Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) is a 397-bed public safety-net hospital that experiences over 80,000 ED visits each year and nearly 16,000 admissions. They pride themselves on being a teaching hospital, a Level 1 Trauma Center, and a lean learning organization.
After adopting A3 Thinking as the organization’s primary problem-solving methodology in 2015, and faced with a worsening post-acute care crisis throughout the San Francisco Bay Area, ZSFG’s executive leadership identified improving patient flow and access as a key strategic priority in 2016-2017. Two physicians, Hemal Kanzaria, an Emergency Department physician and Kaizen Promotion Office fellow, and Jack Chase, a family physician and Medical Director of Care Coordination, troubled by the flow problems they saw in their own work as clinicians and leaders at ZSFG, developed an A3 and built up a multidisciplinary team to tackle this issue.
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