Catalysis Healthcare Value Network member, Cleveland Clinic, has been on an improvement journey since 2006. In 2013, the organization began to shift their vision to create a culture in which every caregiver is capable, empowered and expected to make improvements every day Their journey of learning has shifted to a model that is proactive, where accelerated improvements are the result of caregivers feeling empowered and capable to look at problems differently. The Cleveland Clinic Improvement Model was developed to enable the organization to harness the power of everyone to understand their purpose and achieve their goals. The model, comprised of four systems, places focus on organizational alignment, visual management, problem-solving, and standardization. The model further outlines the tools that are utilized with each system as well as the specific roles and behaviors expected of senior leaders, managers, and teams of caregivers.
In an effort to help teams build upon their problem-solving skills within the organization, Cleveland Clinic created their own problem-solving program called SolVE (Solutions for Value Enhancement). The program is a 12-week cohort where multi-disciplinary teams receive hands-on learning as they apply A3 thinking to a current and real problem they are experiencing. Through the use of a strategically developed curriculum as well as a dedicated coach, the program has generated numerous projects that have resulted in improvement and learning that enhances both the caregiver environment as well as the delivery of care provided to patients.
Utilizing the Cleveland Clinic Improvement Model as a foundation for SolVE has generated more than 200 projects, with 95% of them resulting in improvement and/or learning. Two recent improvements were focused on patient flow. The first aimed to increase the number of patients discharged before 1 p.m. To date, with better teamwork and a clearer understanding of root cause, more than 200 patients each day are being discharged before 1 p.m. The second aimed to decrease the length of stay for a specific subset of providers who accounted for 50% of all discharges. Through SolVE, the team reduced the average length of stay for these providers from 5.04 days to 4.73
The Cleveland Clinic utilizes PDCA (Plan, Do, Check, Act) to learn more about their problems and countermeasures. Building the capability of caregivers, through SolVE, creates a culture of continuous improvement which is better for everyone.
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