Transforming Health Care

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ISBN: 9781563273759 | 1563273756
Cover: Hardcover
Copyright: 3/1/2010

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A chronicle of one of the most unusual series of events in the history of medicine, this book tells the story a group of men and women a " clinicians, administrators, frontline workers, trustees, and leaders a " blessed with vision, courage, and a relentless determination to improve. It is the story of a medical center transformed. Ultimately, it is the story of a new and possibly better way to take on the challenge we face in the United States today to provide superb medical care to our people while at the same time controlling costs.

Foreword	p. xi
Note About This Book	p. xv
Preface: A Surprising Visit	p. xvii
A New Idea	p. 1
Change or Die	p. 3
Physician-Centric	p. 8
Germ of a New Idea	p. 10
Toyota Mantra: Eliminate Waste	p. 11
Journey to Japan	p. 13
A Daring New Path	p. 13
Skepticism	p. 16
The First Trip	p. 17
An Industrial Symphony	p. 20
"Aren't You Ashamed?"	p. 22
The Missing Piece	p. 23
"This Is Ludicrous"	p. 27
No Going Back	p. 29
The Blue Yarn	p. 33
A Revealing Value Stream	p. 34
The Patient's Voice	p. 37
New Space, New Process	p. 39
Continuous Improvement	p. 41
Standard Work	p. 44
A Singular Success	p. 46
Safety Crusade	p. 49
Patient Safety Alerts^™	p. 50
A Nurse's Courage	p. 53
A Doctor's Courage	p. 53
Why Shouldn't Everybody Get a Flu Shot?	p. 55
Mrs. Mary McClinton	p. 58
Mistake Proofing	p. 61
A Culture of Safety	p. 61
Evolution of the PSA System	p. 63
Ambulatory Care Breakthrough	p. 69
Stress on Primary Care	p. 69
Moving the Mountain of Waits	p. 70
Mistake-Proofing Care: Early Steps	p. 73
Creating a New Tool	p. 75
Inventing the Flow Station	p. 77
Breakthrough	p. 79
Skill-Task Alignment	p. 80
Primary Care Transformed	p. 83
Going to Jidoka	p. 85
External Setup	p. 87
Biggest Room in the House	p. 90
Transforming Procedural Care	p. 93
Creating a New Ambulatory Surgical Experience	p. 93
Design Challenge	p. 94
Listening to Patients	p. 96
Setup Reduction	p. 98
Breakthrough	p. 100
Center for Hyperbaric Medicine	p. 103
Ask Why	p. 105
Patient Focused	p. 106
Transforming Inpatient Care	p. 111
Geographic Cells	p. 112
Report/Handoff	p. 114
In-Room Documentation	p. 116
Visual Work Environment	p. 116
Medical Emergency Teams	p. 118
Hourly Rounding: From Reactive to Proactive	p. 120
Knowing the Frontline Work	p. 122
Dramatic Change in Nurse Culture	p. 123
Shorter Length of Stay	p. 126
Better, Faster, More Affordable	p. 129
Identifying The Customer	p. 131
"We Can Do Better"	p. 133
Value Stream Reveals Huge Waste	p. 135
Same-Day Access	p. 137
Marketplace Defines Quality	p. 139
Home Run	p. 143
Financial Conundrum	p. 144
Perverse Incentives	p. 146
Management Method	p. 149
Seeing Virginia Mason with Fresh Eyes	p. 149
Structure and Discipline	p. 152
Training within Industry	p. 153
Standard Work: Hand Hygiene	p. 154
World-Class Management	p. 155
Daily Management	p. 156
"The State of the Union Every Tuesday Morning"	p. 159
"Everybody Can Be a Leader"	p. 161
Leadership	p. 163
The Journey Continues	p. 165
Will You Teach Us?	p. 165
If You Build It	p. 167
Role Model	p. 168
The Virginia Mason Institute	p. 170
"Accountable Outside Our Own Walls"	p. 172
The Obstacle of Arrogance	p. 174
A Nonsystem	p. 176
A Sense of Hope	p. 178
The Journey Continues	p. 179
"We're Just Getting Started"	p. 181
Source Notes	p. 183
Preface	p. 183
	p. 184
	p. 184
	p. 185
	p. 185
	p. 185
	p. 185
	p. 186
	p. 186
	p. 186
	p. 186
Appendix	p. 187
Glossary	p. 189
Appendix	p. 193
Applying VMPS to Business Functions	p. 193
Relentless Attack on Waste	p. 194
Bringing Flow Stations to Specialty Department	p. 196
General Internal Medicine: Spreading Innovation in Ambulatory Care	p. 199
Breaking Down Silos	p. 200
Skill-Task Alignment	p. 201
Uphill Battle	p. 203
Restructuring	p. 204
Introducing Flow Stations	p. 205
The New GIM	p. 207
Acknowledgments	p. 211
Index	p. 215
About the Author	p. 223
Table of Contents provided by Ingram. All Rights Reserved.

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Transforming Health Care

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