chihab kaab prescription for healthcare

Art and science of improvement

prescription for healthcare Oct 1st, 2011

The Orchestra

Medical advancement

drastically reduced patients

mortality rate

The healthcare system is

getting more complex

Breast Cancer treatment

in the 50’s

…now

Risks

=

Providing the patient with

the right service, when it is

needed, the right way, the

first time.

Focus on the patient

Focus on system vs. parts

ED Lab testing Portering Pharmacy Housekeeping Inpatient Unit

Patient

Department vs. Patient focus

Architect Metaphor

Best efforts of

few individuals

but different

directions

Direction exists but

inconsistent

discipline

Everyone is

consistently

working on the

right things

Imp

act

Involving everybody

An army of problem solvers

An army of problem solvers

Improvement is not a series of sprints

Assess

Plan

Teat

Problem solving methodology

Vision

for

Customer

Current

Condition

Target

Condition

Next

Obstacles

High

High

Low Aptitude

Ch

ara

cte

r

“No written words, no spoken plea,

can teach our [staff] [how] they should be.

Nor all the [policies] on all the shelves

It’s [how] the [leaders] are themselves”

Adapted from coach John Wooden

“Every day, we have an opportunity to make

a difference in people’s lives. We must care

for people in a way that touches their soul,

so that everyone including ourselves – is in

some way healed.”

“What we do is more than a job, more than

a career. It is a sacred trust”