Savings - Color

Decreased Overtime Works Double-Time for Patients
  • Standardizing end-of-shift communication between nurses
  • Assigning outgoing nurse assignments to incoming nurses
  • Creating new workflows for hospital aides

What can your team do to reduce unnecessary variation?

Laureen Lazarovici Fri, 07/10/2020 - 16:39

Tips for Greening Your Work Life

Submitted by Laureen Lazarovici on Wed, 03/21/2018 - 18:05
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Request Number
LSR-1658
Long Teaser

Kaiser Permanente has set a goal to reduce its overall greenhouse gas emissions by 30 percent by 2020, compared to its 2008 levels. Unit-based teams can play a part in greening our environment and saving money. 

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Laureen Lazarovici
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Download the Tip Sheet

Want a colorful tip sheet with these ideas to hand out and post on bulletin boards? Download one here!

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Tips for Greening Your Work Life
Deck
Ways to help the environment while saving money
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Kaiser Permanente has set a goal to reduce its overall greenhouse gas emissions by 30 percent by 2020, compared to its 2008 levels. Unit-based teams can play a part in greening our environment and saving money. Involve your team in tests of change around recycling or reducing supply waste.

  1. Coordinate with other departments, such as EVS, materials management or procurement and supply, on green tests of change — or “embed” a member of one of these departments in your UBT.
  2. Work with your facility’s waste-hauling vendors to find out what types of materials and supplies can be recycled, and place recycling bins strategically in cafeterias and near exits.
  3. Cut down on costly, wasteful single-use medical devices or supplies as part of performance improvement efforts.
  4. EVS teams: Switch to environmentally friendly cleaning products and supplies.
  5. Invite your teammates to shop for locally sourced, organic fruits and vegetables at the nearest KP weekly farmer’s market.
  6. Host a monthly healthy salad bar, like the UBT at San Diego’s Positive Choice clinic did in its successful effort to improve attendance.
  7. Replace thirsty plants for drought-tolerant alternatives, as several teams in Northern and Southern California have done.
  8. Go paperless: Don’t print out agendas and documents; send them out via email or show on a projector instead.
  9. Recruit a champion in your department to be on the lookout for new opportunities and coach others on greening their workplace.

 

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Better Coordination Spells R-e-l-i-e-f for Telemetry Team

  • Reviewing the department budget and using performance improvement tools to determine the causes of overtime
  • Revamping the department workflow and coordinating with each other to schedule a relief RN to cover those on break
  • Educating and reminding staff about the importance of clocking in and out on time
  • Encouraging nurses to notify their managers two hours before the end of shift if they expect to work overtime.

Right Setting, Lower Costs, Better Care

Submitted by Laureen Lazarovici on Fri, 06/16/2017 - 18:12
Region
Topics
Hank
Request Number
sty_Hank51_emergency room
Long Teaser

How one behavioral health team improves care and helps save $1 million by educating patients about Emergency Department use.

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Jennifer Gladwell
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Tyra Ferlatte
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Take Action: Take Credit Where Credit Is Due

Quality or service improvement projects often lead to more cost-effective care. Be sure you track the financial impact of your team’s performance improvement work and log it in UBT Tracker. 

These tools will help: 

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Right Setting, Lower Costs, Better Care
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Team improves care and helps save $1 million by educating patients about Emergency Department use
Story body part 1

When the Ridgeline Behavioral Health team members in Colorado decided to tackle outside medical costs, even they were surprised at how their small touch on a huge issue could result in such significant savings.

Team members identified two ways they thought they could have an impact—including finding out which of their patients were being seen frequently in the Emergency Department—while helping their patients get appropriate care. 

“We know from evidence-based medicine that if patients are seeking care in the Emergency Department for mental health issues, it’s unlikely to provide a long-term improvement in symptoms,” explains Amy Martin, manager of Ridgeline Behavioral Health. 

Team members began the project by researching which outside hospitals Kaiser Permanente prefers to have members and patients use. Armed with the new information, they created a flier explaining the options and shared it with the rest of the staff, who then shared it with patients. This way, when patients did access care, they were more likely to go to a facility that KP has a contract with and thus, cut costs.

The results were remarkable. The team’s patients’ visits to emergency departments decreased by 8.25 percent, which in turn reduced ED costs by 26 percent. The total impact for 2016: $1 million in soft-dollar savings. 

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Provide Good Care, Save With Secondary Tubing

  • Looking for less expensive options, like switching from primary tubing to secondary tubing
  • Using secondary instead of primary tubing for IV patients, whenever it is medically safe
  • Working through the change so everyone on the team understands and adapts

What can your team do to make sure it's using the right supplies for the job? What else could your team do to keep KP affordable for patients and members?

 

Go on Point to Reduce Missing Lab Orders

  • Assigning a point person to work with physicians and departments to ensure patients have the needed lab orders
  • Coordinating efforts across the multiple departments that engage in a patient's treatment
  • Assigning a backup assistant to ensure the point duties are covered

What can your team do to identify where things "fall through the cracks"? What else could your team do to put the patient at the center?