Catalogue


Transforming health care : Virginia Mason Medical Center's pursuit of the perfect patient experience /
Charles Kenney ; foreword by Donald M. Berwick.
imprint
Boca Raton : CRC Press/Taylor & Francis, c2011.
description
xxii, 223 p.
ISBN
1563273756 (hardcover : alk. paper), 9781563273759 (hardcover : alk. paper)
format(s)
Book
Holdings
More Details
imprint
Boca Raton : CRC Press/Taylor & Francis, c2011.
isbn
1563273756 (hardcover : alk. paper)
9781563273759 (hardcover : alk. paper)
abstract
"A chronicle of one of the most unusual series of events in the history of medicine, this book tells the story a group of men and women clinicians, administrators, frontline workers, trustees, and leaders blessed with vision, courage, and a relentless determination to improve. It is the story of a medical center transformed. Ultimately, it is the story of a new and possibly better way to take on the challenge we face in the United States today to provide superb medical care to our people while at the same time controlling costs"--Provided by publisher.
catalogue key
7360194
 
Includes bibliographical references and index.
A Look Inside
Reviews
Review Quotes
This remarkable story of Virginia Mason''s journey to Lean offers hope that America can achieve the high-quality, affordable care we all deserve. ” Ceci Connolly,Freelance Writer A comprehensive and insightful book that chronicles an arduous journey to achieve an exceptional patient-centered culture using a management system only now recognized as relevant to health care. This is a story of how Virginia Mason became the benchmark against which other health care systems must judge themselves, and a beacon in a field that has resisted change for far too long. ” David M. Lawrence, MD, MPH, Chairman and CEO (retired), Kaiser Foundation Health Plan and Hospitals, Inc. The challenges to our U.S. health care system have never been greater. We are challenged by the high cost of care and less than optimal quality and safety. Virginia Mason Medical Center has been on a ten year journey to demonstrate just what is possible and the results have been profound. What is equally amazing, and must reading for health care leaders, is the story of their journey. It is possible to improve quality and safety while simultaneously reducing cost! ” John Kitzhaber, MD, Governor of Oregon 1995-2003 U.S. health care is replete with stories of failed attempts to improve quality and control soaring costs, only to succumb to perverse incentives, infighting and an entrenched status quo. Virginia Mason offers a different path forward, by showing what happens when all of health care "s stakeholders ” doctors, employers, insurers ” align themselves behind pursuing the best care for the patient. It "s a potential model precisely because its leadership medical staff had to overcome the same challenges that affect hospitals and clinicians across the country today. ” Vanessa Fuhrmans,The Wall Street Journal Congratulations to the Virginia Mason team for being another great example of committing to a compelling vision and to continuous quality improvement . Thank You! ” Alan Mulally,former President and CEO, Boeing Commercial Airplanes; current President and CEO, Ford Motor Company If you work in the health and medical care field and you believe you and your institution are as good as it is possible to be, you should read this book. It will reset your standards and show you how to produce more value for your patients at a lower cost. This is a front line story, not a pie in the sky theory or project of the month. It is a story about real people dedicated to the pursuit of habitual excellence. ” Paul O "Neill, 72nd Secretary of the U.S. Treasury, former Chairman and CEO of Alcoa Health care transformation is a process not an event. This book richly describes this process at Virginia Mason ” not just the principles but all the challenges along the way and how they were overcome. It is a textured account of an ongoing journey and as such is an invaluable aid to anyone serious about transforming their own organization. ” Richard Bohmer, MBChB, MPH Professor of Management Practice, Harvard Business School This is the story of a journey. It "s a journey that began almost a decade ago, that continues today, and that will likely continue for the foreseeable future. Through a number of powerful case studies, this book illustrates how Virginia Mason Medical Center has steadily improved the safety, quality, and efficiency of its patient care ” one process at a time. But more importantly, it is a study in leadership and cultural transformation in one of our nation "s most important industries ” health care. That transformation has made patient-centered care much more than a slogan at Virginia Mason; it has become a way of doing business, each and every day. The beneficiaries of that transformation, first and foremost, are the patients Virginia Mason serves. But of equal importance is the new-found sense of accomplishment and satisfaction that these changes have engendered among the Medical Center "s physicians, management team and employees. This book is inspiring must reading for anyone who leads, or aspires to lead, any health care organization. ” William F. Jessee, MD, FACMPE, President and CEO, Medical Group Management Association If you want to understand what health care can become, you need to know about Virginia Mason Medical Center. This book gives you the complete story. It is essential reading. ” David Cutler, former Senior Health Care Advisor, Obama Presidential Campaign An inspiring tale of leadership, discipline, and persistence by an organization committed to excellence in patient care. VMMC has redefined patient-centeredness as the core of process change. By so doing, not only has it transformed its culture and dramatically improved outcomes, it has set new standards for quality and efficiency. Must reading for all health care leaders who are serious about quality. ” Lucian L. Leape, MD, Harvard School of Public Health How does a hospital change the very culture of medicine? By abandoning the philosophy that says This is the way we "ve always done it! That "s the essence of the amazing story of true change told by Charles Kenney in Transforming Healthcare: Virginia Mason Medical Center "s Pursuit of the Perfect Patient Experience. But hold on: This is not a cold chronicle of good people moving deck chairs around on the deck of the Titanic. This is genuine course-changing, history-changing work born of steely determination to stop hurting patients by finding ways of practicing medicine that tradition never taught. How does one transform to an idyllic hospital where errors never hurt patients and people are happy? By breaking the molds and infusing a common vision and by starting down the path Dr. Gary Kaplan and Virginia Mason were courageous enough to blaze ten years ago - when no one else was even peeking outside the box. If you intend to keep your patients safe - if you intend to improve the working environment, the bottom line, and the camaraderie of your hospital - you cannot ignore this story! This book isn "t about Lean, Toyota, or any single methodology as much as it "s about a refusal to maintain the terrible status quo documented by the Institute of Medicine in 1999. This book is the foundational element of understanding what it takes to really change a moribund culture. ” John J. Nance, author, Why Hospitals Should Fly Virginia Mason Medical Center is widely recognized as the pioneer in applying the disciplines of the Toyota Production Systems to improve the delivery of health care. Now, with the publication of Transforming Health Care, we have a first-hand account of what they did and what they learned: the steps they took to make the concept of Team Medicine a reality; the struggles and successes in moving from physician-centric to patient-centered care; and the projects they have undertaken to redesign clinical pathways to eliminate waste and error, reduce scientific uncertainty, and promote patient preferences. An easy read, but also an in-depth account of Virginia Mason "s effort to transform itself. This book is a must for students of organizational behavior as well as for those who aspire to improve health care. ” John E. Wennberg, MD, MPH, Peggy Y. Thomson Professor Emeritus(Chair) in the Evaluative Clinical Sciences & Founder and Director Emeritus, The Dartmouth Institute for Health Policy and Clinical Practice
If you work in the health and medical care field and you believe you and your institution are as good as it is possible to be, you should read this book. It will reset your standards and show you how to produce more value for your patients at a lower cost. This is a front line story, not a pie in the sky theory or project of the month. It is a story about real people dedicated to the pursuit of habitual excellence. - Paul O'Neill, 72nd Secretary of the U.S. Treasury & former Chairman and CEO of Alcoa A comprehensive and insightful book that chronicles an arduous journey to achieve an exceptional patient-centered culture using a management system only now recognized as relevant to health care. This is a story of how Virginia Mason became the benchmark against which other health care systems must judge themselves, and a beacon in a field that has resisted change for far too long. - David M. Lawrence, MD, MPH, Chairman and CEO (retired), Kaiser Foundation Health Plan and Hospitals, Inc. The challenges to our U.S. health care system have never been greater. We are challenged by the high cost of care and less than optimal quality and safety. Virginia Mason Medical Center has been on a ten year journey to demonstrate just what is possible and the results have been profound. What is equally amazing, and must reading for health care leaders, is the story of their journey. It is possible to improve quality and safety while simultaneously reducing cost! - John Kitzhaber, MD, Governor of Oregon 1995-2003 U.S. health care is replete with stories of failed attempts to improve quality and control soaring costs, only to succumb to perverse incentives, infighting and an entrenched status quo. Virginia Mason offers a different path forward, by showing what happens when all of health care's stakeholders - doctors, employers, insurers - align themselves behind pursuing the best care for the patient. It's a potential model precisely because its leadership medical staff had to overcome the same challenges that affect hospitals and clinicians across the country today. - Vanessa Fuhrmans,The Wall Street Journal Congratulations to the Virginia Mason team for being another great example of committing to a compelling vision and to continuous quality improvement … . Thank You! - Alan Mulally,former President and CEO, Boeing Commercial Airplanes; current President and CEO, Ford Motor Company Health care transformation is a process not an event. This book richly describes this process at Virginia Mason - not just the principles but all the challenges along the way and how they were overcome. It is a textured account of an ongoing journey and as such is an invaluable aid to anyone serious about transforming their own organization. - Richard Bohmer, MBChB, MPH Professor of Management Practice, Harvard Business School This is the story of a journey. It's a journey that began almost a decade ago, that continues today, and that will likely continue for the foreseeable future. Through a number of powerful case studies, this book illustrates how Virginia Mason Medical Center has steadily improved the safety, quality, and efficiency of its patient care - one process at a time. But more importantly, it is a study in leadership and cultural transformation in one of our nation's most important industries - health care. That transformation has made patient-centered care much more than a slogan at Virginia Mason; it has become a way of doing business, each and every day. The beneficiaries of that transformation, first and foremost, are the patients Virginia Mason serves. But of equal importance is the new-found sense of accomplishment and satisfaction that these changes have engendered among the Medical Center's physicians, management team and employees. This book is inspiring must reading for anyone who leads, or aspires to lead, any health care organization. - William F. Jessee, MD, FACMPE, President and CEO, Medical Group Management Association If you want to understand what health care can become, you need to know about Virginia Mason Medical Center. This book gives you the complete story. It is essential reading. - David Cutler, former Senior Health Care Advisor, Obama Presidential Campaign An inspiring tale of leadership, discipline, and persistence by an organization committed to excellence in patient care. VMMC has redefined patient-centeredness as the core of process change. By so doing, not only has it transformed its culture and dramatically improved outcomes, it has set new standards for quality and efficiency. Must reading for all health care leaders who are serious about quality. - Lucian L. Leape, MD, Harvard School of Public Health This remarkable story of Virginia Mason''s journey to Lean offers hope that America can achieve the high-quality, affordable care we all deserve. - Ceci Connolly,Freelance Writer How does a hospital change the very culture of medicine? By abandoning the philosophy that says This is the way we've always done it! That's the essence of the amazing story of true change told by Charles Kenney in Transforming Healthcare: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience. But hold on: This is not a cold chronicle of good people moving deck chairs around on the deck of the Titanic. This is genuine course-changing, history-changing work born of steely determination to stop hurting patients by finding ways of practicing medicine that tradition never taught. How does one transform to an idyllic hospital where errors never hurt patients and people are happy? By breaking the molds and infusing a common vision and by starting down the path Dr. Gary Kaplan and Virginia Mason were courageous enough to blaze ten years ago - when no one else was even peeking outside the box. If you intend to keep your patients safe - if you intend to improve the working environment, the bottom line, and the camaraderie of your hospital - you cannot ignore this story! This book isn't about Lean, Toyota, or any single methodology as much as it's about a refusal to maintain the terrible status quo documented by the Institute of Medicine in 1999. This book is the foundational element of understanding what it takes to really change a moribund culture. - John J. Nance, author, Why Hospitals Should Fly Virginia Mason Medical Center is widely recognized as the pioneer in applying the disciplines of the Toyota Production Systems to improve the delivery of health care. Now, with the publication of Transforming Health Care, we have a first-hand account of what they did and what they learned: the steps they took to make the concept of Team Medicine a reality; the struggles and successes in moving from physician-centric to patient-centered care; and the projects they have undertaken to redesign clinical pathways to eliminate waste and error, reduce scientific uncertainty, and promote patient preferences. An easy read, but also an in-depth account of Virginia Mason's effort to transform itself. This book is a must for students of organizational behavior as well as for those who aspire to improve health care. - John E. Wennberg, MD, MPH, Peggy Y. Thomson Professor Emeritus(Chair) in the Evaluative Clinical Sciences & Founder and Director Emeritus, The Dartmouth Institute for Health Policy and Clinical Practice
If you work in the health and medical care field and you believe you and your institution are as good as it is possible to be, you should read this book. It will reset your standards and show you how to produce more value for your patients at a lower cost. This is a front line story, not a pie in the sky theory or project of the month. It is a story about real people dedicated to the pursuit of habitual excellence. ” Paul O "Neill, 72nd Secretary of the U.S. Treasury & former Chairman and CEO of Alcoa A comprehensive and insightful book that chronicles an arduous journey to achieve an exceptional patient-centered culture using a management system only now recognized as relevant to health care. This is a story of how Virginia Mason became the benchmark against which other health care systems must judge themselves, and a beacon in a field that has resisted change for far too long. ” David M. Lawrence, MD, MPH, Chairman and CEO (retired), Kaiser Foundation Health Plan and Hospitals, Inc. The challenges to our U.S. health care system have never been greater. We are challenged by the high cost of care and less than optimal quality and safety. Virginia Mason Medical Center has been on a ten year journey to demonstrate just what is possible and the results have been profound. What is equally amazing, and must reading for health care leaders, is the story of their journey. It is possible to improve quality and safety while simultaneously reducing cost! ” John Kitzhaber, MD, Governor of Oregon 1995-2003 U.S. health care is replete with stories of failed attempts to improve quality and control soaring costs, only to succumb to perverse incentives, infighting and an entrenched status quo. Virginia Mason offers a different path forward, by showing what happens when all of health care "s stakeholders ” doctors, employers, insurers ” align themselves behind pursuing the best care for the patient. It "s a potential model precisely because its leadership medical staff had to overcome the same challenges that affect hospitals and clinicians across the country today. ” Vanessa Fuhrmans,The Wall Street Journal Congratulations to the Virginia Mason team for being another great example of committing to a compelling vision and to continuous quality improvement . Thank You! ” Alan Mulally,former President and CEO, Boeing Commercial Airplanes; current President and CEO, Ford Motor Company Health care transformation is a process not an event. This book richly describes this process at Virginia Mason ” not just the principles but all the challenges along the way and how they were overcome. It is a textured account of an ongoing journey and as such is an invaluable aid to anyone serious about transforming their own organization. ” Richard Bohmer, MBChB, MPH Professor of Management Practice, Harvard Business School This is the story of a journey. It "s a journey that began almost a decade ago, that continues today, and that will likely continue for the foreseeable future. Through a number of powerful case studies, this book illustrates how Virginia Mason Medical Center has steadily improved the safety, quality, and efficiency of its patient care ” one process at a time. But more importantly, it is a study in leadership and cultural transformation in one of our nation "s most important industries ” health care. That transformation has made patient-centered care much more than a slogan at Virginia Mason; it has become a way of doing business, each and every day. The beneficiaries of that transformation, first and foremost, are the patients Virginia Mason serves. But of equal importance is the new-found sense of accomplishment and satisfaction that these changes have engendered among the Medical Center "s physicians, management team and employees. This book is inspiring must reading for anyone who leads, or aspires to lead, any health care organization. ” William F. Jessee, MD, FACMPE, President and CEO, Medical Group Management Association If you want to understand what health care can become, you need to know about Virginia Mason Medical Center. This book gives you the complete story. It is essential reading. ” David Cutler, former Senior Health Care Advisor, Obama Presidential Campaign An inspiring tale of leadership, discipline, and persistence by an organization committed to excellence in patient care. VMMC has redefined patient-centeredness as the core of process change. By so doing, not only has it transformed its culture and dramatically improved outcomes, it has set new standards for quality and efficiency. Must reading for all health care leaders who are serious about quality. ” Lucian L. Leape, MD, Harvard School of Public Health This remarkable story of Virginia Mason''s journey to Lean offers hope that America can achieve the high-quality, affordable care we all deserve. ” Ceci Connolly,Freelance Writer How does a hospital change the very culture of medicine? By abandoning the philosophy that says This is the way we "ve always done it! That "s the essence of the amazing story of true change told by Charles Kenney in Transforming Healthcare: Virginia Mason Medical Center "s Pursuit of the Perfect Patient Experience. But hold on: This is not a cold chronicle of good people moving deck chairs around on the deck of the Titanic. This is genuine course-changing, history-changing work born of steely determination to stop hurting patients by finding ways of practicing medicine that tradition never taught. How does one transform to an idyllic hospital where errors never hurt patients and people are happy? By breaking the molds and infusing a common vision and by starting down the path Dr. Gary Kaplan and Virginia Mason were courageous enough to blaze ten years ago - when no one else was even peeking outside the box. If you intend to keep your patients safe - if you intend to improve the working environment, the bottom line, and the camaraderie of your hospital - you cannot ignore this story! This book isn "t about Lean, Toyota, or any single methodology as much as it "s about a refusal to maintain the terrible status quo documented by the Institute of Medicine in 1999. This book is the foundational element of understanding what it takes to really change a moribund culture. ” John J. Nance, author, Why Hospitals Should Fly Virginia Mason Medical Center is widely recognized as the pioneer in applying the disciplines of the Toyota Production Systems to improve the delivery of health care. Now, with the publication of Transforming Health Care, we have a first-hand account of what they did and what they learned: the steps they took to make the concept of Team Medicine a reality; the struggles and successes in moving from physician-centric to patient-centered care; and the projects they have undertaken to redesign clinical pathways to eliminate waste and error, reduce scientific uncertainty, and promote patient preferences. An easy read, but also an in-depth account of Virginia Mason "s effort to transform itself. This book is a must for students of organizational behavior as well as for those who aspire to improve health care. ” John E. Wennberg, MD, MPH, Peggy Y. Thomson Professor Emeritus(Chair) in the Evaluative Clinical Sciences & Founder and Director Emeritus, The Dartmouth Institute for Health Policy and Clinical Practice
This item was reviewed in:
Reference & Research Book News, February 2011
To find out how to look for other reviews, please see our guides to finding book reviews in the Sciences or Social Sciences and Humanities.
Summaries
Main Description
For decades, the manufacturing industry has employed the Toyota Production System - the most powerful production method in the world - to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compelling vision to become The Quality Leader and to fulfill that vision, adopted the Toyota Production System as its management method. Winner of The Shingo Research and Professional Publication Award Transforming Health Care:Virginia Mason Medical Center's Pursuit of the Perfect Patient Experiencetakes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. The results speak for themselves, including: An innovative patient safety alert system Reduction in professional liability insurance expenses Foundational changes that make it possible for nurses to spend 90% of their time with patients A computerized module that sorts through electronic medical charts and automatically identifies when disease management and preventative testing due Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's journey as it seeks to provide perfection to its customer the patient. This book shows you how you use this system to transform your own organization.
Main Description
For decades, the manufacturing industry has employed the Toyota Production System - the most powerful production method in the world - to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compelling vision to become The Quality Leader and to fulfill that vision, adopted the Toyota Production System as its management method. Winner of the Shingo Research and Professional Publication Award! Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience takes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. The results speak for themselves, including: An innovative patient safety alert system Reduction in professional liability insurance expenses Foundational changes that make it possible for nurses to spend 90% of their time with patients A computerized module that sorts through electronic medical charts and automatically identifies when disease management and preventative testing due Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's journey as it seeks to provide perfection to its customer the patient. This book shows you how you use this system to transform your own organization.
Main Description
For decades, the manufacturing industry has employed the Toyota Production System - the most powerful production method in the world - to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compelling vision to become The Quality Leader and to fulfill that vision, adopted the Toyota Production System as its management method. Winner of the Shingo Prize for Operational Excellence Transforming Health Care:Virginia Mason Medical Center's Pursuit of the Perfect Patient Experiencetakes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. The results speak for themselves, including: An innovative patient safety alert system Reduction in professional liability insurance expenses Foundational changes that make it possible for nurses to spend 90% of their time with patients A computerized module that sorts through electronic medical charts and automatically identifies when disease management and preventative testing due Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's journey as it seeks to provide perfection to its customer the patient. This book shows you how you use this system to transform your own organization.
Main Description
For decades, the manufacturing industry has employed the Toyota Production System ” the most powerful production method in the world ” to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compelling vision to become The Quality Leader and to fulfill that vision, adopted the Toyota Production System as its management method. Transforming Health Care:Virginia Mason Medical Center's Pursuit of the Perfect Patient Experiencetakes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. The results speak for themselves, including: An innovative patient safety alert system Reduction in professional liability insurance expenses Foundational changes that make it possible for nurses to spend 90% of their time with patients A computerized module that sorts through electronic medical charts and automatically identifies when disease management and preventative testing due Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's path finding and sometimes painful journey as it seeks to provide perfection to its customer “ the patient. This book shows you how you use this system to transform your own organization.
Bowker Data Service Summary
A chronicle of one of the most unusual series of events in the history of medicine, this book tells the story of a group of men and women blessed with vision, courage, and relentless determination to improve. It is the story of a medical centre transformed.
Main Description
A chronicle of one of the most unusual series of events in the history of medicine, this book tells the story a group of men and women a " clinicians, administrators, frontline workers, trustees, and leaders a " blessed with vision, courage, and a relentless determination to improve. It is the story of a medical center transformed. Ultimately, it is the story of a new and possibly better way to take on the challenge we face in the United States today to provide superb medical care to our people while at the same time controlling costs.
Table of Contents
Forewordp. xi
Note About This Bookp. xv
Preface: A Surprising Visitp. xvii
A New Ideap. 1
Change or Diep. 3
Physician-Centricp. 8
Germ of a New Ideap. 10
Toyota Mantra: Eliminate Wastep. 11
Journey to Japanp. 13
A Daring New Pathp. 13
Skepticismp. 16
The First Tripp. 17
An Industrial Symphonyp. 20
"Aren't You Ashamed?"p. 22
The Missing Piecep. 23
"This Is Ludicrous"p. 27
No Going Backp. 29
The Blue Yarnp. 33
A Revealing Value Streamp. 34
The Patient's Voicep. 37
New Space, New Processp. 39
Continuous Improvementp. 41
Standard Workp. 44
A Singular Successp. 46
Safety Crusadep. 49
Patient Safety Alertsp. 50
A Nurse's Couragep. 53
A Doctor's Couragep. 53
Why Shouldn't Everybody Get a Flu Shot?p. 55
Mrs. Mary McClintonp. 58
Mistake Proofingp. 61
A Culture of Safetyp. 61
Evolution of the PSA Systemp. 63
Ambulatory Care Breakthroughp. 69
Stress on Primary Carep. 69
Moving the Mountain of Waitsp. 70
Mistake-Proofing Care: Early Stepsp. 73
Creating a New Toolp. 75
Inventing the Flow Stationp. 77
Breakthroughp. 79
Skill-Task Alignmentp. 80
Primary Care Transformedp. 83
Going to Jidokap. 85
External Setupp. 87
Biggest Room in the Housep. 90
Transforming Procedural Carep. 93
Creating a New Ambulatory Surgical Experiencep. 93
Design Challengep. 94
Listening to Patientsp. 96
Setup Reductionp. 98
Breakthroughp. 100
Center for Hyperbaric Medicinep. 103
Ask Whyp. 105
Patient Focusedp. 106
Transforming Inpatient Carep. 111
Geographic Cellsp. 112
Report/Handoffp. 114
In-Room Documentationp. 116
Visual Work Environmentp. 116
Medical Emergency Teamsp. 118
Hourly Rounding: From Reactive to Proactivep. 120
Knowing the Frontline Workp. 122
Dramatic Change in Nurse Culturep. 123
Shorter Length of Stayp. 126
Better, Faster, More Affordablep. 129
Identifying The Customerp. 131
"We Can Do Better"p. 133
Value Stream Reveals Huge Wastep. 135
Same-Day Accessp. 137
Marketplace Defines Qualityp. 139
Home Runp. 143
Financial Conundrump. 144
Perverse Incentivesp. 146
Management Methodp. 149
Seeing Virginia Mason with Fresh Eyesp. 149
Structure and Disciplinep. 152
Training within Industryp. 153
Standard Work: Hand Hygienep. 154
World-Class Managementp. 155
Daily Managementp. 156
"The State of the Union Every Tuesday Morning"p. 159
"Everybody Can Be a Leader"p. 161
Leadershipp. 163
The Journey Continuesp. 165
Will You Teach Us?p. 165
If You Build Itp. 167
Role Modelp. 168
The Virginia Mason Institutep. 170
"Accountable Outside Our Own Walls"p. 172
The Obstacle of Arrogancep. 174
A Nonsystemp. 176
A Sense of Hopep. 178
The Journey Continuesp. 179
"We're Just Getting Started"p. 181
Source Notesp. 183
Prefacep. 183
p. 184
p. 184
p. 185
p. 185
p. 185
p. 185
p. 186
p. 186
p. 186
p. 186
Appendixp. 187
Glossaryp. 189
Appendixp. 193
Applying VMPS to Business Functionsp. 193
Relentless Attack on Wastep. 194
Bringing Flow Stations to Specialty Departmentp. 196
General Internal Medicine: Spreading Innovation in Ambulatory Carep. 199
Breaking Down Silosp. 200
Skill-Task Alignmentp. 201
Uphill Battlep. 203
Restructuringp. 204
Introducing Flow Stationsp. 205
The New GIMp. 207
Acknowledgmentsp. 211
Indexp. 215
About the Authorp. 223
Table of Contents provided by Ingram. All Rights Reserved.

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