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2011. Malcolm Baldrige National Quality Award. Key Excellence Indicators Award Recipients 2004–2010 Health Care. Baldrige Performance Excellence Program | www.nist.gov/baldrige. Baldrige 2011–2012 Criteria Categories. Leadership Strategic Planning Customer Focus
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2011 Malcolm BaldrigeNational Quality Award Key Excellence IndicatorsAward Recipients 2004–2010Health Care Baldrige Performance Excellence Program | www.nist.gov/baldrige
Baldrige 2011–2012 Criteria Categories • Leadership • Strategic Planning • Customer Focus • Measurement, Analysis, and Knowledge Management • Operations Focus • Results
Key Excellence Indicators: Leadership Senior leaders • communicate and demonstrate clear direction and values • inspire the highest standards of legal and ethical behavior • model and encourage learning, innovation, excellence, and a focus on the future • drive strategies for performance excellence and sustainability
Key Excellence Indicators: Leadership The governance body • is informed, transparent, and accountable • takes responsibility for ethics, actions, and performance The organization • surpasses legal and regulatory compliance • stresses ethical behavior • strengthens environmental, social, and economic systems
Customer Groups Patients Employees Community Robert Wood Johnson: Leadership 5 Pillar Communication Direction and Plan 5 Pillar Communication Evaluation & Improvement Alignment & Integration 5 Pillar Communication 5 Pillar Communication Deployment & Measurement
Robert Wood Johnson: Leadership Staff Focus People Customer Focus Service Process Management Quality Measurement, Analysis & Knowledge Management Finance Strategic Planning Growth Five Pillars of Excellence
Key Excellence Indicators: Strategic Planning Strategy development • aims for sustained leadership • balances short- and long-term factors • anticipates the future environment • incorporates innovation, stakeholders’ needs, challenges, and advantages • aligns work systems and learning with strategic directions
Key Excellence Indicators: Strategic Planning • Develops aligned, consistent action plans • Deploys action plans to the workforce, key suppliers, and partners • Tracks the accomplishment of action plans • Develops human resource and financial plans • Uses performance projections and comparisons
Spring Long-Term Planning 4 Review previous performance, SID and determine key services & processes 5 Review/revise PFE, LT objectives, and LT capital assumptions 6 Develop key themes and preliminary ST assumptions Winter Evaluation & Input Summer Budget & Short-Term Planning 1Process Effectiveness Review 7 SOT’s present ST objectives, tactics and resources required to ET CONTINUOUS 2 SID compiled by BDD 12 Organizational performance reviews Progress updates Current information 8 Resources allocated by ET through capital planning retreat, budget, LT financial plan, and staffing plans 3 Gather input from stakeholders regarding ST/LT challenges and opportunities Fall Approval & Deployment 9 Annual strategic plan, budget, and staffing plans approved by ET and BOD 10 SOT’s finalize scorecard measures 11 Deployment: SOT Action Plans, Strategic Plan Cascade, SPMS, Three C’s Communications Bronson: Strategic Planning Strategic Management Model
Key Excellence Indicators: Customer Focus • Proactively captures the voice of the customer • Gathers information on customer desires and marketplace potential • Listens to current, former, and potential customers • Collects actionable information on engagement, satisfaction, and dissatisfaction
Key Excellence Indicators: Customer Focus • Innovates product offerings and services to exceed expectations • Refines and innovates support and communication • Builds trust, confidence, and loyalty • Resolves complaints promptly and eliminates the causes
Heartland Health: Customer Focus Voice of the Customer (2) Listening, inputs and methods Analysis and Decision Making (3) Evaluation and Improvement (5) SPP Steps 2–6: Conduct reviews to determine customer requirements and assess if services, processes, and improvements are meeting customer needs. Translate results of analysis into priorities for improvement (1) Customer Groups SPP Step 1 Review customer inputs and analyze processes to refine feedback mechanisms, relationship strategies, and action plans (annual/ongoing) Patients Members Community—Region Deployment of Strategy and Action Plans (4) SPP Step 8: Deploy improvements through the Balanced Scorecard and action plans. Customer Relationship Management
Heartland Health: Customer Focus Voice of the Customer
RWJ: Customer Focus Beyond Satisfaction . . . Customer Loyalty Community • CHW • Family Giving • Soup kitchen • CAB • Education • Health Fairs Patients • Greeters • Free TV and phone • Food on demand • Integrative therapy • Hearts Apart • Comfort in clothing Employees • Circles • On-line benefits • CHW discounts • Bonus programs • Employee Sat. Committee
Key Excellence Indicators: Measurement, Analysis, and Knowledge Management • Creates a balanced composite of measures tied to needs, strategy, and goals • Collects and uses data to determine trends, projections, and cause and effect • Uses performance analyses in decision making, improvement, and innovation
Key Excellence Indicators: Measurement, Analysis, and Knowledge Management • Maintains and safeguards information systems • Shares and transfers critical knowledge • Provides knowledge needed for work, improvement, and innovation • Leverages knowledge of workforce, customers, suppliers, collaborators, and partners • Captures and shares knowledge to drive innovation
AtlantiCare: Measurement, Analysis, and Knowledge Management
Key Excellence Indicators: Workforce Focus • Optimizes capability and capacity • Organizes and manages the workforce to serve customers and achieve strategy • Designs proactive processes and policies to ensure safety and security • Offers practices and policies tailored to workforce members’ needs
Key Excellence Indicators: Workforce Focus • Engages the workforce through meaningful work, clear direction, and accountability • Ensures a trusting, effective, and cooperative environment • Supports, recognizes, and rewards high performance • Optimizes workforce and leader development
AtlantiCare: Workforce Focus Workforce Capacity and Capability
AtlantiCare: Workforce Focus Performance Management Process
Heartland Health: Workforce Focus Workforce Satisfaction
Heartland Health: Workforce Focus • Key priority for future sustainability • Selection of physician CEO • Leadership structure: Dyads • Quality Management Committee leads quality, performance improvement, and capital expenditures • Heartland Clinic Board of Governors & Operational Council • Physician leadership development Physician Engagement
Mercy Health System:Workforce Focus • Inform • Involve • Celebrate
Mercy Health System:Workforce Focus • Inform • Meaningful Mission • Cruise and Connect • Communicate Goals • Involve • Partnership • Feedback • Workforce Strategies • Celebrate • Celebrate People • Celebrate Ideas • Celebrate Achievements
Key Excellence Indicators: Operations Focus • Designs and innovates work systems to capitalize on core competencies • Designs agile work systems • Optimizes work systems to deliver value for customers • Establishes a comprehensive emergency preparedness system
Key Excellence Indicators: Operations Focus • Designs and innovates work processes to meet requirements • Designs work processes for agility, excellence, efficiency, and effectiveness • Manages, measures, and improves work processes • Manages the supply chain to improve suppliers’ and partners’ performance
Key Excellence Indicators: Results • Performance levels are excellent in areas that are important to accomplishing the mission. • Results reflect offerings with superior value as viewed by customers and the marketplace.
Key Excellence Indicators: Results • Operational, workforce, legal, ethical, societal, and financial indicators reflect benchmark performance. • Actionable results are used to evaluate and improve performance in alignment with strategy.
Advocate Good Samaritan Hospital: Results Mortality Index (Actual/Expected) Physician Loyalty (Percentile) GOOD GOOD GOOD Inpatient Market Share, 2007-2010 GOOD
Heartland Health: Results Customer Satisfaction Willingness to Recommend
Heartland Health: Results Complaint Event Management • Respond • Resolve • Track • Prevent Complaints per 100 Adjusted Patient Days Complaint Management
Heartland Health: Results Caregiver Engagement
Poudre Valley Health System: Results Prompt Service and Friendly Staff Low-Cost Provider Top-Box Patient Satisfaction Scores
Mercy Health System: Results Workforce Turnover Workforce Engagement
Sharp HealthCare: Results Top-of-Mind Awareness of County Hospital Systems Perception of Quality Likeliness to Recommend
Bronson Methodist Hospital: Results Cardiac Service Line Market Share (%)
NMMC: Results Tracheostomy withChronic Ventilation