Coproducing healthcare service

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Presentation transcript:

Coproducing healthcare service Maren Batalden, MD MPH April 8, 2016

1 minute Win as many times as you can Go!

Patient Satisfaction: HCAHPS Data 4 Med Surg (Oct-Dec 2009)

Cause and effect diagrams Process mapping Effective meeting skills

Evaluation and Management The Anatomy and Physiology of a Clinical Microsystem Purpose: _________________________________________ Patients People with needs met People with needs Processes Outpatient care Admission Evaluation and Management Discharge Outpatient care Functional Functional Biological Satisfaction Biological Expectations Costs Cost Performance Patterns Professionals Measure Goal Now Measure Goal Now Doctors Nurses Nursing assistants Residents/ students Physicians assistants Social workers Care coordinators Therapists How might we build knowledge of the clinical microsystem on 4w or 6n where this patient was cared for? What Unit secretaries Housekeeping staff Nutritionists Interpreters Dietary aides Phlebotomists Transporters Technicians Clinical outcomes/ effectiveness Flow/ Timeliness Staff satisfaction Patient safety Finance/ efficiency Core measures : Patient satisfaction Documentation c Eugene C. Nelson, DSc, MPH Paul B. Batalden, MD Dartmouth-Hitchcock Clinic

#IHI27FORUM

Value made by health professionals and given/ pushed to patients Value made by patients with assistance pulled from health professionals

Better partnership produces better outcomes

Macrosystem Mesosystem Microsystem Dyad

Co-produced high value Patients Professionals Co-execution Co-planning Civil discourse Healthcare system Co-produced high value healthcare service Good health for all Community and society

Better coproduction might be the ultimate aim of every improvement initiative

Co-produced high value Patients Professionals Co-execution Co-planning Civil discourse Healthcare system Co-produced high value healthcare service Good health for all Community and society

1 minute Win as many times as you can Go!

Value models Value network: Facilitating relationships between people with problems and solutions coming from diverse resources Value chain: Linked processes that provide reliable solutions to standard problems Value shop: Customized solutions to unique problems Algorithmic management of chest pain in the ED Transition facilitator for patient at high risk for readmission Fever of unknown origin

Personalization Standardization

Children’s Hospital of Wisconsin Children’s Hospital of Atlanta