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Art and science of improvement
prescription for healthcare Oct 1st, 2011
Medical advancement
drastically reduced patients
mortality rate
The healthcare system is
getting more complex
Breast Cancer treatment
in the 50’s
…now
Risks
=
Providing the patient with
the right service, when it is
needed, the right way, the
first time.
Focus on the patient
Focus on system vs. parts
ED Lab testing Portering Pharmacy Housekeeping Inpatient Unit
Patient
Department vs. Patient focus
Architect Metaphor
Best efforts of
few individuals
but different
directions
Direction exists but
inconsistent
discipline
Everyone is
consistently
working on the
right things
Imp
act
Involving everybody
An army of problem solvers
An army of problem solvers
Improvement is not a series of sprints
Assess
Plan
Teat
Problem solving methodology
Vision
for
Customer
Current
Condition
Target
Condition
Next
Obstacles
High
High
Low Aptitude
Ch
ara
cte
r
“No written words, no spoken plea,
can teach our [staff] [how] they should be.
Nor all the [policies] on all the shelves
It’s [how] the [leaders] are themselves”
Adapted from coach John Wooden
“Every day, we have an opportunity to make
a difference in people’s lives. We must care
for people in a way that touches their soul,
so that everyone including ourselves – is in
some way healed.”
“What we do is more than a job, more than
a career. It is a sacred trust”
