Rce looking at the current physical layout and design

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(RCE) looking at the current physical layout and design of the hospital and clinic. When Suntown began working on Lean in 2003, it employed the services of outside consultants. These consultants trained 12 senior leaders and management staff in Lean principles. However, use of consultants was discontinued the following year and all Lean activities were internalized. Conceptualization of Lean The formal plan for QI at Suntown encompasses three levels: the system level, the process level, and the performance level. Quality at the system level is defined by the Baldridge criteria, an integrated framework for managing an organization that helps organizations assess their improvement efforts, diagnose their overall performance management systems, and identify their strengths and opportunities for improvement. w The process level is organized using the Planned Care Model, which includes six fundamental areas (self-management, decision support, delivery system design, clinical information system, organization of health care, and community) on which organizations should focus to provide high-quality chronic disease care. x Suntown has u The aim of the IHI’s 5 Million Lives Campaign was to support the improvement of medical care in the United States, significantly reducing levels of morbidity and mortality over the course of the 2-yar initiative (2006-2008). See http://www.ihi.org/offerings/initiatives/paststrategicinitiatives/5millionlivescampaign/pages/default.aspx. v Consumer Assessment of Healthcare Providers and Systems, Agency for Healthcare Research and Quality, Rockville, MD. Available at https://cahps.ahrq.gov/. w Baldridge performance Excellence Program. Available at http://www.baldrigepe.org/. x Institute for Healthcare Improvement, Cambridge, MA. See http://www.ihi.org/search/pages/results.aspx?k=Planned%20Care%20Model.
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138 It's not by accepting the status quo, but by constantly saying, "OK, why are we doing it this way? What can we do different? What can we do better in living that out in what we do every day?" Senior executive extended this chronic care model to its entire system of care. Lean is the primary approach to QI at the organization. Lean methodology at Suntown is modeled after Lean in the industrial engineering sector. It is characterized by “learning by doing” in levels across the organization. The CEO at the hospital notes that their approach to Lean has been similar to that of Toyota and Boeing, and, in health care, to Virginia Mason Medical Center in Seattle. Lean at Suntown is nearly synonymous with RCE. RCE is based on the Lean Processing Framework, which identifies and eliminates waste from processes. Suntown primarily uses RCE as the formal approach to improving processes throughout the organization. In each RCE, it uses a specific set of Lean tools. According to one senior executive, Suntown intentionally uses only specific Lean tools to fit the needs of its organization.
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