Re Engineering the Hospital: Taking a Systems Approach (Charleen Tachibana)

© 2015 Virginia Mason Institute

High Reliability Organizations

Ø Sensitive to Operations: deep knowledge of processes

Ø Reluctance to accept simple explanations: inquiry

Ø Preoccupied with failure: predicting and finding errors

Ø Deference to expertise: de-emphasis on hierarchy

Ø Resilience & Relentless: adapt & stay the course


Virginia Mason Production System

3

We adopted the Toyota Production System key philosophies and applied them to healthcare

Ø  Patient is always first Ø  Focus on the highest quality Ø  Obsession with Safety Ø  Engage all employees Ø  Strive for the highest satisfaction


Ø Patient Safety Alert Ø Standard Work Ø Embed mistake

proofing

Quality & Safety

4

Aligned Expectations

Leader Compact

5

Physician Compact

Board Compact


Annual Goals

Long Term Vision

VMPS Priorities

Departmental Plan/Goals

5 year Plans

Alignment & Accountability

Individual Goals


Respect and Culture

Respect

Engagement Teamwork

Culture of Safety

Reliability


Learnings

Ø Multi-year focus Ø Leader and Organizational Alignment Ø Embed Expectations and Accountabilities Ø Consistency of a Method Ø Standards Ø Structure to Sustain and Evolve Ø Respect for People Ø Constancy of Purpose


Contact Information

Charleen Tachibana, DPN, MN, RN, FAAN Sr. Vice President, Quality & Safety/Chief Nursing Officer Virginia Mason Medical Center Email: [email protected] Website: http://www.virginiamason.org

Re Engineering the Hospital: Taking a Systems Approach (Charleen Tachibana)

Healthcare

Transcript of Re Engineering the Hospital: Taking a Systems Approach (Charleen Tachibana)