Jordan, Kim, MHA, BSN, RN, NE-BC

Panik, Anne, MS, RN, NEA-BC

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingOptimizing Care -- Inspiring Leadership toImprove Quality and Efficiency while ControllingCostsAnne Panik MS, RN, NEA-BCLehigh Valley Health Network, Anne.Panik@lvhn.orgKim Jordan MHA, BSN, RN, NE-BCLehigh Valley Health Network, Marie.Jordan@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Health and Medical Administration Commons, and the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtPanik, A., & Jordan, M. (2014, March 12-15). Optimizing care - Inspiring leadership to improve quality and efficiency while controlling costs.Poster presented at: The American Organization of Nurse Executives (AONE) Annual Meeting, Orlando, FL. © 2014 Lehigh Valley Health NetworkReferences:1.		Shook,	J.	(2008).	Managing	to	learn:	Using	the	A3	management	process	to	solve	problems,	gain	agreement,	mentor	and	lead.	Cambridge,	MA:	Lean	Enterprise	Institute.		 Poster OverviewAn organization-wide effort sponsored by the Network’s senior executive team which used lean management principles to identify waste, add value and achieve cost benefits.  Optimizing Care Service Line ProjectOutcomesGoal•  Implement processes to study, analyze and map variation in care processesObjectives   •  Utilize a standard approach to accomplish the goal across the network•  Involve multi-disciplinary teams led by clinical departments and service line staff•  Identify, study and improve processes in a manner sufficient to generate cost reduction•  Share learnings broadly across network entities Evidence•  Lean management principles can be successfully applied to the delivery of health care. •  Lean thinking begins with driving out waste so that all work adds value.•  Identifying value-added and non-value-added steps in every process is the beginning of the journey toward lean operations. Project Structure•  Senior Executive Oversight Team	 	 	 –		Chief	nursing	officer	(CNO)	&	nurse	administrator	 	 	 –		Service	line	non-nurse	administrators	 	 	 –		Service	line	physician	chairs		 	 	 –		Physician	executive	for	quality		 	 	 –		Finance	staff	member		 	 	 –		Internal	lean	coach	•  9 service lines & 4 ancillary departments•  11 teams→ 40 projects•  Projected financial impact: $3,184,500  Implications•  Alignment with the AONE key priorities -  illustrates innovation and, through value-added work, supports provision of safe quality care in healthful practice environments.•  With CNO driving the initiative as a senior executive and nurses serving as leaders on all teams, project communicates value of nursing in healthcare to all stakeholders.Full project roll-out → $6,216,300Examples:•  ↓ LOS through ‘super’ cohorting and collaborative rounds• ↓ and standardized OR room supplies•  Standardized order sets focused on decreased utilization of unnecessary diagnostic studies•  ↓ medication costs through	 	 	 –		Diligent	contract	negotiations	 	 	 –		Streamlined	formulary	 	 	 –		Evidence-based	protocolsLength of Stay (LOS)FY 2014 YTD Supply StandardizationLVHM ALOS      4.7   ALOS Vriance from Budget Encounters $/Encounters SavingsJuly 4.92 -0.22 829 $500 ($91,190)Aug 4.62 0.08 820 $500 $32,800Sept 4.5 0.2 824 $500 $82,400Oct 4.78 -0.08 908 $500 $36,320Nov 4.59 0.11 779 $500 $42,845  $30,535LVH ALOS      4.9   ALOS Vriance from Budget Encounters $/Encounters SavingsJuly 4.95 -0.05 3,626 $500 ($90,650)Aug 4.79 0.11 3,415 $500 $187,825Sept 4.84 0.06 3,370 $500 $101,100Oct 4.93 -0.03 3,558 $500 ($53,370)Nov 4.78 0.12 3,485 $500 $209,100  $354,005$0$200$400$600$800$1,000$1,200Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May JunYTDAnnualizedRealized YTDLehigh Valley Health Network, Allentown, PAOptimizing Care - Inspiring Leadership to Improve Quality and Efficiency While Controlling Costs Interprofessional Senior Executive TeamSavings (Acute; Tru Source Data)MagnetTM	Since2002

Optimizing Care --  Inspiring Leadership to Improve Quality and Efficiency while Controlling Costs

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1313&context=patient-care-services-nursing

Optimizing Care -- Inspiring Leadership to Improve Quality and Efficiency while Controlling Costs

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Lehigh Valley Health Network: LVHN Scholarly Works