Document Detail


Kaiser Permanente's performance improvement system, part 2: developing a value framework.
MedLine Citation:
PMID:  21222357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In 2008, Kaiser Permanente began phased implementation of a nationwide performance improvement (PI) system. The aim was to improve performance by providing consistent, highly meaningful performance measurement, increase PI skills in staff at all levels, develop organizational capabilities, and provide support for making improvements in medical centers and across regions. Evaluating the PI System: The intermediate results of the PI system were assessed in the 22 medical centers in four of the eight Kaiser Permanente regions. Implementation for 3 of these medical centers occurred in January 2008 through November 2008, with implementation for the remaining 19 medical centers occurring from September 2008 through September 2009.
FINDINGS: The 22 medical centers that were evaluated achieved a 61% improvement in selected capabilities, and improvement advisors (IAs) successfully completed 84% of initial PI projects. For each dollar invested, estimates suggested an average return on investment of $2.36.
LESSONS LEARNED: Critical factors include adequate dedicated time for PI activities by staff with necessary expertise, expert support to operations, alignment of projects with regional and national strategic priorities, and close working relationships between PI staff and operational management. Involving finance leaders in improvement planning, prioritization, and oversight is important. These elements can be adapted to smaller systems and single hospitals.
CONCLUSIONS: The initial evaluation of the Kaiser Permanente PI system indicated that (1) IAs successfully led projects in conjunction with frontline teams, (2) organizational capabilities increased, and (3) the investment in PI infrastructure and staff was sound. Expansion throughout the entire Kaiser Permanente system is under way.
Authors:
Lisa Schilling; Dennis Deas; Maile Jedlinsky; Deborah Aronoff; Juliette Fershtman; Abdul Wali
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Joint Commission journal on quality and patient safety / Joint Commission Resources     Volume:  36     ISSN:  1553-7250     ISO Abbreviation:  Jt Comm J Qual Patient Saf     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-01-12     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101238023     Medline TA:  Jt Comm J Qual Patient Saf     Country:  United States    
Other Details:
Languages:  eng     Pagination:  552-60     Citation Subset:  IM    
Affiliation:
National Health Care Performance Improvement and Exection Strategy, Kaiser Foundation Health Plan, Inc., Oakland, California, USA. lisa.schilling@kp.org
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MeSH Terms
Descriptor/Qualifier:
Cost Savings
Delivery of Health Care, Integrated / economics,  organization & administration*
Efficiency, Organizational
Humans
Process Assessment (Health Care) / organization & administration
Quality Improvement / economics,  organization & administration*
Quality Indicators, Health Care / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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