HomeMy WebLinkAboutMINUTES - 03022010 - D.3RECOMMENDATION(S):
Accept a report from Contra Costa Health Services on the history and accomplishments of
system redesign and safety and quality improvement at Contra Costa Regional Medical
Center.
FISCAL IMPACT:
None.
BACKGROUND:
1. For a number of years, but especially in the last five, Contra Costa Regional Medical
Center (CCRMC) has been working to redesign its systems to improve patient outcomes
and maximize efficiency.
2. Several years ago, as part of the national 100,000 Lives campaign, CCRMC took on a
number of patient safety improvement efforts and achieved dramatic improvements:
The areas addressed were
- Medication Reconciliation/Safety
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 03/02/2010 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Susan A. Bonilla, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: William Walker,
957-5403
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: March 2, 2010
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Barbara Borbon, Julie Freestone
D. 3
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:March 2, 2010
Contra
Costa
County
Subject:Report regarding system redesign and lean management at Contra Costa Regional Medical Center
- Introduction of rapid response teams
- Improving care for acute myocardial infarction (heart attack)
BACKGROUND: (CONT'D)
- Reduction of central line infections, surgical infections
- Reduction of ventilator associated pneumonia
3. CCRMC was so successful that it was named a mentor hospital in 2006, the first hospital
west of the Mississippi to earn that designation from the Institute for Healthcare
Improvement.
4. A year ago, with a grant from the Safety Net Institute, CCRMC launched the Lean
Management effort to focus on the patient and what the patient values, to streamline
operations and to improve patient outcomes.
5. Lean manufacturing or lean production, which is often known simply as "Lean", is a
production practice that considers the expenditure of resources for any goal other than the
creation of value for the end customer to be a target for improvement. Basically, Lean is
centered around creating more value with less work.
6. Lean has involved many CCRMC staff, as well as patients and family members.
7. A few key concepts:
- Value stream mapping
- Kaizen week-long efforts in teams that focused on congestive heart failure reducing
hospital readmissions and surgery improvement
8. Recently CCRMC did an event recapping accomplishments and improvements and today
we are going to show a video that will capture some of the reports.
9. Some of the outcomes include:
- Dramatic sustained reduction in ventilator associated pneumonia (from 20/1000 to
<4/1000)
- Sustained improvement in reliable delivery of evidenced-based care for congestive heart
failure (all care delivered from <50 % of time to >90% time)
- Significant gains in medication safety (zero deficiencies on Medication Error Reduction
Plan survey; medications reconciled from 47% to >95%)
10. Implementing the Lean management approach is improving patient outcomes, changing
the CCRMC culture, streamlining operations and making it possible to redeploy staff.
11. CCRMC will continue to apply Lean in the coming year to all its operations.
12. Health Services recently conducted a briefing for all Divisions and expects to see the
Lean approach take hold in other areas of its operations.