Value Summary 2.0

Standardized Improvement Framework

Presentation developed by Brittany Patterson, University of Utah Health 2017

Lean

6s

PDSA

Project Definition

Problem & Goals

Baseline Analysis & Investigation

Improvement Design & Implement

Monitoring & Impact

1

2

3

4

5

Value Improvement Framework

U of U Health Value Methodology

Use Improvement Science

Why Use the Value Summary

Concise – avoids death by PowerPoint

Methodology – promote improvement that works

Measurement – track work at project & enterprise level

Transparency – self-service visibility to value work

Communication – standardize review of value work from director to staff

5 Steps of Value Methodology

using the Value Summary

1 2 3 4 5

Project Definition

5

1

6

Problem & Goals

Specific, Measurable, Attainable, Relevant, & Time-bound

2

Specific - How specific is based on your judgment. “Poor communication” and “inefficiency” are not specific. “Readmission rates for ileostomy

patients” is specific enough.

Measureable - Define with an actual number. Some, more, many are not numbers. “20% increase,” is a number you can track concretely.

Attainable - Is your goal realistic? Chasing unrealistic goals is demoralizing.

Relevant - This area is another judgment call.

Time-bound – Set the date when you want the goal met.

Problem & Goals

SMART Goals

Source: http://healthsciences.utah.edu/accelerate/blog/2017/01/the-smart-way-to-keep-your-new-years-resolutions.php

8

9

Baseline Analysis &

Investigation

3

Baseline Analysis & Investigation

Tools to Examine + Document Process

What does the

process tell you?

Describe your major

findings from each tool.

Attach related Documents.

Baseline Analysis & Investigation

Tools to Analyze Data

What does the data

tell you?

Describe major findings

from each analysis.

Data collection can be:

Manual e.g. tally sheet, survey

Automated e.g. data warehouse

Attach related documents

(no VDO/cost data).

Baseline Analysis & Investigation

Tools to Benchmark

What did you learn

from others?

Describe what best

practices you learned

from peers.

Attach any related

documents.

Improvement Design

& Implement

4

Improvement Design & Implementation

How to Improve a Process

Make it Reliable e.g. Standard Work

Make it Simple e.g. Workplace Organization

Make it Visible e.g Visual Management

Make it Flow e.g. Eliminate Waste

There is no one-size-fits-all solution; find what works for your team.

Monitoring & Impact

5

Monitor & Impact

Measure Elements

Numerator & Denominator

Local

Meaningful

Transparent

Providing results to individuals can engage team members in their

ability to contribute to the improvement. This is often done outside of

Value Summary reporting and monitoring.

Monitoring & Impact

What Gets Measured Gets Managed

Monitor data continuously

Monitor process (Goals/Gemba)

Reflect on effectiveness &

adjust design, if needed.

At least 1 year of monitoring is

recommended; 2-3 years to

ensure sustainability.

Is it working?

Its Not for Everything

When NOT to Use Value Summary

Known problem & troubleshooting the cause is simplesimple problem-cause-solution will suffice

Analyses with no plans to implement change(e.g. evaluate variation in Radiology)

If you don’t have real SMART goals, you may not need a value summary

How to access the Value Summary 2.0

http://pulse.utah.edu/go/valuesummary

© University of Utah Health 2017 | only accessible to our internal audience.