Sweden Federation of County Councils

1
SwedenFederation of County Councils

• Healthcare Improvement
• Idealized Design
• Redesigning the clinical offices practices for
  tomorrow

2
Health Care in Sweden

• 9 millions in 1700 km x 400 km (20/sq km)
• 18 county councils 3 regions
• Public Private sector
• 900 Health Care Centers, 80 General and 9
  Regional Hospitals
• Equal care and availability for all
• Oldest inhab gt 65 years in the world (17,3)
• Lowest infant mortality (0,40)(togetherwith
  Iceland, Japan, Finland Norway)

MB-01
3
MB-01
4
Department of HealthcareImprovementFederation
of County Councils

• Action
• Increase will and power for action
• Create value and results in collaboration with
  our members

5
Working Areas

• Continuous Improvement, examples.
• Access
• Quality Registries and improvement
• Care in the end of Life
• Patient Safety
• Improvement knowledge into educations
• Leadership ex
• Leading Change
• Beyond organization and structure
• Leadership development - in collaboration Lf -SK
• Assessment Center
• Research Support

6

• Methods for systematic change and improvement, ex
  
• Genombrott (Breakthrough Series)
• Idealized Design/Ideal Modell för utveckling/Bra
• mottagning
• Networking and opportunities for adult learning
• QUL (Malcolm Baldrige)

7
Health Care in Sweden

• Knowledge Needed for Continuous Improvement

From Batalden Stoltz
8
Idealized Designof Clinical Offices Practices

• Initiated and led by Institute for Healthcare
  Improvement IHI, in Boston
• 20 organizations and 40 prototype sites and one
  prototype site from Sweden

MB-01
9
Idealized Design of Clinical Office Practices?
Mission

• We will design, test, and deploy new models of
  office-based practices in health care capable of
  fundamentally improved performance levels
  better clinical outcomes, lower costs, higher
  satisfaction, and improved efficiency. Our aim is
  to demonstrate that clinical office practices,
  with appropriate redesign, can achieve
  significant improvements in performance relevant
  to todays urgent social needs for better,
  higher-value health care.

From IHI, Boston in collaboration
10
Idealized Design of Clinical Offices Practices

• The Machine That Changed The World
  Womack,Jones,Roos 1990

MB-01
11
Idealized Design of Clinical Office Practices-
Prototype Sites as of April, 2001
Harvard University Health Services
Cambridge Health Alliance
Beth Israel Deaconess Medical Center
Bellin Health System
Greater Lawrence Family Health Center
MeritCare
Strong Health System
Luther Midelfort
Lathem Medical Group
Magic Health Partners
Independent Health
Thedacare
Mayo Clinic
Geisinger Health System
Dean Health System
Atlantic Health System
St. Marys Health Center
VA Medical Center
Vanderbilt
Baylor College of Medicine
Team Sweden - Skelleftea Medical Center
12
(No Transcript)
13
Model for Improvement
Tom Nolan et al
MB-01
14
Idealized Design and spread in Sweden

• Idealized design - 23 organizations in US and
  Västerbotten County Council
• Ideal Modell - 7 units in Västerbotten County
  Council - Primary Care Centers in Dorotea, Malå,
  Burträsk, Morö Backe, Holmsund, Byske, and Dental
  Care in Malå
• Several new networks
• Bra Mottagning in Jönköping County Council -
  Gränna VC, Huskvarna VC, Råslätts VC, Vaggeryds
  VC, Värnamo KK mott, Eksjö med mott,Nässjö VC
  Öster
• BM 1,2,3,4 networks. BM 5 starting in october
  2001
• Vårdstöd 2005- Gotland. 8 clinical offices
  practices

MB-01
15
"Operation Create Capacity 2005"

• Vårdstöd 2005 - Operation Create Capacity 2005
• 4 army officers from Gotland and Jönköping
• 15 participants from health care
• (From Västerbotten County Council, Jönköping
  County Council and Gotland)
• To create more capacity to support the journey
  of change towards the clinical offices practices
  of tommorrow

MB-01
16
"Operation Create Capacity 2005"

• Collaboration with partners
• The Swedish Defence
• The Municipality of Gotland
• The County Council of Västerbotten
• The County Council of Jönköping
• The Federation of County Councils

MB-01
17
Web sites

• www.ihi.org go to Idealized design or
  Breakthrough Series.
• www.npdt.org go to the UK experience
• www.lf.se/utveckling go to the swedish experience
  (only in Swedish)