CERISMAS (Research Center in Healthcare Management) Catholic University of Milan REDESIGNING HOSPITAL OPERATIONS TOOLS AND SOLUTIONS 13-14-15 September 2016 Catholic University of Milan Redesigning hospital operations: tools and solutions PERIOD: 13-14-15 September 2016 LOCATION: Catholic University of Milano INSTRUCTORS: Joseph Polimeni Chief Executive Officer (CEO) Local Health Authority, Lucca, Italia. Sharon J. Williams Associate Professor at the College of Human & Health Sciences, Swansea University. Health Foundation Improvement Science Fellow. Stefano Villa Associate Professor in Healthcare Management, Department of Management, Catholic University, Rome, Italy. Coordinator Field Research Projects at CERISMAS, Catholic University, Milano, Italy. CONTENTS: This course aims to present tools, methodologies and models for a better control of patient flows logistics in hospitals. In hospitals, processes of care take place in five different broad categories of production units: hospital floors (including Intensive Care Units), operating rooms, emergency departments, diagnostics (e.g. CT scan or MRI) and outpatient platforms. Studies and practical experience show that a lack of control of these assets is often the principal cause of typical problems that seriously jeopardize quality and efficiency such as: delays, waiting time, errors, fragmented care, “trolley waits”, inappropriate setting of care and so on. Despite these considerations, healthcare managers all over the world have paid little or none attention to day-to-day management of operations and logistics dedicating efforts and energies in large-scale projects (such as mergers and acquisitions or construction of new facilities) with unclear and only long-run impact. In a context of reduction of available resources and of redefinition of paradigms of care (see for example the new patient-centered hospital models) it is very much critical for healthcare managers to acquire tools and methodologies for a better management of patient flows logistics. GOALS: The course will focus particularly on operations management issues. The use of operations management techniques, extensively applied in businesses of all kinds, has also become a necessity in health care. In order for managers to improve the quality and efficiency of health care delivery, or successfully launch new services or products, they must understand the design and management of health care operations. Stocks and flows, variability methodology, just-in-time processes, theory of constrains — all of the notions associated with the factory floor — are exactly what modern hospitals most sorely need. In particular the course aims to address the following questions: - which are the most relevant innovative solutions to redesign hospital patient flows logistics? - Which are the most relevant end-to-end process improvement tools? - How can I control variability in the design and management of healthcare production processes? - How can I set up a control system for a better patient flows management? Centro di Ricerche e Studi in Management Sanitario (CERISMAS) c/o Università Cattolica del Sacro Cuore L.go Gemelli, 1 - 20123 MILANO Telefono: 02-72.34.39.07 - Fax: 02-72.34.38.28 - E-mail: cerismas@unicatt.it - Web: www.cerismas.com - TARGET: □ □ □ □ □ □ □ □ Which are the operational conditions to implement the patient-centered hospital model? How can I overcome the current organizational model based on semiautonomous departments that do not consider the impact of their actions on upstream or downstream departments? How can I eliminate waste and increase value with the lean model? Chief Executive Officer Chief Financial Officer Chief Medical Officer Medical Directors Operations Managers Operating Rooms Coordinators Nursing Directors and Nurse Managers Directors of Strategic Offices (such as quality, clinical governance, planning and control and so on). The contents of the course can be beneficial also to policymakers (such as National Agencies or Regions) interested in promoting innovative solutions to redesign hospital patient flows logistics. Finally a good understanding of operations and logistics is becoming increasingly important for suppliers (e.g. pharmaceutical and medical devices companies) that aim to develop beneficial and lasting relationships with healthcare organizations. TEACHING METHODS Classes consist of both lectures, discussions and case studies. In fact, despite the relatively short length of the course, we aim to convey to participants some sound theoretical principles, some tools and methodologies to replicate in their own context and finally a good understanding of what it takes to implement such relevant changes. The use of active learning methods is aimed to maximize the interaction with the classroom in order to get out the most from the professional experience of each single participant. ENROLLMENT: The fee for the three-days course is € 800 + VAT (if due) Organizations associated to CERISMAS will benefit of a 25% discount if duespaying member or 15% if regular member. To enroll in the course it is necessary to fill out the attached form and send it to: CERISMAS Largo Gemelli 1 - 20123 Milano Fax 02 7234 3828 E-mail: cerismas@unicatt.it The payment of the fee must occur through bank transfer to: CERISMAS, Banca Cariparma – via Molino delle Armi, 23 IBAN IT53 P 06230 09486 000063431539. Centro di Ricerche e Studi in Management Sanitario (CERISMAS) c/o Università Cattolica del Sacro Cuore L.go Gemelli, 1 - 20123 MILANO Telefono: 02-72.34.39.07 - Fax: 02-72.34.38.28 - E-mail: cerismas@unicatt.it - Web: www.cerismas.com I DAY Tuesday 13th of September II DAY Wednesday 14th of September III DAY Thursday 15th of September Morning Morning Morning 9.30 Welcome Coffee 9.00 – 11.00 Patient centered hospital organizational models Stefano Villa CERISMAS, Catholic University of Milan 9.00 – 11.00 Lean in healthcare Sharon J. Williams Swansea University 10.00 – 11.30 Why healthcare organizations need to become serious about operations management? Sharon J. Williams Swansea University 11.30 – 13.00 Patient Flows Logistics: tools for analysis Stefano Villa, CERISMAS, Catholic University of Milan Afternoon 14.00 – 15.30 Solutions to redesign Patient Flow Logistics Stefano Villa, CERISMAS, Catholic University of Milan 15.30 – 17.30 Case Study Boston Medical Center: Implementing System Changes to Patient Flows Logistics 17.30 – 18.00 Wrap-Up of the Day 11.00 – 13.00 11.00 – 13.00 Stone Hospital Case study Re-design hospital wards around patient needs: why Virginia Mason Medical Center and how? Afernoon Afternoon 14.00 – 15.30 Class Discussion 14.00 – 15.30 Class Discussion 15.30 – 17.30 Implementing patient centered hospital organizational models: conditions for success Joseph Polimeni, Local Health Authority Lucca 15.30 – 17.30 Round Table Lean Thinking in Action: What it Takes to Get it Done? 17.30 – 18.00 Wrap-Up of the Day Moderator: Sharon J. Williams Swansea University 17.30 – 18.00 De-briefing and take-home messages. ABOUT INSTRUCTORS JOSEPH POLIMENI Polimeni is Chief Executive Officer (CEO) of the Local Health Authority of Lucca, Tuscany, Italy: 2.700 employees, an annual turnover of € 430.000.000 and three hospitals with overall 700 beds. He is also Member of the Regional Committee for Project Finance Administration of the New Tuscan Hospital Projects. Before becoming CEO, Polimeni acted as General Medical Director and Chief Medical Hospital Officer in several hospitals and Local Health Authorities with a leading role in different relevant projects such as: - outsourcing management of hospital utilities; - control of Electronic Medical Records e coding DRG systems in private health care sector; - accreditation of Tuscan hospitals organizations; - hospital organization from the legal, health and managerial point of view; - control of appropriateness and quality of medical care; - clinical governance and operations management; - redesign of hospital layout with a particular focus on ICU and Operating Theatres; - operating rooms and wards efficiency. He is invited as instructor from different universities in Italy including, for example, Catholic University, Bocconi University and LUISS University of Rome. SHARON J. WILLIAMS Williams is an Improvement Science fellow with the Health Foundation and Associate Professor at the College of Human & Health Sciences at Swansea University. Prior to joining Swansea, Sharon was a Lecturer with Cardiff Business School, where she taught Supply Chain Management, Operations Management and Lean Operations at undergraduate and postgraduate level. Previously, Sharon was a senior member of the Clinical Systems Improvement team at Warwick University’s Medical School, where she assisted in the development of a number of national healthcare improvement programs and designed and delivered short courses and postgraduate modules in clinical systems improvement. Williams’ current research is a feasibility study to examine the design of care pathways and the application of improvement technologies such as lean and agile. Her wider research interests include clinical and business systems improvement, leading and managing transformation, change and improvement, and process, organizational and pathway/supply chain redesign. Sharon is particularly interested in moving improvement work into health and social care, much of the previous research in this area has focused on hospitals. STEFANO VILLA Villa, PhD, Msc is associate professor at Catholic University, department of management (Rome, Italy) and coordinator of field research projects at CERISMAS (Research Centre in Health Care Management) of Catholic University (Milano, Italy). He is also senior research fellow at Boston University School of Management, Health Policy Institute (Boston, USA) and coordinator of the Patient Flows Community, a hospitals’ network managed, in partnership, by three Universities (Catholic University, Bocconi University and University of Florence). His research interests include quality measurement and improvement in health care, operations management and logistics in service delivery organizations. Villa is author of more than 30 publications in these areas and Principal Investigator of different research projects. Villa received his undergraduate degree in Economics from Bocconi University in 2000. He is doctor of philosophy (PhD) in Public Administration and Business Economics (Parma University, Italy) and he holds a Master of Science degree in Health Policy Management from Harvard University (School of Public Health). (following english version) SCHEDA DI ISCRIZIONE CORSO FORMAZIONE Redesigning hospital operations: tools and solutions 13-14-15 settembre 2016 – Milano Modalità di iscrizione Si prega di restituire il presente modulo compilato per ogni singolo partecipante a: Segreteria CERISMAS: fax 02.7234.3828 – E-mail: cerismas@unicatt.it Partecipante all’iniziativa Nome e Cognome Posizione Aziendale Telefono E-mail Il/La sottoscritto/a si iscrive al corso "Redesigning hospital operations: tools and solutions" in data 13-14-15 settembre 2016, presso la sede di Milano e dichiara di versare la somma di € 800,00 + IVA a ricevimento fattura tramite bonifico bancario: Soggetto a cui inviare la fattura Nome e Cognome ________________________________________________________ Indirizzo _________________________________________________________________ Codice Fiscale ____________________________________________________________ Città __________________________________ (prov. ______) c.a.p. ________________ Il/La sottoscritto/a si iscrive al corso "Redesigning hospital operations: tools and solutions" in data 13-14-15 settembre 2016, presso la sede di Milano e dichiara che il versamento della quota di partecipazione di € 800,00 + IVA, se dovuta, sarà effettuato da un soggetto giuridico a ricevimento fattura tramite bonifico bancario (compilare la parte seguente della presente scheda). 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Compilando la scheda d’iscrizione, avrà la possibilità di ricevere materiale informativo su future e analoghe iniziative promosse dal Centro. Ove fosse interessato, barri la casella qui accanto. Data ________________________________ Firma ______________________________ COURSE ENROLLMENT FORM Redesigning hospital operations: tools and solutions Milan, 13th-14th-15 th September 2016 Enrollment instructions For each participant please complete and return this form to: CERISMAS Secretary: fax 02.7234.3828 – E-mail: cerismas@unicatt.it Participant Name (last, first) Position in organization Phone E-mail The undersigned applies to be admitted to the course and declares to pay € 800,00 + VAT (if due) upon receipt of the invoice by bank transfer: Person to send the invoice First and Last Name ________________________________________________________ Address _________________________________________________________________ National identification number (Tax code) ____________________________________________________________ City __________________________________ Zip (Postal code) ________________ The undersigned applies for course admission and declares that the following legal identity will pay € 800,00 + VAT (if due), upon receipt of the invoice by bank transfer: Organization’s financial information/data Business name __________________________________________________________ Address _________________________________________________________________ City __________________________________ Zip (Postal code) _________________________________ National identification number (Tax code) ______________________ VAT number _______________________________ CUU Code ______________________ CIG Code _______________________________ In order to complete the enrollment, public organizations requesting FatturaPA (electronic invoice) must send the order code, together with the enrollment form completed with all the necessary data. 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