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March 13-15, 2013. Intermountain Medical Center Salt Lake City, Utah. Thursday, January 24 3:00 – 4:00 PM ET. Informational Call. From the Bedside to the Balance Sheet: Engaging Front-line and Finance Staff to Lower Costs and Drive Quality. Agenda. Welcome and Introductions - PowerPoint PPT Presentation
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Informational CallFrom the Bedside to the Balance Sheet: Engaging Front-line and Finance Staff to Lower Costs and Drive Quality
March 13-15, 2013Intermountain Medical Center
Salt Lake City, Utah
Thursday, January 243:00 – 4:00 PM ET
Agenda
Welcome and IntroductionsProgram Overview
6 Keys to Success, 7 Tools, and 8 StepsPreparing for the Seminar
Next Steps
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Please type your name and the organization you represent in the chat box!
Example: Doug Jones, Midwest Health System
Making Sense of It All
Leadership for changing health care
IHI’s Vision
From . . .Arbitrary, reactive cutting disconnected from the people and processes of care delivery
To …A systematic, targeted set of interventions designed to simultaneously
Improve patient outcomesControl costsIncrease patient & caregiver satisfactionPromote dialogue and collaboration between frontline, senior and financial leadersManage through the payment corridor from fee for service to managing healthEngage caregivers in dialogue about allocation of savings, when realized
IHI’s Impacting Cost + Quality• Anne Arundel Medical Center• Baptist Memorial Health Care Corporation• Baptist Memorial Hospital – Memphis• Claxton-Hepburn Medical Center• Georgetown Hospital System &
Georgetown Memorial Hospital• Hackensack University Medical Center• Hawaii Pacific Health• Highline Medical Center• Hotel Dieu Hospital• Interim HealthCare• Kaiser Permanente • Kenmore Mercy Hospital• King's Daughters Medical Center
• Kingsbrook Jewish Medical Center• Markham Stouffville Hospital• Meriter Health Services• NCH Healthcare• Northeast Health• North Mississippi Medical Center• Ochsner Health Systems• OSF Healthcare System• Presbyterian HealthCare Services• Highland Hospital, Eksjo, Medical Department
Hoglandet Hospital & Medical Departement, Ryhov
• Somerset Hospital• Stony Brook University Medical Center• The University of Rochester Medical Center• VA Connecticut Healthcare System
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Collectively, these organizations are now on track to save $43 million.
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March 13-15, 2013Intermountain Medical Center
Salt Lake City, Utah
Engaging Front-line and Finance Staff to Lower Costs and Drive Quality
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Engaging Front-line and Finance Staff
Faculty 10
Lucy Savitz, PhD, MBADirector of Research and Education Intermountain Health CareInstitute for Healthcare Delivery Research
Pete KnoxExecutive Vice PresidentBellin HealthSenior IHI Fellow
Kathy Luther, RN, MPMVice PresidentIHI
David Williams, PhDImprovement Advisor
IHI Team
Kathy Luther, RN, MPMVice PresidentIHI
Jill Duncan, RN, MS, MPHDirectorIHI
Jesse McCallProject ManagerIHI
Evan BittelProject CoordinatorIHI
Program Aim
Reduce costs at least 2% per year over the next 5 years while continually maintaining or improving quality
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Participants will Learn how to build efficient systems and lasting system redesign for ongoing cost and quality work. Specifically, you will:
Develop a customized process to reduce cost and maintain or improve quality for the long-term, Build a portfolio of cost reduction interventions,Design a tactical plan for how to get finance and quality teams working together, and Create a set of portfolio metrics and a measurement system to capture savings.
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• Evaluate cost and quality impact• Prioritize projects and manage organizational energy• Create portfolios of projects across the organization• Solve problems and execute improvement cycles• Establish data & feedback loops• Measure, monitor and share results • Spread learning across systems
PRIMARY DRIVERS SECONDARY DRIVERS
Reduce costs at least 2% per year over the next 5 years while continually maintaining or improving quality
AIM
WILLAlign Strategy
WILLEngage Staff, Physicians and Patients
IDEASIdentify Waste
EXECUTIONPrioritize, Manage, Remove Waste
• Align waste reduction strategy throughout organization• Adopt integrated performance measurement systems• Redesign the system to achieve superior results in reduced costs, improved quality, and patient engagement• Align operations for the new reimbursement world
• Engage staff in the what & why of value delivery• Engage patient & family perspective of waste• Ensure a safe environment for sharing ideas• Develop and support new skills at all levels of the system
• Eliminate failures in health care delivery• Improve care coordination across systems• Eliminate excess administrative costs• Eliminate overtreatment• Eliminate pricing failures
• Evaluate cost and quality impact• Prioritize projects and manage organizational energy• Create portfolios of projects across the organization• Solve problems and execute improvement cycles• Establish data & feedback loops• Measure, monitor and share results • Spread learning across systems
PRIMARY DRIVERS SECONDARY DRIVERS
Reduce costs at least 2% per year over the next 5 years while continually maintaining or improving quality
AIM
WILLAlign Strategy
WILLEngage Staff, Physicians and Patients
IDEASIdentify Waste
EXECUTIONPrioritize, Manage, Remove Waste
• Align waste reduction strategy throughout organization• Adopt integrated performance measurement systems• Redesign the system to achieve superior results in reduced costs, improved quality, and patient engagement• Align operations for the new reimbursement world
• Engage staff in the what & why of value delivery• Engage patient & family perspective of waste• Ensure a safe environment for sharing ideas• Develop and support new skills at all levels of the system
• Eliminate failures in health care delivery• Improve care coordination across systems• Eliminate excess administrative costs• Eliminate overtreatment• Eliminate pricing failures
• Evaluate cost and quality impact• Prioritize projects and manage organizational energy• Create portfolios of projects across the organization• Solve problems and execute improvement cycles• Establish data & feedback loops• Measure, monitor and share results • Spread learning across systems
PRIMARY DRIVERS SECONDARY DRIVERS
Reduce costs at least 2% per year over the next 5 years while continually maintaining or improving quality
AIM
WILLAlign Strategy
WILLEngage Staff, Physicians and Patients
IDEASIdentify Waste
EXECUTIONPrioritize, Manage, Remove Waste
• Align waste reduction strategy throughout organization• Adopt integrated performance measurement systems• Redesign the system to achieve superior results in reduced costs, improved quality, and patient engagement• Align operations for the new reimbursement world
• Engage staff in the what & why of value delivery• Engage patient & family perspective of waste• Ensure a safe environment for sharing ideas• Develop and support new skills at all levels of the system
• Eliminate failures in health care delivery• Improve care coordination across systems• Eliminate excess administrative costs• Eliminate overtreatment• Eliminate pricing failures
• Evaluate cost and quality impact• Prioritize projects and manage organizational energy• Create portfolios of projects across the organization• Solve problems and execute improvement cycles• Establish data & feedback loops• Measure, monitor and share results • Spread learning across systems
PRIMARY DRIVERS SECONDARY DRIVERS
Reduce costs at least 2% per year over the next 5 years while continually maintaining or improving quality
AIM
WILLAlign Strategy
WILLEngage Staff, Physicians and Patients
IDEASIdentify Waste
EXECUTIONPrioritize, Manage, Remove Waste
• Align waste reduction strategy throughout organization• Adopt integrated performance measurement systems• Redesign the system to achieve superior results in reduced costs, improved quality, and patient engagement• Align operations for the new reimbursement world
• Engage staff in the what & why of value delivery• Engage patient & family perspective of waste• Ensure a safe environment for sharing ideas• Develop and support new skills at all levels of the system
• Eliminate failures in health care delivery• Improve care coordination across systems• Eliminate excess administrative costs• Eliminate overtreatment• Eliminate pricing failures
Program Overview
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March 13-15, 2013Intermountain Medical Center
Salt Lake City, UT
Pre-Seminar Webinar Call 19
Pre-Seminar Webinar CallTuesday, February 12th
1:00 – 2:30 ET
Seminar AgendaLogistics
Identifying AimsAligning work across systems
Getting ahold of organizational capacity Engaging frontline partners in identifying waste
What to pack for Salt Lake City
Pre-work will include a brief self-assessment, identifying your aim, building an organizational energy grid, and testing the Waste Identification Tool in at least 2 areas
Program Agenda
Aligning Organizational Strategy to Improve Value Organizational Approaches to Lowering Costs and Driving Quality Identifying Waste and Driving it OutCreating Integrated Clinical and Financial ModelsPrioritizing Waste Reduction OpportunitiesTracking Results Over TimeCreating Discipline and Rhythm for Long-Term SuccessExpert Help Where You Need It: Faculty CoachingCreating Your Change Package
Engaging frontline staff and physicians in waste reduction Building a waste reduction portfolio: easy wins and long-term success Building partnerships between clinicians and finance leaders Leadership: Building a successful production system from top to bottom and bottom up Engaging patients and families in waste reduction efforts Innovations in Supply Chain Bundled Payment Reducing Variation in Physician Practice Building Quality Metrics & Balancing Measures Perversities of the Current Reimbursement System: What happens when inpatient services decrease and revenue and power base shifts from acute care to outpatient services?
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Commitment to this work will require a new way of thinking about operations that involves many facets of change and redesign – Pete Knox, EVP, Bellin Health
Presentations & Activities Breakout Sessions
Invited Keynotes 21
Gregory PoulsenSenior Vice President Chief Strategy OfficerIntermountain Healthcare
Lisa Schilling, RN, MPHVice President Healthcare Performance Improvement Kaiser Permanente
Brent James, MD,MStatChief Quality OfficerIntermountain Healthcare
Pete KnoxExecutive Vice PresidentBellin HealthSenior IHI Fellow
Intermountain Medical Center Tours22
Participant GuideLogisticsAgendasFaculty biosParticipant contact informationPre-workSession activities“CFO for the Week” templatesPreparing Your Change Package templates, including presentation templatesTemplates for tools and resources
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“CFO for the Week”
Identify your organization’s aim = $ ____________You will be asked to submit this in advanceParticipants will be given “IHI Bucks” to be spent, and saved, throughout the program. Participants will play out their decisions on storyboards that will be shared during discussion times throughout the programFaculty will work closely with participants on their portfolio together with assisting participants in planning for spread and shared learning following the seminar
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6 Keys - 7 Tools - 8 Steps6 Keys to Success 7 Tools 8 Steps
1. Assure Sr. leader support
1. Select an approach2. Set an aim
2. Engage front-line 1. Waste Identification Tool
2. Value Stream map
3. Identify waste
3. Link clinicians and finance
3. Financial model4. Energy grid5. Prioritization grid
4. Develop financial models
5. Set portfolio4. Deploy projects 6. Quality advisor 6. Set measures
7. Make changes (PDSA)5. Manage execution 7. Tracking Grid 8. Track results6. Spread and learn
Participants will leave with strategies, tools, and best practices to save money and drive quality
Benefits to your organization
A Way Forward: – The skills and tools to remove at least 2% of costs while
improving clinical performanceConfidence: – A sound strategy for making needed improvements in cost
and quality that take into account the payment environment for a one-year, two-year, and five-year time horizon
Capability for the Future: – Tools for developing financial viability, even at Medicare
prices
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The Cost to Enroll
http://www.ihi.org/offerings/Training/BedsidetoBalance/2013MarchFromtheBedsidetotheBalanceSheet/Pages/default.aspx
IHI is pleased to offer limited funding for scholarships and special discounts. Please see the seminar website for a link to the application on the Fees page.
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Regular Rate $2,300 per person
Group Rate $1,955 per person
Organizations sending 3 or more people are eligible for this discount.
Website
Next Steps
Enroll Today
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Join the Pre-Seminar Webinar CallTuesday, February 12th
1:00 – 2:30 ET
Feb. 12th Agenda: Welcome, Seminar Logistics, Required Pre-Work & What to Pack for SLC!
http://www.ihi.org/offerings/Training/BedsidetoBalance/2013MarchFromtheBedsidetotheBalanceSheet/Pages/default.aspx
February 21, 20132:00 – 3:00 PM ET
Clinicians and Financial Staff Can Improve Quality and Lower Costs – Stories from the Frontlines, Part Two
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Questions?
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Please join us 31
We would be happy to speak directly with teams or individuals that have additional questions or would like further information about this seminar.
Please contact us at [email protected]
March 13-15, 2013Intermountain Medical Center
Salt Lake City, UT
