baptist management system · model based on the toyota kata book & research by mike rother. a...
TRANSCRIPT
Baptist Management System
The information presented in the following presentation are meant as a showcase of what our best, most motivated users have achieved. Expected
outcomes and results may vary. All testimonials are real, may not reflect another user's experience, and are not intended to represent or
guarantee that anyone will achieve the same or similar results.
PDSAModel based on the Toyota Kata book & research by Mike Rother
Baptist Memorial Health Care & KATA
How does KATA and play with others at Baptist Memorial Health Care?
Deliberate Practice of
new Behaviors
KATA STARTS HERE.…….. SO WE CAN MOVE THIS
Drives the formation of new Habits
Habit formation leads to either
an open or closed Mindset
The sum an organization’s Mindsets and
Behaviors = Culture
Main Thoughts on DAILY, DELIBERATE PRACTICE of Kata Experimentation on Organizational
Culture...
What is aKATA?
www.katatogrow.com
A is a routine you deliberately practice, so its pattern becomes an automatic habit that gives you some new skills!
www.katatogrow.com
Show me your thinking
1. All hospitals2. BMG3. Corporate HR4. Baptist Trinity5. Baptist Technology Services6. Research7. Baptist College of Health
Sciences8. Baptist & Semmes
Murphey joint venture9. Semmes Murphey
Daily Practice Routines (KATA)
Our Mental Model
Model based on the Toyota Kata book & research by Mike Rother
A Meta-Routine stays the same regardless of the circumstances-a routine way of acting and thinking.
Kata is an iterative process!
PDSA
These are the headings
in our coachingcycles
Coaching: The Five Question Card
A Culture Built on Principles
TWI: JI, JR, JM
A3
Strategic Deployment
Leader Standard
Work
Toyota KATA
Value Stream Mapping
The Baptist Management System (BMS)
What is a System?
“All models are wrong, but some are useful”.
George Box
Model to explain BMS
PDSA at Every Level of the Organization“All models are wrong, but some are useful”.
George Box
Coach is responsible for teaching the
improvement KATA, and for the results Learner & Team own the target
condition and work to achieve it
ProcessSupervisor
Manager
Director
Learner
Coach
The Roles – different Skills
2nd Coach is responsible for
assuring the development of the coach and
assuring alignment to organization
goals.
2nd Coach
Team
Skill Levels as it pertains to Learner, Coach, 2nd CoachShepherding Groups
BAPTIST MANAGEMENT SYSTEM
ETERNAL LEARNER
PROFICIENT
COMPETENT
ADVANCED BEGINNER
NOVICE
Our Mental Model
Kata Deployment at Baptist Memorial Healthcare
Kata: OR TAT < 25 min +/-5 min; Started 5/2016
BAPTIST MEMPHIS DEPLOYMENT
28 28 29
27 28
26
29 29
27
25 24 25
0
5
10
15
20
25
30
35
May-16 Aug-16 Nov-16 Feb-17
Tim
e (H
R:M
M)
Room Turnover
Room TOT
Challenge =
Kata Started here
I love the thought process that is generated using KATA. KATA can be used in every aspect of life when attempting to solve a problem
- Linwood White, Director of Emergency Services, RN,
Kata: OR TAT < 25 min +/-5 min ; Started 5/2016
BAPTIST MEMPHIS DEPLOYMENT
8%
2%
-6%
12%
4% 5%
21%
5%
19%
7%
4%7%
-10%
-5%
0%
5%
10%
15%
20%
25%
850
900
950
1000
1050
1100
1150
May-16 Aug-16 Nov-16 Feb-17
% C
hang
e
Mon
thly
Vol
ume
Monthly Volume Change
Volume YTD Variance
Kata Started here
Kata has given us a system of thinking that has allowed us to move the dial in regards to operating room efficiency like we never have before. Not only has Kata provided a catalyst for rapid change, but allowed us to shape behaviors and change a culture.- Matthew Dane, Associate CNO, RN, DNP
Kata: Lab Turnaround Time (Receive to Verify); Started 5/2016
BAPTIST MEMPHIS DEPLOYMENT
0.0
5.0
10.0
15.0
20.0
25.0
30.0
CMP Troponin
LacticAcid/Reflex
CBC PT UA QualHCG -Blood
EDQual
HCG -Urine
FY15 26.9 27.6 24.7 10.8 20.2 26.5 19.2 14.8FY16 24.2 22.1 22.6 7.9 17.4 20.3 16.7 11.3YTD (Oct-FEB) FY17 23.0 22.0 22.0 7.5 16.5 18.0 15.0 11.5
Rece
ive
to V
erify
Min
utes
Lab Test Type
Lab Kata on Turnaround Time Receive to Verify
FY15 FY16 YTD (Oct-FEB) FY17
“Your guidance as a coach has been GAME CHANGING, Brandon. I and the entire lab KATA team appreciate and applaud your patience, leadership and expertise. We couldn’t have achieved our successes without you! ”
- Tony Beard, Lab Manager
-5% -0.4%
-2.6%-5.3%
-12%
-10%
-1.5%
-5.3%
Kata: ED Length of Stay
BAPTIST MEMPHIS DEPLOYMENT
0
50
100
150
200
250
300
350
Oct
Nov Dec Jan
Feb
Mar
Apr
YTD
Length of Stay - Admit
FY 16 FY 17 LOS Admitted
-11%
0
50
100
150
200
250
Oct
Nov Dec Jan
Feb
Mar
Apr
YTD
Length of Stay - Discharged
FY 16 FY 17 LOS Discharged
-10%
Kata: ED Length of Stay
BAPTIST MEMPHIS DEPLOYMENT
0
500
1,000
1,500
2,000
2,500
3,000
3,500
Oct
Nov De
c
Jan
Feb
Mar
Apr
YTD
Hold Hours
FY 16 FY 17 Hold Hours
-2%
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
Oct
Nov De
c
Jan
Feb
Mar
Apr
YTD
Left W/o Being Seen %
FY 16 LWBS
-54%
“Pioneering the KATA TWI Shepherd group has been a challenging journey that is showing great outcomes for the members, our staff and our patients. Without the leadership of the Shepherds, we are certain that TWI training, use of JIB’s and continued deployment that TWI would not have been embraced in the positive manner we have seen. Thus, our outcomes would have been reduced and processes less effective.”
- Judy Mann, TWI-JI Shepherd, Education
Started Kata May FY 16 Started TWI - JI
Shepherding Kata work on CLABSI - Oct FY 17
0
50
100
150
FY 14 FY 15 FY 16 FY 17
133
104
43
6
CLABSIs
BAPTIST MEMPHIS DEPLOYMENTKata: Reduce Central Line Acquired Blood Stream Infection (CLABSI)
A single CLABSI can cost theorganization $40,000Kata has reduced CLABSIs from43 – 6 = 37 fewer patients experienced a
CLABSI FY16 over FY17 YTD
“Most significantly the deployment of Foley Insertion/Peri Care JIB’s to nursing, with the contingency that only nurses who have received the JIB training can insert foley catheters. We are confident this has led to the steady decline in CAUTI events in our hospital due to the JIB, TWI training, and validation on-going. TWI training with the JIB has provided our staff the training and tools for standard work to prevent harm and reduce infections relating to foley catheters. “
- Judy Mann, TWI-JI Shepherd, Education
Kata: Catheter-associated Urinary Tract Infections (CAUTI)
A single CAUTI can costthe organization $9,000Kata has reduced CAUTIs from 19 – 6 = 13 fewer patients experienced a CAUTI FY16 over FY17 YTD
BAPTIST MEMPHIS DEPLOYMENT
Started Kata May 2016
Kata: Falls 4 West – Med-Surg Kata Storyboard 1st Area that was started 5/2016
BAPTIST MEMPHIS DEPLOYMENT
1.651.7
1.751.8
1.851.9
1.952
2.052.1
2.15
4 West Falls per 2 Week
Kata: Med-Surg & Float Pool Falls Master Kata Storyboard
BAPTIST MEMPHIS DEPLOYMENT
0
10
20
30
40
50
60
% Assisted Falls
02468
101214
Base
line
2/3/
2017
2/17
/201
7
3/3/
2017
3/17
/201
7
4/3/
2017
4/28
/201
7
5/12
/201
7
5/26
/201
7
Fall per 2 Week Target Condition Since Kata
Added 4N
Kata: 5 West - Stepdown Reduce Turnover to < 14% for FY 17BAPTIST MEMPHIS DEPLOYMENT
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
Q3 - FY16 Q4 - FY16 Q1 - FY17 Q2 - FY17 Q3 - FY17
30.9%
22.0%
0.0% 0.0%
4.2%
RN Voluntary TO
Memphis Hospital
23 Improvement Katas launched in 12 months
FY16 vs FY 17
Estimated ROI
Approximately 55 x investment
Model based on the Toyota Kata book & research by Mike Rother
A Meta-Routine stays the same regardless of the circumstances-a routine way of acting and thinking.
Kata is an iterative process!
PDSA
Our Mental Model
YES Kata Plays Very Well with Others
Show me your thinking
Main Thoughts on DAILY, DELIBERATE PRACTICE of Kata Experimentation on Organizational
Culture...
Deliberate Practice of
new Behaviors
KATA STARTS HERE.…….. SO WE CAN MOVE THIS
Drives the formation of new Habits
Habit formation leads to either
an open or closed Mindset
The sum an organization’s Mindsets and
Behaviors = Culture
THANK YOU,For the Gift of Your Time Today!
“Focus on the People, and the numbers will come…
Focus on the numbers, and the people will Go!”
TM
Brandon Brown, P. [email protected]
479-856-1919