A Quest for Quality….The Business Case

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Transcript A Quest for Quality….The Business Case

“A Quest for Quality….The Business Case”

Chris Boldt, Operations VP Steven Chies, Sr. VP for Operations Benedictine Health System 2011 AHCA/NCAL Quality Symposium February, 2011

The Frequent Questions:

Why did BHS adopt quality process?

How did you achieve six (6) AHCA Gold Quality Awards?

Benedictine Health System Today

• BHS owns and/or manages more than 70 LTC facilities on 40 campuses across 7 states • BHS Profile ▪ ▪ 4,000 NF Beds 2,000+ Housing with Services/ Assisted Living Suites • 6,000+ Employees

Core Values

• • • • Hospitality Stewardship Respect Justice

Vision

Creating Benedictine Living Communities where health, independence and choice come to life.

• • • •

Creating a Quality Culture

Leadership…commitment, passion from the top Foundational elements…mission, vision, values The LTC Quality Story…and baggage!

The long, long run…

What do we know as factual?

• • • • • • • • • Perception of quality is poor Demographics are changing Dementia diagnosis is increasing Boomers have different expectations Governmental commitment is waning Understanding of need is poor Current product line is aging Unexpected events will impact society All politics and health care is local

Quality in Long Term Care

• • • The perception of the American public of the quality of care and quality of life in a “nursing home” is extremely poor.

The vast majority of Americans do not want to go to a “nursing home”. They believe they are places we go to die and lose our independence and dignity.

What is the public perception?

95 % Question

• Do you want to go to a nursing home

?

Implications of Quality Perception:

• • • • • • Guilt and Fear of individuals and families Demand for Quality Improvement Regulatory Reaction – More is Better Poor regulatory compliance – More Surveyors Media Coverage of poor compliance Poor compliance – litigation opportunities

• Greatest Generation (1905-25) 50 Million • Silent Generation (1926-45) 35 Million • Boomer Generation (1946-1964) 77 Million • Xer Generation (1965-1982) 65 Million • Millennium Generation (1983-02)80 Million

Implication of Demographics:

• • • • • Fewer people….more competition Fewer tax payers….more competition More competition for client Product line need to meet expectations Need for process enhancement

• • • •

Implications for Government Payment:

Cannot rely on stable source Personal Responsibility will prevail Pay for Performance Expectation of Improved Outcomes

Dr. Donald Berwick

• • • • Challenge Providers to: ▪ Reduce Resources by • • • 10% without: Single instance of harm Without rationing care Without excluding services Knowledge of Quality Understands Data Expectation of Performance

BHS Leadership Systems

• • • • • • Solid Governance National leaders in long term care on staff Systematic meetings to share, learn and plan among all levels of employees BHS Leadership Institute Ongoing leadership communication Compliance and risk programs

Benedictine Framework for Performance Excellence Organizational Results 7

Dashboard

2 Strategic Planning

Strategic Planning and Deployment Model

Process Management

P-D-C-A Care Processes Support Processes

6 Staff Focus 5

Service Standards Mission and Values Survey

1 Values-Centered Leadership

Hospitality •Stewardship Respect•Justice .

3 Customer and Market Focus

Satisfaction Surveys Compliant Management

4 Measurement and Analysis

Dashboard

http://www.quality.nist.gov/HealthCare_Criteria.htm

Drivers Systems Results .

2 1 Leadership Strategic Planning 5

Peopl e Operations

6 3 Customer Focus 4 Measurement, Analysis & Knowledge Management 7

Results:

• Health Care • Patient Satisfaction • Financial/Market • Staff & Work System • Organizational Effectiveness • Governance/Social Responsibility

Operational Improvement

• • • • The theory sounds great…but How does it get to the bed side?

How do you determine improvement?

How do you sustain the improvements?

BHS Strategic Planning

• • • • Strategic Challenges Strategic Objectives Goals Focus Areas ▪ ▪ ▪ ▪ ▪ Care Service People Finance Growth

BHS Alignment Model BHS Vision and Direction Strategic Objective & Corp. Action Plans Facility Specific Goals BHS Board and SMT BHS SMT and Corporate Directors Participating Organizations Facility Action Plans Departments and Teams Employee Goal Employee Focus

BHS Strategy Development and Deployment Model Focus Align Execute Review

Where are we now?

Internal and External Analysis BHS Corporate Strategic Objectives SWOT

Who > When > Governance / Leadership Annually

Where do we need to go?

Vision, Facility Strategic Objectives and Goals

How will we get there?

How are we doing?

Determine action plans, resources, accountability and Metrics/Action Plan Goals Quarterly review of progress and Performance

Governance / Leadership Annually

Action Plans

Leadership and Staff Annually

Results

Leadership and Staff Quarterly

Strategy Deployment

• • • Adoption of “Focus and Execute” a web based application ▪ ▪ ▪ Tracking of progress of Action Plans Team Open access Remote management - Webinar Continuous review of progress on Action Plans

BHS Facility “Focus and Execute” Plan

BHS Quality Performance Excellence

• • • • The Mission and Core Values are the basis Led by President/CEO All 6 SVP are Lead for a Baldrige Category Quality Director ▪ ▪ Supports and coordinates Provides training

BHS Customer Service Standards

• Based upon the Core Values of the organization • • Behavioral expectations for all staff Self-evaluation of performance by each employee at annual evaluation • Performance Management System

BHS Service Recovery

• Service Recovery is bringing a customer back from the brink of defection – and doing so in a timely fashion to the customer’s satisfaction.

The ART of Service Recovery

▪ ▪

A = Acknowledge R= Resolve

T= Trend

Customer Satisfaction Surveys

• • • Nursing Facility ▪ ▪ ▪ Newly Admitted Resident Resident Family – MyInnerview Assisted Living ▪ ▪ Tenant - MyInnerview Family- MyInnerview Housing ▪ Tenant - MyInnerview

BHS Facility Example

BHS Dashboard

• • • • Internal IT system Current performance on key strategic measures Trend performance Best practice performance identified

Care

Percent of Pain

  National Average  BHS System  Best Practice Quartile  Median  Target Opportunity for Improvement Quartile Good

Finance

Operating Cash Flow Margin

  BHS Operating Cash Flow Margin  Best Practice Quartile  Median  Target Opportunity for Improvement Quartile Good

Current Structures for Performance Review

CEO, Board and SVP Senior leaders OVP, & CD OVP & Regional Consultants Administrator, QMC, DON, and other BHS Board Strategic Performance Team Regional Operations Facility Quality Council Pillar Metrics 15 Measures Pillar Metrics & PP Pillar Metric, PP & other metrics Facility Functioning 30 measures

BHS Facility Example

Employee Performance Management

• Developed by a team of team from corporate office and facilities • • • Common Job Descriptions across all sites ▪ Behavioral based Supervisory training Self evaluation including self-evaluation of performance compared to the Customer Service Standards.

BHS Key Systems and Processes

Business Systems Customer Facing Systems Resident & Tenants Support Systems

Process Improvement – P-D-C-A Act Plan

PDCA aka • Shewhart Cycle • Deming Cycle

Check Do

42

PDCA Improvement Example

“Bottom Line Value:”

• • • • • • • • Organizational Focus Clear/Crisp Strategic Direction Alignment throughout the System Enhanced Management Processes and Systems… Consistent Performance Customer Focus…Enhanced Satisfaction Strong Financial Performance Committed, Energized Workforce Measurable Results!

“The problems that exist in the world today cannot be solved by the level of thinking that created them.”

• Albert Einstein

Contact Information

• • [email protected]

[email protected]

• 763-689-1162