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SBGH
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Our VisionOur Vision
To To deliverdeliver the the safestsafest and and highesthighestqualityquality of care to of care to everyevery
patient,patient,everyevery encounterencounter, ,
everyevery dayday..
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Our Mission and ValuesOur Mission and Values
••WeWe embraceembrace Tradition, Innovation Tradition, Innovation and Inspirationand Inspiration
••Respect, Respect, CaringCaring, , StewardshipStewardship
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Our Beginning
The Grey Nuns arrive in St. Boniface in 1844.
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Three Major Challenges Three Major Challenges
•• Availability of workforce to do the jobAvailability of workforce to do the job
•• Healthcare costs are not sustainableHealthcare costs are not sustainable
•• Patients & public holding us accountable Patients & public holding us accountable for safe & reliable healthcare with better for safe & reliable healthcare with better outcomesoutcomes
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Quality is Quality is ““THE THE ““StrategyStrategy
•• Linking our mission, vision,Linking our mission, vision,and valuesand values
•• 4 4 PrimaryPrimary objectivesobjectives–– Patient satisfactionPatient satisfaction–– Staff engagementStaff engagement–– Clinical effectiveness and SafetyClinical effectiveness and Safety–– Efficiency and Financial PerformanceEfficiency and Financial Performance
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Lean TransformationLean Transformation
•• Engages the workforce.Engages the workforce.•• Addresses the sustainability gap Addresses the sustainability gap
(removing waste reduces the gap between (removing waste reduces the gap between the costs & the available resources)the costs & the available resources)
•• Creates less variation in the processCreates less variation in the process•• Creates more standard workCreates more standard work•• Increases safety & reliabilityIncreases safety & reliability
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WasteWasteIn the eyes of the Patient everything an Enterprise does either ADDS VALUE or does not.
Definition of Non-Value AddedAnything that consumes time or resources but does not add value
Definition of Value AddedAny activity that directly contributes to satisfying the needs of a customer
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Non Valued-Added vs. Value Added
VS
VS
Waiting Room Operating Room
Airport Airplane
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90 % 10%
Value-Added
Focus of Improvement
Non-Value-Added
The primary focus of Transformation is on reducing or eliminating Non-Value-Adding activities
Patient’s stay
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Value StreamsValue Streams
•• Value Streams ( all the steps in a common Value Streams ( all the steps in a common process or a patient journey)process or a patient journey)
•• 6 S Event ( sort, straighten, shine, safety, 6 S Event ( sort, straighten, shine, safety, standardize, sustain )standardize, sustain )
•• Rapid Improvement Events ( RIE)Rapid Improvement Events ( RIE)
•• ““Just Do ItJust Do It’’ss”” (JDI)(JDI)
•• ProjectsProjects
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Transformation Value Streams At A Glance
Sep/08 Jan/09 May/09 Sep/09 Jan/10 May/10
ED – Acute coronary syndrome (ACS)
ED Non Admitted Patients
Surgery- Acute care surgical services (ACSS)
Clinical Supply Chain
Medicine-Flow/Capacity/Productivity
Impr
ovem
ent A
ctiv
ity
Staff Scheduling
Surgery- Flow/Capacity/Productivity
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Rapid Improvement
Events
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ER 6S Event “Before”
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ER “ After”
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Medicine Ward “ Before “
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Medicine Ward “After”
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Triage Area RIE
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Clinical Supply Chain Huddle
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“Telling the Story”Friday Report-Out
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Visual Management and Transparency
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True North
Metrics
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Celebrating Success
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SUSTAINMENT
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SUSTAINMENT
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Keeping the Patient / Customer as our Focus
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Buhler Gallery
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