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What is quality? And why do I care?
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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
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What do you think of when you hear the word quality?
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Quality is not…
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Quality is… ACTIVE Change Culture Accountability
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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
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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
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How can Quality improve my job Satisfaction?
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Does this look familiar?
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Or this? How does this waste time? What is the impact of this on patient care? What is the impact on your satisfaction?
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Today’s Topic: 5s
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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
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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
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Hospital Example of Straighten
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Step 3: Shine Defined Give your workspace a good clean
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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
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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
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After Pictures Before After
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The End
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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 9 am
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