St Boniface Hosp - QNET Manitoba · every day. Our Mission and Values •We embrace Tradition,...
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SBGH
Transcript of St Boniface Hosp - QNET Manitoba · every day. Our Mission and Values •We embrace Tradition,...
SBGH
Our VisionOur Vision
To To deliverdeliver the the safestsafest and and highesthighestqualityquality of care to of care to everyevery
patient,patient,everyevery encounterencounter, ,
everyevery dayday..
Our Mission and ValuesOur Mission and Values
••WeWe embraceembrace Tradition, Innovation Tradition, Innovation and Inspirationand Inspiration
••Respect, Respect, CaringCaring, , StewardshipStewardship
Our Beginning
The Grey Nuns arrive in St. Boniface in 1844.
Three Major Challenges Three Major Challenges
•• Availability of workforce to do the jobAvailability of workforce to do the job
•• Healthcare costs are not sustainableHealthcare costs are not sustainable
•• Patients & public holding us accountable Patients & public holding us accountable for safe & reliable healthcare with better for safe & reliable healthcare with better outcomesoutcomes
Quality is Quality is ““THE THE ““StrategyStrategy
•• Linking our mission, vision,Linking our mission, vision,and valuesand values
•• 4 4 PrimaryPrimary objectivesobjectives–– Patient satisfactionPatient satisfaction–– Staff engagementStaff engagement–– Clinical effectiveness and SafetyClinical effectiveness and Safety–– Efficiency and Financial PerformanceEfficiency and Financial Performance
Lean TransformationLean Transformation
•• Engages the workforce.Engages the workforce.•• Addresses the sustainability gap Addresses the sustainability gap
(removing waste reduces the gap between (removing waste reduces the gap between the costs & the available resources)the costs & the available resources)
•• Creates less variation in the processCreates less variation in the process•• Creates more standard workCreates more standard work•• Increases safety & reliabilityIncreases safety & reliability
WasteWasteIn the eyes of the Patient everything an Enterprise does either ADDS VALUE or does not.
Definition of Non-Value AddedAnything that consumes time or resources but does not add value
Definition of Value AddedAny activity that directly contributes to satisfying the needs of a customer
Non Valued-Added vs. Value Added
VS
VS
Waiting Room Operating Room
Airport Airplane
90 % 10%
Value-Added
Focus of Improvement
Non-Value-Added
The primary focus of Transformation is on reducing or eliminating Non-Value-Adding activities
Patient’s stay
Value StreamsValue Streams
•• Value Streams ( all the steps in a common Value Streams ( all the steps in a common process or a patient journey)process or a patient journey)
•• 6 S Event ( sort, straighten, shine, safety, 6 S Event ( sort, straighten, shine, safety, standardize, sustain )standardize, sustain )
•• Rapid Improvement Events ( RIE)Rapid Improvement Events ( RIE)
•• ““Just Do ItJust Do It’’ss”” (JDI)(JDI)
•• ProjectsProjects
Transformation Value Streams At A Glance
Sep/08 Jan/09 May/09 Sep/09 Jan/10 May/10
ED – Acute coronary syndrome (ACS)
ED Non Admitted Patients
Surgery- Acute care surgical services (ACSS)
Clinical Supply Chain
Medicine-Flow/Capacity/Productivity
Impr
ovem
ent A
ctiv
ity
Staff Scheduling
Surgery- Flow/Capacity/Productivity
Rapid Improvement
Events
ER 6S Event “Before”
ER “ After”
Medicine Ward “ Before “
Medicine Ward “After”
Triage Area RIE
Clinical Supply Chain Huddle
“Telling the Story”Friday Report-Out
Visual Management and Transparency
True North
Metrics
Celebrating Success
SUSTAINMENT
SUSTAINMENT
Keeping the Patient / Customer as our Focus
Buhler Gallery
