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
Draw on a Wide Range of Evidence to Jump Start Your Improvement Project

Finding evidence to change the status quo isn’t easy; thinking about evidence in terms of how it persuades—whether subjective or objective—can make it easier. Plastic surgery resident Dino Maglić and his colleagues followed their guts and saved money by improving the laceration trays used to treat patients in the emergency department.

Designing a Virtual Clinic Workflow that Actually Works for Your Team

Chronic conditions do not pause during a pandemic. When faced with delaying the care of over 1,000 patients with neurological conditions, Susan Baggaley, Neurology Vice Chair and Ambulatory Chief Value Officer, and Vivek Reddy, Neurology Vice Chair and Inpatient Chief Value Officer, rapidly developed a new virtual visit workflow.

Creating Safety Through Learning

What does it mean to take a system approach to problems? The discipline to learn as a team, patience to wade through hundreds of cases, and a diversity of perspectives. Utah’s Critical Care Senior Nursing Director Colleen Connelly, System Quality, Patient Safety, and Value Senior Director Sandi Gulbransen, and Associate Chief Medical Quality Officer Kencee Graves reflect on what they’ve learned by studying system problems with an interdisciplinary team.

Block by Block: Building the Future Workforce

Some challenges are so big you have to think in terms of evolution, not solution, to tackle them. Director of Strategy and Workforce Planning (GME) Sri Koduri explains how academic health systems can weather strong and weak labor markets alike by building sustainable bridges between clinical and academic communities.

Unraveling the Inevitable: Is Medicare for All the Answer?

It’s a truism: the cost of care is unsustainable. But what’s the fix? In this new series for Accelerate, Zac Watne, Senior Manager of Payment Innovation, interviewed U of U Health leaders to get their thoughts on one of the most controversial fixes making headlines: Medicare for All.

Vision, Guardrails and Empowerment: Working in a Team of Teams Culture

In this provocative thought piece, hospitalists and system leaders Kencee Graves and Bob Pendleton explain the “team of teams” approach to becoming more nimble, responsive, and adaptable to the demands of our changing world.

The Culture Advantage: How EVS Transformed Room Turn Time

Innovative teams solve problems by being curious, not by assigning blame. Environmental Services’ James Mwizerwa and Cooper Riley explain their deliberative approach to the long-standing and complex problem of getting inpatient rooms ready for the next patient.

Three Challenges for the Next Decade of Health Care

Patients will ask three things of us over the next decade of health care improvement: help me live my best life, make being a patient easier, and make care affordable. To meet those needs health care must shift—from organizing around a patient’s biology to understanding the patient’s biography.

The High Reliability Thanksgiving

Every year, Cindy Spangler hosts ‘Friendsgiving’ for over forty friends, family, and work colleagues. Cindy is also a senior value engineer and associate editor for Accelerate. So we asked: what is the process behind a successful Thanksgiving?

Is Less More? Oral Versus Intravenous Antibiotics After Hospitalization

Sometimes the most impactful change comes from simply asking, “Why are we doing things this way?” Pediatric infectious disease professor Adam Hersh explains the impact of practice inertia on antibiotic treatment in pediatric patients, and how questioning the status quo improved outcomes and reduced cost.

Don’t Let Metrics Undermine Your Purpose

Utah’s Chief Medical Quality Officer Bob Pendleton describes a strategic challenge faced by many industries, including health care. We are at risk for prioritizing achievement of metrics over our purpose. He challenges us to think beyond metrics to what patients actually need from us: patient-centered, outcome-focused, affordable care.

Chemotherapy Standardization: A Case Study in What it Takes to Design Safe Systems

Preventing medication errors often means using checklists and leveraging technology. But implementing these seemingly simple tools requires interdisciplinary teamwork, learning, and a commitment to ongoing verification that the process is working. Clinical operations nursing director Joy Lombardi describes how Huntsman Cancer Institute made chemotherapy highly reliable.