Manuela systemic transformations in health care by design slideshare

SYSTEMIC TRansformationsin health care by design

Stories from theCenter for Innovation (CFI)

josinavink manuelaaguirreuAHO josinavink manuelaaguirreuAHO

* image by Patti Kuche

josinavink manuelaaguirreuAHO

WHY DO SO MANY PEOPLE (FROM ALL OVER THE WORLD) COME TO

THIS TORNADO-BORN TOWN?


1860

VISION

ECONOMY

TECHNOLOGY

COMMUNICATION

WORKFLOW

PARTNERSHIPS

1870 1880 1890 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 2010 2020

THE NEEDS OF THEPATIENTS COME FIRST

& INTEGRATEDGROUP PRACTICE

ED: OPEN SURGERIESTHE MAYO´S CLINIC

SALARIEDSTAFF

FIRST USE OFX-RAYS

FIRST USEOF COMPUTER

EXPERIMENTALRADIAL NURSING

UNIT

COMPUTERS GOMAINSTREAM

ICUPRECURSOR

FIRST CTSCANNER

MAYO CLINICCARE NETWORK

MAYO CLINICOPENS IN FLORIDA

AND ARIZONA

FIRST OPERATINGTABLE

EARLY USEOF TELEPHONE

EARLY USE OFVIDEO VISITS

EARLIESTPATIENT RECORD

UNIFIEDMEDICAL RECORD

MEDICALSURGICAL INDEX

ORANGE/BLUECALENDAR DAYS

MAYO CLINICHEALTH SYSTEM

EMR REPLACEDPAPER MEDICAL

RECORDS

FIRST BLOOD BANKIN UNITED STATES

& USE OF EEG TEST

PROACTIVE APPROACHTOWARDS PHILANTROPY

FIRST ICU

spark

cfi


center for innovationTransforming the experienceand delivery of health care

2

68

24

28

32

64

58

2004 2005 2007 2008 2009 2010 2012 2013


Facilities & Support ServicesResearch Admin

Planning Services

Public A�airs

Systems and Procedures

Legal

Environmental Services

Education Admin

Development

Molecular Farm

Nursing

ENT

Molecular Med

Orthopedics

Immunology

Anatomy

Surgery

Urology

Lab Med & Pathology

Comparative Med

Health Sciences Research

Biochemistry & Molecular Biology

Mayo Health System AdminHuman Resources

Finance

Neurology

Dental Specialities

Dermatology

Emergency Med

Family Med

Medical Genetics

Internal Medicine

Physical Med

Anesthesiology

Radiation Oncology

Radiology

Psychiatry & Psychology

Neurosurgery

Obstetrics & Gynecology

Ophthalmology - Head & Neck Surgery

Physical & Biomedical Engineering

Oncology

1900

TODAY

1925


possibility based

creative

divergent

generative

reflexive

disruptive

provocative

proactive

evidence based

rational

linear

reductive

analytical

comparative

consensus

reactive

* Comparison by Lorna Ross


THE GOAL

TIMELINE

EXPERIMENT FAMILIES:

Reduce outpatient practice costs by at least 30% while improving the patient experience and maintaining/enhancing quality.

Implement new models to >40% of the outpatient practice by the end of 2014.

Pre-Visit Micro-Consults Group Visits

Smart Space Remote Recheck Flexible Day


KNOW THE PATIENT

OPTIMIZED CARE OFFERINGS

awareness

adaptability

remoterecheck

group visits

micro-consultsmartspace

previsit flexible

day

costumizeded

enhancedintegrated

care

CREATING AN ADAPTIVE AND INTELLIGENT SYSTEM


awareness

adaptability

remoterecheck

group visits

micro-consultsmartspace

previsit flexible

day

costumizeded

enhancedintegrated

care


pulmonary specialist


ServiceO�erings

OutpatientPractice

MayoSystem

HealthcareIndustry


Curry, A. and Hodgson, A. (2008). “Seeing in multiple horizons: connecting futures to strategy” . Journal of Futures Studies 13(1). Pp. 1 - 20.


changefatigue


prove it


systemic

discrete

short term long term

* Model from Peter Coughlan and Colleen Ponto

narrowvision


mitigation vsoptimization


structuredrivesbehavior


adding ordisrupting

do you see any of these challenges in the context you are working in



successesin facilitatingsystems change


making spacefor change


embrace theunintended


ENABLINGpractice

champions


building on whatis working


identifyingstrategic

levers


connectingthe dots


possibilitiesfor the future

Manuela systemic transformations in health care by design slideshare

Health & Medicine

Transcript of Manuela systemic transformations in health care by design slideshare