SBGH

Our VisionOur Vision

To To deliverdeliver the the safestsafest and and highesthighestqualityquality of care to of care to everyevery

patient,patient,everyevery encounterencounter, ,

everyevery dayday..

Our Mission and ValuesOur Mission and Values

••WeWe embraceembrace Tradition, Innovation Tradition, Innovation and Inspirationand Inspiration

••Respect, Respect, CaringCaring, , StewardshipStewardship

Our Beginning

The Grey Nuns arrive in St. Boniface in 1844.

Three Major Challenges Three Major Challenges

•• Availability of workforce to do the jobAvailability of workforce to do the job

•• Healthcare costs are not sustainableHealthcare costs are not sustainable

•• Patients & public holding us accountable Patients & public holding us accountable for safe & reliable healthcare with better for safe & reliable healthcare with better outcomesoutcomes

Quality is Quality is ““THE THE ““StrategyStrategy

•• Linking our mission, vision,Linking our mission, vision,and valuesand values

•• 4 4 PrimaryPrimary objectivesobjectives–– Patient satisfactionPatient satisfaction–– Staff engagementStaff engagement–– Clinical effectiveness and SafetyClinical effectiveness and Safety–– Efficiency and Financial PerformanceEfficiency and Financial Performance

Lean TransformationLean Transformation

•• Engages the workforce.Engages the workforce.•• Addresses the sustainability gap Addresses the sustainability gap

(removing waste reduces the gap between (removing waste reduces the gap between the costs & the available resources)the costs & the available resources)

•• Creates less variation in the processCreates less variation in the process•• Creates more standard workCreates more standard work•• Increases safety & reliabilityIncreases safety & reliability

WasteWasteIn the eyes of the Patient everything an Enterprise does either ADDS VALUE or does not.

Definition of Non-Value AddedAnything that consumes time or resources but does not add value

Definition of Value AddedAny activity that directly contributes to satisfying the needs of a customer

Non Valued-Added vs. Value Added

VS

VS

Waiting Room Operating Room

Airport Airplane

90 % 10%

Value-Added

Focus of Improvement

Non-Value-Added

The primary focus of Transformation is on reducing or eliminating Non-Value-Adding activities

Patient’s stay

Value StreamsValue Streams

•• Value Streams ( all the steps in a common Value Streams ( all the steps in a common process or a patient journey)process or a patient journey)

•• 6 S Event ( sort, straighten, shine, safety, 6 S Event ( sort, straighten, shine, safety, standardize, sustain )standardize, sustain )

•• Rapid Improvement Events ( RIE)Rapid Improvement Events ( RIE)

•• ““Just Do ItJust Do It’’ss”” (JDI)(JDI)

•• ProjectsProjects

Transformation Value Streams At A Glance

Sep/08 Jan/09 May/09 Sep/09 Jan/10 May/10

ED – Acute coronary syndrome (ACS)

ED Non Admitted Patients

Surgery- Acute care surgical services (ACSS)

Clinical Supply Chain

Medicine-Flow/Capacity/Productivity

Impr

ovem

ent A

ctiv

ity

Staff Scheduling

Surgery- Flow/Capacity/Productivity

Rapid Improvement

Events

ER 6S Event “Before”

ER “ After”

Medicine Ward “ Before “

Medicine Ward “After”

Triage Area RIE

Clinical Supply Chain Huddle

“Telling the Story”Friday Report-Out

Visual Management and Transparency

True North

Metrics

Celebrating Success

SUSTAINMENT

SUSTAINMENT

Keeping the Patient / Customer as our Focus

Buhler Gallery