Quoteworthy
At Accelerate, we see individuals building culture everywhere. Culture builders are in the trenches actually trying, failing, and trying again to lead change. Experience is gained in real time. The challenge is to translate that experience into knowledge and spread it.
Chrissy Daniels

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.

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.

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.

Value Improvement Leaders (VIL): Course Archives

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.

Unraveling Payment: 556 Days to 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 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.

How a Rehab Unit Reduced Overtime Cost (And Made Shift Report More Efficient)

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.

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.