management engineering & process improvement...
TRANSCRIPT
Management Engineering & Process Improvement Community
April 3, 2015
Cynthia Hartmann, MBA, CPHIMS, Six Sigma Lean Black Belt
Committee Chair
MEPI COMMUNITY MISSION
Support and promote the profession of management engineering and process improvement among the members of HIMSS by providing opportunities for networking, collaboration, publication, promotion and professional development of Management Engineers and Process Improvement professionals in healthcare organizations.
MEPI Community Pulse Check Get Up to Speed on What We Have in Store at HIMSS15
April 03, 2015
Who We Are: MEPI Committee 4
HIMSS Planning Officers
Cynthia Hartmann Committee Chair Director, Access and Revenue Cycle Systems Wake Forest Baptist Medical Center
Santosh Mohan, MMCi, CPHIMS Health IT Industry Analyst
Amanda Mewborn, RN, BSN, CPHIMS, DSHS, FHIMSS Executive Director, Project Management Piedmont Healthcare
Dr. Jean Ann Larson, FHIMSS, FACHE, DSHS Managing Partner Jean Ann Larson & Associates
Today’s Presenters
Rod Piechowski HIMSS Staff Liaison Senior Director Health Information Systems
Ronda Frazier Coordinator Health Information Systems
Adam Bazer Senior Manager Health Information Systems
Ethan Baron Manager Health Information Systems
Deborah Rupe, RN, MS, FHIMSS Clinical Analyst Shriners Hospital for Children
Latisha Miller VP PMO AIM Specialty Health
Pamela Foyster BSN, MHA, CPHIMS Clinical Informatics Family Health West
Edmund Collins Vice President & CIO Martin Health System
Tracey Butler System Director Lean Operational Process Excellence Baylor Scott & White Health
Who We Are: MEPI Committee 5
Rest of Our Committee Members
Denise M. Hammel-Jones, RN Director of Clinical Solutions Futura Mhealth
Madhuri Kudrimoti Supervisor, Epic Ambulatory and Clinical Applications Froedtert Health
Michelle Robles PM Baylor Health Care System
2015 MEPI Community Survey Results
HIMSS15 MEPI Education Sessions
HIMSS15 MEPI Networking Opportunities
1 2
3
Road Map
HIMSS MEPI Community 7
6,108 Members Strong (as of April 1, 2015) MEPI Survey Background
Healthcare Information and Management Systems Society (HIMSS) Management Engineering/Process Improvement (ME-PI) Community and Society for Health Systems (SHS) launched a web-based survey to their membership in early 2015. The survey was sent to approximately 8,000 people: members of HIMSS ME-PI, SHS, and the HME Yahoo Group List-Serve.
• The purpose of this survey was to gain a better understanding of our members within the healthcare performance improvement community.
• Responses were anonymous.
• The results are being used to plan educational offerings and inform other SHS and HIMSS activities for the upcoming year.
MEPI Community Survey Results 8
Response Statistics and Demographics
• There were 308 survey responses, representing a response rate of approximately 4%.
• Respondent demographics • Reside in the US and Canada.
• Equal distribution of male and female
• Education
• 63% have Masters Degree or higher • 26% have Industrial Engineering Degree • 20% have Business or Finance Degree
MEPI Community Survey Results 9
Professional Organization Membership
• Employer Support for Professional Organizations • 47% of organizations do not pay for professional society membership • 47% rarely, sometimes, or never pay for professional conferences
MEPI Community Survey Results 10
Employment
• 87% are employed full-time
• Employer Type • 36% Hospital as part of multi-
hospital system • 16% Academic Medical Center • 14% Consulting Firm
• Employer Profit Status
• 62% Not for Profit • 32% For Profit
• Job Category
• 19% Information Technology • 16% Process Improvement
MEPI Community Survey Results 11
Work Focus and Tenure
• Focus of ME-PI Work • 17% Process Improvement • 11% Quality Improvement • 11% Operations • 10% Data Analysis and Report
Development
MEPI Community Survey Results 12
Compensation & Experience
• Compensation Structure • 77% Salaried
• Questions requiring further analysis
• Amount of bonuses in past year • Percent of raise in past year
MEPI Community Survey Results 13
Focus for ME-PI • Questions requiring further
analysis
• What is the biggest challenge you expect in 2015 for ME-PI professionals?
• What area of the
healthcare industry could benefit most from the application of process improvement knowledge and methods?
2015 MEPI Community Survey Results
HIMSS15 MEPI Education Sessions
HIMSS15 MEPI Networking Opportunities
1 2
3
Road Map
HIMSS15 MEPI Symposium 15
IT Performance Management: Mastering the Balancing Act
2015 MEPI Speakers 16 Acknowledgements
Advisory Board Company Health Care IT Advisor Program Washington, DC Jim Adams, MBA Executive Director
Ernie Hood, MBA Senior Research Director Stanford Health Care Palo Alto, CA Christopher Sharp, MD Clinical Associate Professor, CMIO
Sumbul Ahmad Desai, MD Clinical Assistant Professor Wake Forest University Baptist Medical Center Winston-Salem, NC Chad Eckes, MBA EVP and CFO
Cynthia Hartmann, MBA, CPHIMS, SSLBB Director, Access and Revenue Cycle Management Systems
Tracey Butler, MBA, FHIMSS System Director, Operations and Integration Support Baylor Scott & White
Drexel DeFord, MPA/MSHI, FHIMSS/FCHIME/FACHE Founder drexio solutions network Seattle, WA
Larry Dux, MBA, CPHIMS, FHIMSS Director, Patient Care Informatics & Process Improvement Froedtert & Medical College of Wisconsin Community Hospital
John Hansmann, MSIE, FHIMSS, DSHS Senior Director, Labor Management & Productivity Tenet Healthcare Dallas, TX
Jean Ann Larson, FHIMSS, FACHE, DSHS Jean Ann Larson & Associates Dallas, TX
Ed Marx, FHIMSS, FCHIME Senior VP and CIO Texas Health Resources Arlington, TX
Santosh Mohan, MMCi, CPHIMS Health IT Industry Analyst Mountain View, CA
Judi Painter, MBA, HSMA Healthcare Executive Chair, HIMSS Innovation Community
Anna Pappas Enterprise Engagement Executive, G2G3 Chicago, IL
Dean Sawyer, MBA Co-Founder and CEO Sentrian Aliso Viejo, CA
Vindell Washington, MD CMIO Franciscan Missionaries of Our Lady (FMOL) Health System
The Context 17
The IT Crazy Train
Source: The Advisory Board Company Health Care IT Advisor research and analysis.
Cost Pressures • Flat or lower budgets
• Escalating IT costs
Government Mandates • Meaningful Use
• ICD-10
• Reimbursement changes
More IT-Enabled Initiatives • EMR implementation
and optimization
• Mobile health
• Population management
Non-IT Leaders Not Educated and Empowered • Rapidly changing IT
marketplace
• Consumerization of IT
CIO Either Not in the Room or Not at the Table • Governmental, Health
District and Hospital
Higher Need and Expectations for Value • Community integration
• Business intelligence
IT Governance
IT Strategy
18
A Balancing Act
IT Performance Management
Source: The Advisory Board Company Health Care IT Advisor research and analysis.
Value Delivery
Value Communication
Costs Value
Better Care and Lower Costs: PCAST Touts Systems Engineering To Accelerate Improvement
19
Sunday, April 12 2015, 8:15 – 9:15 AM CT
Session #1: Opening Keynote
Boosting IT Capacity Without Adding Cost 20
Sunday, April 12 2015, 9:30 – 10:30 AM CT
Source: The Advisory Board Company Health Care IT Advisor research and analysis. 1) Information Technology Infrastructure Library
Imperatives for Success with These Methods:
Agile Six Sigma
ITIL1
Lean
• Root Cause Analysis
• Corrective Action Plans
• Visual Controls
• Value Stream Analysis
• Work Intake Management
• Cycle Time Acceleration
Techniques derived from these methodologies that were employed:
• Focus on goals, not the methodology
• Disciplined execution and follow-through
• Use of data to drive performance
Goal: Improve productivity by: Reducing interruptions
Reducing contention
Catching trouble early
!
Session #2
Methods That Work in IT Departments Case Studies Combined These Methods to Improve Productivity
Everybody (Finally) Loves Supply-Chain: How Implementing Lean’s Demand Flow Processes Saved Money, Eliminated Waste, Increased Satisfaction
21
Sunday, April 12 2015, 10:45 – 11:45 AM CT
Session #3
IT Governance: Stopping the “Yes Machine”� 22
Sunday, April 12 2015, 12:45 – 1:45 PM CT
Source: The Advisory Board Company Health Care IT Advisor research and analysis.
Session #4
Stop the “Yes Machine”!
Rampant juggling
Using the wrong yardstick to measure success
Signs the “Yes Machine” is failing:
Difficulties coordinating the work
Over-focus on priorities over accountabilities
IT left accountable
Weakening decision making
Demand-based governance is inefficient at a time when we can’t afford inefficiencies and is ill suited to the needs of the more agile enterprises our organizations are evolving into.
IT Governance Needs to Change The “Yes Machine” is Overwhelmed and Breaking Down
An Alternative? Agile Governance
Spurring High Performance IT Innovation: Translating New Ideas into Performance Gains
23
Sunday, April 12 2015, 2:00 – 3:00 PM CT
Session #5
How to employ a structured approach to steer new ideas and manage their introduction to common practice?
How to recognize the differences between improvement, invention, and innovation?
How to creatively use existing resources to improve processes and outcomes to spur innovation?
IT Essentials for Non-IT Leaders: Making IT a “Team Sport”�
24
Sunday, April 12 2015, 3:15 – 4:15 PM CT
Source: The Advisory Board Company Health Care IT Advisor research and analysis.
Session #6: Closing Keynote
Finance HR IT
Why is it important?
What should it do?
What do I need to know and do?
How does it work?
Satisfactory Levels of Knowledge to Derive Value? Example of Functional Areas Supporting 3 Critical Resources
It’s hard to be a team player if you don’t understand the game.
! Translate strategic goals into specific CxO competencies.
!
Monday MEPI Forum 25
3 Additional Sessions!!!
Lean-Enabled Startups for Success 26
Monday, April 13 2015, 10:00 AM – 11:00 AM CT
MEPI Forum Session #1
The Lean Startup Validation Cycle
Plan-Do-Check-Act
Six-Sigma/Lean
Start-up Agile Total Quality
Management Just in Time
Kaizen Hoshin Planning
Design of Experiments
Process Excellence Poka-Yoke
HIMSS Innovation Pathways
Process Methods Studied in Relation to Innovation
Capturing Patient Flow Value Stream in the New Economy
27
Monday, April 13 2015, 11:30 AM – 12:30 PM CT
MEPI Forum Session #2
Patient Value Stream
Admissions
Long Term Management Recovery Treatment Preparation Diagnosis Prevention
Monitoring
Evaluation Tests Treatment Discharge Evaluation Tests Treatment Discharge
Cultural Transformation Through Strategic Change and Leadership
800-823-4330
www.jalarson.net
@jeanannlarson
Committee Member Spotlight Dr. Jean Ann Larson, FHIMSS, FACHE, DSHS
The Future of Healthcare Management Engineering 29
Monday, April 13 2015, 1:00 PM – 2:00 PM CT
MEPI Forum Session #3
Panelists: Tracey Butler – Baylor Scott and White Larry Dux – Froedtert Health John Hansmann – Tenet Healthcare Cynthia Hartmann – Wake Forest Baptist Medical Center Moderator: Jean Ann Larson – Jean Ann Larson & Associates
Panelist Discussion Questions
Do you concur with what the experts have noted in the PCAST report? At your organization, what do you believe are the biggest problems that MEPI professionals can solve?
Can you provide examples of how are you addressing those challenges?
What future challenges do you see on the horizon that ME-PI professionals could address?
What are top approaches and/or methods that you use in your organization to begin addressing these challenges?
How do you integrate change into your ME-PI initiatives to ensure that your recommendations and new approaches are sustainable?
Managing Your Own Professional Transitions 30
Monday, April 13 2015, 11:30 AM – 12:30 PM CT
Jean Ann Larson’s Session #1
• Discussion of change vs. transition and growth • What is a professional transition? • How might we learn and grow from professional transitions? • Where are we now? • What are your best practices moving forward? — What will you do
differently?
Sharpening the Saw: Creating Balance in Your Professional and Personal Life
31
• Identify and accomplish what matters most
• Focus on what is important and less on what is not important
• Create a healthy balance between work and family
• Gain more confidence in your ability to get things done
The Benefits? You will be more productive and your work will be more aligned with your interests and passions
Wednesday, April 15 2015, 2:00 PM – 2:45 PM CT
Jean Ann Larson’s Session #2
2015 MEPI Community Survey Results
HIMSS15 MEPI Education Sessions
HIMSS15 MEPI Networking Opportunities
1 2
3
Road Map
MEPI HIMSS15 Meetup at HIMSS Spot 33
Monday, April 13 2015, 3:00 – 3:30 PM CT
Networking