More

Category Archives: Delivery

Assessing the Relationship of the Human Resource, Finance, and Information Technology Functions on Reported Performance in Hospitals Using the Lean Management System

Posted on by CATALYSIS

Given pressures to control costs and improve quality of care, one of the most prevalent transformational performance improvement approaches in health care is Lean management. However, the roles of support functions such as human resource (HR), finance, and information technology (IT) in Lean management and the relationships of these support functions with performance are unknown. […]

Creating a Culture of Continuous Improvement

A number of health systems have scored impressive gains in improving outcomes and patient satisfaction and lower costs by applying the Toyota Production System (TPS) to redesign “lean” clinical and administrative processes, eliminating waste and boosting quality. But in all too many cases, when the leader who championed TPS left his or her organization, these efforts began […]

Leadership Survey: Organizational Culture Is the Key to Better Health Care

Posted on by CATALYSIS

Organizational culture is the essential element in meeting health care goals, according to Stephen Swensen, MD, Professor Emeritus at the Mayo Clinic College of Medicine and Senior Fellow at the Institute for Healthcare Improvement. “Culture, more than anything else, drives performance,” he says. “Culture is the way in which organizations make decisions about what they […]

Grey Dube, Another Lean Healthcare CEO from South Africa

Posted on by CATALYSIS

Mark Granabn’s Lean Blog Episode #338 is Mr. Grey Dube, the Chief Executive Officer at Leratong Hospital. He has over 40 years’ experience in the public service, including time as CEO at the hospital since 2005. Leratong Hospital is an 855 bedded regional hospital with over 1700 staff members, located in Mogale City, Krugersdorp, South Africa (just […]

Reducing Emergency Department Length of Stay

Posted on by CATALYSIS

“Chaos in the emergency department is common. How to fix it is not always clear. Mary P. Mercer, MD, MPH, from the University of California, San Francisco, discusses how they successfully fixed their long dwell times at the emergency department at San Francisco General Hospital. Their solution was to create a fast-track unit that managed low-acuity […]

Gladys Bogoshi, a Lean Healthcare CEO from South Africa

Posted on by CATALYSIS

Mark Graban’s Lean Blog Episode #336 is Gladys Bogoshi, the Chief Executive Officer at Charlotte Maxeke Johannesburg Academic Hospital, one of the ten central hospitals in South Africa and the main teaching platform of the University of the Witwatersrand. The Hospital is situated in Johannesburg and has a bed capacity of 1189. Gladys is going to […]

Improving Governance Through Gemba Walks

Posted on by CATALYSIS

Hospital board members can sometimes feel isolated from the rest of the organization. Even under ideal circumstances – they receive good data and information from the senior leadership team and during board meetings have great discussions about the organization’s True North measures – they may still feel disconnected, depending on the size of the organization and […]

How a U.S. Health Care System Uses 15-Minute Huddles to Keep 23 Hospitals Aligned

Posted on by CATALYSIS

A core challenge of management is to ensure that the organization’s priorities, strategies, and metrics are consistently embraced and that any impediments are identified and addressed quickly. At Salt Lake City-based Intermountain Healthcare, ensuring the alignment of all these things to provide extraordinary care requires a constant regimented focus across our 23 hospitals, 170 clinics, and […]

Applying Lean Principles to Board Work

Posted on by CATALYSIS

St. Charles Health System’s embrace of lean practices led to a new culture and revitalized governance model Health care is ripe for change. The evidence is all around us. A majority of healthcare leaders recently surveyed said hospitals and health systems are most in need of disruptive innovation (New England Journal of Medicine Catalyst, February 16, […]

A Look Inside the Transformation Journey at Saint Agnes Medical Center

Posted on by CATALYSIS

Saint Agnes Medical Center (SAMC), part of Trinity Health, is a 436-bed, state-of-the-art medical center in Fresno, CA. They strive to be “THE trusted health partner in Central California through its unrelenting pursuit of excellence.” In July of 2016, SAMC began working with Catalysis to transform their culture and improve patient care. Catalysis engaged in […]