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2019 PSJH CLINICAL OPERATIONS SUMMIT. May 2, 2019. Welcome Mike Butler President, PSJH Operations Amy Compton-Phillips MD EVP & Chief Clinical Officer. Reflection & Safety Story Ari Robicsek MD Chief Medical Analytics Officer Andy Bennett
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2019 PSJH CLINICAL OPERATIONS SUMMIT May 2, 2019
Welcome Mike Butler President, PSJH Operations Amy Compton-Phillips MD EVP & Chief Clinical Officer
Reflection & Safety Story Ari Robicsek MD Chief Medical Analytics Officer Andy Bennett Regional Manager, Quality Analytics & Reporting
The Patient Journey: Improving the Value of Care ? ? Physician Consult & Shared Decision Making Understand Condition Symptoms Appear Where to turn? Healthy Find a Provider Personal Prep/ Self-Care Procedure Receive Bill Post Care Hospital Stay
Improvement at Scale: Think Global, Act Local System Region SYSTEM REGIONAL LOCAL • Sets Vision, Goals • Facilitates system-wide networks • Coordinates Data and Analytics • System-wide EMR & IS tools • System Throughput/Flow collaborative • Builds regional networks • Supports local leadership • Leads Implementation • Supports continuous innovation and feedback • Matches local needs and resources • Supports front line leadership • Implements change • Surfaces new discovery Local Ministry Local Ministry Local Hospital Region Local Ministry Local MDs and groups Top Down Alignment (What, by When, How you Know) • Bottom up learning • (Who, How)
Trust Data Capacity Alignment Vision Networks + Evidence builds infrastructure for change Accessible, intuitive data will help drive change PI skills + EMR, apps Finding win/win models We can make great care affordable by learning to live on Medicare Change at Scale
Effective Change Visionary Leadership Data that Drives Trusted Networks Improve-ment skills Aligned Incentives Confusion Frustration Resistance Tools to Simplify Incentives Incentives Incentives Incentives Incentives Incentives Anger Burn-out Isolation Vision Tools Data Trust Vision Tools Skills Data Trust Vision Skills Vision Data Trust Tools Data Data Trust Skills Tools Trust Tools Tools Trust Vision Skills Vision Data Skills Skills The Many Ways We Get it Wrong Adapted from Knoster, Villa, & Thousand, “A framework for thinking about systems change”.
Chief Executive Roundtable Moderator: Preston Simmons FACHE SVP & Chief Executive, Alaska Region Panelists: Erik Wexler Elaine Couture Janice Burger Ben LeBlanc, MD Brian Helleland Amy Herold, MD
PSJH Oscar Nominee #4 “Swedish Central Line Bundle”
Breakout Sessions * Two sessions; participants rotate
PSJH Oscar Nominee #5 “Look at Me”
Panel Discussion: Leadership Imperatives for Strengthening our Core • Sue Georgino • Vice Chair, Community Ministry Board, Valley Service Area
Action Planning: • Pulling it All Together • Top challenges you can (and will!) overcome • Top strengths – either your own or those have learned about from others – you can leverage and scale further • Identify 2-3 commitments you will be making to accelerate success
Providence Alaska Medical Center “Look at Me” Grace Health “Can’t Stop the Healing” Covenant Health “Stronger” Providence St. Mary Medical Center “Flu Shot” Swedish Medical Center “Central Line Bundle”
Providence St. Mary Medical Center “Flu Shot”
Grace Health “Can’t Stop the Healing”
Swedish Medical Center “Central Line Bundle”
Providence Alaska Medical Center “Look at Me”
Covenant Health “Stronger”
what we were called to do from our 2017 meeting … • perform • respond • pioneer • inspire • transform • listen
we control our own destiny to strengthen our mission as we always have… 10% ebida required to achieve health for a better world -14% our imperative is to accelerate decisions & execute while living our promise with each other – know me, care for me, ease my way
Escupulas 2.0. Organizing a community allowing each person to live life to its fullest in solidarity.
what are we called to do from here to strengthen the mission…. • done proving • time to improve faster • push best practice not pull • common set of pinpoint actions • non-negotiable dead lines • promote courageous core leaders • celebrate & reward speed • deepen front-line care giver formation • #1 = top 1% quadruple aim
our strategy will give every person, in every community we serve the opportunity to affordably live their life to its fullest. mind, body and spirit
When your _______ is in Andy’s shoes, what care will we deliver? By When? By Who? For how many? What is your role?
We always overestimate the amount of change that will occur in the next two years, and underestimate the change that will occur in the next ten. Don’t let yourselves be lulled into inaction. • -Bill Gates