Lean Healthcare Deployment and Sustainability Chapter 14: Ensure Healing Pathway Transformation Results Alex Byrd 4/18/2016

ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Introduction Healing Pathway Analysis complements traditional value stream analysis and improves the patient’s experience During the Healing Pathway Analysis New future state was designed Rapid improvement plan developed Identified the actions required to achieve it Challenges Team members leave the event and go back to their day-to-day job. Difficult for the leader and the team to stayed engaged, follow up, and bring the future state to reality. “Checking the results and Acting to lock them in” ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Measurement Healing Pathway results can be measured in two ways Deployment Outcome Deployment – refers to the execution of the rapid improvement plan For example: are the Just Do It events, rapid improvement plans, and projects being executed as scheduled? ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Measurement Cont. Outcome – refers to the impact on key metrics of the healing pathway For example: Does the execution of the rapid improvement plan yield the planned results? ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

Leadership Role Objectives Demonstrate by their participation and leadership that transformation of the healing pathway is a priority Monitor healing pathway transformation efforts and sustain results Identify and remove barriers Continue to reenergize the transformation Reprioritize efforts and initiatives as appropriate Standardize Best practices ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 What Do I Do? Develop a healing pathway dashboard Meet biweekly to ensure execution Review the dashboard Review the rapid improvement plan Eliminate barriers Reprioritize as appropriate Standardize Best Practices ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Pathway Dashboard The tool the executive sponsor and transformation team should use to evaluate the outcomes of the healing pathway transformation initiative. Should be updated weekly Should Include: Metrics that reflect the overall health of the healing pathway The specific metrics associated with transformation efforts ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

Pathway Dashboard Example Dashboard for the Healing University ED project Red: Inadequate or insufficient progress Yellow: Improving but not at goal future state Green: Future state performance achieved LOS: Length of Stay LWBS: Length Without Being Seen ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

Biweekly Meetings to ensure execution This step is one of the most critical for ensuring sustainment of the healing pathway transformation effort. Each meeting should follow a standardized agenda ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Standardized Agenda Executive sponsor’s welcome and remarks Review of charter and key objectives of the healing pathway transformation Review of actions from prior healing pathway transformation meetings Review of healing pathway dashboard Review of rapid improvement plan Out-briefs by team leaders Problem solving and elimination of barriers Evaluation and reprioritization of initiatives as appropriate Action item review ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

Standardize Best Practices Standardizing Best Practices at the healing pathway level means: Implementing the desired future state (Best Practice!) Developing and documenting new and revised procedures as appropriate Ensuring these new procedures are fully implemented Coupled with the biweekly transformation team meetings, this is the Check-Act portion of the healing pathway transformation. ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016

ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 References / Contact Information   Dean, M.L. (2013). Lean Healthcare Deployment and Sustainability. Pages 141-146. New York, NY: McGraw Hill. - Alex Byrd Alex.s.byrd@live.mercer.edu ISE 428 ETM 528 ASB Lean Healthcare Chap: 14 Spring 2016