Title 2013-2014 Annual Report 1 Agenda Introduction of Executive - PowerPoint PPT Presentation

San Francisco General Hospital Subtitle and Trauma Center Title 2013-2014 Annual Report 1

Agenda  Introduction of Executive Leadership  Hospital Rebuild/Transition  Lean Management System  Quality Improvement  Environment of Care Report  Policies • Hospital Plan for Provision of Patient Care • Performance Improvement and Patient Safety Program

SFGH Executive Leadership • Lillian Chan, Director of Transition SFGH Executive Leaders • Anson Moon, Dir., Administrative Operations • Sue Currin, Chief Executive Officer • Kathy Jung, Director of Support Services • Iman Nazeeri-Simmons, Chief Operating Officer • Terry Dentoni, Chief Nursing Officer • Valerie Inouye, Chief Financial Officer • David Woods, Chief Pharmacy Officer SFGH Executive Medical Staff Leaders • Sue Carlisle, M.D., UCSF Vice Dean, SFGH • Troy Williams, Chief Quality Officer • Todd May, M.D., Chief Medical Officer • Margaret Damiano, Director of Operations, • James Marks, M.D., Chief of Medical Staff Dean’s Office • Kathy Murphy, Deputy City Attorney • Alice Chen, M.D., SFGH Chief Integration Officer • Shermineh Jafarieh, Administrator of • Jeff Critchfield, M.D., Medical Director, Care Diagnostics and Wellness Services, F&NS Experience and Risk Management • Aiyana Johnson, Chief Care Experience Officer • William Huen, M.D., Associate Chief Medical • Elaine Lee, Director, Human Resources Officer • Jenson Wong, M.D., Chief Medical Informatics • Winona Mindolovich, Director, Information Officer Systems

Hospital Rebuild/Transition

Hospital Rebuild/Transition ICU Nurse Station

Hospital Rebuild/Transition Medical/Surgical Inpatient Room

Future State Model: Patient Centered Flow Simulations in the new floor Coordinated Care plan Inpatient Services Workflow 3P Design The Team Order / Admit /Discharge

Finding Teamwork in Nature 2013 VOLUME BY SERVICE LINE 4,000 120% Reviewing Our Data 3,500 100% 3,000 80% 2,500 2,000 60% 1,500 40% 1,000 20% 500 0 0% GI Radiology Ortho Gen Surg Urology Cardiology Opth Plastic Surg ENT Neurosurg Gyn Oral Surg ECT Pulmonary Visiting the Gemba Surgical and Procedural Services Workflow 3P Design Working as Teams Future State Table Top Models 2013 VOLUME BY SERVICE LINE 4,000 120% 3,500 100% 3,000 80% 2,500 2,000 60% 1,500 40% 1,000 20% 500 0 0% TOTAL PARETO % The Really Big Paradigm-Shifting Fish

Presenting the Floor Plan Reviewing Our Data Patient Perspective Emergency Services Workflow 3P Design Working as Teams Future State Table Top Models Workflow Mapping with Blueprints

Improving Care Lean Management System 5D Medical/Surgical Nursing Unit Production Board

Improving Care Lean Management System Outpatient Pharmacy Prescription Refills

Quality Improvement Accreditations and Certifications ACSCOT Level 1 Trauma Accreditation The Joint Commission Stroke and Traumatic Brain Injury Certifications CDPH Long Term Care Accreditation Baby Friendly USA Re-designation CoC Cancer Program Accreditation The Joint Commission Triennial Accreditation

Quality Improvement Sepsis Mortality Rate 25% 20% 20% 18% 15% 12.9% 10.7% 9.5% 10% 5% 0% 2010 2011 2012 2013 2014* SFGH rank fifth of 122 UHC academic medical center for lowest mortality rate due to Sepsis in Quarter 1 2014 Selected By CAPH/SNI for its 2014 Quality Leaders Award

Environment of Care Report  Goal of the Environment of Care (EOC) Program is to provide a safe, functional and effective environment for patients, staff and visitors  Use of metrics to identify • Trends and risks • Training needs • Ensure compliance with Joint Commission EOC requirements  Selected Program Highlights and Accomplishments • Safety Management  Code Green  Violence in the Workplace  Falls Prevention

Environment of Care Report  Selected Program Highlights and Accomplishments • Security Management  New and expanded leadership  Mandatory training requirements for all SFSD staff  Establishment of operational protocols  Communications  Performance metrics auditing performance accountability • Life Safety Management  Campus wide fire alarm study • Utilities Management  Modernization of Building 5 Elevators • Emergency Management  Response to crash of Asiana Flight

Policies for Approvals 17.01 Performance 8.09 Hospital Plan for Improvement and Provision of Patient Care Patient Safety Program • Patient demographics • Review process for Patient updated. Safety Plan • Functions of Quality Council updated • Minor edits

Approval Needed  Environment of Care Report  Policies • Hospital Plan for Provision of Patient Care • Performance Improvement and Patient Safety Program

SF: Leading Center of Health, Healing and Hope 2014 SF Health Sector Impact Report • Health: an essential part of the City’s infrastructure • 22% of all SF jobs • $4.9 billion investment in new facilities • $28.4 billion added to SF’s economy

Trauma Prevention https://vimeo.com/84845122