Reducing Cost Looking Beyond the Waste In Healthcare Laura Silvoy - PowerPoint PPT Presentation

AcademyHealth ARM • 06.27.2017 Reducing Cost Looking Beyond the Waste In Healthcare Laura Silvoy Healthcare Systems Engineer, Senior Associate Array Advisors @LauraSilvoy /LauraSilvoy

AcademyHealth ARM • 06.27.2017 SHRINKING MARGINS Getting paid less for the same service

AcademyHealth ARM • 06.27.2017 SHRINKING MARGINS Can’t reduce the quality of service

AcademyHealth ARM • 06.27.2017 SHRINKING MARGINS GOAL: Reduce cost and improve outcomes

AcademyHealth ARM • 06.27.2017 LEGISLATION IMPLICATIONS Lower the cost of healthcare: • Quality care at the lowest cost [Patient Patient Population Experience Health Experience] • Control insurance premium costs Quadruple [Reducing Costs, Care Team Well- Aim Being] Reducing Care Team • Remove waste and reinvest savings Costs Well-Being within the community [Population Health] “ Bill or no bill, we still need to move forward and continue our focus on improving health and health care for our patients and our communities while reducing costs. Now is the time to double down on our work.” ~IHI Leadership Alliance, NEJM Catalyst

AcademyHealth ARM • 06.27.2017 Identify and eliminate waste

AcademyHealth ARM • 06.27.2017 VALUE STREAM FOCUS

AcademyHealth ARM • 06.27.2017 CASE STUDY

AcademyHealth ARM • 06.27.2017 CASE STUDY Build more beds Viccellio, MD, FACEP, Peter. (2017, May). Introduction to the Problem and Discussion of Full Capacity Protocol. Presentation at the Hospital Flow Seminar of ACEP, Boston, MA.

AcademyHealth ARM • 06.27.2017 CASE STUDY Census Unscheduled Admissions Elective Admissions Viccellio, MD, FACEP, Peter. (2017, May). Introduction to the Problem and Discussion of Full Capacity Protocol. Presentation at the Hospital Flow Seminar of ACEP, Boston, MA.

AcademyHealth ARM • 06.27.2017 CASE STUDY 7000 6000 5000 4000 3000 Elective Emergency 2000 1000 0 Viccellio, MD, FACEP, Peter. (2017, May). Introduction to the Problem and Discussion of Full Capacity Protocol. Presentation at the Hospital Flow Seminar of ACEP, Boston, MA.

AcademyHealth ARM • 06.27.2017 CASE STUDY Reduce or Level Eliminate Load Boarding Elective Surgeries Viccellio, MD, FACEP, Peter. (2017, May). Introduction to the Problem and Discussion of Full Capacity Protocol. Presentation at the Hospital Flow Seminar of ACEP, Boston, MA.

AcademyHealth ARM • 06.27.2017 CAPITAL PROJECT AS A CATALYST

AcademyHealth ARM • 06.27.2017 LEAN “ Lean in healthcare design tries to identify the effective and efficient design solutions for value generation.” ~Zhang, Y., Evidence-Based Design in Healthcare - a Lean Perspective with an Emphasis on Value Generation.

AcademyHealth ARM • 06.27.2017 MULTIDISCIPLINARY FOCUS

AcademyHealth ARM • 06.27.2017 EVIDENCE-BASED DESIGN (EBD) “ Design solutions for healthcare buildings to create environments that are therapeutic, supportive of family involvement, efficient for staff performance, and restorative for workers under stress.” ~D. Hamilton, The Four Levels of Evidence-Based Practice

AcademyHealth ARM • 06.27.2017 LINKING LEAN AND EBD Lean: Maximize the value EBD: Optimize the healing environment Lean: Value Generation EBD: Design Decision- Making Lean: Minimize Lean: Consider the life-cycle customer needs cost EBD: Guide the EBD: Focus on user- investment centered design decision

AcademyHealth ARM • 06.27.2017 FINAL THOUGHTS Reducing Costs • Maximize value; optimize healing Patient Population environment [Patient Experience] Health Experience • Effective & efficient design [Care Team Quadruple Well-Being, Patient Experience] Aim • Remove waste and reinvest savings within the community [Population Health] Care Team Reducing Well-Being Costs “ Now more than ever, we need to do this work together.” ~IHI Leadership Alliance, NEJM Catalyst