1. ISE 468 ETM 568 Healthcare Process Improvement Dr. Joan Burtner, CQE Associate Professor of Industrial Engineering and Industrial Management

2. Pursuing the Triple Aim - 2012 • Authors: • Maureen Bisognano (President and CEO of the Institutue for Healthcare Improvement) • Charles Kenney (recipient of the 2012 Shingo Research and Professional Publication Award) • Subtitle: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs 2013

3. Pursuing the Triple Aim - CH 1 • Health Partners: non-profit health care organization based in Bloomington, MN • Comprised of 800 physicians, four hospitals, and fifty clinics • Care delivery system based on reliability, customization, access, and coordination of care • Health Partners motivated by quotes from Crossing the Quality Chasm • “If we want safer, higher-quality care, we will need to have redesigned systems of care, including the use of information technology to support clinical and administrative processes.” [p.4] • “Americans should be able to count on receiving care that meets their needs and is based on the best scientific knowledge. Yet there is strong evidence that this frequently is not the case.” [p.1] 2013

4. Crossing the Quality Chasm • McClure: “It was the first time that anyone had articulated a set of dimensions where efficiency, effectiveness, safety and patient centeredness were all considered elements of quality. …Before that , technical quality was typically seen as in opposition to utilization management—as if you couldn’t be efficient and have high quality at the same time.” • Crossing the Quality Chasm: A New Health System for the 21st Century – Six Aims • Safe • Effective • Patient centered • Timely • Efficient • Equitable . 2013

5. Simple Rules for the 21st Century Highlights from Table 1.1 page 5 Professionals control care vs. The patient is the source of control. Decision making is based on training and experience vs. Decision making is evidence based. The system reacts to needs vs. Needs are anticipated. Cost reduction is sought vs. Waste is continuously decreased. 2013