Flow Seminar Preview
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1 Flow Seminar Preview Deb Kaczynski, MS Roger Resar, MD Kevin Nolan, MStat, MA September 11, :00 PM 2:45 PM EST Call Agenda 2:00 PM 2:05 PM Welcome & Introductions Seminar Overview 2:05 PM 2:15 PM Overview: the Journey to Get Where We Are 2:15 PM 2:25 PM Introduction to Real Time Demand Capacity 2:25 PM 2:35 PM Success at University of Pittsburgh Medical Center (UPMC) 2:35 PM 2:45 PM Q&A 1
2 Seminar Logistics Cracking the Code to Hospital-Wide Patient Flow Seminar October 23 24, 2014 Westin Denver Downtown, Denver, CO Book your hotel reservation by October 1 st to get the discounted rate. Meet Our Faculty 4 Kevin Nolan, MA, MStat, Statistician and Consultant, Associates in Process Improvement and Senior Fellow, IHI Roger Resar, MD, Senior Fellow, IHI Deb Kaczynski, MS, Administrative Director of Ancillary Services and Capacity Management, University of Pittsburgh Medical Center (UPMC) Mercy 2
3 What You ll Learn 5 As a result of this program, participants will be better equipped to: Create a system to support Real Time Demand- Capacity management (RTDC) Have a method to identify barriers to flow in your organization Create a plan for improving flow Use measures to support the improvement work 6 The Journey to Get Where We Are Kevin Nolan 3
4 The IHI Learning Journey IHI Inpatient Flow Collaborative ( ) Learning from other disciplines Applying key strategic concepts Resar, R., Nolan, K., Kaczynski, D., Jensen K. Using Real-Time Demand Capacity Management to Improve Hospital-wide Patient Flow. Journal on Quality and Patient Safety. Vol. 37, No. 5, May 2011; Pages Preview of the Agenda Ideas: Real Time Demand Capacity (RTDC) management Hospital-wide bed meetings: a more detailed review Focusing improvements on barriers identified through RTDC Execution: Understanding hospital performance Case study on RTDC from the Gundersen Health System Lisa Lock, RN, BSN, Clinical Manager (includes the Cardio Pulmonary and Medical Specialty Units) Rik Kansteiner, MBA, Project Manager, Efficiency Improvement Department Change Management 4
5 9 An Introduction to Real Time Demand Capacity (RTDC) Roger Resar Real Time Demand Capacity Approach Improves flow by more closely matching capacity and demand for at least 25% of the day Allows the organization to determine the key barriers causing flow delays 10 5
6 Real Time Demand Capacity Perspective Hospitals require an administrative system for patient flow that: 1. Predicts at a unit and hospital level the capacity to accept admissions 2. Predicts at a unit and hospital level the demand (admissions) and assesses whether the capacity matches that demand (at least within the timeframe defined by patient flow goals for ER door to floor, etc) 3. For any unit where demand is predicted to be greater than capacity, creates a plan to match capacity and demand 4. Evaluates the success or failure of the documented plan 5. Uses the failures or successes of plans to develop the key improvement projects to improve flow Success with RTDC at UPMC Deb Kaczynski 6
7 University of Pittsburgh Medical Center -UPMC is a $10 billion global health enterprise with more that 55,000 employees -Integrates 20 hospitals, 400 MD offices, outpatient sites, health insurance services division, international and commercial services -UPMC acquired Mercy Hospital on January 1, UPMC Mercy: ED Median Admit LOS Goal 14 7
8 UPMC Mercy: LWBS Rate Goal 15 How RTDC Changed UPMC Mercy Each inpatient unit took control of their patient flow Nursing Supervisors now support efficient patient flow vs being entirely responsible for patient flow No longer are there surprises of not enough or too many beds at 5pm Busy days are now just regular days with more plans put into effect. Barriers in the day to day management of demand and capacity drive the hospitals improvement projects, not board room meetings. 16 8
9 17 Questions? Event Manager: Sarah Goggins: 9
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