Genesis Health Care Genesis Health Care Lean Six Sigma ProjectLean Six Sigma Project

Jane Cipriano, MHA Regional Director of Sales & Marketing

27 July 2012

OverviewOverview

• Timeframe: March 2011 – July 2011• Goal: Reduce rehospitalizations at the

centers through the use of Lean and Six Sigma tools

• 3 NH Centers: 2 in Concord, 1 in Bedford• Engagement and participation of local

hospitals

Genesis Health Care Genesis Health Care Readmission StrategiesReadmission Strategies

Richard Raskin, MD, FACP VPMA, Northeast Area

27 July 2012

Internal ProcessesInternal Processes• Dedicated physician/midlevel staff • 100% review of all unplanned transfers

(Interact-refined tool within EMR) • Monthly reporting and tracking• Integration of unplanned transfer

management with QI process • Staff education and training • Innovation: Care Transitions, Advance Care

Planning

Center ExpectationsCenter Expectations

• Effective use of SBAR • Effective use of Early Warning Tool • Real time review of unplanned transfers • ER contact prior to center transfer • Center capabilities sheet with transfer• Monthly QI review of UT experience

External ProcessesExternal Processes• Physician/midlevel staffing • Collaborative partners:

* Hospitals

* Physician Groups

* Home health/hospice

* Managed care organizations

* Community