2. How to move the flywheel… Learning collaboratives are powerful because they get the flywheel moving (Good to Great) 2

3. The “How” of Collaboratives Collaboratives – where best practices are shared Best Practices – the keys to improvement…emulate, copy, or steal them Performance Improvement: To help reach the bar which is always moving higher 3

4. Top 100 Major Teaching Hospitals: 2012 4

5. Top 100 Major Teaching Hospitals: 2013 5

6. Top 100 Major Teaching Hospitals 2014 6

7. The path to improvement… IHI – EC Patient flow metrics & capacity predictions Academic Pt. Sat Group - HCAHPS QUEST – Offers hospital collaboratives & “sprints” such as: blood utilization care transition (readmissions) CAUTI, C-diff PSI 90, and ICU LOS 7

8. UMC Collaboratives – ICU, EC, Med/Surg, and Pedi Decrease in defects and increased standardization. Leadership essential. Surviving Sepsis Campaign Get With The Guidelines – Stroke protocol Beginning stages: Lean/Six Sigma focused efforts on discharge instructions and nursing value added time 8 The path to improvement…

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