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VISN 1 Veterans engineering resource Center. New England healthcare engineering partnership. Janis Hersh, MBA - Acting Director. Strategic Priority 1.1 Building a Culture of Improvement. NEHCEP Aims. NEHCEP Organizational Chart. Academic Partners. CURRENT PROJECT GOALS. NEXT STEPS.

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visn 1 veterans engineering resource center

VISN 1 Veterans engineering resource Center

New England healthcare engineering partnership

Janis Hersh, MBA - Acting Director

slide2

Strategic Priority 1.1

Building a Culture of Improvement

compensation and pension exams
CURRENT PROJECT GOALS
  • NEXT STEPS
  • SR administrative subcommittee
  • National C&P Taskforce
  • VISN 1
  • Development of simulation model
  • Development of predictive forecasting model
  • Develop make buy model for services
  • 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)
  • IN PROCESS
  • LINKAGES
Compensation and pension exams

Reduce the processing time in C&P

Reduce C&P clinic and patient cancellation rates

Respond to and forecast demand

colorectal cancer

Understand current scheduling process and tools utilized

  • Develop report or measurement method to track number of cancellations and no shows
  • 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
  • CURRENT PROJECT GOALS
  • NEXT STEPS
  • IN PROCESS
  • LINKAGES
  • National Cancer Collaborative
  • VISN 1 Colorectal Cancer Collaborative
  • Apply improvements to other VISN 1 sites
Colorectal cancer
reusable medical equipment

Develop a tool to assist facilities to assess and optimize resource utilization in endoscope re-processing

  • Develop human factors design guide for facilities retrofit/new reprocessing units
  • CURRENT PROJECT GOALS
  • NEXT STEPS
  • IN PROCESS
  • LINKAGES
  • VERC National RME Workgroup
  • VACO Facilities Quality Service
  • VISN 1 SPD Board
  • Continue to develop and validate current simulation model and expand to generalizable model
  • Create a VB application to simplify staffing model input
  • Identify opportunities to improve self monitoring/auditing of SOP use for all types of RME
  • Pilot staffing model in additional facilities
  • Create project goals/action plan for a possible self monitoring tool
REUSABLE MEDICAL EQUIPMENT
care at the bedside

Missing medications post RPIW implementation

  • Implementation of 5S on inpatient units
  • Guidebook for 5S in healthcare
  • To increase direct patient-clinician contact time while enhancing the quality of care
    • RPIW for medication administration
    • Reduction in PT consult delays
  • CURRENT PROJECT GOALS
  • CURRENT STATE
  • IN PROCESS
  • LINKAGES
care at the bedside

PDA Time Study Data

  • MA STAAR Initiative
  • VHA FIX Bedside Care

* 5 S Supply Reorganization

primary care medical home

Support national implementation of PCMH model

  • Use VISN 1 facility sites as test sites for generalizable solutions
  • CURRENT PROJECT GOALS
  • NEXT STEPS
  • FUTURE WORK
  • IN PROCESS
  • CURRENT PROJECT GOALS
Primary Care medical home
  • Planning for collaborative
  • Collect baseline measures

Industrial engineering and collaborative support to Northeast Region

Develop and simplify registration processes in VISN 1 test site (JP)

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
slide10

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
slide11
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”
slide12

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
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