Welcome! Hospital Flow Professional Development Program Wireless Network: Hyatt Meeting Wireless Password: FLOW2016 October 31, 2016
IHI Overview: Hospital Flow Professional Development Program Trissa Torres, MD, MSPH, FACPM, Chief Operations and North America Programs Officer
Welcome to the Institute for Healthcare Improvement!
Changing the World
Where My Experience Comes From
About IHI Our Mission To improve health and health care worldwide. Our Vision Everyone has the best care and health possible. Who We Are IHI is a leading innovator, convener, partner, and driver of results in health and health care improvement worldwide.
Definition System designs that simultaneously improve three dimensions: Improving the health of the populations; Improving the patient experience of care (including quality and satisfaction); and Reducing the per capita cost of health care. Berwick DM, Nolan TW, Whittington J. The Triple Aim: Care, health, and cost. Health Affairs. 2008 May/June;27(3):759-769 Whittington, John, Kevin Nolan, Ninon Lewis, and Trissa Torres. "Pursuing the Triple Aim: The First 7 Years." Milbank Quarterly 93.2 (2015): 263-300.
Care Redesign Fee for Service Pay for Performance Shared Savings Shared Risk Global Payment Focus on Individuals Individuals and Populations Individuals, Populations and Communities Care Care and Cost The Triple Aim Do to Do for Do WITH
Determinants of Health and Their Contribution to Premature Death Proportional Contribution to Premature Death Genetic predisposition 30% Social circumstances 15% Environmental exposure 5% Health care 10% Behavioral patterns 40% Adapted from: McGinnis JM, Williams-Russo P, Knickman JR. The case for more active policy attention to health promotion. Health Aff (Millwood) 2002;21(2):78-93.
Population Health David Kindig and Greg Stoddart. What Is Population Health? American Journal of Public Health March 2003: Vol. 93, No. 3, pp. 380-383.
IHI Regions
Changing the World
Hospital Flow Professional Development Program Day 1 Day 2 Day 3 Day 4 8:30 AM 12:00 PM Welcome, Overview of IHI, and Setting the Stage Debrief of Pre-work and Diagnostic Measures 8:30 AM 12:15 PM Review Plans for the Day Shaping Demand: Institute for Healthcare Optimization s Variability Methodology 8:30 AM 12:00 PM Review Plans for the Day Redesign the System: Improving Med/Surg Efficiencies and Patient Flow 8 AM 12:15 PM Review Plans for the Day Executive Leadership and Oversight of System-Wide Performance Storyboard Rounds Moving from Volume to Value in Healthcare Lunch (12:00 12:45 PM) 12:45 PM 6:00 PM Strategies to Achieve System-Wide Hospital Flow Redesign the System (Kaiser South Sacramento) Redesign the System (Cambridge Health Alliance) Action Planning and Announcements Welcome and Networking Reception Shaping Demand: Separating Elective and Emergency OR Schedules Shaping Demand: Managing Elective OR Schedules and Predicting Downstream Demand Lunch (12:15 1:00 PM) 1:00 PM 5:15 PM Shaping Demand: Reducing Readmissions Shaping Demand: Advanced Illness Planning Shaping Demand: Reducing ED visits Action Planning and Redesign the System: Improving ICU Efficiencies and Patient Flow Lunch (12:00 12:45 PM) 12:45 PM 5:00 PM Redesign the System: Using Quality Improvement to Optimize Discharge Efficiency Redesign the System: Service Line Optimization and Population Health Open Space Action Planning and Announcements Optional Tour of the Matching Capacity and Demand: Using Advanced Analytics for Improvement and Forecasting Matching Capacity and Demand: Real-Time Demand and Capacity Management and Surge Planning Lunch (12:15 1:00 PM) 1:00 PM 3:30 PM Utilization of Hospital-wide Metrics to Guide Learning Within and Across Projects for Achieving Results Putting it All Together: Strategies to Achieve System-Wide Results
IHI Faculty and Staff
Guest Faculty
Orientation to the Week Ahead
Our Ask Everyone participates Please use microphones Immerse yourself into the week Disconnect from phone and WORK Be respectful to fellow participants Take advantage of the faculty and networking opportunities Provide us with daily feedback Use the standing desks around the room
Making Connections Lunch Discussion Tables we are happy to organize lunch tables on specific topics of interest. Use the sign-up sheet on the door. Share What You Are Doing this is an interactive week. We welcome you to share your own examples with the group. Group Dinners I am more than happy to organize dinner reservations. Please see me if you are interested.
Course Materials All course materials are available on IHI.org. Final presentations will be uploaded throughout the week Materials organized by program day 1 4 Computers, ipads, and tablets welcome for note taking Daily check-in sheets
Logistics Breakfast, coffee, and breaks will be available in the foyer throughout the four days Lunch will take place in the Empress Room on the 14 th Floor Restroom locations Networking Reception will take place tonight in the Empress Room starting at 5:00 PM An optional tour of the Cambridge Health Alliance ED will take place on Wednesday at 5:00 PM