The Health Roundtable
Con nuous Improvement
Training (CIT) 2016
About the CIT Por olio
Why par cipate?
Solve key problems in
your health service
Make best use of
compara ve data in
your improvement
projects
Achieve a culture of
con nuous
Being a top performing hospital isn’t
about a moment in me; it’s about
crea ng a con nuous improvement
culture at your organisa on. Local
leaders need the skills to iden fy,
implement and sustain change. The
Health Roundtable’s CIT por"olio offers
hospitals customisable solu ons and
bespoke on-site consul ng support that
empowers staff to use compara ve data
to streamline the pa ent journey and
increase quality.
improvement
Components of the CIT Por olio
Tap into healthcare
exper se from the UK
and US
Each Program is customisable to client needs, but at a base consists of
onsite training broken up into three sessions with weekly webcast
supported coaching in between. Each organisa on will select a specific
project where the concepts taught will be applied.
The key programs and concepts offered in the CIT Por"olio are:
Baseline package for one
team of five $A17,500 (ex
GST and expenses).
Completely customizable to
member requirements.
•
Lean: Reduce waste and apply process and value stream mapping, 5S,
workload leveling, and the “Pull” System
•
Pa ent Safety and Quality: Build high performing teams, using
checklists, debriefs, human factors risk reduc on and open disclosure
•
Measuring Opera onal Improvement: Understand compara ve data
and use scenario modeling and predic on tools for business cases and
improvement ac vi es
•
Stranded Pa ent: Iden fy key risk factors, remove delays and
standardise work prac ces to improve the care of your long stay
pa ents
•
Problem Solving: Use tools (Fishbone, FMEA, Driver Diagrams, etc.) to
diagnose your hospital’s challenges and find prac cal, effec ve
solu ons that target the iden fied gaps
Includes 3 onsite workshops
and fortnightly coaching.
General Manager
Australia +61 2 8041 1421
New Zealand +64 9 889 2551
General.Manager@healthroundtable.or
g
www.healthroundtable.org
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The Health Roundtable
Con nuous Improvement Training
(CIT) 2016
Case Studies
Here are some of the improvements our members have already achieved using CIT programs—
please contact us for more details concerning any of these improvements:
Improving Safety and Quality
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Released 710 hours per year of nursing me in CT department by improving pa ent flow
Reduced wai ng me for renal dialysis by 50%
which released 3,600 hours of nursing me
Improved Surgical Department discharge summary
comple on rates by 40% in four months
Reduced me spent by long stay pa ents by 1,400
days
Decreased me from referral to 1st treatment by
75% in a Haematology Department
Reducing Waste
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Reduced the me to process new staff
recruitments by 95%
Decreased phone calls to Pharmacy by 40%
Reduced incorrect staff payroll deduc ons from
50% to 0% across an en re campus
Improving Opera onal Efficiency
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•
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Improved medical record coding to generate $2
million in addi onal revenue
Decreased Medical Ward monthly stock expenses
by 60%
Decreased Outpa ents wait me by 90%
Enquiries: General Manager
Australia +61 2 8041 1421
New Zealand +64 9 889 2551
General.Manager@healthroundtable.org
The Health Roundtable’s CIT por"olio offers hospitals customisable solu ons and bespoke on-site consul ng support that
empowers staff to use compara ve data to streamline the pa ent journey and increase quality. The Health Roundtable also
helps health execu ves learn how to achieve best prac ce in their organisa ons. We collect and analyse opera onal and
clinical data of our member organisa ons to search for innova ons in pa ent care. We promote collabora
on and
www.healthroundtable.org
networking through our roundtable mee ngs, workshops, and other ac vi es.
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LEAN Program Outline 2016
Pre Workshop - Develop Team Charter
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Develop team charter and aim, verified with HRT
data
Select sponsor, team leader, team members and
stakeholders
Allocate appropriate resources
Map the current state
Workshop One - Current State: 2 Days
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Why Lean in Healthcare?
Develop aim statement and measures
Collect Pa ent and staff stories
Conduct a waste audit
Develop current state Value Stream Map
Develop ac on plan to engage all stakeholders
Weekly Mentor Follow-up
Workshop Two - Future State: 2 Days
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Apply problem solving techniques
Learn lean improvement tools using interac ve
simula ons, including:
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Takt me
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Batch vs One Piece Flow
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Push vs pull and kan ban
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Work load balancing
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Levelling
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Queue reduc on
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Visual controls
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Op mised Physical Layout
Develop future state Value Stream Map
Tap into HRT member best prac ce
Develop ac on plan to start improving processes
Measure the improvements
Use visual controls to standardise
Weekly Mentor Follow-up
Workshop Three- Sustain Improvements: 1 Day
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Present improvements to Senior Execu ve
Standardise to improve safety and quality
Ensure improvements are sustained
Develop plan for next 12 months
Enquiries: General Manager
Australia +61 2 8041 1421
New Zealand +64 9 889 2551
General.Manager@healthroundtable.org
www.healthroundtable.org
3
Pa ent Safety & Quality Program
Pre Workshop - Develop Team Charter
♦
♦
♦
Develop team charter and aim, verified with HRT data
Select sponsor, team leader, team members and
stakeholders
Allocate appropriate resources
Workshop One - Current State: 2 Days
♦
♦
♦
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Learn Crew Resource Management (CRM) principles
including communica on, situa onal awareness and
teamwork
Apply airline industry best prac ces to healthcare
Collect Pa ent and staff stories by using the Voice of the
Customer tool
Conduct a safety assessment using Lean tools, process
mapping and root cause analysis
Develop ac on plan to engage all stakeholders
Iden fy the Points of Risk
Weekly Mentor Follow-up
Workshop Two - Future State: 2 Days
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Apply problem solving techniques and priori se risk points
Learn Hardwire Safety Tools, including:
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Debriefs
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Checklists
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Handoffs
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Structured Communica on Tools
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Huddles
Develop future state processes and new tools
Tap into HRT member best prac ce
Develop ac on plan to start improving processes and
crea ng a culture of safety
Develop your Solu ons
Weekly Mentor Follow-up
Workshop Three- Sustain Improvements: 1 Day
♦
♦
♦
♦
Present improvements to Senior Execu ve
Standardise to improve safety and quality
Ensure improvements are sustained
Develop plan for next 12 months and close-out
Measure the Improvements
Enquiries: General Manager
Australia +61 2 8041 1421
New Zealand +64 9 889 2551
General.Manager@healthroundtable.org
www.healthroundtable.org
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Measuring Opera onal
Improvement
Do you need help to plan your service profile for
2016-17 and to engage your clinicians in finding
opportuni es for improvement?
We can hold interac ve briefings with your staff in each
clinical unit on-site, based on the prepared materials, to
help you to
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Iden fy opportuni es for your health service in
the latest compara ve data
Mobilise teams to use Health Roundtable data to monitor their improvement projects
Shorten the search for answers in your health service by tapping into ideas from other members
Do you want to easily develop an opera onal plan for your hospital, whilst engaging clinicians
in the process?
The Health Roundtable produces an opera onal planning model for all members on request. This is best
used as part of an on-site facilitated session or by learning how to use the model at a workshop session.
AOer aPending a workshop or arranging an on–site briefing you will understand the context behind ABF
and how to use a simple spreadsheet model to develop your Opera onal Plan along with clinical input in
order to meet your Ac vity Based Funding targets.
Enquiries: General Manager
Australia +61 2 8041 1421
New Zealand +64 9 889 2551
General.Manager@healthroundtable.org
www.healthroundtable.org
www.healthroundtable.org
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“Stranded Pa ent” Program 2016
Why par cipate?
Improve care of
your most
In 2009, The Health Roundtable was alerted to focus on the long-stay group
of pa ents. Over 20% of standard medical surgical bed days were used by
only 2% of pa ents. Members embarked on this special program to rescue
stranded pa ents that has reduced long-stay pa ents by 40-50 % per year,
and saved each hospital between 1000 and 2000 bed days per year. Overall,
there is a reduc on of 170,000 bed days per year across 100 hospitals
compared to 5 years ago. However there remains significant opportuni es to
con nue reducing the % of these pa ents
vulnerable pa ents
Address key system
issues that delay
pa ent care
Create capacity to
treat more acute
pa ents
Develop your own
“redesign” exper se
This is a collabora ve program to help you prevent and rescue “stranded” pa ents, including an onsite
visit to launch the program, two workshops and on-going coaching to:
•
Learn from leading health services that have been developing and sharing ways to prevent and
rescue stranded pa ents over recent years. You can learn more about their progress and
experiences to help you kick-start your own “Stranded Pa ent Program”
•
Improve data capture and measurement and understand the true extent of the issue at your health
service using tools to iden fy the key risk factors that predict stranding, and uncover the root causes
•
Implement new ideas including daily visual measurement, removing processing delays, and
standardising work prac ces from our Lean Healthcare team
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Tackle change management issues and help you make and sustain the system changes needed to
improve the care of your most complex and vulnerable pa ents
Enquiries: General Manager
Australia +61 2 8041 1421
New Zealand +64 9 889 2551
General.Manager@healthroundtable.org
www.healthroundtable.org
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Problem Solving Program 2016
Do you need help effec vely iden fying and solving complex hospital problems? Do your
solu ons some mes not yield the desired or an cipated results?
Effec ve problem solving is challenging and requires both though"ul team leadership and the right
combina on of crea vity and structure. To aid in developing these skills with your team, we offer an in
depth session that focusses on tools that assist in not only clearly iden fying the problem, but also
developing an effec ve solu on that will lead to your desired performance outcomes.
At the comple on of the Problem Solving Program aPendees will be empowered have the tools
necessary to facilitate teams through problem solving exercises and improve performance. A sample of
the topics covered are listed below.
Problem Iden fica on
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Voice of the Customer
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Mind Mapping
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Fishbone Diagram
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5 Whys
Problem Priori za on
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Control Impact Chart
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Driver Diagram
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Failure Modes and Effects Analysis (FMEA)
Solu on Development and Priori za on
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Brainstorming Techniques (6 Thinking Hats, Slip Method,
Round Robin)
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Best Prac ces
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Effort / Impact Analysis
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Criteria Based Selec on Matrix
Solu on Tes ng and Verifica on
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Pilot and Evaluate
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PDSA
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Solu on Implementa on
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Accountability and Data Monitoring
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Project Close-out Document
Enquiries: General Manager
Australia +61 2 8041 1421
New Zealand +64 9 889 2551
General.Manager@healthroundtable.org
www.healthroundtable.org
www.healthroundtable.org
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Please scan and email to:
accounts@healthroundtable.org
The Health Roundtable
Con nuous Improvement Training (CIT) 2016
Expression of Interest
The Health Roundtable is now calling for Expressions of Interest in the Lean Thinking in Healthcare. Clinical and
Management leadership are cri cal success factors in this important program so please ensure a senior team is
available to par cipate in the three workshops on site and weekly teleconferencing. Please submit the following
informa on.
Health Service Facility Name
Name of Lead Team Member
Phone
Title
Email
Names and Titles of Other Proposed Team Members
Par cipa on Agreement
I commit my Health Service to par cipate in the Health Roundtable Con nuous Improvement Consul ng
Program.
I understand that a cross-disciplinary senior team of at least four people, including a senior physician,
will be required to devote approximately four hours per week to this important program. The program
includes par cipa on in weekly 30-minute teleconferences between workshops.
I understand that the professional fee for our team’s par cipa on in this program as outlined will be
$A17,500 plus GST, and that travel expenses for the facilitator will be billed separately.
Authorising Execu ve Name
Authorising Execu ve Signature
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