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Category Archives: Delivery

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 Tom Hartman

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 […]

Cleveland Clinic Empowers Every Caregiver to Make Improvements Every Day

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 […]

Physician Leaders and A3 Thinking at Zuckerberg San Francisco General Hospital and Trauma Center

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 […]

Part of the Solution: Management Systems in Healthcare

Posted on by Kim Barnas

The rate of change in the business of healthcare has been extraordinarily fast in the past two decades. The shift to electronic medical records, mergers that create giant hospital systems, nationwide plans to insure more (or less) people—all of these systemic transformations have been rolled out with promises that healthcare will be improved for all. […]

Leaning in to Succeed in Public Hospitals

Posted on by admin

As first responders for medical care, behavioral health, and other urgent community needs, California’s public hospital systems serve a disproportionate share of uninsured people and patients with complex health care needs. These institutions are inherently vulnerable to the shifting needs of local, state, and federal forces. Public hospitals must balance their responsiveness to often divergent and […]