a mandatory teams training program for medical...
TRANSCRIPT
![Page 1: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/1.jpg)
TeAMSA mandatory teams training program for
medical professionals
Saskia Peerdeman, neurosurgeon
Professor of Professional Developement
![Page 2: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/2.jpg)
Basic concept of health care
Medical problem
Patient Doctor
Help, solution
![Page 3: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/3.jpg)
Medical problem
Patient Doctor
Help, solution
Complex medical
problems
Help, solution
Doctor
Specialized doctor
DoctorSpecialized doctor
Increased knowledge and techniqueBasic concept of health care
Extra specialized doctor
Dokter
![Page 4: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/4.jpg)
More and complex
medical problems
Team treatmentIncreased knowledge and technique
Patient
Part of
solution
Subspecialism A
Subspecialism B
Subspecialism C
Subspecialism D
![Page 5: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/5.jpg)
Complexity of communication
Creswick et al. BMC Health Services Research 2009 9:247
![Page 6: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/6.jpg)
Causes of 881 incidents
Human factorsorganisationtechnical pat
Oorzaken van incidenten en onbedoelde schade in Ziekenhuizen. Een systematische analyse met PRISMA op afdelingen Spoedeisende Hulp
(SEH), chirurgie en interne geneeskunde. Wagner,C et al. ©2008 EMGO Instituut en NIVEL
>80 %
Human factors
![Page 7: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/7.jpg)
How to improve team
functioning
to improve patientcare?
![Page 8: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/8.jpg)
How do other teams improve teamfunctioning?
![Page 9: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/9.jpg)
Daily work
Analysis and
reflection
New
knowledge
Adjustment and
implementation
Kolb’s learning cycle
![Page 10: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/10.jpg)
Kolb’s learning cycle
![Page 11: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/11.jpg)
Team-training in
healthcare also works!
![Page 12: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/12.jpg)
Hospital based training program
Mandatory for all medical specialists
VU University Medical Center
Awareness of team functioning
and training of non-technical skills
![Page 13: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/13.jpg)
13
VUmc in numbers:
• 293.520 out-patient contacts
• 29.738 day treatment
• 23.488 admissions
• 515 medical specialists
• 7.138 employees
• € 710 milj turnover
![Page 14: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/14.jpg)
Basic principles of the training
Logistic frame
• Training time : 4 hours
• Group size: max 15 persons
• Minimum of 3 different specialism
• Train the teams that work together
• Train only clinical scenarios that are relevant for those
teams
• Train skills that can be used the next day
![Page 15: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/15.jpg)
Theoretical models for training
design
• Kolb’s learning cycle
• Crew resource management principles
Daily work
Analysis and
reflection
New knowledge
Adjustment and
implementation
![Page 16: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/16.jpg)
Crew Resource Management
‘A management system which makes optimum use of all available human factors and other resourcesto promote safety and enhance efficiency’.
A combination is needed of
• Specific technical skills
• General non-technical skills:
Decision making,
Communication,
Leadership,
Situational awerness
![Page 17: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/17.jpg)
The program
![Page 18: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/18.jpg)
Patient-centered team situations
• Acute situations: simulation training
• Complex situations: communication training in complex
multidisciplinary situations
• Regular situations: multidisciplinary and interprofessional
patient conference training
![Page 19: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/19.jpg)
TeAMS – acute situations:(Simulation) Teamtrainingen
Resucitation Trauma Intensive Care
Obstetrics /
Pediatrics
Pediatric
resucitationOR
![Page 20: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/20.jpg)
Trauma simulation
Train the situations relevant for the team
![Page 21: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/21.jpg)
Resuscitation on a ward
Train the teams that work together!
![Page 22: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/22.jpg)
Loss of time
and energy
Frustration Loss of quality Complications
Complex
patient
Organisational
factors
Suboptimal communication and coordination
Technical factors
TeAMS - Complex situation
Complex
situation
![Page 23: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/23.jpg)
© The insightsgroup Limited 2009
![Page 24: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/24.jpg)
TeAMS regular situationMultidisciplinary meetings
Daily practice
New knowledge
Analysis and
reflectionAdjustment
and
implementation
bron: jmir.org/themes/159
![Page 25: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/25.jpg)
………………………………
………………..Physical model
The MDM neuro-oncology room
![Page 26: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/26.jpg)
Physical model
………………………………
………………..
![Page 27: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/27.jpg)
………………………………
………………..
Adjustment of communication
J. Beem, masterthesis Delft University, 2016
![Page 28: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/28.jpg)
………………………………
………………..
J. Beem, masterthesis Delft University, 2016
![Page 29: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/29.jpg)
Goals 2015
• Average levels of satisfaction of participants >7,5 on a 10 point
scale
• Train at least 80% of the medical specialist in the hospital
• Investigate logistic elements in installing a hospital broad
program
• 25 Acute situation trainings
• 20 Complex situation trainings
• 25 Regular situation trainings
![Page 30: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/30.jpg)
And…. What about outcome?
![Page 31: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/31.jpg)
Prof. Donald Kirkpatrick
(1924 – 2014)
“If you deliver training for your team, then you know how
important it is to measure its effectiveness. After all, you
don't want to spend time or money on training that doesn't
provide a good return.”
![Page 32: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/32.jpg)
Evaluation of quality and efficacy
Kirkpatrick DL. Evaluating Training Programs San Francisco: Berrett-Koehler, 1998.
![Page 33: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/33.jpg)
Results 2015 F&F
• 19 SIM training sessions
• 15 Complex situation training sessions
• 7 MDM-training sessions
(60% of goal)
• 37 different medical specialism
• 6 different health-care professions
![Page 34: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/34.jpg)
Results 2015 F&F
SIM CST MDO Total
Medical Specialist 63 79 40 182
Resident 44 38 6 88
Doctor 4 0 0 4
Nurse 21 6 2 29
Anesthesiology technicians 12 0 0 12
Other 7 2 1 10
Unknown 7 5 0 12
158 130 49 337
![Page 35: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/35.jpg)
Results 2015 evaluation70% respons
0
20
40
60
80
100
120
140
1 2 3 4 5 6 7 8 9 10
rating of training by participants, overall
N=
0
20
40
60
1 2 3 4 5 6 7 8 9 10
SIM
0
20
40
60
80
1 2 3 4 5 6 7 8 9 10
CST
0
5
10
15
20
1 2 3 4 5 6 7 8 9 10
MDM
Mean rating: 8,1
![Page 36: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/36.jpg)
Results 2015 evaluationnew knowledge
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
acquire newknowledge
apply newknowledge
total agreement
slight agreement
neutral
slightdisagreement
totaldisagreement
SIM
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
acquire newknowledge
apply newknowledge
total agreement
slight agreement
neutral
slight disagreement
total disagreement
MDM
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
acquire newknowledge
apply newknowledge
total agreement
slight agreement
neutral
slight disagreement
total disagreement
CST
![Page 37: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/37.jpg)
Results 2015 evaluationrecommendation to others
0%
50%
100%
SIM CST MDO
No
Yes
![Page 38: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/38.jpg)
Factors contributing to succes
• Strategic level: Board of directors
Participation is a performance indicator
• Tactical level: program committee
Experts from various stakeholders for quality monitoring
• Operational level: medical program leader and casemanagers
Evaluation of training, ambassadors, customizing
scenarios
• Patient centred recognizable clinical scenarios
• Expert trainers
![Page 39: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/39.jpg)
Challenges
Resistance to change
Presence of participants of all specialism and disciplines at the
same time
Tension between daily tasks and presence for training
Advanced planning
Optimal customization of clinical situations and regular training
forms
Costs: appr 250.000 euro yearly for running the program
![Page 40: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/40.jpg)
Conclusion
Improving integrated care by team training of all health workers in
an academic center is possible
Logistics and finance are challenging
Patient centered, clinical scenario team training
is highly appreciated
new knowledge is acquired and will be used
98 % will recommend it to a colleague
![Page 42: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/42.jpg)
“ HEALTH AND CARE
- AN INTEGRATED SYSTEM ”
A concept based on Toyota thinking
E4 Achieving Integrated Care Quality & Safety in Healthcare Forum Gothenburg 14-04-16Steve Boam – KM&T
![Page 43: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/43.jpg)
INTRODUCTION
![Page 44: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/44.jpg)
WHAT IF…
![Page 45: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/45.jpg)
GLOBAL HEALTHCARE
Source: The Huffington Post 2015Cost as a percentage of GDP
![Page 46: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/46.jpg)
GLOBAL HEALTHCARE
Source: The Huffington Post 2015Each country was ranked on three criteria: life expectancy (weighted 60%), relative per capita cost of health care (30%); and absolute per capita cost of health care (10%). Countries were scored on each criterion and the scores were weighted and summed to obtain their efficiency scores.
![Page 47: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/47.jpg)
GLOBAL HEALTHCARE
Source: commonwealth fund
![Page 48: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/48.jpg)
DEMOGRAPHIC – GLOBAL
Global Issues Interference Breakthroughs
• Aging population • Long term conditions• End of life care• Funding (GDP)• Dilution of
skills/experience• System that has evolved
over time
• Politics • Leadership • Media
• Clinical outcomes & procedures
• Information (& big data)• Genomics • Infrastructure • Technology • Innovation • Partnerships • GDP % or funding
• Prevention measures
Understand, review, predict, forecast & change
Delete/remove or reduce Encourage, invest & nurture
![Page 49: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/49.jpg)
INDUSTRY
• So how does it differ in industry?
• Just like healthcare, industry continually faces difficult challenges including:– Safety
– Quality
– Legislation & Regulation
– Customer ‘shift’ in thinking & behaviours
– Competition
– Cost pressures
Automotive Aerospace FMCG Fin Services
![Page 50: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/50.jpg)
TOYOTA
![Page 51: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/51.jpg)
INDUSTRY – TOYOTA
PROCESS
PEOPLE
• So how have Toyota managed to be successful?
![Page 52: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/52.jpg)
COMPARISON – TOYOTA COROLLA
![Page 53: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/53.jpg)
So what might an integrated
‘health & care’
system look like?(Based on Toyota Thinking)
![Page 54: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/54.jpg)
THINKING DIFFERENTLY FOR HEALTHCARE
![Page 55: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/55.jpg)
INTEGRATED SYSTEM - HEALTH & CARE
![Page 56: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/56.jpg)
DISTRIBUTION - NHS
£113bn Spend
![Page 57: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/57.jpg)
Case Study
‘health & care’ (Based on Toyota Thinking)
![Page 58: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/58.jpg)
![Page 59: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/59.jpg)
SYSTEM OPERATIONS (NERVE) CENTRE
![Page 60: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/60.jpg)
![Page 61: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/61.jpg)
"It is not necessary to change
Survival is not mandatory"
W. Edwards Deming – Quality Guru
PDCA (Plan Do Check Act)P
DC
A
PLAN
DOCHECK
ACT
SUMMARY
![Page 62: A mandatory teams training program for medical professionalsaws-cdn.internationalforum.bmj.com/pdfs/2016_E4.pdf · J. Beem, masterthesis Delft University, 2016. Goals 2015 •Average](https://reader033.vdocuments.site/reader033/viewer/2022050105/5f439d1b72a8e52d546b1ae9/html5/thumbnails/62.jpg)
PDCA (Plan Do Check Act)
THANK YOU
http://www.kmandt.com/blog/88-health-care-how-it-needs-to-work-a-concept-based-on-toyota-thinking
Steve BoamKM&T GroupE:[email protected]:kmandt.com