Health Systems – Webinar archive
To view upcoming Healthcare Systems Process Improvement Conference webinars, go to www.shsconference.org/webinars.
The Veterans Health Administration funded the Veterans Engineering Resource Center Program to support the integration and translation of Systems Engineering methods within healthcare delivery systems. This presentation will review the evolution of the VERC programs as well as the emergence of a new field of health systems engineering.
In early 2015, SHS and the HIMSS ME-PI Community collaborated to better understand the compensation of healthcare process improvement professionals, as well as the hot topics and issues that currently are faced by these professionals. The survey solicited feedback from SHS membership, HIMSS ME-PI membership, the HME list-serve/yahoo group, and LinkedIn group members. The survey had more than 300 respondents.
Some organizations have competed successfully for decades by focusing primarily on creating unique solutions for each customer, yet they are now embracing operational excellence to drive even more customer value. No industry is closer to its customers than healthcare.
This webinar will describe how Piedmont established a robust business intelligence program to support over 130 data workers with very limited resources. Piedmont is transforming the culture from one where data lagged by months, which caused many decisions to be made on gut feel, to one where data is always at our fingertips.
Choosing Wisely is a national campaign to engage physicians and patients in conversations about the value of certain tests and procedures for the individual patient. It is based on the observation that large variation in the number and types of tests and treatments occurs for patients with the same condition.
Project HELP (Healthcare Enabled Logistics Program) aims to give back clinical time to nursing by engineering improved methods to support the delivery of care by improving care support services, developing an information system, and developing a new staff role.
Hospitals have been relying on heroics and firefighting to save the day, resulting in a lot of people putting safety and quality at risk while increasing costs. Facing the need to improve, some have bravely turned to lean thinking. But this new way of thinking is incompatible with the old top-down, hero-based system of management that presides in today’s healthcare culture.
Departments within the University of Michigan Health System utilizing lean process improvement and practical problem solving techniques have shown to have statistically significant higher employee engagement scores and report they feel better equipped to continuously improve their local processes.
This year, the SHS Board has decided that, rather than its usual time at the annual conference, we will be conducting the annual SHS Business Meeting via webinar. In this session, members will receive an update on the status of the society, as well as recent accomplishments and future direction as determined by the board of directors.
Healthcare today is a system of systems, operating within still larger systems. Not surprisingly, complex (and often unarticulated) interdependencies can lead to unintended consequences and unforeseen complications. Ad-hoc integration of products and subsystems – individually optimized but not holistically complementary – often causes projects to be overdue, over budget and under-performing.
Veterans Affairs Center for Applied Systems Engineering (VA-CASE) has developed computer-based cost models that allow service-specific and area-specific decisions regarding the internal versus external cost comparison for Specialty Care Services. The goal is to develop computer-based decision models that VA can use to aid decision making by VA physicians and facilities as care needs are identified.
From the original calculator watch to today's Google Glass and smart clothing accessories, wearable technology seeks to weave (sometimes literally!) information technology into everyday life and work, making it pervasive, intimate, and, metaphorically, friction free. Especially promising are applications in healthcare. These, for example, include patient monitors for the well and unwell and wearable user interfaces to health information systems. However, wearable tech will not succeed unless we get its workflows right.
As payers continue to compress reimbursements, and providers experience increasing operational costs, Healthcare Organizations are looking for solutions. Participants in the session will see an organizational assessment instrument; will understand how to get management involved in process improvement; and understand how the marriage of Six Sigma DMAIC and ISO 9001 support the achievement of higher value in the marketplace.
The webinar will focus on projects that have improved efficiency, optimized resources and improved satisfaction of stakeholders in the intensive care unit in this era of advancing technology and the introduction of the electronic medical record.
The discharge process is defined as the transition to the next level of care. It incorporates actions on the day of admission, the days between the admission and discharge, the day of discharge, and after discharge. The presentation describes the process of how the presenters used Six Sigma and lean tools to facilitate a cross functional group in developing a standardized discharge process throughout the different stages of a patient’s care at the hospital.
This two-part presentation will provide an overview of two Healthcare Systems Process Improvement Conference presentations. The first part is an overview of a panel discussion about the latest edition of the book Management Engineering: A Guide to Best Practices for Industrial Engineering in Health Care. The panel discussion will feature those who contributed chapters to the book – all experienced practitioners who have witnessed the evolution of IE practices in health systems. The second part is about management transformation. All organizations are "hairballs" – cumbersome, bureaucratic and fraught with waste and inefficiency, impeding creativity and innovation. It doesn't have to stay that way. The knowledge about how to orbit the hairball is available to anyone who wishes to learn, but orbiting the hairball will not be sufficient. Transformation of management is required, and we have access to that knowledge as well.
Process improvement efforts do much to enhance the care provider and patient experience in the healthcare system. This presentation, will discuss the safety science of Human Factors Engineering and her thoughts on why the marriage of human factors engineering with industrial engineering process improvement strategies are our best hope for transformational change in patient safety. Dr. Lewis will demonstrate the potential for taking patient and provider safety to the next level. Practical tips for approaching safety challenges with this lens will be provided.
Chronic dialysis patients require not only ambulatory, but also emergent and inpatient care, which is considered to be unpredictable. The aims of this study were to characterize and quantify the main predictors of inpatient use of chronic dialysis patients, validate the predictors using mathematical modeling, and test scenarios representing opportunities for reducing inpatient utilization.
This webinar will review exciting new community care models that have been successful in reducing unnecessary readmission rates and ED visits, improving patient compliance and satisfaction, and impacting the total cost of care and clinical outcomes, at little or no expense. Supporting infrastructure will be shown, and the role of ME/IEs as important elements in these new business models will be discussed.
The role of a CEO has to change along the journey of process improvement, but when actually transforming a culture, generally accepted "lean leadership" is another form of top-down management. Alan Gleghorn, CEO of Christie Clinic, will share his realization that more training, theory, tool-based events and corporate window dressing wasn’t the answer. Furthermore, patients and team members deserve more than is being delivered. Healthcare is in dire need to reform itself from within. In his quest to meet that challenge, Gleghorn has guided his organization through site visits, books, consultants, simulations, tools and models. Every step has brought challenges, frustrations and, upon reflection, insights into what it means to lead lean. The role of a leader is less about managing and more about creating an environment that makes the right work easy to do while staying out of the team’s way, plus helping celebrate and recognizing the team’s successes.
This webinar features two presentations previewing content that will be presented at the Healthcare Systems Process Improvement Conference 2014 in Orlando, Fla., in February, Delivering on the Patient Promise – Reducing Hospital LOS and Discrete-Event Simulation for Process Redesign/Re-engineering in Healthcare.
The world of quality reporting and performance measurement has grown more complex during the past 10 years since the initial introduction of quality reporting for hospitals and physicians. This webinar will review the requirements for Stage 1 and Stage 2 of meaningful use and will also explore the impact to clinical workflow and the requirements for the reporting of electronic clinical quality measures.
A healthcare delivery chain is a series of treatment steps through which patients flow. The emergency department and inpatient unit chain is an example chain that's common to many hospitals. Recent literature has suggested that predictions of IU admission, when patients enter the ED, could be used to initiate IU bed preparations before the patient has completed emergency treatment, thus improving flow through the chain.
This webinar will focus on the latest ACO developments related to healthcare reform and demonstrate how having an ambulatory care pharmacy strategy can mitigate the penalties associated with healthcare reform in areas related to pharmaceutical care.
This presentation discusses the effect of dynamic simulation on reducing length of stay and its impact on bed allocation and hospital capacity. Using real data for analysis, a step-by-step implementation path is presented that takes real-time data, provides analytics for practitioners, and helps in improving communication and overall capacity of different departments in the hospital. Since bed allocation is directly impacted by the length of stay reduction, an overview on how to tie in predictive bed allocation will be presented. Implementation feedback and success from an actual implementation is also presented.
In a time of competing, fluid business needs, the alignment of an organization’s strategy to a portfolio of projects to maximize their return on investment takes a highly coordinated effort. The requirement to create the link between projects and strategy often becomes the apparent once an organization is in dire need of reaching a transformative or reduced state. "Strategies, Projects, Action!" provides the fundamentals of how to align business improvements, organizational capabilities and project leadership.
Nothing is more important than what you leave behind after process improvement work is complete. Learn about the critical success factors of process improvement in healthcare and how to use that knowledge to create value-added tools for your hospital or system in this one-hour webinar. The presenters from the Hospital Corporation of America and Franciscan St. Francis Health will share real-world examples of successfully creating and integrating tools and solutions with flexible methods and monitored outcomes.
This webinar will focus on a new methodology for the identification of wastes and opportunities for balancing the non-value added but mandatory tasks across roles. The webinar will preview a concurrent session presentation at the upcoming Healthcare Systems Process Improvement Conference 2013. General information about the conference will also be provided.
This webinar will highlight the need for return on investment analysis to enhance the value of project work and other challenges in healthcare. The webinar will preview a concurrent session presentation at the upcoming Healthcare Systems Process Improvement Conference 2013. General information about the conference will also be provided.
Chemotherapy is a prevalent cancer treatment worldwide and the demand for the service has been forecasted to grow in the future. With increasing pressure to contain healthcare costs in Ontario, hospitals and clinics all over the province are attempting to make their services more efficient. This webinar will describe a novel scheduling technique that was developed to solve the chemotherapy outpatient scheduling problem at the Odette Cancer Centre, at Sunnybrook Health Science Centre in Toronto, Ontario, Canada.
November’s SHS pre-conference webinar will focus on the use of quantitative analytics in the healthcare environment. You will be given a first look at several concurrent sessions and posters from the upcoming 2013 Healthcare Systems Process Improvement Conference. The subject matter expert and content facilitator for this webinar is Dr. Phil Troy of Les Entreprises (TROYWARE). Additional speakers consist of Brenton Faber (Worcester Polytechnic Institute), Jim Montgomery (Carilion Clinic), and Nadia Lahrichi (Sir Mortimer B. Davis Jewish General Hospital). The webinar will conclude with a brief overview about the Conference.
This webinar will focus on the use of quantitative analytics to improve healthcare workforce management. The webinar will preview a pre-conference workshop that will be presented at the 2013 Healthcare Systems Process Improvement Conference, as well as give an overview about the Conference.
This webinar will focus on how Greater Baltimore Medical Center is redesigning the care coordination process to better manage their ACO patient population. The webinar will preview a concurrent session presentation at the upcoming 2013 Healthcare Systems Process Improvement Conference. General information about the conference will also be provided.
Monte Carlo simulation is a method that takes into account the variation in any process, objectively quantifying the effects on output variables of the uncertainty in key input and process variables. Using this method of analysis allows the trade-offs between different risks and their associated consequences to be compared. Sensitivity analysis using Monte Carlo models reveals which input and process variables are contributing most to the variation in the output variables, helping to focus and prioritize improvement efforts.
The concepts, principles, and use of Monte Carlo simulation will be explained and illustrated with various applications.
Healthcare applications of four diverse systems engineering methods are examined:
- Statistical Process Control (SPC)
- Monte Carlo Simulation
- Linear Programming
- Logistic Regression
"The concepts and principles of the methods will be explained along with the context of their use in actual healthcare situations. Part 2 covered:
- Maximizing outpatient clinic physician productivity using Linear Programming.
- Clinical Decision Support: Using Logistic Regression models to diagnose Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF).
Healthcare applications of four diverse systems engineering methods are examined:
- Statistical Process Control (SPC)
- Monte Carlo Simulation
- Linear Programming
- Logistic Regression
"The concepts and principles of the methods will be explained along with the context of their use in actual healthcare situations. Part 1 covered:
- "Quality: On target with minimum variation." (Genichi Taguchi) Identifying, measuring, understanding, and controlling variation using SPC.
- "We need more rooms!" A case study of the use of Monte Carlo simulation to determine outpatient exam room utilization.
The field of industrial and systems engineering has brought valuable tools and strategies to reducing cost, improving safety and efficiency, and increasing customer and employee satisfaction in industries for many years, but it has not been widely used in healthcare. In this presentation, Dr. Victoria Jordan, director of quality measurement and engineering at MD Anderson Cancer Center, provides an overview of industrial and systems engineering and its role in healthcare. She discusses its alignment with basic continuous improvement and operational excellence efforts (and discuss how it enhances these efforts). Some examples of successful applications in healthcare are provided.
An appropriately common problem for management (industrial) engineers, analysts, etc., working with surgical suites is to reduce setup and cleanup times. A hospital may explicitly ask for the application of lean approaches to reduce their "operating room turnover times."
Sponsored by Society for Health Systems and Healthcare Systems Process Improvement Conference 2012
In this webinar, Pam Arlotto, gives an overview of her talk, "Journey to High Value Healthcare: The New Role of Process Improvement," and Karl Kraebber gives a conference overview highlighting the keynote speakers, featured speakers and other aspects of the conference.
In this presentation the Examples of Systems Engineering in Healthcare - Part 1e presenters propose a constraint generation interior point (CGIP) approach to solve the sector duration optimization (SDO) which arises in Gamma Knife Perfexion (PFX) inverse planning.
Dunn reviews how University Hospital increased the percentage of telemetry alerts responded to within a timely manner by 200 percent. This presentation compares Six Sigma to other PI approaches, talks about defining and measuring defects, assessing risk and targeting solutions to reduce those risks, addressing resistance to change, and “hardwiring” solutions so they become part of normal operations.
The emergency department is one of the most complex departments in any health care organization yet the one most visited by members of your community. This webinar will deal with evaluating emergency services by utilizing benchmarks and exploring best practices that result in enhanced operational flow, improved patient throughput and increased efficiency.
In response to key industry drivers to embrace transformative change, Advocate Condell Medical Center developed the strategy of “Operations Excellence” to re-position its business practices. Operations Excellence is a mixed methods approach to organization-wide transformation which encompasses LEAN thinking, DMAIC rigor, and transformational leadership principles.
Until recently, applying lean concepts in the complex service industry of medicine and, specifically, emergency medicine has proven challenging. This webinar will outline lean concepts and tools as they relate to ED operations and performance improvement in the ED and provide summaries of specific tools and how they can be used and applied in the ED setting.
The defect rate in a hospital order entry process fell 70 percent the first month after initiating a comprehensive employee training based on Training Within Industry (TWI), a program created during World War II that is being rediscovered by modern hospitals. This presentation tells the complete story and illustrates how to engage employees in improvement of work methods.
Leadership of not just the care processes involved, but of the product design, implementation and rollout of Healthcare Technology (HIT) has become increasingly important as clinicians begin to understand the promise of automation as well as the gaps created by certain systems.
Martin presents ideas and examples of things they did to manage patient flow at this Level 1 Trauma Center for four states.
Overfelt covers the history of how this legislation came to be at the forefront of national discussion and discusses how to properly engineer staffing ratios for best patient care.
Metrics-Based Process Mapping (MBPM) is a process improvement tool that combines the functional orientation of conventional process maps with the time and quality metrics that are essential for removing waste in office, service and knowledge work environments.
Rogers presents how Texas Children’s Hospital uses their dependency-based patient classification system for nurse staffing, a method they’ve been using since 1992.
Scheeres presents key success factors for integrating lean Six Sigma in a healthcare setting by covering the features of Lean and Six Sigma, how to assess organizational and personal readiness, and ideas for next steps.
This webinar will focus on the fundamentals of a successful Value Analysis program and how it can significantly reduce supply expenses while ensuring physicians and front line clinicians have input into product and technology acquisition decisions.
Desmond and Clark discuss simulating patient flow in the University of Michigan Emergency Department. They will address why and how they created a simulation of the emergency department, what they have done with their model, and the next steps.
Dickerson presents how she coordinated benchmarking efforts at all levels of hospitals from the CEOs to staff. She will also share how her efforts improved the quality of healthcare at VHA Georgia hospitals through collaborative roundtables and performance improvement projects.
Eitel presents how to make people realize the value of tools and techniques that management engineers and performance improvement professionals employ every day, like simulation and other forms of analysis.
Understanding the motivational needs of patients and their communication preferences are the keys to establishing relationships and providing improved service and patient care. Participants will learn successful scientifically proven communication and motivation strategies to enable them to establish relationships so that patients and staff will be happier and more satisfied.
Haas and Torgerson walk through an actual value stream mapping assessment in Labor and Delivery at Fairview Health Services.