Microsystems

1

• Microsystems
• US. Naval Hospital Sigonella, Italy

2
Microsystems Design

• Primary Focus and Multidisciplinary Team Chosen
• Pre-work by Team (2 Months)
• Pilot Study Training Session by CERPS Experts (3
  Days)
• Microscopic Mapping of the Process Flow
• Smaller Group Comprised of Process Owners
  Utilize the Mindset Familiar
  to Care Givers Evaluate,
  Plan, Execute, and Follow-up Evaluation
• Weekly Team Meetings (10 Months)

3
NH Sigonella Microsystems Design

• Patient Safety as the Primary Focus
• Process Flow Involving the Patient for
• Labor and Delivery
• Patients Admission to Ward until Discharge

4
NH Sigonella MicrosystemsOur Most Significant
Results

• Implemented electronic charting
• Implemented remote maternal-fetal monitoring
  
• Increased RVU capture by 55
• Streamlined lab test results process
• Identified latent safety processes
• Acquired new pumps for labor analgesia
  simultaneously promoted patient safety and
  satisfaction
• Implemented Point-of-Care lab testing in surgery
• Streamlined surgical admissions process

5
NH Sigonella Microsystems Sustainment

• Command Culture Change Microsystems thinking is
  becoming part of daily work and is being
  used on an interdepartmental level to problem
  solve and make improvements
• Expand study of process flow from conception
  (first clinic visit) until 6 weeks post-partum
• Womens Breast Health Initiative

6
NH SigonellaCommand Perspective

• Advantages of Microsystems Methodology
• Straightforward, uncomplicated methodology
  
• No intensive training
  
• Jargon is minimal
• No complicated diagrams or graphs
• Lends itself well to a health care system
• Rather than adapting a methodology geared toward
  industry product
• Utilizes a thought process already familiar to
  care givers evaluate, plan, execute and
  reevaluate.

7
NH SigonellaCommand Support

• NH Sigonellas Command Leadership
• were kept abreast of the
• Microsystems Teams work
• and lent strong support,
  including financial provision,
• for our teams recommendations.
• And in the abundance of counselors there is
  victory. Proverbs 246