp—the phone book. Today, the number of sites offering advice, recommendations and resources is astounding. In this post, we’re highlighting a few tried and true resources that leverage big data to make travel easier.

What is the strongest predictor of an effective solution? It’s not the size of the committee or the length of the brainstorming session. The best predictor of successful solutions is how well the problem is understood. Investing time in defining, investigating and analyzing the problem can lead to transformative solutions.

1 in 3 healthcare dollars is paid for by the United States Health and Human Services, making them the largest payer in the United States. Chrissy Daniels shares this podcast that explains why HHS is changing and how Utah is keeping up.

Improving value in healthcare means redesigning care to meet patients’ needs. We must push ourselves beyond patient satisfaction surveys to reduce uncertainty, complexity, and confusion in the delivery of care. Matthew Stein, MD, and the Breast Imaging team unflinchingly faced a source of uncertainty for patients: waiting for mammogram results.

The following case study examines a new core competency in delivering value at a system level. At the University of Utah, leaders created integrated oncology teams organized for the patient. Collapsing historical silos and empowering front-line leaders grew adaptive teams that offered better value to cancer patients.

For years, the Exceptional Value Annual Report documented the performance of the organization on all 45 of the key initiatives identified in the Operational Plan.