Phase | Ramp-up Implementation Study Period | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Years | 2006 | 2007 | 2008 | |||||||||
Quarters | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 |
Case Study Data Collection | ||||||||||||
History of QI & Concurrent QI Activities | ||||||||||||
Parent system begins using DMAIC approach to quality improvement (QI) | X | |||||||||||
Quality Academy created | X | X | ||||||||||
Quality Academy staff visit Grand to provide overview of Lean | X | |||||||||||
Quality Academy provides classes and sessions to all parent organization sites | X | X | X | X | X | X | X | X | ||||
Parent organization implements enterprise-wide priority projects on core measures | X | X | X | X | X | X | X | X | ||||
Introduction of Lean | ||||||||||||
Grand in financial trouble | X | X | X | |||||||||
New CEO hired for medical center | X | |||||||||||
Lean implemented formally at medical center | X | |||||||||||
External consultant hired for medical center | X | X | X | X | ||||||||
Lean included in medical center strategic plan, which outlines operations through 2012 | ||||||||||||
Lean Training & Projects | ||||||||||||
External consultant mentored S&P staff at medical center | X | X | X | |||||||||
External consultant conducted Lean trainings (2009 - 2010) | ||||||||||||
Wave 1 of Lean training and projects occur. Trainings conducted by external consultant. Wave 1 includes Hip and Knee Replacement cost and four other projects. | ||||||||||||
Wave 2 of Lean training and projects occur. Trainings conducted by external consultant. Wave 2 included six projects. | ||||||||||||
Wave 3 of Lean training and projects occur. Trainings conducted by external consultant. Wave 3 included Cardio Followup and five other projects. | ||||||||||||
Wave 4 of Lean training and projects occur. Trainings conducted by S&P staff. | ||||||||||||
Wave 5 of Lean training and projects occur. Trainings conducted by S&P staff. | ||||||||||||
Advanced Lean training offered by Quality Academy | ||||||||||||
Lean integrated into corporate QI training institute |
Phase | Ramp-up Implementation Study Period | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Years | 2009 | 2010 | 2011 | |||||||||
Quarters | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 |
Case Study Data Collection | X | X | X | |||||||||
History of QI & Concurrent QI Activities | ||||||||||||
Parent system begins using DMAIC approach to quality improvement (QI) | ||||||||||||
Quality Academy created | ||||||||||||
Quality Academy staff visit Grand to provide overview of Lean | ||||||||||||
Quality Academy provides classes and sessions to all parent organization sites | X | X | X | X | X | X | X | X | X | X | X | X |
Parent organization implements enterprise-wide priority projects on core measures | X | X | X | X | X | X | X | X | X | X | X | X |
Introduction of Lean | ||||||||||||
Grand in financial trouble | ||||||||||||
New CEO hired for medical center | ||||||||||||
Lean implemented formally at medical center | X | |||||||||||
External consultant hired for medical center | X | X | X | X | ||||||||
Lean included in medical center strategic plan, which outlines operations through 2012 | X | X | ||||||||||
Lean Training & Projects | ||||||||||||
External consultant mentored S&P staff at medical center | X | X | X | X | ||||||||
External consultant conducted Lean trainings (2009 - 2010) | X | X | X | X | X | X | X | |||||
Wave 1 of Lean training and projects occur. Trainings conducted by external consultant. Wave 1 includes Hip and Knee Replacement cost and four other projects. | X | X | ||||||||||
Wave 2 of Lean training and projects occur. Trainings conducted by external consultant. Wave 2 included six projects. | X | X | ||||||||||
Wave 3 of Lean training and projects occur. Trainings conducted by external consultant. Wave 3 included Cardio Followup and five other projects. | X | X | ||||||||||
Wave 4 of Lean training and projects occur. Trainings conducted by S&P staff. | X | X | ||||||||||
Wave 5 of Lean training and projects occur. Trainings conducted by S&P staff. | X | X | ||||||||||
Advanced Lean training offered by Quality Academy | X | |||||||||||
Lean integrated into corporate QI training institute | anticipated 2011 |
Note: Shading in a cell, denoted here by an X, indicates that the relevant activity (row) commenced or continued during the time period (column).