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Lean Safe Quality Cycle

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Page 1: Lean Safe Quality Cycle

Excellence *Metrics / HRO Culture of Quality & Safety *Metrics / Programs

Readiness / HRO Metrics

Risk Management *Metrics / Programs

RiskExcellence

SafetyQuality

Emp

loyee

Patien

t

Patien

t

Emp

loyee

Culture

SatisfactionEm

plo

yee

Patien

t

Loyalty

Resp

ect

Daily in

all areas

Ind

ividu

al Patien

t Care

Learn

er-C

oach

-Teacher

Ou

tcom

es

Our Vision – Set the Army standard in healthcare and readiness by taking care of our patients, taking care of our employees, and taking care of ourselves.

Our Mission: RHC-A (P) transforms into a system for health; leading our communities to improve readiness, save lives, and advance wellness through compassionate patient-centered care.

Regional Health Command - Atlantic (Provisional) Patient and Employee Optimization Program and Learning Experience (PEOPLE) Campaign

Army Values and Army Civilian Corps Creed

RHC-A Lean Safe Quality Cycle

1. Lean for Time Mgmt (reduce waste) by SMEs2. Performance Triad3. Survey System, simple4. Gemba Walks

Ref: (r)-(z) next page

1. Readiness2. Education, Training / Skills, & Ability3. TeamSTEPPS/PCTS4. CPI, Lean & Kaizen5. Access to Care

Ref: (a)-(h) next page

1a. Patient Safety annual assessment & goals1b. Organizational Safety annual assessment & goals2a. Frontend Reporting – simple & feedback2b. Prevent, Investigate, Trend & Analysis 3. Counseling System, simple mental system

Ref: (i)-(q) next page

(j) RCA2 Improving Root Cause Analysis and Actions to Prevent Harm. NPSF Jun 2015.

(i) Improving Patient and Worker Safety: Opportunities for Synergy, Collaboration and Innovation. TJC Nov 2012.

(d) Designed to Adapt, Leading Healthcare in Challenging Times, John Kenagy, MD, 2009.

(c) 100 Day Rapid Results!: How 100-Day Projects Build the Capacity for Large-Scale Change, Robert H. Schaffer, 2005.

(f) Out of Crisis, W. Edwards Deming, 2000.

(e) Toyota Kata: Managing People for Improvement, Adaptiveness and Superior Results, Mike Rother, 2010.

(a) OPORD 15-28 PEOPLE Campaign Plan, Jan 2015.

(k) OPORD 15-47 (Key Three Counseling – Achieving HRO through Safety Improvements) Feb 2015.

(l) RHC-A (P) FY16 Strategic Safety Plan, Nov 2015.

(r) The Respect Effect, Using the Science of Neuroleadership to Inspire a More Loyal and Productive Workplace, Paul Meshanko, 2013.(b) RHC-A (P) OPORD 16-13 HELOS Implementation,

Oct 2015. HELOS, Director of Quality & Safety (DCQS).

(n) PSR – AGAR. Safety Note SOP, 2015.

(m) Guide for use of the U.S. Army Soldier and Leader Risk Reduction Tool (USA SLRRT) Low, Moderate or High Risk.

(o) DA Pamphlet 385-1 Small Unit Safety Officer/Noncommissioned Officer Guide, May 2013.

(s) RHC-A (P) Q & S Employee Safety Pledge

(t) RHC-A (P) Q & S Employee Tri-fold

(u) RHC-A (P) Culture of Quality & Safety Posters & Flyers

(y) RHC-A (P) SAV & OIP grouped

(w) RHC-A (P) Safety Council (PS/SOHAC)

References

(g) Lean Safety: Transforming your Safety Culture with Lean Management, NSC, Robert Hafey, 2009.

(x) RHC-A (P) Safety Policy Memo

(p) RHC-A (P) Medical Risk Management System.

(h) (z) * NRMC Top 15 metrics(q)

(v) RHC-A (P) Culture of Quality & Safety Newsletter, for SME focus, direction and teamship

Safety Note to complement PSR /Report it systems

Team SAVs / OIPSTrifold

(example for DRUs)

Simplify staff reporting,

improvement ideas and feedback

system

How? Innovative teamship to reduce and simplify processes for staff. Why? Time savings, resource mgmt. & quality

Deliverables: 2016-2017

CG Safety Policy Memo. PS & Org

Safety

SOHAC Qtrly MtgBlend in Patient

Safety

Safety Commitment Pledge for new

employees (Org & PS)

Reach all employees

Developed & promoted by SMEs

Reach SMEs mindset s. Prep for

change. Sold on vision.Merge into

one checklist.

Reach Command / SO mindsets. Cover

PS semi-ann. Org Safety semi-ann

Reach all employees

Align incident reporting,

investigation, lessons learned &

record-keeping systems for CPI

Align Risk Management

process for RHC-A(P)

Reach all employeesBeta Test at DRU.

Reach all employees

Page 2: Lean Safe Quality Cycle

THE RISE & FALL OF A SOCIETY,

COMMUNITY, CHURCH,

FAMILY OR INDIVIDUAL

Bondage

Selfishness and

Complacency

Abundance

Liberty

Apathy

Dependency

Courage

Spiritual Faith