Innovation Success: Identify the Impacts and Manage the ......• 15% increase in provider...
Transcript of Innovation Success: Identify the Impacts and Manage the ......• 15% increase in provider...
Innovation Success: Identify the Impacts and Manage the Results
March 1, 2016
John Hansmann, MSIE, FHIMSS, DSHS Sr. Director, Health Catalyst
Conflict of Interest John Hansmann, MSIE, FHIMSS, DSHS Has no real or apparent conflicts of interest to report.
Learning Objectives • Recognize the importance of managing change and addressing workflow impacts related to innovative transformations
• Assess the impact of innovation on current and future work processes
• Identify the necessary skills required to manage innovative transformations to ensure successful implementation and ongoing use
http://www.himss.org/ValueSuite
Realize the Value of Health IT • Value steps impacted:
– Savings – Treatment/Clinical – Satisfaction
• Example Results – $74M savings – Reduces unnecessary chest x-
rays by 49% – Patient satisfaction improved
Agenda • Concept of Innovation • Concept of change management • Operational Innovation Success Stories
– Texas Children’s Hospital – Healthcare System in Intermountain West Region
• Case Study Commonalities • Tools to Assess Work Processes • “New” Innovations • Summary • Questions
Today’s Session will ……. • focus on the impact of innovations on current and future operations.
•discuss the importance of planning for innovative changes, and the skills necessary to manage the change process.
Inventive
Change
New
Modernize
Reform
Upgrade
Develop
Alter
Conversion
Innovation
Advance
Reconstruction
Renew
Improvement
Revolutionize Transformation
Roger’s Diffusion of Innovation Model
2.5% Innovators
13.5% Early
Adopters
34% Early
Majority
34% Late
Majority 16%
Laggards
Tipping point at 15-20% adoption
• Innovators are open to new concepts
• Early adopters tend to be opinion leaders
• Early majority legitimize innovation
• Late majority are skeptics • Laggards want to keep
status quo
Source: adapted from E.M. Rogers, Diffusion of Innovations, 5th ed., Free Press
Characteristics/Attributes/Skills for Successful Change Management • Communicate • Trustworthy • Resilient • Persistent • Manages Ambiguity / Sees “Big Picture”
• Organized • Coach
Operationalizing Innovation
“Success doesn't necessarily come from breakthrough innovation but from flawless execution. A great strategy alone won't win a game or a battle; the win comes from basic blocking and tackling.” Naveen Jain, Innovator & Entrepreneur
Operational Innovation Success Stories Texas Children’s Hospital – Houston, TX • Launched system-wide performance improvement project
(“Delivering on the Vision”-DOTV) • Plan/Goals
– Enhance strategic decision-making – Establish data driven transparent culture – Increase the accountability of leaders, providers and managers
for their clinical and operational performance – Perform detailed assessments of labor, non-labor, inpatient
clinical operations, clinical documentation improvement and physician practice operations
Source: “$74M in Healthcare Operational Improvements: How Texas Children’s Hospital is Delivering on Its Vision”, Health Catalyst, 2015.
Operational Innovation Success Stories Texas Children’s Hospital continued • Methodology/Approach
– Implemented an enterprise data warehouse (EDW) and healthcare analytics applications solutions
– Organized improvement teams – Utilized data to understand current practice and to make decisions
• Results – Realized $74 million in operational improvements (over 18 months) – Practice Management
• 15% increase in provider productivity • 36% decrease in physician clinic no-show rate
Source: “$74M in Healthcare Operational Improvements: How Texas Children’s Hospital is Delivering on Its Vision”, Health Catalyst, 2015.
Operational Innovation Success Stories Texas Children’s Hospital continued • Results continued
– Labor Expense • Improved staff flexing • 2 percentage point reduction in S&B as a percent of net
patient revenue – Clinical Operations
• Implemented clinical care teams (ex. Asthma Care, reduced unnecessary chest X-rays by 49%, utilized best practice order sets 80%)
• 14 percent decrease in hospital LOS while census increased
Source: “$74M in Healthcare Operational Improvements: How Texas Children’s Hospital is Delivering on Its Vision”, Health Catalyst, 2015.
Operational Innovation Success Stories Healthcare System in Intermountain West Region • Design and build new outpatient center
– Included patient services for OP Surgery, Lab and Imaging – Physically detached from main hospital impacting logistics for services – All departments participated in architectural design meetings
• Operational Efficiency Team – Process oriented; operational impact focused – Participated in architectural design meetings
• Assisted depts./functions in current state/future state discussions and designs
• Challenged hospital and departmental leadership to create highly functional, efficient well designed workspace that supported their work processes
Operational Innovation Success Stories Healthcare System in Intermountain West Region • Results
– Construction finished on time and under budget – Operationally only added new program FTEs – Moved into the new space and began working with minimal
rework – Operationalized Patient Kiosks and optimized patient traffic flow – Operationalized combined Lab/Reg and Rad/Reg Check-in
Commonalities • Embraced the challenge, adopted the innovation and adapted as
necessary • Fundamentally understood the impact on work, work processes and
workflow • Managed the change process, dealing with all of the physical and
emotional issues • Created a participatory environment, where physicians, nurses,
administrators, and frontline staff were involved throughout • Communicated clearly and consistently • Made data driven decisions • Changed the culture
Tools to Assess Work Processes • Current State/Future State • Simulation • Interview/Observation • Process Analysis • Workflow Analysis • Flow Charting • Value Stream Map • Impact Analysis • Risk Analysis • Lean and Six Sigma Tools • Others
Tools to Assess Work Processes Workflow Tools
• Current State/Future State
• Process Analysis
• Workflow Analysis
• Flow Charting
• Value Stream Map
• Interviews & Observations
Tools to Assess Work Processes Impact/Risk Assessment
• Impact Analysis
• Risk Analysis (Downstream direct and indirectly affected areas, stakeholders, assets & barriers)
Pro
babi
lity
Impact
Significant Effect
Minor Effect
Tools to Assess Work Processes
Tech
nolog
y
Proc
ess
Cultu
re
Othe
r
1-Lo
w
3-M
ed
5-Hi
gh
Impact Rating
Improvement Opportunity Impacted Process/Function Impacted Department $$$ Impact Potential Mitigating Solutions
Improvement Type
Impact/Risk Assessment
Tools to Assess Work Processes Simulation
Tools to Assess Work Processes Lean & Six Sigma Tools
• Lean (5S, Cause & Effect, 5 Why’s, Value Stream Mapping)
• Six Sigma Tools
• Interviews & Observations
• Others
Tools to Assess Work Processes Lean & Six Sigma Tools
“New” Innovations • “Wearables • Mobile Apps • “The Cloud” • ICD-10 • CRISPR Gene Editing • Value-based Care • Population Health • Staffing and population trends
– 10K per day turning 65 until 20301
– 62% of baby boomer RNs (over 54) considering retiring2
What’s the impact on operations?
Source: 1 Pew Research Center 2 AMN Healthcare 2015 Annual Survey
Summary
”The secret of change is to focus all of your energy, not on fighting the old, but on building the new.” Socrates, Greek Philosopher
http://www.himss.org/ValueSuite
Benefits Realized for the Value of Health IT
• $74M in savings
• 14% LOS
Reduction
• 36% reduction
No-Show rate
• Improved patient
satisfaction
• Improved staff
satisfaction
• 49% decrease in
unnecessary X-rays
• 80% utilization of
best practice order
sets
Questions
Contact Information John Hansmann, MSIE, FHIMSS, DSHS
Sr. Director, Health Catalyst [email protected]
214-364-7745