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Coproducing healthcare service

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Presentation on theme: "Coproducing healthcare service"— Presentation transcript:

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

2 1 minute Win as many times as you can Go!

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

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7 Cause and effect diagrams
Process mapping Effective meeting skills

8 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

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12 #IHI27FORUM

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

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18 Better partnership produces better outcomes

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21 Macrosystem Mesosystem Microsystem Dyad

22 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

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28 Better coproduction might be the ultimate aim of every improvement initiative

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32 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

33 1 minute Win as many times as you can Go!

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37 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

38 Personalization Standardization

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

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