Baptist Management System PDSA Model based on the Toyota Kata book & research by Mike Rother The information presented in the following presentation are meant as a showcase of what our best, most motivated users have achieved. Expected outcomes and results may vary. All testimonials are real, may not reflect another user's experience, and are not intended to represent or guarantee that anyone will achieve the same or similar results.
Baptist Memorial Health Care & KATA How does KATA and play with others at Baptist Memorial Health Care ?
Main Thoughts on DAILY, DELIBERATE PRACTICE of Kata Experimentation on Organizational Culture... The sum an Habit formation Deliberate Drives the organization’s leads to either Practice of formation of Mindsets and an open or new new Habits Behaviors = Culture closed Mindset Behaviors KATA STARTS HERE.…….. SO WE CAN MOVE THIS
What is a KATA? www.katatogrow.com
A is a routine you deliberately practice, so its pattern becomes an automatic habit that gives you some new skills! www.katatogrow.com
Show me your thinking
Daily Practice Routines (KATA) 1. All hospitals 2. BMG 3. Corporate HR 4. Baptist Trinity 5. Baptist Technology Services 6. Research 7. Baptist College of Health Sciences 8. Baptist & Semmes Murphey joint venture 9. Semmes Murphey
Our Mental Model Kata is an iterative process! PDSA A Meta-Routine stays the same regardless of the circumstances-a routine way of acting and thinking. Model based on the Toyota Kata book & research by Mike Rother
Coaching: The Five Question Card These are the headings in our coaching cycles
A Culture Built on Principles
The Baptist Management System (BMS) A3 Toyota KATA Leader Standard TWI: JI, JR, JM Work Strategic Value Stream Mapping Deployment
What is a System?
Model to explain BMS “ All models are wrong, but some are useful ”. George Box
PDSA at Every Level of the Organization “ All models are wrong, but some are useful ”. George Box
The Roles – different Skills Director 2 nd Coach 2 nd Coach is Team responsible for assuring the development of the coach and Manager assuring alignment to Process Coach organization Supervisor goals. Coach is responsible for teaching the improvement KATA, Learner and for the results Learner & Team own the target condition and work to achieve it
ETERNAL LEARNER Skill Levels as it pertains to Learner, Coach, 2 nd Coach Shepherding Groups PROFICIENT BAPTIST MANAGEMENT SYSTEM COMPETENT ADVANCED BEGINNER NOVICE
Our Mental Model Kata Deployment at Baptist Memorial Healthcare
BAPTI ST MEMPHI S DEPLOYMENT Kata: OR TAT < 25 min +/-5 min; Started 5/2016 Room Turnover Kata Started here 35 29 29 29 28 28 28 30 27 27 26 25 25 24 Challenge = 25 Time (HR:MM) 20 15 10 5 I love the thought process that is generated using KATA. KATA can be 0 used in every aspect of life when attempting to solve a problem May-16 Aug-16 Nov-16 Feb-17 Room TOT - Linwood White, Director of Emergency Services, RN,
BAPTI ST MEMPHI S DEPLOYMENT Kata: OR TAT < 25 min +/-5 min ; Started 5/2016 Monthly Volume Change 1150 25% 21% Kata Started here 19% 20% 1100 12% 15% 1050 5% 7% 8% 10% 7% 4% 5% 1000 4% 5% 2% 950 0% Kata has given us a system of thinking that has allowed us to move the dial in 900 Monthly Volume -5% regards to operating room efficiency -6% like we never have before. Not only 850 -10% has Kata provided a catalyst for rapid % Change May-16 Aug-16 Nov-16 Feb-17 change, but allowed us to shape behaviors and change a culture. Volume YTD Variance - Matthew Dane, Associate CNO, RN, DNP
BAPTI ST MEMPHI S DEPLOYMENT Kata: Lab Turnaround Time (Receive to Verify); Started 5/2016 Lab Kata on Turnaround Time Receive to Verify - 5% -0.4% -12% -2.6% 30.0 -5.3% -10% Receive to Verify Minutes 25.0 20.0 -1.5% 15.0 -5.3% 10.0 5.0 0.0 CMP Tropo Lactic CBC PT UA Qual ED nin Acid/ HCG - Qual “Your guidance as a coach has been GAME Reflex Blood HCG - Urine CHANGING, Brandon. I and the entire lab FY15 26.9 27.6 24.7 10.8 20.2 26.5 19.2 14.8 KATA team appreciate and applaud your FY16 24.2 22.1 22.6 7.9 17.4 20.3 16.7 11.3 patience, leadership and expertise. We YTD (Oct-FEB) FY17 23.0 22.0 22.0 7.5 16.5 18.0 15.0 11.5 couldn’t have achieved our successes Lab Test Type without you! ” - Tony Beard, Lab Manager FY15 FY16 YTD (Oct-FEB) FY17
BAPTI ST MEMPHI S DEPLOYMENT Kata: ED Length of Stay Length of Stay - Admit Length of Stay - Discharged -11% 350 250 -10% 300 200 250 150 200 150 100 100 50 50 0 0 Oct Nov Dec Jan Feb Mar Apr YTD Oct Nov Dec Jan Feb Mar Apr YTD FY 16 FY 17 LOS Admitted FY 16 FY 17 LOS Discharged
BAPTI ST MEMPHI S DEPLOYMENT Kata: ED Length of Stay Hold Hours Left W/o Being Seen % 3,500 3.00% -2% 3,000 2.50% 2,500 2.00% 2,000 1.50% -54% 1,500 1.00% 1,000 0.50% 500 0 0.00% Oct Nov Dec Jan Feb Mar Apr YTD Oct Nov Dec Jan Feb Mar Apr YTD FY 16 FY 17 Hold Hours FY 16 LWBS
BAPTI ST MEMPHI S DEPLOYMENT Kata: Reduce Central Line Acquired Blood Stream Infection (CLABSI) CLABSIs 133 Started 150 Kata May 104 FY 16 Started TWI - JI Shepherding Kata work on 100 CLABSI - Oct FY 43 17 50 6 0 FY 14 FY 15 FY 16 FY 17 “Pioneering the KATA TWI Shepherd group has been a A single CLABSI can cost the challenging journey that is showing great outcomes for organization $40,000 the members, our staff and our patients. Without the leadership of the Shepherds, we are certain that TWI Kata has reduced CLABSIs from training, use of JIB’s and continued deployment that TWI would not have been embraced in the positive 43 – 6 = 37 fewer patients experienced a manner we have seen. Thus, our outcomes would have CLABSI FY16 over FY17 YTD been reduced and processes less effective.” - Judy Mann, TWI-JI Shepherd, Education
BAPTI ST MEMPHI S DEPLOYMENT Kata: Catheter-associated Urinary Tract Infections (CAUTI) Started Kata May 2016 A single CAUTI can cost the organization $9,000 “Most significantly the deployment of Foley Insertion/Peri Care JIB’s to Kata has reduced CAUTIs nursing, with the contingency that only nurses who have received the JIB from 19 – 6 = 13 fewer training can insert foley catheters. We are confident this has led to the steady decline in CAUTI events in our hospital due to the JIB, TWI training, patients experienced a and validation on-going. TWI training with the JIB has provided our staff the training and tools for standard work to prevent harm and reduce CAUTI FY16 over FY17 YTD infections relating to foley catheters. “ - Judy Mann, TWI-JI Shepherd, Education
BAPTI ST MEMPHI S DEPLOYMENT Kata: Falls 4 West – Med-Surg Kata Storyboard 1 st Area that was started 5/2016 4 West Falls per 2 Week 2.15 2.1 2.05 2 1.95 1.9 1.85 1.8 1.75 1.7 1.65
BAPTI ST MEMPHI S DEPLOYMENT Kata: Med-Surg & Float Pool Falls Master Kata Storyboard Fall per 2 Week Target % Assisted Falls Condition Since Kata 60 14 Added 12 50 4N 10 40 8 30 6 20 4 10 2 0 0 Baseline 2/3/2017 2/17/2017 3/3/2017 3/17/2017 4/3/2017 4/28/2017 5/12/2017 5/26/2017
BAPTI ST MEMPHI S DEPLOYMENT Kata: 5 West - Stepdown Reduce Turnover to < 14% for FY 17 RN Voluntary TO 30.9% 35.0% 30.0% 22.0% 25.0% 20.0% 15.0% 4.2% 10.0% 0.0% 0.0% 5.0% 0.0% Q3 - FY16 Q4 - FY16 Q1 - FY17 Q2 - FY17 Q3 - FY17
Memphis Hospital 23 Improvement Katas launched in 12 months FY16 vs FY 17 Estimated ROI Approximately 55 x investment
Our Mental Model Kata is an iterative process! PDSA A Meta-Routine stays the same regardless of the circumstances-a routine way of acting and thinking. Model based on the Toyota Kata book & research by Mike Rother
YES Kata Plays Very Well with Others
Show me your thinking
Main Thoughts on DAILY, DELIBERATE PRACTICE of Kata Experimentation on Organizational Culture... The sum an Habit formation Deliberate Drives the organization’s leads to either Practice of formation of Mindsets and an open or new new Habits Behaviors = Culture closed Mindset Behaviors KATA STARTS HERE.…….. SO WE CAN MOVE THIS
THANK YOU, For the Gift of Your Time Today! Brandon Brown, P. E. brandon@katamastercoach.com 479-856-1919 TM “Focus on the People, and the numbers will come… Focus on the numbers, and the people will Go !”
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