Quoteworthy
For me, tying it back to the patient makes it easier…We are always saying transformation in healthcare is SO HARD. We should be saying that it is SO EASY. There is not a better true north than making it possible for someone to live a better life with better health.
Bob Pendleton

Most Recent
Lean Behind the Scenes: Sterile Processing

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.

Canyoneering Close Call: Always Have a Safety Plan

Engineer Cindy Spangler compares canyoneering and surgery and identifies a common thread: the need for high-reliability processes. She describes how surgical time-out, a quick huddle to debrief before surgery, can serve as a useful model for reducing the risk of harm in canyoneering.

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.

Dr. Sean Stokes on Improving Opioid Prescribing Patterns

Using improvement methodology to solve one piece of America’s opioid epidemic. Dr. Sean Stokes and team used the practice of scoping to focus on one population and one procedure to achieve manageable, measurable improvement.

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.

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.

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.