manuela systemic transformations in health care by design slideshare
TRANSCRIPT
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SYSTEMIC TRansformationsin health care by design
Stories from theCenter for Innovation (CFI)
josinavink manuelaaguirreuAHO josinavink manuelaaguirreuAHO
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* image by Patti Kuche
josinavink manuelaaguirreuAHO
WHY DO SO MANY PEOPLE (FROM ALL OVER THE WORLD) COME TO
THIS TORNADO-BORN TOWN?
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josinavink manuelaaguirreuAHO
1860
VISION
ECONOMY
TECHNOLOGY
COMMUNICATION
WORKFLOW
PARTNERSHIPS
1870 1880 1890 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 2010 2020
THE NEEDS OF THEPATIENTS COME FIRST
& INTEGRATEDGROUP PRACTICE
ED: OPEN SURGERIESTHE MAYO´S CLINIC
SALARIEDSTAFF
FIRST USE OFX-RAYS
FIRST USEOF COMPUTER
EXPERIMENTALRADIAL NURSING
UNIT
COMPUTERS GOMAINSTREAM
ICUPRECURSOR
FIRST CTSCANNER
MAYO CLINICCARE NETWORK
MAYO CLINICOPENS IN FLORIDA
AND ARIZONA
FIRST OPERATINGTABLE
EARLY USEOF TELEPHONE
EARLY USE OFVIDEO VISITS
EARLIESTPATIENT RECORD
UNIFIEDMEDICAL RECORD
MEDICALSURGICAL INDEX
ORANGE/BLUECALENDAR DAYS
MAYO CLINICHEALTH SYSTEM
EMR REPLACEDPAPER MEDICAL
RECORDS
FIRST BLOOD BANKIN UNITED STATES
& USE OF EEG TEST
PROACTIVE APPROACHTOWARDS PHILANTROPY
FIRST ICU
spark
cfi
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josinavink manuelaaguirreuAHO
center for innovationTransforming the experienceand delivery of health care
2
68
24
28
32
64
58
2004 2005 2007 2008 2009 2010 2012 2013
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josinavink manuelaaguirreuAHO
Facilities & Support ServicesResearch Admin
Planning Services
Public A�airs
Systems and Procedures
Legal
Environmental Services
Education Admin
Development
Molecular Farm
Nursing
ENT
Molecular Med
Orthopedics
Immunology
Anatomy
Surgery
Urology
Lab Med & Pathology
Comparative Med
Health Sciences Research
Biochemistry & Molecular Biology
Mayo Health System AdminHuman Resources
Finance
Neurology
Dental Specialities
Dermatology
Emergency Med
Family Med
Medical Genetics
Internal Medicine
Physical Med
Anesthesiology
Radiation Oncology
Radiology
Psychiatry & Psychology
Neurosurgery
Obstetrics & Gynecology
Ophthalmology - Head & Neck Surgery
Physical & Biomedical Engineering
Oncology
1900
TODAY
1925
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josinavink manuelaaguirreuAHO
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josinavink manuelaaguirreuAHO
possibility based
creative
divergent
generative
reflexive
disruptive
provocative
proactive
evidence based
rational
linear
reductive
analytical
comparative
consensus
reactive
* Comparison by Lorna Ross
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josinavink manuelaaguirreuAHO
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josinavink manuelaaguirreuAHO
THE GOAL
TIMELINE
EXPERIMENT FAMILIES:
Reduce outpatient practice costs by at least 30% while improving the patient experience and maintaining/enhancing quality.
Implement new models to >40% of the outpatient practice by the end of 2014.
Pre-Visit Micro-Consults Group Visits
Smart Space Remote Recheck Flexible Day
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josinavink manuelaaguirreuAHO
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josinavink manuelaaguirreuAHO
KNOW THE PATIENT
OPTIMIZED CARE OFFERINGS
awareness
adaptability
remoterecheck
group visits
micro-consultsmartspace
previsit flexible
day
costumizeded
enhancedintegrated
care
CREATING AN ADAPTIVE AND INTELLIGENT SYSTEM
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josinavink manuelaaguirreuAHO
awareness
adaptability
remoterecheck
group visits
micro-consultsmartspace
previsit flexible
day
costumizeded
enhancedintegrated
care
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josinavink manuelaaguirreuAHO
pulmonary specialist
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josinavink manuelaaguirreuAHO
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josinavink manuelaaguirreuAHO
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josinavink manuelaaguirreuAHO
ServiceO�erings
OutpatientPractice
MayoSystem
HealthcareIndustry
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josinavink manuelaaguirreuAHO
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josinavink manuelaaguirreuAHO
Curry, A. and Hodgson, A. (2008). “Seeing in multiple horizons: connecting futures to strategy” . Journal of Futures Studies 13(1). Pp. 1 - 20.
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josinavink manuelaaguirreuAHO
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josinavink manuelaaguirreuAHO
changefatigue
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josinavink manuelaaguirreuAHO
prove it
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josinavink manuelaaguirreuAHO
systemic
discrete
short term long term
* Model from Peter Coughlan and Colleen Ponto
narrowvision
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josinavink manuelaaguirreuAHO
mitigation vsoptimization
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structuredrivesbehavior
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adding ordisrupting
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do you see any of these challenges in the context you are working in
josinavink manuelaaguirreuAHO
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josinavink manuelaaguirreuAHO
successesin facilitatingsystems change
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josinavink manuelaaguirreuAHO
making spacefor change
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josinavink manuelaaguirreuAHO
embrace theunintended
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ENABLINGpractice
champions
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building on whatis working
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josinavink manuelaaguirreuAHO
identifyingstrategic
levers
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connectingthe dots
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josinavink manuelaaguirreuAHO
possibilitiesfor the future