Graph/Improvement - Color

New (and Better) Workflow Improves Blood Pressure Control

  • Developing specialized scripts for clinical nurse assistants (CNAs), who make outreach calls to patients with hypertension, and for receptionists, who make reminder calls about check-up appointments
  • Refining workflow so CNAs consistently send patients with elevated blood pressure to nurse practitioners for management
  • Referring patients with complex blood pressure medication management for additional consultation

What can your team do streamline processes to meet patient care goals?

Around the Regions (Fall 2014) Laureen Lazarovici Mon, 09/19/2016 - 15:40
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Around the Regions (Fall 2014)
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Newsy notes from all of KP's regions. From the Fall 2014 issue of Hank.

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Colorado

Spurred on by a Performance Sharing Program goal, UBTs in the region are focusing on affordability and efficiency by taking on improvement projects with identified cost savings or revenue capture. Teams are finding ways to work together. For example, the Stapleton Cytology and Molecular lab teams increased productivity by cross-training and solving problems together. As of August 2014, the teams are processing five times more HPV screenings a month than in 2012. The region also is celebrating strong membership growth.

Georgia

Clinicians know a lot about medicine and less about the health insurance benefits their patients have. Members of the unit-based team at the Douglasville Medical Office knew that frustrated patients. They set out in July 2013 to improve the staff’s understanding of member benefits through an ambitious 12-week training session. Before starting the weekly classes, staff members scored an average of 68.5 percent on a test about member benefits. By the end of October, their average score was 95 percent. The team credits its newfound business literacy for boosting service scores, which helped Kaiser Permanente retain a major city account and win a new one. 

Hawaii

More than 1,000 new health plan members joined Kaiser Permanente this summer, thanks to the collaboration between Kaiser Permanente and the Coalition of KP Unions to grow KP membership. The effort started in May with a strong presence at a conference of the Hawaii Government Employees Association—one of six unions covered by the state Employees’ Retirement System, KP Hawaii’s largest customer. Conference delegates visited the KP booth, took Body Mass Index (BMI) readings and participated in a KP-sponsored walk. KP followed up with mailers to prospective members, presentations to union retirees, invitations to tour KP facilities and more. Lynn Ching, labor liaison for the Labor Management Partnership in Hawaii, and Troy Tomita, a KP senior account manager, worked on the project together. “It’s a great headstart for open enrollment in October,” Ching says. 

Mid-Atlantic States

Members of the Ambulatory Surgery Center unit-based team in Gaithersburg, Md., not only are putting the patient at the center of every effort, but also bringing the patient’s family members and friends into the fold. The team created a perioperative liaison role, in which a staff person is assigned to a patient and acts as point person, updating a patient’s friends or family members throughout the patient’s journey through the surgery center. After creating the new role in February 2014, the surgery center’s service scores jumped from 75.8 percent in January 2014 to 88.8 percent in April 2014.

Northern California

Fremont Medical Center employees took all obstacles in stride when it came to adding physical activity to their workday as part of the KP-wide Instant Recess® week in early August. Nearly 200 Fremont workers Hula-Hooped, boxed, danced, hop-scotched and jump-roped as part of the facility’s Instant Recess obstacle course. Usually, Instant Recess is a 5- to 10-minute activity done to music, but it also can be any kind of fun activity that gets people moving. The San Francisco, Richmond and San Rafael medical centers were among the other Northern California locations that joined in the week of Instant Recess, which was organized by national and regional Workforce Wellness programs and the union coalition.

Northwest

Working through unit-based teams, the region has launched a new focus on affordability. The UBT Resource Team is leading the charge by providing such resources as a project template and performance improvement tools, including 6S and the Waste Walk, as it works with teams. In addition, teams can reach out to subject matter experts in finance, purchasing and other areas for assistance. The region’s UBT Data Team will calculate the return on investment of the efforts and enter that information into UBT Tracker. Some teams, such as the Rockwood Medical Office Patient Registration UBT, are working on reducing paper registration forms to cut down on waste and save money.

Southern California

Leaders at the South Bay Medical Center hosted a performance improvement fair for unit-based teams this summer, aimed at giving teams the tools they need to reach levels 4 and 5 on the Path to Performance. After grabbing some healthy snacks at the sign-in table, UBT co-lead pairs sat with an improvement advisor or UBT consultant and got customized advice on how to move their projects forward. For instance, the union co-lead from a medical-surgical unit reviewed data collection techniques at one table, while at another, food and nutrition team members filled out a fishbone diagram for their efforts to collect errant cafeteria trays. Co-leads got help entering their projects into UBT Tracker, then left with a packet of performance improvement tools.

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Laureen Lazarovici
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Tyra Ferlatte
Members of the Labor and Delivery UBT at South Bay Medical Center in Southern California, a high-performing team
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Physician co-lead(s)

 

 

 

 

 

 

Additional resources

 

 

 

 

 

 

Staff Buddies Up to Inform Patients of Delays
  • Huddling before the clinics open for the day to determine who will buddy up in groups of two.
  • Spending the day communicating with each other how the clinics’ schedules are progressing and finding out from medical assistants and nurses whether any providers are running behind.
  • Delivering information to patients on waiting room delays that is as specific as possible.

What can your team do to communicate better with each other and patients? What else could your team do to make the day go smoothly?

Laureen Lazarovici Thu, 09/08/2016 - 12:21

Speedy Slides Boost Service, Scores and Morale

  • Tracking slide turnaround times on a white board
  • Discussing turnaround times and quality assurance issues in team huddles
  • Meeting weekly with the UBT’s sponsors to help with engagement and remove barriers
  • Including pathologists to facilitate better communication between staff and physicians

What can your team do to remove barriers in your daily work? What else could your team do to use huddles to improve quality? 

Easing the Pain for Babies and Families—the Right Words
  • Creating a script to educate parents about the type and severity of pain their newborns might experience
  • Articulating clearly what steps health care providers would take to manage babies’ pain
  • Educating parents about pain management at admission to NICU instead of waiting until the issue arose

What can your team do to be proactive in keeping patients and their families informed during stressful times?

 

 

Laureen Lazarovici Mon, 08/29/2016 - 18:46
Small Changes, Healthy Babies—A Quicker Path to Vaccinations
  • Giving injections in the exam room, rather than the injection clinic
  • Limiting the choice for physicians to two versions of the same vaccine to choose from—instead of several
  • Huddling among medical assistants and physicians once or twice a day to determine which of their incoming patients need vaccines. Medical assistants then have the shots ready for those patients
What can your team do to use small tests of change in tackling large problems?
Laureen Lazarovici Mon, 08/08/2016 - 17:19

Bargaining Team Takes On Operations, Service

Submitted by Paul Cohen on Thu, 05/14/2015 - 21:10
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How to take KP operations, unit-based teams and the Labor Management Partnership to the next level? A joint bargaining team suggests answers.

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Tyra Ferlatte
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Angela Young (right), an SEIU-UHW member, and Donna Young, with The Permanente Medical Group (center), discuss proposals in the Operational and Service Excellence in Partnership subgroup.
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Better in Partnership

Workers, managers and physicians have improved operations in partnership. See how:

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Workers and managers propose ways to strengthen teams for performance improvement
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Improving performance and strengthening partnership is the work of the Operational and Service Excellence in Partnership subgroup—one of three subgroups in national bargaining.

At the third session of national bargaining, members of the subgroup made recommendations on topics including improving learning, accountability, problem solving, consistency, flexibility and support for unit-based teams.

The many perspectives represented at the table—with all regions and a wide range of job types in the mix—enriched the group’s discussions.

“We are really making progress. We’re having good discussions that can help people back at work overcome barriers in their day-to-day UBT work and make their lives easier and better,” says Holly Davenport, a union representative for UFCW Local 770 in Southern California. The group is investigating ways to improve the spread of practices from one team to another and to ensure that UBT assessments accurately reflect performance.

One LMP

The subgroup is also looking at ways to improve partnership at all levels of Kaiser Permanente and at the elements—from tools to training—that affect its success.

“Our group is trying to establish the principles of partnership and ensure they’re applied consistently across regions,” says Rita Essaian, an executive administrator with Southern California Permanente Medical Group.

“No matter what region you’re in, the partnership should be the same,” says Ruby Robley, a respiratory therapist at Antioch Medical Center in Northern California and an SEIU-UHW member. “We need One LMP, just like One KP.”

First-timers excel

Many of this year’s negotiators are new to bargaining in partnership, including manager Casper Yu, the director of Dental Sales and Marketing in the Northwest. “I love how this process works,” he says. “We negotiate and still come out with great personal and working relationships. I tell people, ‘This is what it truly means to be in partnership. I get it now.’”

Operational and Service Excellence in Partnership is one of three subgroups tasked with crafting the next National Agreement. The other two are Total Health and Workplace Safety and Work of the Future.

Visit bargaining2015.org for more information, videos and slideshows and to sign up for bargaining updates.

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How to Help KP Grow

Submitted by Paul Cohen on Tue, 03/03/2015 - 13:41
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It's not just a job for sales team members anymore: See what all Kaiser Permanente workers can do to help others become KP members.

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Link to: http://share.kaiserpermanente.org/become-a-kaiser-permanente-member/
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Frontline workers play a key role in winning and keeping KP members.
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What Frontline Workers Are Doing to Grow KP Membership

Learn more about KP and the union coalition's strategy for growing membership—and its results:

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Everyone wins when health plan membership increases
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Good things happen when more members join Kaiser Permanente.

Kaiser Permanente and our unions gain strength and stability. Good jobs become more available and secure. More people in our communities benefit from KP’s affordable, quality care.

And all KP employees can help make those things happen.

For example, the Labor Management Partnership and KP’s sales and marketing organization work together in unique ways to build KP health plan membership. Thanks to their efforts, in 2014:

  • 125,000 KP members joined or stayed with the health plan. 
  • 100,000 KP members or potential members got letters from their local unions encouraging them to select KP during open enrollment.
  • KP union ambassadors reached 20,000 potential KP members at worksite, community and union events in five regions.

Workers tell their story

In addition, thousands of KP workers, managers and physicians in unit-based teams win and keep KP members by delivering great care and service every day.

Louise Casa, a nurse practitioner, UFCW Local 400 member and union ambassador in the Mid-Atlantic States, says all workers have stories to tell about what makes KP a better place to give and get care.

“I share the story of being part of a partnership that values union workers and their ideas,” she says. “I talk about our unit-based team work on goals for care improvement, problem solving and workflow improvement in our departments. People in the community been very interested in the UBT process.”

What you can do

Everyone has a role to play in helping Kaiser Permanente grow and retain its membership. It starts with the work we do every day to serve members and patients:

  • Deliver the best member experience. If you know someone is a new member, take an extra minute to explain how things work.
  • Encourage members to sign up for kp.org. Surveys show that members who sign on are more likely to stay with Kaiser Permanente.
  • Look for ways to improve work processes or cut waste, to help keep KP affordable for the people we serve.

Quick links to additional resources

  • Get additional tips to help promote KP at: Be KP [KP intranet].
  • Answer questions people may have about KP: Become a KP Member [KP intranet].
  • And get insights and updates on KP’s business success: Marketplace Focus [KP intranet].

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