VISN 1 Veterans engineering resource Center

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VISN 1 Veterans engineering resource Center
New England healthcare engineering partnership

• Janis Hersh, MBA - Acting Director

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Strategic Priority 1.1 Building a Culture of
Improvement
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• NEHCEP Aims

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• NEHCEP Organizational Chart

Academic Partners
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Compensation and pension exams

• CURRENT PROJECT GOALS

• NEXT STEPS

1. Development of simulation model
2. Development of predictive forecasting model
3. Develop make buy model for services

1. Reduce the processing time in CP
2. Reduce CP clinic and patient cancellation rates
3. Respond to and forecast demand

• IN PROCESS

• LINKAGES

• Developed automated system to simplify tracking
  of times
• Developed streamlined assessment process for pts
• Collected best practices from throughout VHA
• Staffed DES RPIW (Fort Carson)

• SR administrative subcommittee
• National CP Taskforce
• VISN 1

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Colorectal cancer

• CURRENT PROJECT GOALS

• NEXT STEPS

• Identify root cause of cancellations and no-shows
  in endoscopy suite
• Identify process changes to increase suite
  utilization using current resources
• Optimize and improve scheduling processes

1. Apply improvements to other VISN 1 sites

• IN PROCESS

• LINKAGES

1. Understand current scheduling process and tools
   utilized
2. Develop report or measurement method to track
   number of cancellations and no shows

• National Cancer Collaborative
• VISN 1 Colorectal Cancer Collaborative

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REUSABLE MEDICAL EQUIPMENT

• CURRENT PROJECT GOALS

• NEXT STEPS

1. Develop a tool to assist facilities to assess and
   optimize resource utilization in endoscope
   re-processing
2. Develop human factors design guide for facilities
   retrofit/new reprocessing units

1. Pilot staffing model in additional facilities
2. Create project goals/action plan for a possible
   self monitoring tool

• IN PROCESS

• LINKAGES

1. Continue to develop and validate current
   simulation model and expand to generalizable
   model
2. Create a VB application to simplify staffing
   model input
3. Identify opportunities to improve self
   monitoring/auditing of SOP use for all types of
   RME

• VERC National RME Workgroup
• VACO Facilities Quality Service
• VISN 1 SPD Board

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care at the bedside

• CURRENT PROJECT GOALS

• CURRENT STATE

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• To increase direct patient-clinician contact time
  while enhancing the quality of care
• RPIW for medication administration
• Reduction in PT consult delays

PDA Time Study Data

• IN PROCESS

• Missing medications post RPIW implementation
• Implementation of 5S on inpatient units
• Guidebook for 5S in healthcare

• LINKAGES

• MA STAAR Initiative
• VHA FIX Bedside Care

5 S Supply Reorganization
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Primary Care medical home

• CURRENT PROJECT GOALS

• NEXT STEPS

• CURRENT PROJECT GOALS

• Support national implementation of PCMH model
• Use VISN 1 facility sites as test sites for
  generalizable solutions

1. Planning for collaborative
2. Collect baseline measures

• IN PROCESS

• FUTURE WORK

1. Industrial engineering and collaborative support
   to Northeast Region
2. Develop and simplify registration processes in
   VISN 1 test site (JP)
3. Develop methods to determine registration
   stations, waiting room size, and clerk stations

• Assess and optimize functionality of clinical
  spaces, e.g. My HealtheVet kiosks, patient
  education room, group visit room

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Education

• Developing Role of Health Care Engineering
  Specialist
• Year 1 3 VERC Fellows, 2 transitioning to
  Improvement Specialists in VISN 1
• Year 2 3 VERC Fellows (masters IE) for FY11
  academic year 2 in Boston, 1 in Pittsburgh
• Delivering Core Curriculum for VERC fellowship
• Training Existing Healthcare Clinical and
  Administrative Staff
• Lean and microsystems training throughout VISN 1
  in partnership with VISN Improvement Resource
  Office
• Weekly academic seminar

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• Research

• Initial work to partner with academics to
  apply VA data to illustrate their work
• VA setting is focus of PhD thesis for MIT
  student, others to follow
• First grant awarded to Brian Shiner,
  Developing Tools to Assess Quality of PTSD Care
  in VHA

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Evaluation

• Partnering with COLMR, Center for Organizational
  Learning and Management Research
• Dashboard of Measures to quantify work done
• Evaluating Impact of VERC on culture of
  improvement, context for change
• Methods
• Qualitative interviews with teams, facility,
  VERC and VISN
• Quantitative AES, special employee studies