Category Archives: Lean Processes

20 June 2016

Communication and Transparency in Lean Process Improvement

A recent article in Modern Healthcare discussed the importance of data transparency and communication in targeting process improvements effectively. One of the examples highlighted was the Project Zero campaign launched in 2011 by St. Luke’s Health System in Boise, Idaho to eliminate hospital-acquired infection in the orthopedic service line. By allowing orthopedic surgeons to routinely monitor the system's infection rate after knee and hip replacement surgeries, laminectomy procedures and spinal fusion surgeries, St. Luke’s was able to reduce the rate from 1.08 percent to 0.57 percent in two years. In addition to tracking data, effective communication and collaboration were key to success. Dr. Kevin Shea,...

9 June 2016

Should the VA Use APRNs to Supplement Radiologists?

On May 25, the Department of Veterans Affairs proposed to amend its “medical regulations to permit full practice authority of all VA advanced practice registered nurses (APRNs) when they are acting within the scope of their VA employment.” The proposal comes amid a new push by the VA to maximize its available resources and improve access to timely healthcare services for the nation’s veterans without increasing costs. Public perception of the VA has diminished in recent years, as heightened media coverage of a 2014 scandal has highlighted a growing number of cases in which veterans are denied access to care.

This latest proposal would allow advanced practice registered nurses (APRNs) to "Order, perform,...

31 May 2016

Sheridan Congratulates First Graduates of Emerging Leaders Program

The Emerging Leaders Program’s inaugural class of 29 Sheridan physicians graduated from the leadership training program on May 13, 2016. The 18-month training program, which launched in October 2014, is designed to prepare the next generation of clinical leaders within the organization to take on future leadership roles.

Sheridan partnered with the American College of Physician Executives (ACPE), now the American Association of Physician Leadership® (AAPL), to create the Emerging Leaders Program curriculum, which includes both online and in-person training designed and facilitated by AAPL faculty. The courses focus primarily on leadership skills, but also include other topics such as finance, quality and other...

24 May 2016

MACRA Gets Real: What It Really Means for Doctors

MACRA – the Medicare Access and CHIP Reauthorization Act of 2015 – was signed into law more than a year ago. Yet it’s only recently (April 27, 2016) that the Centers for Medicare and Medicaid Services (CMS) finally released the first major proposed regulation under the law. The proposed rule on the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) Incentive lays out the two payment track options under MACRA (referred to collectively by the CMS as the Quality Payment Program or QPP).

MACRA fundamentally changes how Medicare pays physicians and other clinicians who participate in the program. A key feature is the permanent repeal of the CMS’s unpopular...

6 May 2016

Physician Spotlight: Gerald A. Maccioli, MD, FCCM

Dr. Maccioli serves as Sheridan’s Chief Quality Officer. Before joining Sheridan in 2015, he practiced Anesthesiology and Critical Care Medicine for more than 27 years. He served as Director of the American Society of Anesthesiologists (ASA) for North Carolina and as Chair of the ASA Section on Education and Research. He also served as President of the Society of Critical Care Anesthesiologists. As the Chair of the American Medical Association (AMA) Committee of Innovators, Dr. Maccioli played an influential role in developing comprehensive, progressively responsible healthcare reform strategies. He continues to serve on the AMA’s Quality Improvement Advisory Committee (QIAC) as well as the Committee on Practice...

4 May 2016

Overcrowded EDs and Population Health

Unsurprisingly, yet another study has linked ED inefficiency with poorer population health outcomes. This time from George Washington University, the study found that the most crowded quartile of EDs had a much lower rate of adoption for common techniques that reduce overcrowding, such as bedside registration and surgical schedule smoothing. This finding is made more concerning by the fact that adoption of these techniques is increasing across hospitals as a whole. While the general adoption trend is positive, the hospitals most in need are also the ones improving the slowest.

Dr. Jesse Pines, a professor of emergency medicine and health policy at GWU and one of the study's authors, believes that a lack of resources...

25 April 2016

The Drive for Process Improvement Part 5: Elevating Transformative Vision

Three leaders from the International Consortium for Health Outcomes Measurement (ICHOM) – a nonprofit founded by organizations known for progressive business practices and rigorous research: Harvard Business School, The Boston Consulting Group and the Karolinska Institutet – published an article in Harvard Business Review that analyzes the success some healthcare organizations have had in implementing patient outcomes measurement programs. The article lists five steps that should be applied when implementing major change or process improvement within healthcare systems. This blog post is the final in a five part series that critique and nuance each ICHOM step from a Kaizen perspective.

Be...

20 April 2016

Sheridan Launches Investigator Initiated Research Program

As a physician-led company, Sheridan aims to support and develop our physicians’ expertise in the clinical, management and leadership arenas. This year, in order to build on and support the research interests and efforts of our physicians, we are launching Sheridan Scientific Intelligence, an investigator initiated research unit. The new group will provide resources and support for physician-initiated research and will complement the work done through our clinical research team. The program will be led by Jana Barlic-Dicen, Ph.D., Manager of Investigator Initiated Research. As a large, multispecialty organization, Sheridan has an opportunity to serve the broader medical community by addressing unmet research...

12 April 2016

The Drive for Process Improvement Part 4: Effectively Celebrating Progress

Three leaders from the International Consortium for Health Outcomes Measurement (ICHOM) – a nonprofit founded by organizations known for progressive business practices and rigorous research: Harvard Business School, The Boston Consulting Group and the Karolinska Institutet – published an article in Harvard Business Review that analyzes the success some healthcare organizations have had in implementing patient outcomes measurement programs. The article lists five steps that should be applied when implementing major change or process improvement within healthcare systems. This blog post is the fourth in a series of five that critique and nuance each ICHOM step from a Kaizen perspective.

Daily...

29 March 2016

The Drive for Process Improvement Part 3: Commit to Your Vision

Three leaders from the International Consortium for Health Outcomes Measurement (ICHOM) – a nonprofit founded by organizations known for progressive business practices and rigorous research: Harvard Business School, The Boston Consulting Group and the Karolinska Institutet – published in Harvard Business Review that analyzes the success some healthcare organizations have had in implementing patient outcomes measurement programs. The article lists five steps that should be applied when implementing major change or process improvement within healthcare systems. This blog post is the third in a series of five that critique and nuance each ICHOM step from a Kaizen perspective.

Preparing to Drive...

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