Process Redesign & Performance Improvement

Provide project management services for process redesign and performance improvement initiatives. Collaborate with organization leadership and multi-disciplinary teams of front-line caregivers to develop process view of daily work and assess current state of daily operation; establish target for future state operation; identify strategies to integrate best practices into daily activities; and develop a plan and infrastructure to achieve and sustain improvements.

Regional Hospital/Medical Center (Oregon)

Project managers for service quality and operations improvement effort in surgical services and sterile processing: conducted operational assessment of key areas of surgical services, facilitated use of lean process techniques to analyze clinical workflows from admission to recovery, analyzed process and outcomes data, evaluated staff educational needs, identified baseline measures and specified on-going evaluation reports to assess impact; redesigned processes, developed and implemented OR and SPD process improvements including core specialty teams, charge nurse model, leadership role redesign, and structured specialty education strategy for OR staff; designed and implemented performance dashboard reports for administrative use. In SPD, conducted analysis of staffing patterns, scheduling, and skill mix resulting in schedule redesign, education plan development and implementation strategy that met departmental goals. Results include increased on-time first cases starts in ORs, identification of workflow inefficiencies with improved throughput in Sterile Processing Department, decreased errors on case carts, improved staff and physician satisfaction with OR turnover, increased staff satisfaction with education strategy and scheduling in SPD.

Regional Hospital System (Utah)

Facilitated clinical practice improvement team efforts with physicians, nurses, and other clinical staff members, acted as a resource in clinical research study design and definition of critical measures of outcome, patient and process, develop and execute analysis plans, and provide support to clinical and operational process improvements. Identified opportunities for process improvement using benchmarking data. Areas of clinical practice improvement include CABG, low back pain, total hip replacement, ACL repair, and senior services. Participated in development of health management model for local employers. Designed risk identification survey tools and coordinated employee data collection effort. Provided analytical support to team clinicians. Presented results and recommend interventions to increase value of health care dollars. Efforts resulted in 10-15% reduction in health care costs and 5-year contract between employer and health plan.