“journey towards transformational excellence: embracing a patient & family centered culture...
TRANSCRIPT
“JOURNEY TOWARDS TRANSFORMATIONAL
EXCELLENCE: EMBRACING A PATIENT & FAMILY CENTERED CULTURE
Dr. Airica Steed, Ed.D, MBA, RN, CSSMBB, FACHE, IASSC
Enterprise Chief Experience Officer (CXO)Clinical Assistant Professor – School of Public Health &
Nursing
University of Illinois Hospital & Health Sciences System (UI Health)
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OPENING REMARKS...
“While we pursue perfection, we will cover a lot of ground, improving ourselves along the way. These attempts at perfection give us a goal, motivation, direction and drive. These are the things which allow us to move forward despite all odds and in the face of any obstacles.”
- Vince Lombardi
KEY POINTS TO HIGHLIGHT…
Highlight our burning platform for transformational change
Formally introduce the UI Health Experience Patient & Family Centered journey (Case Study)
Share “real world” outcomes, obstacles overcome, and lessons learned
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OUR WHY
OUR WHAT AND HOW
OUR SO WHAT
OUR BURNING PLATFORM FOR TRANSFORMATIONAL CHANGE…
OUR WHY?
Customer Experience & Loyalty
Quality/Safety
Financial Health
(Costs & Reimbursem
ent)
Health Equity & Vulnerable Population
Competitive Landscape
(Consumerism)
Value Based Care
Reform
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ACHIEVING THE TRIPLE AIM – Improve the health of the population and patients' experience of care while reducing the cost of care.
“To create a consistently exceptional, patient & family centered experience across the care continuum, which ultimately drives higher value at a lower cost, exceptional quality outcomes, satisfaction/loyalty, and financial health.”
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WHAT WE ARE STRIVING TO ACCOMPLISH…
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OUR STARTING POINT AT UI HEALTH…OUR WHY
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UI HEALTH: EARLY 2012 Ranked bottom decile in the nation in all
customer indicators - patient, provider, and employee experience (15 point gap)
Flat performance in previous years in all areas
Late to embrace comparative benchmarking
Lacked understanding that experience is linked to not only performance incentives, but quality outcomes, financial health, and growth
No true strategy centered around the customer
NEEDED TO RUN A MARATHON AT A SPRINTER’S PACE TO CATCH
UP...
SOME PLAGUING HISTORICAL REALITIES ABOUT OUR CULTURE...
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Disengaged Leaders
Highly unionized and State Civil Service environment (>90% staff)
Provider Centered
Organization
Uniquely unbound by health equity mission (underserved community)Poor workforce
engagement and morale Inconsistent performance
& productivity
Ranked at the 1st percentile for employee &
provider engagement
Behavior/ Communication
Quality of Care
Access/ Accommodation
Safety/Risk
Financial
Service Timeliness
0 15 30 45 60 75 90 105
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53
45
35
21
19
22
4
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PATIENT COMPLAINTS ACROSS UI HEALTH (Negative Experiences)
BEHAVIOR/ COMMUNICATION NURSE OTHER CLINICAL STAFF PHYSICIAN NON CLINICAL STAFF
FINANCIAL PROPERTY BILLING
More than half of our opportunity was related to behavior and the other half was related to operational challenges like access to care, quality, and efficiency
A DEEP REFLECTION OF OUR EXPERIENCE...
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OUR STRATEGY TO ADDRESS THESE REALITIES…
OUR WHAT AND HOW
NEW LEADERSHIP, NEW PATIENT & FAMILY CENTERED MISSION, NEW PATHWAYS…
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PROVIDER & EMPLOYER OF CHOICE
THE UI HEALTH EXPERIENCE JOURNEY
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“Becoming the provider and employer of choice: The premier place to work, research, and to provide exceptional high quality care and
service.”
We are focused on enhancing the patient,
employee, and physician
experience!!
PATIENT & FAMILIES
FIRST
PUTTING THE PATIENT & FAMILY FIRST …
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PATIENT & FAMILY
CENTERED EXCELLENCE
Personalized Care & Service
Simplicity & Efficiency
Engagement & CoordinationCommunication
Convenience & Choices
EVERY PERSON-
EVERY TIME!!
HELPING PATIENTS AND FAMILIES TO NAVIGATE THROUGH THEIR EXPERIENCE
Patient Experience Navigator
• Available 7 days/week• Conducts daily service
excellence rounds • Coordinates key services
(access, language support, education, pastoral care, appointments, housing, parking, concierge services)• Supports Service Recovery &
Complaint Resolution • Equipped with innovative
technology
PROVIDING ALL OF OUR PATIENTS AND FAMILIES WITH A “VOICE”…
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Multi-lingual Patient & Family
Advisory CouncilCensus Based
Patient Experience Surveying
HOW WE ARE USING OUR PATIENT & FAMILY ADVISORY COUNCIL (PFAC)
New Employee/ Physician Orientatio
n
Process Improvem
ent
Marketing
Leadership
Development
Secret Shopping
Patient and
Family Education
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Their “VOICE” definitely makes a difference..
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5000+ INDIVIDUALS ENGAGED AND COMMITTED TO SHARED VALUES & BEHAVIORS ALIGNED TO MISSION
CAPTURING HEARTS & MINDS OF OUR WORKFORCE…
BORROWING SERVICE EXCELLENCE STANDARDS FROM THE BEST…
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USING LEAN TO DESIGN EXCEPTIONAL EXPERIENCES ACROSS THE CONTINUUM
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Appointment Scheduling/ Transfers
Appointment Reminders
Registration/ Financial
Counseling
Nurse Triage/ Care Advice
MY UI HEALTH Patient Portal
Referrals/ Find A Doc
National Language Support
Services
Pre Discharge Scheduling/ Post-Visit
Follow Up
24/7 Answering Service & Routing
Customer Service (UI Health Experience)
…AND CREATING A CUSTOMER CENTERED –“ONE-STOP-SHOP”
Moving beyond just improved access and focusing on the entire customer experience
across the care continuum…
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OUR TRANSFORMATIONAL ROADMAP – “OUR HOW”Communic
ateReason
for Change
Build and Develop Change
Ambassadors Understan
d Current Performan
ce & Opportuni
ties
Innovate Best & Next
Practices using LEAN
ImprovementPilot Test
Solutions
Train Stakehold
ers & Implemen
t Widesprea
dCelebrate
& Recognize Performan
ce
Monitor & Sustain
Performance (Daily Rounding)
Market & Share
Lessons Learned
1
2
3 4
5
6 7
8
9
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SOME EARLY WINS, OUTCOMES, AND LESSONS LEARNED…
OUR SO WHAT
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“SPRINTING THE MARATHON WITHOUT BREAKING A SWEAT!!”
UI HEALTH: PRESENT DAY 2014
Recommend Hospital (Definitely "YES")
SIGNIFICANT LEAPS IN THE PATIENT EXPERIENCE…
ADDRESSING CONCERNS/COMPLAINTS…
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Baseline FY13
Q2 FY13 Q3 FY13 Q4 FY13 Q1 FY14 Q1 FY140%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
55%60%
84%93% 97% 98%
% Patient Complaints/Grievances Addressed within 3 Days
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WIDENING OUR FRONT DOOR – IMPROVING ACCESS TO CARE
Achieved >50% reduction in abandoned calls and reduced access wait time by >75% in less a year!
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Baseline Current0
102030405060708090
100
% Employees Choosing us for Care
ENGAGING OUR WORKFORCE …
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0
5
10
15
20
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30 Day All Cause Readmissions (Pilot Improvement Units)
7E MedicineLinear (7E Medicine)7E Stepdown
30 D
ay A
ll Ca
use
Read
mis
sion
AND IMPROVING CARE OUTCOMES…
Achieved >40%
improvement!!
LESSONS LEARNED AND STILL LEARNING…
Being creative with cultural obstacles was critical to our success
Prescriptive “cookie cutter” approaches don’t work in every environment
Leadership commitment and development is an essential ingredient
Employing LEAN improvement methods coupled with behavioral best practices is our secret sauce
Innovation and Imitation is the best form of flattery
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CLOSING MESSAGE…
“Perfection is not attainable,
but if we chase perfection we
can catch excellence.”
- Vince Lombardi
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QUESTIONS…
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SPEAKER CONTACT INFORMATIONDr. Airica Steed, Ed.D, MBA, RN, CSSMBB, FACHE,
IASSCEnterprise Chief Experience Officer (CXO)Clinical Assistant Professor – School of Public Health
& NursingUniversity of Illinois Hospital & Health Sciences
[email protected] or 312-355-5709 (phone)