2.50
Hdl Handle:
http://hdl.handle.net/10755/308149
Category:
Abstract
Type:
Presentation
Title:
Navigating Changes to Transform Care
Author(s):
Douma, Caryn
Lead Author STTI Affiliation:
Non-member
Author Details:
Caryn Douma, RN, MSN, caryndouma@memorialhermann.org
Abstract:

Session presented on: Tuesday, November 19, 2013

Changing healthcare delivery models to align with future organizational needs requires visionary leadership and an innovative strategy that incorporates both lean processes and clinical practice quality improvement techniques designed to deliver high value, high quality patient and family centered care. Combining change management methodologies utilizing the IHI Perinatal Community collaborative framework and a clinical microsystem assessment process, an interdisciplinary team was formed and performed an intensive assessment including systems mapping and data collection. Process maps for each process were created, enlarged with data and displayed in a central location. Staff and physicians validated the findings and assisted with project prioritization and strategic plan development ultimately aligning with organizational priorities.

A selection of prioritized clinical improvement and process flow projects were divided into three phases: quick wins, rapid improvement projects including Kaizen’s and Plan Do Study Act cycles, and longer term strategic plans. Process changes included improving discharge processes, improving flow through labor and delivery, decreasing triage wait time and processes. Frontline staff and physicians participated in quality improvement training and were an invaluable source of information and enthusiasm. Dashboards were put in place to monitor progress and sustain gains.

 A new interdisciplinary model of care with the primary focus on mothers, babies and families was implemented and sustained including targeted clinical practice changes such as implementation of an Oxytocin Bundle, Hemorrhage Protocol, Safety Rounds and Shift Huddles. The improvement processes were designed to provide safe, effective care and decrease cost, increase efficiency and improve patient and family satisfaction. The journey continues to be a work in progress with internal and external forces creating challenges and opportunities while adapting to a constantly changing healthcare environment.

Keywords:
Lean; Kaizen; Quality Improvement
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleNavigating Changes to Transform Careen_GB
dc.contributor.authorDouma, Carynen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsCaryn Douma, RN, MSN, caryndouma@memorialhermann.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308149-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>Changing healthcare delivery models to align with future organizational needs requires visionary leadership and an innovative strategy that incorporates both lean processes and clinical practice quality improvement techniques designed to deliver high value, high quality patient and family centered care. Combining change management methodologies utilizing the IHI Perinatal Community collaborative framework and a clinical microsystem assessment process, an interdisciplinary team was formed and performed an intensive assessment including systems mapping and data collection. Process maps for each process were created, enlarged with data and displayed in a central location. Staff and physicians validated the findings and assisted with project prioritization and strategic plan development ultimately aligning with organizational priorities. <p>A selection of prioritized clinical improvement and process flow projects were divided into three phases: quick wins, rapid improvement projects including Kaizen’s and Plan Do Study Act cycles, and longer term strategic plans. Process changes included improving discharge processes, improving flow through labor and delivery, decreasing triage wait time and processes. Frontline staff and physicians participated in quality improvement training and were an invaluable source of information and enthusiasm. Dashboards were put in place to monitor progress and sustain gains. <p> A new interdisciplinary model of care with the primary focus on mothers, babies and families was implemented and sustained including targeted clinical practice changes such as implementation of an Oxytocin Bundle, Hemorrhage Protocol, Safety Rounds and Shift Huddles. The improvement processes were designed to provide safe, effective care and decrease cost, increase efficiency and improve patient and family satisfaction. The journey continues to be a work in progress with internal and external forces creating challenges and opportunities while adapting to a constantly changing healthcare environment.en_GB
dc.subjectLeanen_GB
dc.subjectKaizenen_GB
dc.subjectQuality Improvementen_GB
dc.date.available2013-12-19T17:27:32Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:27:32Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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