What is quality? And why do I care?

Purpose of this meeting Gain a deeper understanding of what quality means Review case examples of process improvement initiatives Gain a deeper understanding of LEAN tools and their application Learn about ongoing process improvement projects happening in the transplant center

What do you think of when you hear the word quality?

Quality is not…

Quality is… ACTIVE Change Culture Accountability

Transplant Center Quality Functions Track regulatory requirements to ensure compliance ABO verification Pt notification letters Track clinical trends to ensure positive outcomes Infection after 30 days post op Readmission rates

Transplant Center Quality Functions Survey Readiness UNOS CMS Process Improvement Projects Skin cancer project 7T3 operations project Adverse Event Analysis Determine why errors occur Prevent errors from occurring Create a just culture of safety

How can Quality improve my job Satisfaction?

Does this look familiar?

Or this? How does this waste time? What is the impact of this on patient care? What is the impact on your satisfaction?

Today’s Topic: 5s

Step 1: Sort Defined Examples: Get RID of unneeded items “When in doubt move it out” DO I need this? Is this really important? When was the last time I used this? Paper copies that are available electronically Old policies or forms that have been updated Trash

Step 2: Straighten Defined Organize and label the location for items No Clutter Defined Organize and label the location for items THERE IS A PLACE FOR EVERYTHING- EVERYTHING IN ITS PLACE Labeled Bins Labeled Binders

Hospital Example of Straighten

Step 3: Shine Defined Give your workspace a good clean

Step 4: Standardize Defined Example Develop cleaning methods and cleanliness standards to maintain the first 3 S’s How often do you fall back into your old habits? Put organizing your desk on your to-do list My personal one: Clean my desk every Friday afternoon

Step 5: Sustain “Quality is not an act, it is a habit” -Aristotle Defined The hardest part of any change Make it a habit “Quality is not an act, it is a habit” -Aristotle

After Pictures Before After

The End

Homework Try the 5s project What did you observe? What other topics would you want to bring up? Concerns Questions Topics of Interest Next Meeting-Case Study: How a RCA changed a transplant center’s culture JANUARY 12th @ 9 am