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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

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