2017/09/07: Utah Ops & Goldratt Consulting: Breakthrough Reults For Government and Business Part 3

by Gene Kim on

#Utahgccon

2017/09/07: Utah Ops & Goldratt Consulting: Breakthrough Reults For Government and Business Part 3

Up: Alex Knight: Breathrough Results in Quality, Safety, Timeliness and Affordabilty of Healthcare

  • Knight: “US tops spending in healthcare per-capita GDP; some US states have 30% of economy on healthcare spending
  • Knight: “Healthcare has some of the most complex value streams around, with catastrophic outcomes when things go wrong
  • Knight: “Goals of healthcare: provide high quality care for all patients vs. be financially stable; more vs less front line staff
  • Knight: “Cutting healthcare costs often leads to reducing staff who are actually deliver healthcare to patients
  • Knight: “The big problem: as much as healthcare medical costs are rising, revenue is rising slower: 3% cost vs. 1% revenue growht
  • Knight: “Prices of everything going up (radiology, etc), and # of elderly going up, and # of life-lengthening treatments going up
  • “I work at Texas Health Resources; read Pride & Joy; started in Emergency Dept; reduced length of stay from 4.9d > 3.9d in 2 months
  • “I run rural hospital in Quebec; in 2015, reduced length of stay almost overnight, incr physical engagement, discharge planning
  • Knight: “In healthcare, we don’t talk about lead time, we call it ‘length of stay’; has massive impact on quality, patient outcomes, sense/purpose
  • Knight: “Healthcare: complex routings, massive use of shared resources (doctors), lots of stastistical fluctuation (patient arrival, job completion
  • Knight: “whenever I see 4-5 or more improvement projects, I know that they’re probably making problems worse
  • Knight: “One reason: everyone has their own reason to pick the next problem or patient to see; impossible to control outcomes
  • Knight: “Value stream: patient admission date; planned discharge date based solely on clinical needs; ultimate of patient-centered clinical care
  • Knight: “...then each day, look at which tasks are causing are the most disruption/delay to all patient objectives