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What We Know Works
- Break down service line and department "silos"
- Create "interlocking accountability" for performance
- Create a "helpful organization" with defined backup systems, where staff feel confident they can ask for, receive and offer help
- Use key methods and IT systems to anticipate work flow, admissions, transfers and discharges
- Use the "pull system" for patient transfers
- Create "flawless handoffs" of patients as they move through the hospital
- Monitor Key Performance Indicators comprising multiple sub processes
- Set "outrageous goals" for reduced cycle times
- Prioritize greatest opportunities on a weekly basis
- Use IT systems to create a "transparency" of information throughout the hospital
- Routine, rigorous use of methodologies and IT systems to efficiently, effectively manage operations
- Consistent monitoring, review and action on operational issues
- Use of High Census Protocols to drive action plans based on work activity
- Know what you did last week
- Know how you are doing right now
- Know what you can do tomorrow to effect improvements
- Hospital, ED, OR, Ancillary - web-based tools display work activity throughout the hospital
- Best-in-Class knowledge base - 10 years of knowledge in a one-year project
- Create an infrastructure of staff-led improvements
- Create a culture for continuous improvement and sustainability of results
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"You must be the change you wish to see in the world."
Mohandas Gandhi
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