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Message from the Executive Director: SNI and California’s Public Hospitals Take on Change Management to Achieve Delivery Transformation
Given the breadth and pace of change in health care these days, the topic of change management comes up frequently. In SNI’s discussions with California public hospital system leaders as we roll out new initiatives to support delivery system transformation, under the new California 1115 Medicaid Waiver and in preparation for health reform, I’ve been struck by the highly creative approaches to change management. Alameda County Medical Center is launching a System Transformation Center to support teams undertaking change initiatives while aligning improvement efforts and communication across the organization. San Francisco General Hospital will implement a Performance Improvement and Patient Safety Training Center to establish a system-wide process for training staff and providers in essential performance improvement and patient safety curricula. Other public hospital systems are applying similarly creative approaches. At SNI, we are undertaking a review of the ways that high-performing hospital systems organize their performance improvement infrastructure, to be completed this summer. In the meantime, I continue to be inspired and excited by the myriad ways that public hospital systems have taken on this challenge of managing multiple, ambitious change efforts simultaneously.
Contact: Wendy J. Jameson
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SNI to Launch Collaborative to Reduce Hospital-Acquired Infections Under New Grant from Blue Shield of California Foundation
SNI has just received a grant from the Blue Shield of California Foundation to support a learning collaborative for California’s public hospital systems on reducing hospital-acquired infections, specifically central line infections and sepsis. This new program will be critical to supporting CAPH members in making care safer for their patients. SNI will be rolling out more specific details about this program, targeted to start this summer.
Contact: Seraphin Nicholson
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CAPH Member Hospitals Cut Sepsis Rates; Others Wins Award, Recognition
San Francisco General Hospital, Alameda County, San Mateo, and Contra Costa Regional Medical Centers have cut their sepsis mortality rates after participation in a 2-year program, funded by the Gordon and Betty Moore Foundation and led by UCSF. These four Bay Area public hospital systems are part of the nine total hospitals that participated in the encouraging study, which was featured in a recent San Francisco Chronicle article.
Another CAPH member hospital, Santa Clara Valley Medical Center, was also featured in an article by the Silicon Valley Mercury News for being named "5-Star Award" winners for their Rehabilitation Center and Burn Center in the 2011 National Excellence in Healthcare awards by Professional Research Consultants.
Harbor-UCLA Medical Center’s Pediatrics Child Crisis Center, a well-established program in the field of child physical and sexual abuse and neglect, was also honored recently. The Center was recognized at a Victims-Rights’ Recognition Ceremony and was commended by the L.A. County District Attorney’s Office for Outstanding Service to victims and witnesses of crime. Read more here.
Contact: Sarah Muller
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SNI Partners with Leading Experts in new Patient Experience Initiative
SNI’s new Patient Experience Transformation Initiative (PExT) focuses on both the measurement and improvement of patient experience. A key consultant on SNI’s program is former Cleveland Clinic Chief Experience Officer, Dr. Bridget Duffy, and her team at ExperiaHealth. Dr. Duffy was recently featured in a California Healthline special report discussing the importance of empowering patients as a key to improving care, noting that safety net health care organizations have "an opportunity to create demonstration projects and serve as a national model on how to focus on patient experience for the underserved."
Contact: Boris Kalanj or Norma Batongbacal
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Public Hospitals Continue Spreading Palliative Care Services
As part of the CHCF-funded Spreading Palliative Care in Public Hospitals Initiative, 12 CAPH-member hospital systems now have viable palliative care programs in place, and four others are building these services. Palliative care continues to stand out as a successful and compelling model for providing patient-and family-centered care in California’s public hospital systems. The 12 public hospital systems that have built and sustained palliative care programs provided palliative care consultations to 3,428 patients in 2010—an average of 24 per hospital per month. A recent Health Affairs GrantWatch Blog by CHCF’s Senior Program Officer Kate O’Malley describes the successes of SNI’s initiative to spur the growth of palliative care programs among CAPH member hospital systems.
Contact: Boris Kalanj
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SNI Hosts Panel Management Trainings, Critical in Light of Report Showing Increased Disparities
SNI’s Primary Care Empanelment Workgroup recently hosted two Panel Management Trainings led by Dr. Tom Bodenheimer and his team from the SFGH/UCSF Center for Excellence in Primary Care. As public hospital clinics advance in identifying and assigning patients to primary care provider/care team panels, a paradigm shift is taking place in which the care team develops a shared accountability for all patients assigned to their team, rather than only those patients who have an appointment today. At the trainings, participants used a sample registry to identify care gaps—particularly for patients with chronic conditions like diabetes—and role-play methods for proactive patient outreach. They also learned motivational interviewing techniques for interacting with patients in a more collaborative manner. The importance of these trainings cannot be overemphasized, especially in light of the new Agency for Healthcare Research and Quality’s (AHRQ) 2010 National Healthcare Disparities Report (NHDR) which shows that over the past 8 years, care for people with diabetes has been getting worse and disparities in diabetes care have widened.
Contact: Denise Gonzalez, MD
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SNI Receives Continued Funding to Support IHI Scholarship Program
SNI has recently received a grant from Kaiser Permanente Northern California Fund for Community Benefit at the East Bay Community Foundation to fund the IHI Scholarship program through the rest of 2011, which continues to help CAPH members access to top-notch performance improvement trainings and conferences. The timing couldn’t be better as IHI has just launched their new Quality Improvement for Chairs and Chiefs, a 2-day program for clinical chairs and chiefs of departments or services to be fully immersed in methods to improve quality throughout their department. This training will take place November 9-10 in Boston, MA.
Contact: Mary Gregory
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The 5th Institute for Physician Leadership (IPL) is now accepting applications for up to 30 individuals, which will kick-off in early November. The goal of the IPL is to equip physician leaders with the skills and resources necessary to lead effective change in their organizations through in-person seminars, distance learning, peer-based discussion groups and webinars. Candidates must submit a completed application form by July 1st. All candidates' nominators or supervisors must also submit a Nominator Form by July 1st. Click here for program and application details, as well as the application form.
Contact: Mary Gregory
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Events
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