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.

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.

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.

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.

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 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.

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).

The 8th waste is underutilization of employee talent. In this week's post of Steve's Dojo (or continuing Lean Six Sigma education), Steve revisits Taiichi Ohno’s "7 wastes" and answers why he doesn't teach the "8th waste" at University of Utah.

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.

What if you could redesign healthcare from the ground up? If you were to start with the healthcare value-added test applied to each decision, what would healthcare delivery look, sound, and feel like? Would you be able to shake off the preconceived notions of what it takes to run a healthcare system? Would hospitals be recognizable? In this week's post of Steve's Dojo (or continuing Lean Six Sigma education), we revisit the healthcare value-added test.

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.