Unit-Based Teams' Growing Focus on Cost of Care
Three PowerPoint slides show the growth in performance improvement projects focusing on affordability.
Three PowerPoint slides show the growth in performance improvement projects focusing on affordability.
Simple instructions for navigating the LMP National Dashboard. One of three guides in a series.
Simple instructions for viewing and printing reports in the LMP National Dashboard. One of three guides in a series.
One of three simple cheat sheets for using the KP National Dashboard of performance metrics.
Colorado Head and Neck Surgery UBT puts a process in place to track expensive surgical instruments, almost completely eliminating losses and saving more than $25,000 a year.
Surgeons need delicate and expensive tools to work.
And with 900 instruments being used and processed for reuse daily in a Head and Neck Surgery department, it’s not hard to lose an instrument.
But replacement at several hundred dollars a pop is expensive.
So, when the Head and Neck team at the Franklin Medical Office in Colorado heard that a reduced budget would not cover lost instruments, team members knew they had to act.
“When we came up to the crisis, we brainstormed through it,” says labor co-lead Angela Garcia, RN, and UFCW Local 7 member.
The team tested several ideas, including color-coding instruments with tape—a change that wasn’t adopted because of infection control issues and it didn’t work.
Then the team tried divvying up the instruments among the 20 patient rooms and two procedure rooms. That didn’t work, either, because each physician has his or her own preference for certain instruments, and the staff didn’t know where the instruments would be needed.
“Nobody was taking responsibility of the instruments,” Garcia says. “We needed to hold people responsible for what they were using.”
The UBT purchased plastic bead boxes from a local craft store and labeled each box by nurse. The nurse was in charge of the box, just as a store clerk is responsible for a cash box. Nurses checked the inventory at the beginning and end of each shift to make sure their boxes balance, and if something was missing, they were responsible for finding it.
The team also took time to educate the entire staff about the process, and explain both how valuable and how fragile the instruments are. This helped everyone understand the reason for the change, and inspired everyone to be more responsible.
“I think the idea of coming up with the system was ingenious,” says Liz Vandyck, a clinical audiologist and member of UFCW Local 7. The team also did monthly audits to measure success.
The team had spent more than $26,000 replacing 300 lost instruments. A year after the successful test of change, only five instruments needed replacing—two were lost and three were broken.
“This was a really interesting way to solve the problem,” says Lorana Brass, MD, one of the department's physicians.
Michele Boes, Michele.X.Boes@kp.org, 303-764-4422
Angela Peace, Angela.E.Peace@kp.org
Angela Garcia, Angela.M. Garcia@kp.org
Learn how EVS frontline workers are advancing their careers--and making Kaiser Permanente greener.
Format:
PPT
Size:
1 Slide
Intended audience:
LMP employees, UBT consultants, improvement advisers
Best used:
This PowerPoint slide features a Colorado UBT that saved money and reduced customer complaints by tackling a printer problem. Use in presentations to show some of the methods used and the measurable results being achieved by unit-based teams across Kaiser Permanente.
This PowerPoint slide, from the November/December 2012 Bulletin Board Packet, features a Colorado UBT that saved money and reduced customer complaints by tackling a printer problem.
Format:
PPT
Size:
1 Slide
Intended audience:
LMP employees, UBT consultants, improvement advisers
Best used:
This PowerPoint slide features a Northwest UBT that saved department money by using an in-house courier to deliver lab specimens rather than a taxi. Use in presentations to show some of the methods used and the measurable results being achieved by unit-based teams across Kaiser Permanente.
This PowerPoint slide, from the November/December 2012 Bulletin Board Packet, features a Northwest UBT that saved department money by using an in-house courier to deliver lab specimens rather than a taxi.
This poster features a checklist UBT co-leads and sponsors may use to help teams develop.
This poster features UBT sponsorship advice from Priya Smith, a UBT sponsor in Kaiser Permanente's Northern California region.