San Francisco General Hospital. Subtitle. and Trauma Center. Title Annual Report

Transcription

1 San Francisco General Hospital Subtitle and Trauma Center Title Annual Report 1

2 Agenda Introduction of Executive Leadership Hospital Rebuild/Transition Lean Management System Quality Improvement Environment of Care Report Policies Hospital Plan for Provision of Patient Care Performance Improvement and Patient Safety Program

3 SFGH Executive Leadership SFGH Executive Leaders Sue Currin, Chief Executive Officer Iman Nazeeri-Simmons, Chief Operating Officer Terry Dentoni, Chief Nursing Officer Valerie Inouye, Chief Financial Officer David Woods, Chief Pharmacy Officer Troy Williams, Chief Quality Officer Margaret Damiano, Director of Operations, Dean s Office Kathy Murphy, Deputy City Attorney Shermineh Jafarieh, Administrator of Diagnostics and Wellness Services, F&NS Aiyana Johnson, Chief Care Experience Officer Elaine Lee, Director, Human Resources Winona Mindolovich, Director, Information Systems Lillian Chan, Director of Transition Anson Moon, Dir., Administrative Operations Kathy Jung, Director of Support Services SFGH Executive Medical Staff Leaders Sue Carlisle, M.D., UCSF Vice Dean, SFGH Todd May, M.D., Chief Medical Officer James Marks, M.D., Chief of Medical Staff Alice Chen, M.D., SFGH Chief Integration Officer Jeff Critchfield, M.D., Medical Director, Care Experience and Risk Management William Huen, M.D., Associate Chief Medical Officer Jenson Wong, M.D., Chief Medical Informatics Officer

4 Hospital Rebuild/Transition

5 Hospital Rebuild/Transition ICU Nurse Station

6 Hospital Rebuild/Transition Medical/Surgical Inpatient Room

7 Future State Model: Patient Centered Coordinated Care Flow Simulations in the new floor plan Inpatient Services Workflow 3P Design The Team Order / Admit /Discharge

8 GI Radiology Ortho Gen Surg Urology Cardiology Opth Plastic Surg ENT Neurosurg Gyn Oral Surg ECT Pulmonary Reviewing Our Data 2013 VOLUME BY SERVICE LINE Finding Teamwork in Nature 4,000 3,500 3,000 2,500 2,000 1,500 1, % 100% 80% 60% 40% 20% 0% Visiting the Gemba Surgical and Procedural Services Workflow 3P Design Working as Teams 2013 VOLUME BY SERVICE LINE Future State Table Top Models 4,000 3,500 3,000 2,500 2,000 1,500 1, % 100% 80% 60% 40% 20% 0% TOTAL PARETO % The Really Big Paradigm-Shifting Fish

9 Reviewing Our Data Presenting the Floor Plan Patient Perspective Emergency Services Workflow 3P Design Working as Teams Future State Table Top Models Workflow Mapping with Blueprints

10 Improving Care Lean Management System 5D Medical/Surgical Nursing Unit Production Board

11 Improving Care Lean Management System Outpatient Pharmacy Prescription Refills

12 Quality Improvement Accreditations and Certifications ACSCOT Level 1 Trauma Accreditation The Joint Commission Stroke and Traumatic Brain Injury Certifications CDPH Long Term Care Accreditation Baby Friendly USA Re-designation CoC Cancer Program Accreditation The Joint Commission Triennial Accreditation

13 Quality Improvement Sepsis Mortality Rate 25% 20% 20% 18% 15% 12.9% 10% 10.7% 9.5% 5% 0% * SFGH rank fifth of 122 UHC academic medical center for lowest mortality rate due to Sepsis in Quarter Selected By CAPH/SNI for its 2014 Quality Leaders Award

14 Environment of Care Report Goal of the Environment of Care (EOC) Program is to provide a safe, functional and effective environment for patients, staff and visitors Use of metrics to identify Trends and risks Training needs Ensure compliance with Joint Commission EOC requirements Selected Program Highlights and Accomplishments Safety Management Code Green Violence in the Workplace Falls Prevention

15 Environment of Care Report Selected Program Highlights and Accomplishments Security Management New and expanded leadership Mandatory training requirements for all SFSD staff Establishment of operational protocols Communications Performance metrics auditing performance accountability Life Safety Management Campus wide fire alarm study Utilities Management Modernization of Building 5 Elevators Emergency Management Response to crash of Asiana Flight

16 Policies for Approvals 8.09 Hospital Plan for Provision of Patient Care Patient demographics updated Performance Improvement and Patient Safety Program Review process for Patient Safety Plan Functions of Quality Council updated Minor edits

17 Approval Needed Environment of Care Report Policies Hospital Plan for Provision of Patient Care Performance Improvement and Patient Safety Program

18 SF: Leading Center of Health, Healing and Hope 2014 SF Health Sector Impact Report Health: an essential part of the City s infrastructure 22% of all SF jobs $4.9 billion investment in new facilities $28.4 billion added to SF s economy

19 Trauma Prevention