1. Genesis Health Care Lean Six Sigma Project
Jane Cipriano, MHA
Regional Director of Sales & Marketing
27 July 2012

2. Overview Timeframe: March 2011 – July 2011
Goal: Reduce rehospitalizations at the centers through the use of Lean and Six Sigma tools
3 NH Centers: 2 in Concord, 1 in Bedford
Engagement and participation of local hospitals

3. Genesis Health Care Readmission Strategies
Richard Raskin, MD, FACP
VPMA, Northeast Area
27 July 2012

4. Internal Processes Dedicated physician/midlevel staff
100% review of all unplanned transfers (Interact-refined tool within EMR)
Monthly reporting and tracking
Integration of unplanned transfer management with QI process
Staff education and training
Innovation: Care Transitions, Advance Care Planning

5. Center Expectations Effective use of SBAR
Effective use of Early Warning Tool
Real time review of unplanned transfers
ER contact prior to center transfer
Center capabilities sheet with transfer
Monthly QI review of UT experience

6. External Processes Physician/midlevel staffing Collaborative partners:
* Hospitals
* Physician Groups
* Home health/hospice
* Managed care organizations
* Community